USD 1.7 billion
Patient Access Solutions Market Size, Share, Growth Analysis, By Product & Service (Software, Services), By Deployment Mode (Web & Cloud-based solutions, On-premise solutions), By End User (Healthcare Providers, HCIT Outsourcing Companies), By Region - Industry Forecast 2025-2032
Report ID:
SQMIG35G2229 |
Region:
Global |
Published Date: February, 2024
Pages:
157
|Tables:
59
|Figures:
75
Patient Access Solutions Market Insights
Patient Access Solutions Market size was valued at USD 2.03 Billion in 2023 and is poised to grow from USD 2.21 Billion in 2024 to USD 4.05 Billion by 2032, growing at a CAGR of 8.9% during the forecast period (2025-2032).
The patient access solutions industry has been experiencing rapid growth for quite some time now, owing to a multitude of significant considerations. Demand for health insurance, which grows with the patient base, seems to be one of the primary factors behind this increased demand for patient access solutions. Increasing pressure on the healthcare sector due to declining reimbursement rates emphasizes denials management at all costs. Therefore, there is a need to streamline claims processing and reduce inefficiencies. In addition, healthcare providers are seeking patient access solutions that may offer administrative efficiencies, enhanced patient engagement, and better financial performance resulting from the increased need to manage accelerating healthcare cost increases. Moreover, while healthcare companies seek to answer changing expectations and avoid trouble, regulatory compliance is increasingly essential to doing so; thus, this factor is driving market growth. Medical equipment has also greatly helped in the adoption of patient access solutions, which have increased the effectiveness and precision of data administration and collecting. However, the patient access solutions market growth is hindered especially due to data security and privacy issues. There are serious hazards involving data breaches and loss of confidentiality of patient information, often resulting from outdated procedures, lack of support coming from higher management, inadequate internal control over patient data, or inadequate training. Moreover, medical identity theft is emerging as a more significant threat, which can be deterrent to market growth by undermining confidence in access systems for patients. These issues need to be solved to ensure continued growth in the market.
US Patient Access Solutions Market is poised to grow at sustainable CAGR for the next forecast year.
Market snapshot - 2024-2031
Global Market Size
Largest Segment
Healthcare Providers
Fastest Growth
Healthcare Providers
Growth Rate
7.6% CAGR
Global Patient Access Solutions Market ($ Bn)
Country Share for North America Region (%)
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Patient Access Solutions Market Segmental Analysis
Global Patient Access Solutions Market is segmented by Product & Service, Deployment Mode, End User and region. Based on Product & Service, the market is segmented into Software (Eligibility verification software, Medical necessity management software, Precertification & authorization software, Claims denial & appeal management, Payment estimation software, Claims payment assessment & processing software, Others), Services (Support & maintenance services, Implementation services, Training & education services). Based on Deployment Mode, the market is segmented into Web & Cloud-based solutions, On-premise solutions. Based on End User, the market is segmented into Healthcare Providers, HCIT Outsourcing Companies, Others. Based on region, the market is segmented into North America, Europe, Asia Pacific, Latin America and Middle East & and Africa.
Analysis by Type
As per the 2023 patient access solutions market analysis, the eligibility verification software dominated the market. It has become a vital tool that can be used by healthcare institutions to speedily identify or verify a patient's eligibility status for some medical services or treatments. Essentially, this software allows or facilitates the process of comparing a patient's information against the guidelines created by the government agency or health insurance company which automatically determines his eligibility status. It has now become an essential tool that can be utilized by health care institutions to rapidly identify or verify a patient's eligibility status for some medical services or treatments. Basically, it permits or serves to facilitate the process of comparing a patient's information against the guidelines developed by the government agency or health insurance provider which automatically determines his eligibility status. It covers patients for necessary treatments, thereby accelerating the delivery of services and also decreasing administrative errors.
However, since medical necessity management software is highly crucial to ensure that healthcare organizations can manage the process of medical necessity effectively, it is expected to grow exponentially in the next five years. According to the widely accepted medical standards and conventions, this program is designed to confirm and determine the appropriateness of a patient for a specific medical procedure or treatment. It automates the review and approval process so that only medically necessary treatments are done by patients, thereby eliminating wasteful expense and enhancing the quality of care. In addition, it becomes easier to conform to the standards set by regulatory agencies and insurance providers. Medical necessity management software, which streamlines decision-making and facilitates a better overall delivery of healthcare, is poised for significant growth as healthcare becomes increasingly complex and costly.
