Global Healthcare Provider Network Management Market: Objectives of Study | Market Scope | Stakeholders | Forecast Analysis.

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HEALTHCARE
PROVIDER NETWORK
MANAGEMENT
MARKET
ANALYSIS AND GLOBAL FORECAST TO 2020
HEALTHCARE PROVIDER NETWORK MANAGEMENT MARKET -
ANALYSIS AND GLOBAL FORECAST TO 2020
[By Component {Services (Internal Services, Outsourcing Services), Platform/Software}
REPORT OVERVIEW
1.1 OBJECTIVES OF STUDY
• To define and measure the global healthcare provider network management
market on the basis of component and region
• To identify key micromarkets and their drivers within the global healthcare provider
network management market, which are expected to show impressive growth
opportunities in the coming years
• To identify market trends and opportunities for all stakeholders
• To strategically analyze the market structure and profile the key players of the
global healthcare provider network management market and comprehensively
analyze their core competencies
• To track and analyze competitive developments such as expansions; agreements,
collaborations, and partnerships; acquisitions; and marketing and promotion;
among others
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HEALTHCARE
REPORT CODE
HIT 4056

1.2 MARKET DEFINITION
• Provider network management helps payer organizations to manage a provider’s network with greater efficiency
for optimal financial results, process claims with greater accuracy (which reduces cost and errors), and increase
provider satisfaction. The global healthcare provider network management market is bifurcated into provider
network management services and provider network management platform/software segments. The provider
network management services segment is further categorized into outsourcing services and internal services.
1.3 MARKET SCOPE
• This report studies the global healthcare provider network management market, by component, to arrive at
the revenue generated in the global healthcare provider network management market from 2015 to 2020
• The provider network management services and provider network management platform/software
segments are considered for this market study
• North America (U.S. and Canada), Europe, Asia-Pacific, and the Rest of the World are the regions
considered in this market study
1.3.1 MARKETS COVERED
• FIGURE 1 GLOBAL HEALTHCARE PROVIDER NETWORK MANAGEMENT MARKET SEGMENTATION
• This research report categorizes the global healthcare provider network management market into the following
segments:
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INTRODUCTION

1.3.2 YEARS CONSIDERED FOR THE STUDY
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• Note: For market estimates, the calendar year has been considered, whereas for company profiles, the fiscal year has been considered.
1.4 CURRENCY
• THE CURRENCY USED IN THIS REPORT IS USD,WITH MARKET SIZES INDICATED IN USD MILLION.
• For companies reporting revenues in USD, the revenues were taken from their annual reports
• For companies reporting their revenues in other currencies, the average annual currency conversion rate
was used for the particular year to convert the value to USD
1.5 LIMITATIONS
• Some companies in this market are privately owned and their revenues are not available in the public
domain. Hence, revenues for those companies are not included in this report
• Company developments not reported in the public domain are not included in the report
1.6 STAKEHOLDERS
• Healthcare Payers
• Healthcare IT Solution Providers
• Healthcare IT Vendors
• Healthcare IT Services Providers
• Academic Research Institutes
• Government Institutes
• Market Research and Consulting Firms
• Venture Capitalists and Investors
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INTRODUCTION

2.1 RESEARCH METHODOLOGY STEPS
• FIGURE 2 GLOBAL HEALTHCARE PROVIDER NETWORK MANAGEMENT MARKET: RESEARCH
METHODOLOGY STEPS
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RESEARCH METHODOLOGY

2.2 SECONDARY AND PRIMARY RESEARCH METHODOLOGY
2.2.1 SECONDARY RESEARCH
• Secondary sources were used to identify and collect useful information for this extensive, technical, and
commercial study of the global healthcare provider network management market.
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• THE FOLLOWING NON-EXCLUSIVE LIST OF SECONDARY SOURCES WAS REFERRED TO:
• ASSOCIATIONS/ORGANIZATIONS/INSTITUTES:
• Healthcare Information and Management Systems Society (HIMSS), the National Association of Software and
Services Companies (India), U.S. Department of Health and Human Services, U.S. Census Bureau, National
Association of Healthcare Quality, National Health Statistics Group, Centers for Medicare and Medicaid Services
(CMS), U.S. Department of Labor, American Health Information Management Association (AHIMA), Canadian
Institute for Health Information, World Health Organization (WHO), Healthcare Payer News, Annual Reports, SEC
Filings, Press Releases, Company Websites, Investor Presentations, Expert Interviews, and MarketsandMarkets
Analysis
• BACKGROUND STUDY
• To build a basic understanding of services and platform/software areas of provider network management
• MarketsandMarkets data repository analysis, followed by drawing and updating data tables by using
current information
• Identifying data gaps and key players in each segment
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• MARKET UNDERSTANDING
• Identifying stakeholders and key decision makers in different regions
• Selection criteria of key decision makers
• Analyzing the competitive landscape
• Major players with their product portfolios
• Strategies adopted by the players to position their products
• Country-wise market analysis
• TRENDS
• Identifying and analyzing key products and trends to draw notes and include the consideration in the final
forecasts
• Major drivers, restraints, challenges, and opportunities prevailing in the market
2.2.2 PRIMARY RESEARCH
• Industry experts such as CEOs, presidents, vice presidents, directors, marketing directors, marketing managers,
and related key executives from various key companies and organizations in the healthcare provider network
management industry were interviewed to obtain and verify both qualitative and quantitative aspects of this
research study.
• A robust primary research methodology has been adopted to validate the contents of the report and to fill
in the gaps
• A telephonic and e-mail communication mode was adopted to conduct interviews (questionnaires were
designed and sent to primary participants as per their convenience)

