The healthcare provider network management market size has grown rapidly in recent years. It will grow from $4.74 billion in 2024 to $5.54 billion in 2025 at a compound annual growth rate (CAGR) of 16.7%. The growth in the historic period can be attributed to rise of value-based care models, increased regulatory compliance requirements, growing complexity of healthcare networks, patient-centric care delivery, market consolidation and mergers.
The healthcare provider network management market size is expected to see rapid growth in the next few years. It will grow to $10.09 billion in 2029 at a compound annual growth rate (CAGR) of 16.2%. The growth in the forecast period can be attributed to interoperability challenges, telehealth integration, focus on cybersecurity in healthcare, population health management strategies, shift towards decentralized care, regulatory changes and reimbursement models. Major trends in the forecast period include artificial intelligence and automation, demand for data analytics in healthcare, technological advancements in healthcare, value-based care integration, telehealth network expansion.
The growing geriatric population is anticipated to drive the expansion of the healthcare provider network management market in the coming years. The geriatric population consists of elderly individuals, typically aged 65 and older, who have specific healthcare needs related to aging. The Healthcare Provider Network Management market plays a crucial role in addressing the changing requirements of this increasing geriatric population by optimizing healthcare delivery, improving care coordination, and ensuring effective resource allocation. As the demographic landscape shifts towards a larger elderly demographic, efficient network management becomes essential to meet the unique healthcare needs of this expanding segment. For example, in July 2024, the UK Parliament's House of Commons Library reported that in 2022, there were 12.7 million individuals aged 65 and older in the UK, making up 19% of the total population. This figure is projected to grow to 22.1 million by 2072, representing 27% of the population. Consequently, the increasing geriatric population is fueling the growth of the healthcare provider network management market.
The healthcare provider network management market is expected to experience growth due to the increasing adoption of healthcare IT. Healthcare IT adoption involves the integration and utilization of information technology solutions in the healthcare sector. As healthcare providers undergo digital transformation, there is a growing demand for network management solutions to enhance connectivity, streamline operations, ensure data security, and facilitate the seamless exchange of information among various healthcare entities. According to a report by the Healthcare Information and Management Systems Society (HIMSS) in January 2022, a substantial 80% of healthcare providers had outlined plans to enhance their investments in technology and digital solutions over the next five years. Growing healthcare IT adoption will drive the healthcare provider network management market going forward.
Major companies in the healthcare provider network management market are concentrating on launching advanced products like the ICU on wheels to secure a competitive advantage. The ICU on wheels is a mobile intensive care unit designed to deliver critical medical care and advanced life support to patients during transportation, commonly utilized in emergencies or for patient transfers between facilities. For instance, in November 2023, HealthNet, a US-based healthcare insurance provider, introduced a 5G ambulance equipped with real-time data transmission and cutting-edge medical technology. This vehicle facilitates seamless communication between paramedics and hospitals, enabling instant transmission of critical patient data and enhancing emergency care response. By integrating with the broader healthcare provider network, the 5G ambulance improves decision-making and patient outcomes, further solidifying HealthNet's role in advancing provider network management.
Major companies are focusing on product innovation, particularly an intelligence solution for healthcare providers to accelerate their digital transformation. An intelligence solution for healthcare providers leverages advanced technologies, data analytics, and automation to optimize decision-making processes and enhance operational efficiency within the healthcare industry. For instance, in March 2022, Icertis, a US-based software company, launched Contract Intelligence (ICI), an industry-first contract lifecycle management (CLM) solution. This product offers a holistic view of risks and obligations in managed care and network contracts, integrating seamlessly with various business systems to enhance visibility and control of contract data. Through automated workflows and post-execution management, ICI streamlines the contracting process, resulting in substantial time and cost savings, reduced risk, and a direct positive impact on the bottom line for healthcare providers in the network management sector.
In January 2022, Centene Corporation, a US-based managed care company, finalized the acquisition of Magellan Health Inc. for $2.2 billion. This acquisition is anticipated to bolster Centene's behavioral and specialty healthcare service portfolio, facilitating the integration of healthcare solutions at lower medical costs. Magellan Health Inc., a US-based provider network management organization, aligns with Centene's strategic objectives.
Major companies operating in the healthcare provider network management market include UnitedHealth Group Incorporated, CVS Health Corporation, McKesson Corporation, Cigna Corporation, Centene Corporation, Anthem Inc., Optum Inc., Humana Inc., Aetna Inc., Cognizant, Infosys Technologies Limited, Atos SE, Change Healthcare Technologies Corporation, Virtusa Corporation, Genpact Limited, Mphasis Limited, Evolent Health Inc., Coforge Limited, Amwell Inc., Symphony Health AI, SkyGen Technologies Corporation.