Analysis By End User
Based on the patient access solutions market forecast, the healthcare providers segment led the market in 2023. These include individuals, companies, or institutions that offer medical services with the objective of enhancing, preserving, or restoring patients' health. These services include a wide scope of topics, such as, but not limited to, palliative care for the relief of symptoms in serious conditions; diagnostic services, including medical testing; therapeutic care, such as surgeries and treatments; preventive care, including screenings and vaccinations; and rehabilitative services, assisting the patient to regain health from illness or injury. They can be located in hospitals, clinics, outpatient care centers, assisted living facilities, nursing homes, and home health agencies. Crucially, they help manage patient care in a number of different venues and at various levels of care, meeting a person's physical and mental health needs and promoting well-being in general.
Contrarily, the HCIT outsourcing companies segment offers a set of services to help healthcare facilities handle and enhance their software and information systems. These services typically include designing and implementing healthcare application customizations specific to a particular need besides bringing in new and current IT system integration. To ensure that health care businesses are able to live up to standards in the health care industry, most outsourcing providers offering HCIT services also consult on technical difficulties and regulatory compliance issues. They also monitor the maintenance and support of IT systems to sustain operational efficiency and better patient care through dependable technology solutions, including training for healthcare personnel, monitoring, and reporting on application performance.
Global Patient Access Solutions Market By End User
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Patient Access Solutions Market Regional Insights
North America dominated the market for patient access solutions in 2023 and is expected to retain the position for the entire duration of the forecast period. There are numerous factors that have contributed to this position, such as the increase in government funding that results in modernizing healthcare facilities, ensuring quality care for all patients, and development of medical technology. A sound healthcare system with high-class facilities and the latest medical procedures helps the area. The industry is also expanding because of the growing use of AI and digital health technologies in healthcare. North America is in an excellent position to lead the market because of its very robust infrastructure and due to a tremendous amount of strong regulatory support, at least while healthcare firms continue to place a big emphasis on efficiency and the quality of care for patients.
Helped by the aid of various vital factors, such as sophisticated health infrastructure, favorable reimbursement practices, and strong government efforts, Europe is expected to establish a developing position in the sector. European countries have made huge investments in modernizing their healthcare systems in order to preserve their competitiveness and effectiveness in providing high-quality healthcare services. Increasing accessibility of patients to therapies, alongside the policies of inclusive healthcare promoting the availability and innovation at affordable rates, fuels the growth of the market in the region. Europe is also anticipated to be one of the major players in the healthcare sector across the globe in the future. It has a mature regulatory environment and increased adoption of digital health solutions.
Global Patient Access Solutions Market By Geography
- Largest
- Fastest
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Patient Access Solutions Market Dynamics
Patient Access Solutions Market Drivers
Growing the Number of Patients
- One major driver of the patient access solutions market is the growing patient population, driven by aging populations and increased demands for healthcare. Patient access solutions are being implemented by healthcare providers to manage the intake of patients, speed up administrative transactions, and ensure that patients receive access to care without delay as more people require healthcare services. This ensures enhanced patient satisfaction, minimal waiting hours, and proper handling of high patient volume.
Huge Demand for Affordable Medical Care
- Healthcare providers are facing a challenge from providing patient access solutions so as to reduce the increasing healthcare costs. Patient access solutions assist in the optimization of resources, mistakes elimination, and administrative load decrease. Thus, it saves money for the healthcare company by increasing the efficiency of scheduling, eligibility verification, and billing. This allows them to lower their operating costs while maintaining the quality of services.
Patient Access Solutions Market Restraints
Data Security and Privacy Issues
- Data security and privacy have remained one of the biggest challenges for the industry with patient access solutions. Processing and digital storage of confidential information of the patient creates opportunities for breaches and hacking. Some organizations cannot implement these solutions due to strict rules placed by HIPAA on healthcare providers to safeguard the integrity and security of patient information.
Integration of Legacy Systems
- It is difficult to integrate traditional systems with modern patient access technologies, which most healthcare facilities still use. Adoption is often hindered by the cost and difficulty of system integration, especially for smaller healthcare institutions. Incompatibility with current infrastructure can hinder market expansion due to interruptions of operations and reluctance to introduce new technology.