2.2.3 KEY INDUSTRY INSIGHTS
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• FIGURE 3 BREAKDOWN OF PRIMARY INTERVIEWS:BY COMPANYTYPE,DESIGNATION,AND REGION
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PRIMARIES: BY COMPANYTYPE PRIMARIES: BY DESIGNATION PRIMARIES: BY REGION
26%
41%
33%
Tier 1 Companies Tier 2 Companies
Tier 3 Companies
26%
33%
41%
C-level Director-level *Others
33%
22%
30%
15%
North America Europe Asia-Pacific RoW
• Note: *Others include sales managers, marketing managers, business development managers, and product managers.
Company categorization according to revenue: Tier 1 (revenue more than USD 500 million), Tier 2 (revenue: USD 100 million to USD 500 million), and Tier 3 (revenue: Less than USD 100
million).
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2.3 KEY DATA FROM PRIMARY SOURCES
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2.4 KEY INSIGHTS FROM PRIMARY SOURCES
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2.5 MARKET SIZE ESTIMATION METHODOLOGY
• Both, top-down and bottom-up approaches were used to estimate and validate the size of the global market and to
estimate the size of various other dependent submarkets in the overall healthcare provider network management
market. The research methodology used to estimate the market size includes the following details:
• The key players in the market were identified through secondary research and their market shares were determined
through primary and secondary research. This entire procedure includes the study of the annual and financial
reports of the top market players and extensive interviews for key insights from industry leaders such as CEOs,
VPs, directors, and marketing executives. All percentage shares, splits, and breakdowns were determined by
using secondary sources and verified through primary sources. All possible parameters that affect the markets
covered in this research study have been accounted for, viewed in extensive detail, verified through primary
research, and analyzed to get the final quantitative and qualitative data. This data is consolidated and added with
detailed inputs and analysis from MarketsandMarkets and presented in this report.
• The following figure shows an illustrative representation of the overall market size estimation process employed
for the purpose of this study.
• FIGURE 4 MARKET SIZE ESTIMATION METHODOLOGY: BOTTOM-UP APPROACH
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• Note: *The market numbers were validated by the key players operating in the market.
Note: A refers to the total market size for the global healthcare provider network management market (in terms of value).
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• FIGURE 5 MARKET SIZE ESTIMATION METHODOLOGY:TOP-DOWN APPROACH
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• Note: A refers to the total market size for the global healthcare provider network management market (in terms of value).
• FIGURE 6 RESEARCH DESIGN
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2.6 MARKET DATA VALIDATION AND TRIANGULATION
• In order to complete the overall market engineering process and to arrive at the exact statistics for all the
market segments and subsegments, data triangulation and market validation procedures explained below were
implemented, wherever applicable.
• FIGURE 7 DATA TRIANGULATION METHODOLOGY
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2.7 ASSUMPTIONS FOR THE STUDY
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1 INTRODUCTION.........................................................................................................................12
• 1.1 OBJECTIVES OF STUDY...................................................................................................................................................12
• 1.2 MARKET DEFINITION.......................................................................................................................................................12
• 1.3 MARKET SCOPE...............................................................................................................................................................13
• 1.3.1 MARKETS COVERED......................................................................................................................................13
• 1.3.2 YEARS CONSIDERED FOR THE STUDY.........................................................................................................14
• 1.4 CURRENCY......................................................................................................................................................................14
• 1.5 LIMITATIONS....................................................................................................................................................................14
• 1.6 STAKEHOLDERS...............................................................................................................................................................14
2 RESEARCH METHODOLOGY.....................................................................................................15
• 2.1 RESEARCH METHODOLOGY STEPS................................................................................................................................15
• 2.2 SECONDARY AND PRIMARY RESEARCH METHODOLOGY.............................................................................................16
• 2.2.1 SECONDARY RESEARCH...............................................................................................................................16
• 2.2.2 PRIMARY RESEARCH....................................................................................................................................17
• 2.2.3 KEY INDUSTRY INSIGHTS.............................................................................................................................18
• 2.3 KEY DATA FROM PRIMARY SOURCES............................................................................................................................19
• 2.4 KEY INSIGHTS FROM PRIMARY SOURCES.....................................................................................................................19
• 2.5 MARKET SIZE ESTIMATION METHODOLOGY..................................................................................................................20
• 2.6 MARKET DATA VALIDATION AND TRIANGULATION........................................................................................................23
• 2.7 ASSUMPTIONS FOR THE STUDY....................................................................................................................................24
3 EXECUTIVE SUMMARY..............................................................................................................25
• 3.1 INTRODUCTION...............................................................................................................................................................25
• 3.2 CURRENT SCENARIO.......................................................................................................................................................27
• 3.3 FUTURE OUTLOOK...........................................................................................................................................................28
4 PREMIUM INSIGHTS.................................................................................................................30
• 4.1 GLOBAL HEALTHCARE PROVIDER NETWORK MANAGEMENT MARKET........................................................................30
• 4.2 GLOBAL HEALTHCARE PROVIDER NETWORK MANAGEMENT MARKET, BY COMPONENT...........................................31
• 4.3 REGIONAL SNAPSHOT OF THE GLOBAL HEALTHCARE PROVIDER NETWORK MANAGEMENT MARKET......................32
• 4.4 GLOBAL HEALTHCARE PROVIDER NETWORK MANAGEMENT SERVICES MARKET, BY SUBCOMPONENT (2015).......33
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TABLE OF CONTENTS

