全球医疗必需品管理软件市场行业概况及 2031 年预测 – 市场分析和市场份额

全球医疗必需品管理软件市场 - 行业概况

医疗必要性管理软件旨在简化验证和记录医疗程序和服务必要性的过程，确保符合付款人的要求并减少索赔拒绝。全球医疗必要性管理软件市场正在崛起，这得益于医疗治疗日益复杂以及对高效数据管理的需求。IT 系统的广泛使用进一步推动了这一趋势。根据国家卫生信息技术协调员办公室的数据，2017 年，80% 的医生办公室和 96% 的急症护理医院使用了 ONC 认证的医疗信息技术。它为在医疗保健组织中集成和利用医疗必要性管理软件奠定了坚实的基础。

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全球医疗必需品管理软件市场规模

The growing emphasis on value-based care and the need to control healthcare costs are driving the demand for medical necessity management software. Software tools help healthcare providers identify unnecessary services, reduce administrative burdens, and improve patient outcomes. As the healthcare industry continues to evolve, the role of medical necessity management software will become even more critical in ensuring efficient and effective healthcare delivery. As a result, Databridge Market Research dived into comprehensively analyzing the market and unveiled that the Global Medical Necessity Management Software Market is increasing at a CAGR of 7.90%. Our detailed analysis forecasts that the market is valued at USD 7.54 billion in 2023 and is expected to grow upto USD 15.58 billion by 2031. Our meticulously created report, developed through comprehensive research and analytics, is a distinguished paper that unveils eye-opening data about the market.

Global Medical Necessity Management Software Market Dynamics

Global Medical Necessity Management Software Market Growth Drivers

Growing focus on Cost Efficiency and Operational Optimization

Healthcare providers are constantly under pressure to save operating costs while maintaining high quality of treatment. Medical necessity management software automates manual operations, reduces administrative hassles, and improves workflow efficiency, resulting in significant cost savings. This efficiency and cost-effectiveness are continuously contributing to the growth of the Global Medical Necessity Management Software Market.

Growing Adoption of Cloud-Based Solutions

The shift towards cloud-based platforms is accelerating as healthcare businesses seek scalable, flexible, and conveniently available IT solutions. For instance, the Cleveland Clinic used a cloud-based medical necessity management system to improve pre-authorization processes throughout its vast network of hospitals and outpatient centers. The technology enabled real-time updates and connection with other healthcare IT systems, greatly increasing the efficiency of medical necessity evaluations. Such improvements demonstrate the increased usage of cloud-based solutions in the Global Medical Necessity Management Software Market.

Global Medical Necessity Management Software Market Growth Opportunities

Rise in need for Customization and Flexibility

Customization allows providers to adapt medical necessity management software to their unique workflows and regulatory requirements, thereby enhancing its value and appeal. For example, Mayo Clinic addressed its diverse operational needs and stringent regulatory requirements by adopting a highly adaptable medical necessity management software platform, specifically tailored to integrate seamlessly with its existing electronic health record (EHR) system and other IT infrastructure. Offering solutions that can be precisely tailored to meet the specific needs of various healthcare organizations can drive global medical necessity software market.

Expansion into Emerging Markets

Rapidly developing regions such as Asia-Pacific and Latin America offer significant growth potential for the medical necessity management software market. For instance, India’s National Health Stack initiative aims to create a digital infrastructure to support the country's healthcare system, including the integration of medical necessity management systems.

Global Medical Necessity Management Software Market Growth Challenges

Integration with Legacy Systems

Ensuring seamless interoperability between different healthcare’s IT systems is crucial for the effective functioning of medical necessity management software. Challenges arise when systems from different vendors or platforms need to communicate and share data. For instance, integrating a new software solution with an existing EHR system that uses a different data format or protocol can be complex and require significant technical adjustments.

Global Medical Necessity Management Software Market Restraints

Restraining regulatory Compliances

In Japan, the Act on the Protection of Personal Information (APPI) regulates the handling of personal data, including requirements for data breach notifications and cross-border data transfer restrictions. Software providers operating in Japan, such as NEC Healthcare, must ensure their solutions comply with APPI requirements. This involves implementing stringent data protection measures and managing complex compliance issues, which can constrain Global Medical Necessity Management Software Market growth by increasing the cost and complexity of software development and deployment.

Global Medical Necessity Management Software Market Scope and Trends

• EHR 供应商 MEDITECH 推出了 Traverse Exchange 互操作性网络，该网络支持为其客户提供全国范围的健康信息交换 (HIE)，并包括与 TEFCA 的连接。
• Fusion 是一家著名的电子健康记录 (EHR) 解决方案提供商，该公司宣布已成功为俄亥俄州青少年服务部 (DYS) 部署其 EHR 系统。
• 诊断实验室正在利用先进的数据分析来从实验室结果中获得更深入的见解。Quest Diagnostics 推出了一个新的分析平台，该平台提供实时数据可视化和预测分析，帮助实验室优化其运营和患者治疗结果。
• 亚马逊网络服务 (AWS) 已为其基于云的医疗管理软件推出了增强的互操作性功能，实现与各种 EHR 系统和医疗保健 IT 应用程序的无缝数据交换和集成。

全球医疗必需品管理软件市场 区域分析 – 市场趋势

关键见解

• 北美市场在全球医疗必需品管理软件 (OIS) 市场中占据主导地位，这得益于尖端技术的广泛采用以及主要行业参与者的存在。美国在该地区处于领先地位，得益于对癌症研究的大量投资以及人工智能在医疗保健领域的日益融合。
• 亚太地区的 OIS 市场正在快速增长，这得益于医疗支出的增加、癌症发病率的上升以及政府对数字医疗的支持。中国和印度等国家正在对 OIS 基础设施进行大量投资。
• 欧洲 OIS 市场正在稳步增长，推动因素包括医疗支出增加、政府对电子健康记录 (EHR) 的监管以及对 OIS 在改善癌症治疗方面的益处的认识不断提高。

全球医疗必需品管理软件市场的领先企业

• AthenaHealth（美国）
• Prima 医疗软件 (美国)
• CareCloud Inc.（美国）
• eClinicalWorks（美国）
• TotalMD（美国）
• Epic Systems Corporation（美国）
• NXGN Management, LLC.（美国）
• ECLIPSE基金会（加拿大）
• NexTech Systems LLC（美国）
• Cerner Corporation（美国）
• AdvancedMD Inc.（美国）
• CollaborateMD Inc.（美国）
• Henry Schein Inc.（美国）
• Allscripts Healthcare LLC（美国）
• Greenway Health LLC（美国）

全球医疗必需品管理软件市场最新发展

• 2024 年 5 月，新加坡知名数字营销机构和软件顾问 Sotavento Medios 为诊所和医院管理软件中的医疗从业者推出了 Clinic Saurus，该软件既便宜又易于使用，但具备所有重要功能。
• 2024 年 3 月，专为医疗保健行业量身定制的工作管理平台 Anima 为其诊所管理软件获得了 1200 万美元的资金。该平台允许用户集成数字健康记录、访问分析以及管理预约、员工轮班和内部消息传递。
• 2024 年 4 月，消费金融服务公司 Synchrony 宣布与行业领先的牙科诊所管理软件提供商 Adit 建立新的合作伙伴关系。

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