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Patient Access Solutions Market Competitive Landscape
A mix of established technology companies and emerging startups defines the competitive environment in the patient access solutions industry. Leaders, including Cerner, McKesson, and Athenahealth have unparalleled positions in this market because of their full patient access offerings that encompass scheduling, billing, and eligibility checking. These companies are always on the lookout for new inventions for better compliance, patient engagement, and system interoperability. New entrants in this industry, wanting to share this growing market, have focused on exceedingly user-friendly platforms and cloud-based solutions.
Patient Access Solutions Market Top Player’s Company Profiles
- McKesson Corporation
- UnitedHealth Group (Optum, Inc.)
- Cognizant
- Oracle Corporation
- Experian PLC
- 3M
- Tenet Healthcare Corporation (Conifer Health Solutions)
- The Craneware Group
- Roche (Genentech, Inc.)
- Epic Systems Corporation
- EQT (Waystar)
- The SSI Group, LLC
- Accureg Software
- AGS Health
- Kyruus
- Exela Technologies, Inc.
- Access One, Inc.
- Sona Valliappa Group of Companies (Vee Technologies)
- Conduent, Inc.
- Finthrive
Patient Access Solutions Market Recent Developments
- The most recent addition to Innovaccer Inc. Revenue AI vendor-neutral solutions, which help the providers rapidly drive revenue cycle optimization towards significantly improving their performance, was the Denial Prevention and Recovery Accelerator, which was introduced in July 2022, by the Health Cloud firm.
- Oracle completed its purchase of Cerner in June 2022. By providing healthcare professionals with more information, Cerner and Oracle can transform the delivery of healthcare by equipping them to make better treatment decisions that improve patient outcomes.
- UnitedHealth Group collaborated with MarinHealth Medical Centre, a 327-bed independent hospital, starting January 2022. This agreement would enhance patient experiences in Marin County, California, and expand the revenue cycle operational objectives.
Patient Access Solutions Key Market Trends
- Shift to Cloud-Based Applications: As the sector finds cost-effective, scalable, and flexible systems, there is a rising trend in cloud-based patient access applications among healthcare organizations. The cloud solution streamlines patient management procedures while offering better data storage, remote access, and simpler upgrading. This trend is elevating the market by reducing the upfront expenses for conventional software and infrastructure while improving accessibility and collaboration.
- Prioritize Patient-Centered Care: In fact, a central theme of patient-centered care, trying to improve the whole experience for patients, is an emerging trend. Self-service portals for timely appointment scheduling and real-time verification of eligibility are fast becoming part of the patient access system. Such technologies benefit both the healthcare provider and the patients by enhancing operational efficiencies and helping patients in managing their treatment better, thus enhanced engagement, satisfaction, and outcome.
Patient Access Solutions Market SkyQuest Analysis
SkyQuest’s ABIRAW (Advanced Business Intelligence, Research & Analysis Wing) is our Business Information Services team that Collects, Collates, Correlates, and Analyses the Data collected using Primary Exploratory Research backed by robust Secondary Desk research.
As per SkyQuest analysis, this in turn has opened the patient access solutions market, with increased patient numbers and the growing need for inexpensive healthcare services. In many ways, these technologies have streamlined administrative processes in scheduling, eligibility verification, and invoicing to help healthcare providers reduce their operating costs and resources. Interaction with old systems and problems such as data protection issues remain significant challenges. Despite these challenges, the development in this market is expected to be propelled by the adoption of technology such as cloud-based solutions and a focus on patient-centered care that will position patient access solutions as critical enablers of improved healthcare delivery in the future.