5 MARKET OVERVIEW..................................................................................................................34
• 5.1 INTRODUCTION...............................................................................................................................................................35
• 5.2 MARKET DYNAMICS........................................................................................................................................................35
• 5.2.1 DRIVERS........................................................................................................................................................36
• 5.2.1.1 IMPLEMENTATION OF STRINGENT FEDERAL MANDATES IN THE U.S....................................36
• 5.2.1.2 GROWING FOCUS ON IMPROVING THE QUALITY OF CARE THROUGH
THE EFFECTIVE USE OF PAYER REPORTING REQUIREMENTS................................................36
• 5.2.2 RESTRAINTS..................................................................................................................................................37
• 5.2.2.1 HIGH COST OF DEPLOYMENT.................................................................................................37
• 5.2.3 OPPORTUNITIES............................................................................................................................................38
• 5.2.3.1 ADVANCED DATA ANALYTICS..................................................................................................38
• 5.2.4 CHALLENGE...................................................................................................................................................38
• 5.2.4.1 RELUCTANCE OF USERS TO MIGRATE FROM LEGACY SYSTEMS.........................................38
6 HEALTHCARE PROVIDER NETWORK MANAGEMENT MARKET, BY COMPONENT....................40
• 6.1 INTRODUCTION...............................................................................................................................................................41
• 6.2 PROVIDER NETWORK MANAGEMENT SERVICES...........................................................................................................43
• 6.3 PROVIDER NETWORK MANAGEMENT PLATFORMS/SOFTWARE....................................................................................47
7 HEALTHCARE PROVIDER NETWORK MANAGEMENT MARKET, BY REGION.............................49
• 7.1 INTRODUCTION...............................................................................................................................................................50
• 7.2 NORTH AMERICA.............................................................................................................................................................51
• 7.2.1 U.S.................................................................................................................................................................53
• 7.2.1.1 INCREASE IN HEALTH INSURANCE COVERAGE.......................................................................53
• 7.2.1.2 RISING NEED TO CURTAIL ESCALATING HEALTHCARE COSTS..............................................54
• 7.2.2 CANADA.........................................................................................................................................................55
• 7.2.2.1 GOVERNMENT FOCUS ON HEALTHCARE IT SOLUTIONS........................................................55
• 7.2.2.2 NEED TO CURTAIL HEALTHCARE COSTS IN CANADA.............................................................55
• 7.3 EUROPE............................................................................................................................................................................57
• 7.3.1 GOVERNMENT INITIATIVES TO MODERNIZE HEALTHCARE SYSTEM IN GERMANY....................................58
• 7.3.2 INCREASED FOCUS OF MAJOR PLAYERS IN EUROPE.................................................................................58
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TABLE OF CONTENTS