North America was the largest region in the healthcare provider network management market in 2024. The regions covered in the healthcare provider network management market report are Asia-Pacific, Western Europe, Eastern Europe, North America, South America, Middle East, Africa. The countries covered in the healthcare provider network management market report are Australia, Brazil, China, France, Germany, India, Indonesia, Japan, Russia, South Korea, UK, USA, Canada, Italy, Spain.
Healthcare provider network management provides a point for access to information about health insurance plans, government regulations, processes, pricing, and other data within the healthcare organization.
The primary types of components in the healthcare provider network management market are network management services and network management software. The network management services market provides access to plans of patient care, pathology report results, and medical and pharmacy claims utilization data. These services encompass network maintenance, device monitoring, and monthly status reporting. Deployment options include on-premises and cloud, serving private payers and public payers.
The healthcare provider network management market research report is one of a series of new reports that provides healthcare provider network management market statistics, including healthcare provider network management industry global market size, regional shares, competitors with a healthcare provider network management market share, detailed healthcare provider network management market segments, market trends and opportunities, and any further data you may need to thrive in the healthcare provider network management industry. This healthcare provider network management market research report delivers a complete perspective of everything you need, with an in-depth analysis of the current and future state of the industry.
The healthcare provider network management market includes revenues earned by software and services. The market value includes the value of related goods sold by the service provider or included within the service offering. Only goods and services traded between entities or sold to end consumers are included.
The market value is defined as the revenues that enterprises gain from the sale of goods and/or services within the specified market and geography through sales, grants, or donations in terms of the currency (in USD, unless otherwise specified).
The revenues for a specified geography are consumption values that are revenues generated by organizations in the specified geography within the market, irrespective of where they are produced. It does not include revenues from resales along the supply chain, either further along the supply chain or as part of other products.
This product will be delivered within 3-5 business days.
The healthcare provider network management market size is expected to see rapid growth in the next few years. It will grow to $10.09 billion in 2029 at a compound annual growth rate (CAGR) of 16.2%. The growth in the forecast period can be attributed to interoperability challenges, telehealth integration, focus on cybersecurity in healthcare, population health management strategies, shift towards decentralized care, regulatory changes and reimbursement models. Major trends in the forecast period include artificial intelligence and automation, demand for data analytics in healthcare, technological advancements in healthcare, value-based care integration, telehealth network expansion.
The growing geriatric population is anticipated to drive the expansion of the healthcare provider network management market in the coming years. The geriatric population consists of elderly individuals, typically aged 65 and older, who have specific healthcare needs related to aging. The Healthcare Provider Network Management market plays a crucial role in addressing the changing requirements of this increasing geriatric population by optimizing healthcare delivery, improving care coordination, and ensuring effective resource allocation. As the demographic landscape shifts towards a larger elderly demographic, efficient network management becomes essential to meet the unique healthcare needs of this expanding segment. For example, in July 2024, the UK Parliament's House of Commons Library reported that in 2022, there were 12.7 million individuals aged 65 and older in the UK, making up 19% of the total population. This figure is projected to grow to 22.1 million by 2072, representing 27% of the population. Consequently, the increasing geriatric population is fueling the growth of the healthcare provider network management market.
The healthcare provider network management market is expected to experience growth due to the increasing adoption of healthcare IT. Healthcare IT adoption involves the integration and utilization of information technology solutions in the healthcare sector. As healthcare providers undergo digital transformation, there is a growing demand for network management solutions to enhance connectivity, streamline operations, ensure data security, and facilitate the seamless exchange of information among various healthcare entities. According to a report by the Healthcare Information and Management Systems Society (HIMSS) in January 2022, a substantial 80% of healthcare providers had outlined plans to enhance their investments in technology and digital solutions over the next five years. Growing healthcare IT adoption will drive the healthcare provider network management market going forward.
Major companies in the healthcare provider network management market are concentrating on launching advanced products like the ICU on wheels to secure a competitive advantage. The ICU on wheels is a mobile intensive care unit designed to deliver critical medical care and advanced life support to patients during transportation, commonly utilized in emergencies or for patient transfers between facilities. For instance, in November 2023, HealthNet, a US-based healthcare insurance provider, introduced a 5G ambulance equipped with real-time data transmission and cutting-edge medical technology. This vehicle facilitates seamless communication between paramedics and hospitals, enabling instant transmission of critical patient data and enhancing emergency care response. By integrating with the broader healthcare provider network, the 5G ambulance improves decision-making and patient outcomes, further solidifying HealthNet's role in advancing provider network management.