| Report Metric | Details |
|---|---|
| Market size value in 2022 | USD 1.7 billion |
| Market size value in 2031 | USD 3.3 billion |
| Growth Rate | 7.6% |
| Base year | 2023 |
| Forecast period | 2024-2031 |
| Forecast Unit (Value) | USD Billion |
| Segments covered |
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| Regions covered | North America (US, Canada), Europe (Germany, France, United Kingdom, Italy, Spain, Rest of Europe), Asia Pacific (China, India, Japan, Rest of Asia-Pacific), Latin America (Brazil, Rest of Latin America), Middle East & Africa (South Africa, GCC Countries, Rest of MEA) |
| Companies covered |
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| Customization scope | Free report customization with purchase. Customization includes:-
|
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Table Of Content
Executive Summary
Market overview
- Exhibit: Executive Summary – Chart on Market Overview
- Exhibit: Executive Summary – Data Table on Market Overview
- Exhibit: Executive Summary – Chart on Patient Access Solutions Market Characteristics
- Exhibit: Executive Summary – Chart on Market by Geography
- Exhibit: Executive Summary – Chart on Market Segmentation
- Exhibit: Executive Summary – Chart on Incremental Growth
- Exhibit: Executive Summary – Data Table on Incremental Growth
- Exhibit: Executive Summary – Chart on Vendor Market Positioning
Parent Market Analysis
Market overview
Market size
- Market Dynamics
- Exhibit: Impact analysis of DROC, 2021
- Drivers
- Opportunities
- Restraints
- Challenges
- Exhibit: Impact analysis of DROC, 2021
- SWOT Analysis
KEY MARKET INSIGHTS
- Technology Analysis
- (Exhibit: Data Table: Name of technology and details)
- Pricing Analysis
- (Exhibit: Data Table: Name of technology and pricing details)
- Supply Chain Analysis
- (Exhibit: Detailed Supply Chain Presentation)
- Value Chain Analysis
- (Exhibit: Detailed Value Chain Presentation)
- Ecosystem Of the Market
- Exhibit: Parent Market Ecosystem Market Analysis
- Exhibit: Market Characteristics of Parent Market
- IP Analysis
- (Exhibit: Data Table: Name of product/technology, patents filed, inventor/company name, acquiring firm)
- Trade Analysis
- (Exhibit: Data Table: Import and Export data details)
- Startup Analysis
- (Exhibit: Data Table: Emerging startups details)
- Raw Material Analysis
- (Exhibit: Data Table: Mapping of key raw materials)
- Innovation Matrix
- (Exhibit: Positioning Matrix: Mapping of new and existing technologies)
- Pipeline product Analysis
- (Exhibit: Data Table: Name of companies and pipeline products, regional mapping)
- Macroeconomic Indicators
COVID IMPACT
- Introduction
- Impact On Economy—scenario Assessment
- Exhibit: Data on GDP - Year-over-year growth 2016-2022 (%)
- Revised Market Size
- Exhibit: Data Table on Patient Access Solutions Market size and forecast 2021-2027 ($ million)
- Impact Of COVID On Key Segments
- Exhibit: Data Table on Segment Market size and forecast 2021-2027 ($ million)
- COVID Strategies By Company
- Exhibit: Analysis on key strategies adopted by companies
MARKET DYNAMICS & OUTLOOK
- Market Dynamics
- Exhibit: Impact analysis of DROC, 2021
- Drivers
- Opportunities
- Restraints
- Challenges
- Exhibit: Impact analysis of DROC, 2021
- Regulatory Landscape
- Exhibit: Data Table on regulation from different region
- SWOT Analysis
- Porters Analysis
- Competitive rivalry
- Exhibit: Competitive rivalry Impact of key factors, 2021
- Threat of substitute products
- Exhibit: Threat of Substitute Products Impact of key factors, 2021
- Bargaining power of buyers
- Exhibit: buyers bargaining power Impact of key factors, 2021
- Threat of new entrants
- Exhibit: Threat of new entrants Impact of key factors, 2021
- Bargaining power of suppliers
- Exhibit: Threat of suppliers bargaining power Impact of key factors, 2021
- Competitive rivalry
- Skyquest special insights on future disruptions
- Political Impact
- Economic impact
- Social Impact
- Technical Impact
- Environmental Impact
- Legal Impact
Market Size by Region
- Chart on Market share by geography 2021-2027 (%)
- Data Table on Market share by geography 2021-2027(%)
- North America
- Chart on Market share by country 2021-2027 (%)
- Data Table on Market share by country 2021-2027(%)
- USA
- Exhibit: Chart on Market share 2021-2027 (%)
- Exhibit: Market size and forecast 2021-2027 ($ million)
- Canada
- Exhibit: Chart on Market share 2021-2027 (%)
- Exhibit: Market size and forecast 2021-2027 ($ million)
- Europe
- Chart on Market share by country 2021-2027 (%)
- Data Table on Market share by country 2021-2027(%)
- Germany
- Exhibit: Chart on Market share 2021-2027 (%)
- Exhibit: Market size and forecast 2021-2027 ($ million)
- Spain
- Exhibit: Chart on Market share 2021-2027 (%)
- Exhibit: Market size and forecast 2021-2027 ($ million)
- France
- Exhibit: Chart on Market share 2021-2027 (%)
- Exhibit: Market size and forecast 2021-2027 ($ million)
- UK
- Exhibit: Chart on Market share 2021-2027 (%)