• 7.4 ASIA-PACIFIC..................................................................................................................................................................60
• 7.4.1 ALLOCATION OF UNIQUE ID NUMBER TO HOSPITALS EXPECTED TO DRIVE
THE PROVIDER NETWORK MANAGEMENT MARKET IN INDIA................................................62
• 7.4.2 REFORMS IMPLEMENTED BY THE CHINESE GOVERNMENT TO BENEFIT
THE PROVIDER NETWORK MANAGEMENT MARKET...............................................................62
• 7.5 REST OF THE WORLD......................................................................................................................................................64
• 7.5.1 INITIATIVES BY MARKET PLAYERS TO ENTER EMERGING MARKETS SUCH AS BRAZIL.............................65
8 COMPETITIVE LANDSCAPE.......................................................................................................66
• 8.1 OVERVIEW........................................................................................................................................................................66
• 8.2 OFFERINGS ASSESSMENT..............................................................................................................................................66
• 8.2.1 INTRODUCTION.............................................................................................................................................66
• 8.3 COMPETITIVE SITUATION AND TRENDS.........................................................................................................................68
• 8.3.1 INTRODUCTION.............................................................................................................................................69
• 8.3.2 EXPANSION...................................................................................................................................................70
• 8.3.3 AGREEMENTS, COLLABORATIONS, AND PARTNERSHIPS............................................................................71
• 8.3.4 ACQUISITIONS...............................................................................................................................................72
• 8.3.5 OTHERS.........................................................................................................................................................73
9 COMPANY PROFILES.................................................................................................................74
• (Overview, Financials, Products & Services, Strategy, & Developments)*
• 9.1 INTRODUCTION...............................................................................................................................................................74
• 9.2 TRIZETTO CORPORATION (A COGNIZANT COMPANY)...................................................................................................75
• 9.3 AYASDI, INC.....................................................................................................................................................................77
• 9.4 MCKESSON CORPORATION............................................................................................................................................78
• 9.5 OPTUM, INC.....................................................................................................................................................................80
• 9.6 GENPACT LIMITED..........................................................................................................................................................82
• 9.7 INFOSYS BPO, LTD..........................................................................................................................................................84
• 9.8 SYNTEL, INC....................................................................................................................................................................86
• 9.9 MPHASIS LIMITED...........................................................................................................................................................88
• 9.10 VESTICA HEALTHCARE, LLC (A SKYGEN USA COMPANY)............................................................................................90
• 9.11 ALDERA, INC....................................................................................................................................................................91
• *Details on Financials, Product & Services, Strategy, & Developments might not be captured in case of unlisted companies.
TABLE OF CONTENTS

10 APPENDIX..................................................................................................................................92
• 10.1 DISCUSSION GUIDE........................................................................................................................................................92
• 10.2 COMPANY DEVELOPMENTS (2012-2015)......................................................................................................................94
• 10.2.1 TRIZETTO CORPORATION (A COGNIZANT COMPANY).................................................................................94
• 10.3 AVAILABLE CUSTOMIZATIONS........................................................................................................................................95
• 10.4 INTRODUCING RT: REAL-TIME MARKET INTELLIGENCE................................................................................................96
• 10.5 RELATED REPORTS..........................................................................................................................................................97
•
TABLE OF CONTENTS

• TABLE 1 IMPLEMENTATION OF STRINGENT FEDERAL MANDATES IN
THE U.S. DRIVING MARKET GROWTH...............................................................................................................37
• TABLE 2 HIGH COST OF DEPLOYMENT RESTRAINING THE GROWTH OF THE HEALTHCARE PROVIDER
NETWORK MANAGEMENT MARKET..................................................................................................................37
• TABLE 3 ADVANCED DATA ANALYTICS TO OFFER SIGNIFICANT GROWTH OPPORTUNITIES IN
THE PROVIDER NETWORK MANAGEMENT MARKET........................................................................................38
• TABLE 4 RELUCTANCE OF USERS TO MIGRATE FROM LEGACY SYSTEMS IS A MAJOR CHALLENGE IN
THIS MARKET....................................................................................................................................................39
• TABLE 5 GLOBAL HEALTHCARE PROVIDER NETWORK MANAGEMENT MARKET SIZE,
BY COMPONENT, 2013-2020 (USD MILLION)..................................................................................................42
• TABLE 6 GLOBAL HEALTHCARE PROVIDER NETWORK MANAGEMENT SERVICES MARKET SIZE,
BY TYPE, 2013-2020 (USD MILLION)...............................................................................................................44
• TABLE 7 GLOBAL HEALTHCARE PROVIDER NETWORK MANAGEMENT SERVICES MARKET SIZE,
BY REGION, 2013-2020 (USD MILLION)...........................................................................................................45
• TABLE 8 NORTH AMERICA: HEALTHCARE PROVIDER NETWORK MANAGEMENT SERVICES MARKET SIZE,
BY COUNTRY, 2013-2020 (USD MILLION)........................................................................................................45
• TABLE 9 GLOBAL HEALTHCARE PROVIDER NETWORK MANAGEMENT PLATFORMS/SOFTWARE
MARKET SIZE, BY REGION, 2013-2020 (USD MILLION)...................................................................................47
• TABLE 10 NORTH AMERICA: HEALTHCARE PROVIDER NETWORK MANAGEMENT
PLATFORMS/SOFTWARE MARKET SIZE, BY COUNTRY, 2013-2020 (USD MILLION)......................................47
• TABLE 11 GLOBAL HEALTHCARE PROVIDER NETWORK MANAGEMENT MARKET SIZE,
BY REGION, 2013-2020 (USD MILLION)...........................................................................................................50
• TABLE 12 NORTH AMERICA: HEALTHCARE PROVIDER NETWORK MANAGEMENT MARKET SIZE,
• TABLE 13 NORTH AMERICA: HEALTHCARE PROVIDER NETWORK MANAGEMENT SERVICES MARKET SIZE,
BY SUBCOMPONENT, 2013-2020 (USD MILLION)...........................................................................................52
• TABLE 14 NORTH AMERICA: HEALTHCARE PROVIDER NETWORK MANAGEMENT MARKET SIZE,
BY COUNTRY, 2013-2020 (USD MILLION)........................................................................................................53
• TABLE 15 U.S.: HEALTHCARE PROVIDER NETWORK MANAGEMENT MARKET SIZE,
• TABLE 16 U.S.: HEALTHCARE PROVIDER NETWORK MANAGEMENT SERVICES MARKET SIZE,
• TABLE 17 CANADA: HEALTHCARE PROVIDER NETWORK MANAGEMENT MARKET SIZE,
• TABLE 18 CANADA: HEALTHCARE PROVIDER NETWORK MANAGEMENT SERVICES MARKET SIZE,
LIST OF TABLES