Major companies are focusing on product innovation, particularly an intelligence solution for healthcare providers to accelerate their digital transformation. An intelligence solution for healthcare providers leverages advanced technologies, data analytics, and automation to optimize decision-making processes and enhance operational efficiency within the healthcare industry. For instance, in March 2022, Icertis, a US-based software company, launched Contract Intelligence (ICI), an industry-first contract lifecycle management (CLM) solution. This product offers a holistic view of risks and obligations in managed care and network contracts, integrating seamlessly with various business systems to enhance visibility and control of contract data. Through automated workflows and post-execution management, ICI streamlines the contracting process, resulting in substantial time and cost savings, reduced risk, and a direct positive impact on the bottom line for healthcare providers in the network management sector.
In January 2022, Centene Corporation, a US-based managed care company, finalized the acquisition of Magellan Health Inc. for $2.2 billion. This acquisition is anticipated to bolster Centene's behavioral and specialty healthcare service portfolio, facilitating the integration of healthcare solutions at lower medical costs. Magellan Health Inc., a US-based provider network management organization, aligns with Centene's strategic objectives.
Major companies operating in the healthcare provider network management market include UnitedHealth Group Incorporated, CVS Health Corporation, McKesson Corporation, Cigna Corporation, Centene Corporation, Anthem Inc., Optum Inc., Humana Inc., Aetna Inc., Cognizant, Infosys Technologies Limited, Atos SE, Change Healthcare Technologies Corporation, Virtusa Corporation, Genpact Limited, Mphasis Limited, Evolent Health Inc., Coforge Limited, Amwell Inc., Symphony Health AI, SkyGen Technologies Corporation.
North America was the largest region in the healthcare provider network management market in 2024. The regions covered in the healthcare provider network management market report are Asia-Pacific, Western Europe, Eastern Europe, North America, South America, Middle East, Africa. The countries covered in the healthcare provider network management market report are Australia, Brazil, China, France, Germany, India, Indonesia, Japan, Russia, South Korea, UK, USA, Canada, Italy, Spain.
Healthcare provider network management provides a point for access to information about health insurance plans, government regulations, processes, pricing, and other data within the healthcare organization.
The primary types of components in the healthcare provider network management market are network management services and network management software. The network management services market provides access to plans of patient care, pathology report results, and medical and pharmacy claims utilization data. These services encompass network maintenance, device monitoring, and monthly status reporting. Deployment options include on-premises and cloud, serving private payers and public payers.
The healthcare provider network management market research report is one of a series of new reports that provides healthcare provider network management market statistics, including healthcare provider network management industry global market size, regional shares, competitors with a healthcare provider network management market share, detailed healthcare provider network management market segments, market trends and opportunities, and any further data you may need to thrive in the healthcare provider network management industry. This healthcare provider network management market research report delivers a complete perspective of everything you need, with an in-depth analysis of the current and future state of the industry.
The healthcare provider network management market includes revenues earned by software and services. The market value includes the value of related goods sold by the service provider or included within the service offering. Only goods and services traded between entities or sold to end consumers are included.
The market value is defined as the revenues that enterprises gain from the sale of goods and/or services within the specified market and geography through sales, grants, or donations in terms of the currency (in USD, unless otherwise specified).
The revenues for a specified geography are consumption values that are revenues generated by organizations in the specified geography within the market, irrespective of where they are produced. It does not include revenues from resales along the supply chain, either further along the supply chain or as part of other products.
This product will be delivered within 3-5 business days.
Table of Contents
1. Executive Summary2. Healthcare Provider Network Management Market Characteristics3. Healthcare Provider Network Management Market Trends and Strategies4. Healthcare Provider Network Management Market - Macro Economic Scenario Macro Economic Scenario Including the Impact of Interest Rates, Inflation, Geopolitics and Covid and Recovery on the Market32. Global Healthcare Provider Network Management Market Competitive Benchmarking and Dashboard33. Key Mergers and Acquisitions in the Healthcare Provider Network Management Market34. Recent Developments in the Healthcare Provider Network Management Market
5. Global Healthcare Provider Network Management Growth Analysis and Strategic Analysis Framework
6. Healthcare Provider Network Management Market Segmentation
7. Healthcare Provider Network Management Market Regional and Country Analysis
8. Asia-Pacific Healthcare Provider Network Management Market
9. China Healthcare Provider Network Management Market
10. India Healthcare Provider Network Management Market
11. Japan Healthcare Provider Network Management Market
12. Australia Healthcare Provider Network Management Market
13. Indonesia Healthcare Provider Network Management Market
14. South Korea Healthcare Provider Network Management Market
15. Western Europe Healthcare Provider Network Management Market
16. UK Healthcare Provider Network Management Market
17. Germany Healthcare Provider Network Management Market
18. France Healthcare Provider Network Management Market
19. Italy Healthcare Provider Network Management Market
20. Spain Healthcare Provider Network Management Market
21. Eastern Europe Healthcare Provider Network Management Market
22. Russia Healthcare Provider Network Management Market
23. North America Healthcare Provider Network Management Market
24. USA Healthcare Provider Network Management Market
25. Canada Healthcare Provider Network Management Market
26. South America Healthcare Provider Network Management Market
27. Brazil Healthcare Provider Network Management Market
28. Middle East Healthcare Provider Network Management Market
29. Africa Healthcare Provider Network Management Market
30. Healthcare Provider Network Management Market Competitive Landscape and Company Profiles
31. Healthcare Provider Network Management Market Other Major and Innovative Companies
35. Healthcare Provider Network Management Market High Potential Countries, Segments and Strategies
36. Appendix
Executive Summary
Healthcare Provider Network Management Global Market Report 2025 provides strategists, marketers and senior management with the critical information they need to assess the market.This report focuses on healthcare provider network management market which is experiencing strong growth. The report gives a guide to the trends which will be shaping the market over the next ten years and beyond.