- Exhibit: Market size and forecast 2021-2027 ($ million)
- Rest of Europe
- Exhibit: Chart on Market share 2021-2027 (%)
- Exhibit: Market size and forecast 2021-2027 ($ million)
- Asia Pacific
- Chart on Market share by country 2021-2027 (%)
- Data Table on Market share by country 2021-2027(%)
- China
- Exhibit: Chart on Market share 2021-2027 (%)
- Exhibit: Market size and forecast 2021-2027 ($ million)
- India
- Exhibit: Chart on Market share 2021-2027 (%)
- Exhibit: Market size and forecast 2021-2027 ($ million)
- Japan
- Exhibit: Chart on Market share 2021-2027 (%)
- Exhibit: Market size and forecast 2021-2027 ($ million)
- South Korea
- Exhibit: Chart on Market share 2021-2027 (%)
- Exhibit: Market size and forecast 2021-2027 ($ million)
- Rest of Asia Pacific
- Exhibit: Chart on Market share 2021-2027 (%)
- Exhibit: Market size and forecast 2021-2027 ($ million)
- Latin America
- Chart on Market share by country 2021-2027 (%)
- Data Table on Market share by country 2021-2027(%)
- Brazil
- Exhibit: Chart on Market share 2021-2027 (%)
- Exhibit: Market size and forecast 2021-2027 ($ million)
- Rest of South America
- Exhibit: Chart on Market share 2021-2027 (%)
- Exhibit: Market size and forecast 2021-2027 ($ million)
- Middle East & Africa (MEA)
- Chart on Market share by country 2021-2027 (%)
- Data Table on Market share by country 2021-2027(%)
- GCC Countries
- Exhibit: Chart on Market share 2021-2027 (%)
- Exhibit: Market size and forecast 2021-2027 ($ million)
- South Africa
- Exhibit: Chart on Market share 2021-2027 (%)
- Exhibit: Market size and forecast 2021-2027 ($ million)
- Rest of MEA
- Exhibit: Chart on Market share 2021-2027 (%)
- Exhibit: Market size and forecast 2021-2027 ($ million)
KEY COMPANY PROFILES
- Competitive Landscape
- Total number of companies covered
- Exhibit: companies covered in the report, 2021
- Top companies market positioning
- Exhibit: company positioning matrix, 2021
- Top companies market Share
- Exhibit: Pie chart analysis on company market share, 2021(%)
- Total number of companies covered
Methodology
For the Patient Access Solutions Market, our research methodology involved a mixture of primary and secondary data sources. Key steps involved in the research process are listed below:
1. Information Procurement: This stage involved the procurement of Market data or related information via primary and secondary sources. The various secondary sources used included various company websites, annual reports, trade databases, and paid databases such as Hoover's, Bloomberg Business, Factiva, and Avention. Our team did 45 primary interactions Globally which included several stakeholders such as manufacturers, customers, key opinion leaders, etc. Overall, information procurement was one of the most extensive stages in our research process.
2. Information Analysis: This step involved triangulation of data through bottom-up and top-down approaches to estimate and validate the total size and future estimate of the Patient Access Solutions Market.
3. Report Formulation: The final step entailed the placement of data points in appropriate Market spaces in an attempt to deduce viable conclusions.
4. Validation & Publishing: Validation is the most important step in the process. Validation & re-validation via an intricately designed process helped us finalize data points to be used for final calculations. The final Market estimates and forecasts were then aligned and sent to our panel of industry experts for validation of data. Once the validation was done the report was sent to our Quality Assurance team to ensure adherence to style guides, consistency & design.
Analyst Support
Customization Options
With the given market data, our dedicated team of analysts can offer you the following customization options are available for the Patient Access Solutions Market:
Product Analysis: Product matrix, which offers a detailed comparison of the product portfolio of companies.
Regional Analysis: Further analysis of the Patient Access Solutions Market for additional countries.
Competitive Analysis: Detailed analysis and profiling of additional Market players & comparative analysis of competitive products.
Go to Market Strategy: Find the high-growth channels to invest your marketing efforts and increase your customer base.
Innovation Mapping: Identify racial solutions and innovation, connected to deep ecosystems of innovators, start-ups, academics, and strategic partners.
Category Intelligence: Customized intelligence that is relevant to their supply Markets will enable them to make smarter sourcing decisions and improve their category management.
Public Company Transcript Analysis: To improve the investment performance by generating new alpha and making better-informed decisions.
Social Media Listening: To analyze the conversations and trends happening not just around your brand, but around your industry as a whole, and use those insights to make better Marketing decisions.
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