• TABLE 19 EUROPE: HEALTHCARE PROVIDER NETWORK MANAGEMENT MARKET SIZE,
• TABLE 20 EUROPE: HEALTHCARE PROVIDER NETWORK MANAGEMENT SERVICES MARKET SIZE,
• TABLE 21 ASIA-PACIFIC: HEALTHCARE PROVIDER NETWORK MANAGEMENT MARKET SIZE,
• TABLE 22 ASIA-PACIFIC: HEALTHCARE PROVIDER NETWORK MANAGEMENT SERVICES MARKET SIZE,
• TABLE 23 ROW: HEALTHCARE PROVIDER NETWORK MANAGEMENT MARKET SIZE,
• TABLE 24 ROW: HEALTHCARE PROVIDER NETWORK MANAGEMENT SERVICES MARKET SIZE,
• TABLE 25 EXPANSION, 2012-2015....................................................................................................................................70
• TABLE 26 AGREEMENTS, COLLABORATIONS, AND PARTNERSHIPS, 2012-2015............................................................71
• TABLE 27 ACQUISITIONS, 2012-2015...............................................................................................................................72
• TABLE 28 OTHER STRATEGIES, 2012-2015.......................................................................................................................73
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LIST OF TABLES

• FIGURE 1 GLOBAL HEALTHCARE PROVIDER NETWORK MANAGEMENT MARKET SEGMENTATION...............................13
• FIGURE 2 GLOBAL HEALTHCARE PROVIDER NETWORK MANAGEMENT MARKET:
RESEARCH METHODOLOGY STEPS..................................................................................................................15
• FIGURE 3 BREAKDOWN OF PRIMARY INTERVIEWS: BY COMPANY TYPE, DESIGNATION, AND REGION.......................18
• FIGURE 4 MARKET SIZE ESTIMATION METHODOLOGY: BOTTOM-UP APPROACH.........................................................20
• FIGURE 5 MARKET SIZE ESTIMATION METHODOLOGY: TOP-DOWN APPROACH...........................................................21
• FIGURE 6 RESEARCH DESIGN...........................................................................................................................................22
• FIGURE 7 DATA TRIANGULATION METHODOLOGY...........................................................................................................23
• FIGURE 8 PROVIDER NETWORK MANAGEMENT SERVICES MARKET TO WITNESS
HIGHEST GROWTH RATE FROM 2015 TO 2020................................................................................................25
• FIGURE 9 GLOBAL HEALTHCARE PROVIDER NETWORK MANAGEMENT MARKET SHARE,
BY COMPONENT, 2015–2020............................................................................................................................26
• FIGURE 10 NORTH AMERICA TO DOMINATE THE GLOBAL HEALTHCARE PROVIDER
NETWORK MANAGEMENT MARKET IN 2015....................................................................................................27
• FIGURE 11 GEOGRAPHICAL SNAPSHOT OF THE GLOBAL HEALTHCARE PROVIDER
NETWORK MANAGEMENT MARKET..................................................................................................................28
• FIGURE 12 GLOBAL HEALTCARE PROVIDER NETWORK MANAGEMENT SERVICES MARKET, 2015 VS. 2020..................29
• FIGURE 13 GROWING FOCUS ON IMPROVING QUALITY TO DRIVE MARKET GROWTH....................................................30
• FIGURE 14 PROVIDER NETWORK MANAGEMENT SERVICES SEGMENT TO DOMINATE
THE GLOBAL HEALTHCARE PROVIDER NETWORK MANAGEMENT MARKET IN 2015.....................................31
• FIGURE 15 NORTH AMERICA TO WITNESS HIGHEST GROWTH RATE FROM 2015 TO 2020.............................................32
• FIGURE 16 OUTSOURCING SEGMENT TO COMMAND THE LARGEST SHARE IN 2015......................................................33
• FIGURE 17 HEALTHCARE PROVIDER NETWORK MANAGEMENT MARKET:
DRIVERS, RESTRAINTS, OPPORTUNITIES, & CHALLENGES............................................................................35
• FIGURE 18 GLOBAL HEALTHCARE PROVIDER NETWORK MANAGEMENT MARKET,
BY COMPONENT...............................................................................................................................................41
• FIGURE 19 PROVIDER NETWORK MANAGEMENT SERVICES SEGMENT TO GROW AT A HIGHER CAGR..........................42
• FIGURE 20 OUTSOURCING SERVICES SEGMENT TO GROW AT A HIGHER CAGR DURING
THE FORECAST PERIOD....................................................................................................................................44
• FIGURE 21 HEALTHCARE PROVIDER NETWORK MANAGEMENT SERVICES MARKET
IN NORTH AMERICA TO GROW AT THE HIGHEST CAGR..................................................................................46
• FIGURE 22 HEALTHCARE PROVIDER NETWORK MANAGEMENT PLATFORMS/SOFTWARE MARKET
IN NORTH AMERICA TO WITNESS HIGHEST GROWTH.....................................................................................48
LIST OF FIGURES