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Description
Where is the largest and fastest growing market for healthcare provider network management? How does the market relate to the overall economy, demography and other similar markets? What forces will shape the market going forward? The healthcare provider network management market global report answers all these questions and many more.The report covers market characteristics, size and growth, segmentation, regional and country breakdowns, competitive landscape, market shares, trends and strategies for this market. It traces the market’s historic and forecast market growth by geography.
- The market characteristics section of the report defines and explains the market.
- The market size section gives the market size ($b) covering both the historic growth of the market, and forecasting its development.
- The forecasts are made after considering the major factors currently impacting the market. These include:
- The forecasts are made after considering the major factors currently impacting the market. These include the Russia-Ukraine war, rising inflation, higher interest rates, and the legacy of the COVID-19 pandemic.
- Market segmentations break down the market into sub markets.
- The regional and country breakdowns section gives an analysis of the market in each geography and the size of the market by geography and compares their historic and forecast growth. It covers the growth trajectory of COVID-19 for all regions, key developed countries and major emerging markets.
- The competitive landscape chapter gives a description of the competitive nature of the market, market shares, and a description of the leading companies. Key financial deals which have shaped the market in recent years are identified.
- The trends and strategies section analyses the shape of the market as it emerges from the crisis and suggests how companies can grow as the market recovers.
Scope
Markets Covered:
1) By Component: Network Management Services, Network Management Software2) By Deployment Type: On-Premises, Cloud
3) By End User: Private Payers; Public Payers
Subsegments:
1) By Network Management Services: Provider Enrollment Services; Credentialing and Privileging Services; Network Development and Optimization Services; Performance Analytics and Reporting Services; Contract Management Services2) By Network Management Software: Provider Network Management Software; Data Analytics and Reporting Tools; Credentialing Software; Contract Management Systems; Care Coordination Platforms
Key Companies Mentioned: UnitedHealth Group Incorporated; CVS Health Corporation; McKesson Corporation; Cigna Corporation; Centene Corporation
Countries: Australia; Brazil; China; France; Germany; India; Indonesia; Japan; Russia; South Korea; UK; USA; Canada; Italy; Spain
Regions: Asia-Pacific; Western Europe; Eastern Europe; North America; South America; Middle East; Africa
Time Series: Five years historic and ten years forecast.
Data: Ratios of market size and growth to related markets, GDP proportions, expenditure per capita.
Data Segmentation: Country and regional historic and forecast data, market share of competitors, market segments.
Sourcing and Referencing: Data and analysis throughout the report is sourced using end notes.
Delivery Format: PDF, Word and Excel Data Dashboard.
Companies Mentioned
- UnitedHealth Group Incorporated
- CVS Health Corporation
- McKesson Corporation
- Cigna Corporation
- Centene Corporation
- Anthem Inc.
- Optum Inc.
- Humana Inc.
- Aetna Inc.
- Cognizant
- Infosys Technologies Limited
- Atos SE
- Change Healthcare Technologies Corporation
- Virtusa Corporation
- Genpact Limited
- Mphasis Limited
- Evolent Health Inc.
- Coforge Limited
- Amwell Inc.
- Symphony Health AI
- SkyGen Technologies Corporation
Table Information
| Report Attribute | Details |
|---|---|
| No. of Pages | 200 |
| Published | March 2025 |
| Forecast Period | 2025 - 2029 |
| Estimated Market Value ( USD | $ 5.54 Billion |
| Forecasted Market Value ( USD | $ 10.09 Billion |
| Compound Annual Growth Rate | 16.2% |
| Regions Covered | Global |
| No. of Companies Mentioned | 21 |