• FIGURE 23 NORTH AMERICA TO GROW AT A CAGR OF 10.9% DURING 2015-2020.........................................................51
• FIGURE 24 EUROPEAN PROVIDER NETWORK MANAGEMENT MARKET TO GROW AT
A CAGR OF 9.8% FROM 2015-2020..................................................................................................................57
• FIGURE 25 ASIA-PACIFIC: HEALTHCARE PROVIDER NETWORK MANAGEMENT MARKET OVERVIEW..............................61
• FIGURE 26 ROW: HEALTHCARE PROVIDER NETWORK MANAGEMENT MARKET OVERVIEW............................................64
• FIGURE 27 BENCHMARKING OF KEY PLAYERS..................................................................................................................67
• FIGURE 28 TOP 5 STRATEGIES ADOPTED BY PLAYERS OVER THE LAST THREE YEARS (2012-2015)..............................68
• FIGURE 29 BATTLE FOR MARKET SHARE: EXPANSION WAS THE KEY STRATEGY (2012 -2015)......................................69
• FIGURE 30 GEOGRAPHICAL REVENUE MIX OF KEY PLAYERS IN THE MARKET................................................................74
• FIGURE 31 TRIZETTO CORPORATION (A COGNIZANT COMPANY).: COMPANY SNAPSHOT.............................................75
• FIGURE 32 MCKESSON CORPORATION: COMPANY SNAPSHOT.......................................................................................78
• FIGURE 33 OPTUM, INC.: COMPANY SNAPSHOT..............................................................................................................80
• FIGURE 34 GENPACT LIMITED: COMPANY SNAPSHOT.....................................................................................................82
• FIGURE 35 INFOSYS: COMPANY SNAPSHOT.....................................................................................................................84
• FIGURE 36 SYNTEL, INC.: COMPANY SNAPSHOT..............................................................................................................86
• FIGURE 37 MPHASIS LIMITED: COMPANY SNAPSHOT.....................................................................................................88
LIST OF FIGURES

SAMPLE TABLES
TABLE 1 GLOBAL HEALTHCARE PROVIDER NETWORK MANAGEMENT SERVICES MARKET
SIZE, BY REGION, 2013-2020 (USD MILLION)
REGION 2013 2014 2015-e 2020-p
CAGR
(2015–2020)
North America xx.x xx.x xx.x xx.x xx.x%
Europe xx.x xx.x xx.x xx.x xx.x%
Asia-Pacific xx.x xx.x xx.x xx.x xx.x%
RoW xx.x xx.x xx.x xx.x xx.x%
TOTAL xx.x xx.x xx.x xx.x xx.x%
Source: Healthcare Information and Management System Society (HIMSS), The National Association of Software and Services Companies (India), U.S. Department of Health and Human Services, U.S. Census
Bureau, National Association of Healthcare Quality, National Health Statistics Group, Centers for Medicare and Medicaid Services (CMS), U.S. Department of Labor, American Health Information Management
Association (AHIMA), Canadian Institute for Health Information, World Health Organization (WHO), Healthcare Payer News, Annual Reports, SEC Filings, Press Releases, Company Websites, Investor
Presentations, Expert Interviews, and MarketsandMarkets Analysis
TABLE 2 U.S.: HEALTHCARE PROVIDER NETWORK MANAGEMENT SERVICES MARKET SIZE,
BY SUBCOMPONENT, 2013-2020 (USD MILLION)
SUBCOMPONENT 2013 2014 2015-e 2020-p
CAGR
(2015–2020)
Internal Services xx.x xx.x xx.x xx.x xx.x%
Outsourcing Services xx.x xx.x xx.x xx.x xx.x%
Source: Healthcare Information and Management Systems Society (HIMSS), U.S. Department of Health and Human Services, U.S. Census Bureau, National Association of Healthcare Quality, National Health
Statistics Group, Centers for Medicare and Medicaid Services (CMS), U.S. Department of Labor, American Health Information Management Association (AHIMA), World Health Organization (WHO), Healthcare
Payer News, Annual Reports, SEC Filings, Press Releases, Company Websites, Investor Presentations, Expert Interviews, and MarketsandMarkets Analysis
TABLE 3 ASIA-PACIFIC: HEALTHCARE PROVIDER NETWORK MANAGEMENT MARKET SIZE,
BY COMPONENT, 2013-2020 (USD MILLION)
COMPONENT 2013 2014 2015-e 2020-p
CAGR
(2015–2020)
Provider Network Management Services xx.x xx.x xx.x xx.x xx.x%
Provider Network Management
Platform/Software
xx.x xx.x xx.x xx.x xx.x%
Source: Healthcare Information and Management Systems Society (HIMSS), The National Association of Software and Services Companies (India), World Health Organization (WHO), Healthcare Payer News,
Annual Reports, SEC Filings, Press Releases, Company Websites, Investor Presentations, Expert Interviews, and MarketsandMarkets Analysis

RELATED REPORTS
RELATED REPORTS
SR. NO. REPORT TITLE PUBLISHED DATE
1
HEALTHCARE PAYER SERVICES MARKET
By Service Type (BPO, ITO, KPO), By Application (Claims, Provider,
Member management, HR services, Analytics Fraud, Billing Accounts)
by End Users (Public Private Payers)
- Analysis and Global Forecast to 2020
November
2015
2
HEALTHCARE IT MARKET
By Product (EHR, RIS, PACS, VNA, CPOE, mHealth, Telehealth,
Healthcare analytics, Supply Chain Management, Revenue Cycle
Management, CRM, Claims Management, Fraud Management)
by End User (Provider, Payer ) - Global Forecast to 2020
September
2015
14
Healthcare Provider Network Management Market – Analysis and Global Forecast to 2020
© MarketsandMarkets
1.3.2
YEARS CONSIDERED FOR THE STUDY
Note: For market estimates, the calendar year has been considered, whereas for company profiles, the fiscal year has been
considered.
1.4
CURRENCY
The currency used in this report is USD, with market sizes indicated in USD million.
 For companies reporting revenues in USD, the revenues were taken from their annual reports
 For companies reporting their revenues in other currencies, the average annual currency
conversion rate was used for the particular year to convert the value to USD
1.5
LIMITATIONS
 Some companies in this market are privately owned and their revenues are not available in the
public domain. Hence, revenues for those companies are not included in this report
 Company developments not reported in the public domain are not included in the report
1.6
STAKEHOLDERS
 Healthcare Payers
 Healthcare IT Solution Providers
 Healthcare IT Vendors
 Healthcare IT Services Providers
 Academic Research Institutes
 Government Institutes
 Market Research and Consulting Firms
 Venture Capitalists and Investors
2013
HISTORICALYEAR
2014
BASE YEAR
2015-e
ESTIMATEDYEAR
2020-p
PROJECTEDYEAR
15
2 RESEARCH METHODOLOGY
2.1 RESEARCH METHODOLOGY STEPSFIGURE 2 GLOBAL HEALTHCARE PROVIDER NETWORK MANAGEMENT MARKET: RESEARCH
METHODOLOGY STEPS
• Market classification for the global healthcare provider network
management market
• Technical information on the global provider network
management market, by component and region• Identification of the key players in the global healthcare
provider network management market• Annual reports, SEC filings/investor presentations, and press
releases of the key industry players
• Global healthcare provider network management market size
• Validation of market drivers, restraints, challenges, and
opportunities
• Region-wise markets with their market shares• Market trends and forecasts
• Value validation
• Global healthcare provider network management market segmentation
• Top-down approach
• Bottom-up approach
• Data triangulation
• Market estimation
• Market forecast
• Qualitative and quantitative analysis
22
FIGURE 6
RESEARCH DESIGN
MARKET DRIVERS:• Federal mandates in the U.S.
increase the adoption of provider
network management
• Growing focus on improving quality
MARKET RESTRAINTS:• High cost of deploym
ent MARKET OPPORTUNITIES:
• Advanced data analytics
HISTORICAL DATA
FOR THE HEALTHCARE
PROVIDER NETWORK
MANAGEMENTMARKET
INFLUENCINGFACTORS(Market Trends and
Dynamics)
HISTORICAL DATA OF THEMARKET MARKET SIZE FORECAST:• By Component• By Region
ARRIVE AT THE MARKET SIZE,
SHARE, AND CAGR FOR
THE
GLOBAL HEALTHCARE
PROVIDER NETWORK
MANAGEM
ENT MARKET
IMPACT ANALYSIS OF
MARKET TRENDS
FORECAST PERIOD
(2015–2020)
GEOGRAPHICAL USAGE PATTERN AND
TECHNOLOGY TRENDS
COMPANY REVENUES RD EXPENSES
COMPETITIVE LANDSCAPE
GEOGRAPHICAL ANALYSIS:
Market Dynamics and
Business Environment in North America, Europe, Asia-Pacific, and
the Rest of the World
• EXPANSIONS: About 13 deals in the last three years
• AGREEMENTS, COLLABORATIONS, AND PARTNERSHIPS:
About 12 deals in the last three years
23
Healthcare
Provider Network
Management Market – Analysis and Glo
bal Forecast to 2020
2.6
MAR
KET DATA VALIDATION AN
D TRIANGULATION
In ord
er to comp
lete the
overa
ll ma
rke
t engin
eering pro
cess and to arrive
at the
exact sta
tistics for
all
the
ma
rke
t segm
ents and subsegme
nts
, data tria
ngula
tion and ma
rke
t validation
pro
cedures
expla
ine
d below
were imple
me
nte
d, where
ver applicable
.
FIGURE 7
DATA TRIANGULATION METHODOLOGY
SECONDARYSOURCES
PRIMARYSOURCES
SECOND
ARY RESEARCH: Health
car
e
Inform
atio
n
and
Ma
nag
em
ent
Sys
tem
s
Society
(HIMS
S),
the
Nation
al
Ass
ociatio
n
of
Softw
are
and
Servic
es
Comp
ani
es
(India
),
U.S
. Depar
tment
of
Health
and
Huma
n
Servic
es,
U.S
.
Censu
s
Burea
u,
Nation
al
Ass
ociatio
n
of
Health
car
e Qualit
y, Nation
al Health
Sta
tist
ics
Gro
up,
Cente
rs
for
Me
dic
are
and
Me
dicaid
Servic
es
(CM
S),
U.S
. Depar
tment
of
Lab
or,
Am
eric
an
Health
Inform
atio
n
Ma
nag
em
ent
Ass
ociatio
n
(AH
IMA
),
Canad
ian
Ins
titu
te
for
Health
Inform
atio
n,
Wo
rld
Health
Org
ani
zat
ion
(WHO
),
Health
car
e
Payer
News, Ann
ual
Repor
ts,
SEC
Filings
, Pre
ss
Relea
ses
, Comp
any
We
bsi
tes
, Inv
est
or
Pre
sen
tation
s,
Exp
ert
Interv
iew
s,
and
Ma
rke
tsa
ndMa
rke
ts Ana
lysis
Ann
ual
Repor
ts,
Pre
sen
tation
s,
We
bsi
tes
and
Pre
ss Relea
ses
of
Top
Pla
yer
s, News
Article
s,
Jou
rna
ls, and
Paid Datab
ase
s
INTERVIEWS
WITH:
• Health
car
e Payer
Comp
ani
es
and
Ma
jor
Pla
yer
s in the
Ma
rke
t
DEMA
NDSID
E
INTERVIEWS
WITH:
• Pre
sident
s, CEOs, Vic
e
Pre
sident
s, Direct
ors
,
Gener
al Ma
nag
ers
, and
Senio
r Ma
nag
ers
• Sales/M
ark
etin
g/B
usines
s/
Developm
ent
Ma
nag
ers
or
Specialis
ts,Suppl
iers
/Ch
ann
el
Partners
, and
Business
Intelligen
ce
Consu
ltan
ts,
and
Oth
er Sta
keh
old
ers
in
the
Health
car
e Pro
vider
Netwo
rk Ma
nag
em
ent
Ma
rke
t
SUPPLYSID
E
INF
ORMA
TIONSOURCED
Key Pla
yer
s
Comp
etit
ive
Lan
dsc
ape
Driver
s and
Restrain
ts Oppor
tun
itie
s and
Challe
nge
sFor
eca
st
Ma
rke
t Size and
Ma
rke
t Share
(20
15)
Geogr
aph
ical Ana
lysis
Mn
M KN
OW
* sta
nds
for
Ma
rke
tsa
ndM
ark
ets
’ 'Kn
owl
edg
e Ass
et Ma
nag
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ewo
rk.
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nds
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ting
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rke
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ear
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wle
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ository
of
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r 5,0
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rke
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rce
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MnM
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ATRIA
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Global Healthcare Provider Network Management Market: Objectives of Study | Market Scope | Stakeholders | Forecast Analysis.

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Global Healthcare Provider Network Management Market: Objectives of Study | Market Scope | Stakeholders | Forecast Analysis.