[Set-up (Public and Private HIE); Vendor (Portal-centric ...efficient flow of secure healthcare information through healthcare system. Usually, clinicians do ... implementation model,

2015

IQ4I Research & Consultancy Pvt. Ltd.

[email protected]

www.iq4i.com

– Forecast to 2021

Copyright © 2015 IQ4I

All Rights Reserved. This document contains highly confidential

information and is the sole property of IQ4I. No part of it may be

circulated, copied, quoted, or otherwise reproduced without the

approval of IQ4I.

[Set-up (Public and Private HIE); Vendor (Portal-centric, Messaging-

centric, Platform-centric and Others); Implementation Model

(Centralized, Federated, Switch, Patient Managed and Hybrid HIE);

Information Exchange Type (Push and Pull mode); Component

(EMPI, HPD, RLS and Clinical data repository); Application

(Interfacing internal application, Workflow management, Secure

messaging, Web portal development, Patient safety and Others);

End-users (ED Provider, Public Health Agency, Medical Research,

Primary Care Provider, Care Manager and Specialists) Regional

(North America, Europe, Asia Pacific and Rest of the World)]

Health Information Exchange Global Market

IQ4I Research & Consultancy Pvt. Ltd. Page 2


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1 REPORT DESCRIPTION

Health information organizations fundamentally are third-party organizations that help in

exchange of patient data between providers. It is one of the elusive businesses that help in

efficient flow of secure healthcare information through healthcare system. Usually, clinicians do

not have comprehensive patient data when required during emergency care settings. Hence,

direct care of patients and data for addressing healthcare issues strengthens the HIE market.

Moreover, there is a dramatic increase in exchange of data across regions in order to facilitate

access to and retrieval of clinical data to provide safe, timely, effective, equitable and patient-

centered care. Still information exchange connected between providers expand within large

integrated delivery networks (IDNs) which enable the exchange within their network and

sometimes allow outside providers for limited access to their systems.

Increasing number of U.S. federal government incentive programs, rising demand for HIE and

EHR technologies and reduction in healthcare cost by eliminating unnecessary testing are some

the factors driving the health information exchange market, while interoperability issues,

increased implementation cost, slow return on investment and lack of EHR vendor cooperation

are the factors hampering the market growth. The major issue always on fire is the privacy and

transparency of data. At present, adopting cloud and mobile health information exchange is

accelerating the market growth.

The global health information exchange market is segmented into by set-up, vendor,

implementation model, information exchange type, component, application, end-users and

region. Depending on set-up the market is divided into public and private HIE, where private HIE

holds the largest market share of XX% with a revenue of $XX million in 2014 and is expected to

reach $XX million by 2021 with a CAGR of XX%. The global HIE market by vendor is classified

as portal-centric, messaging-centric, platform-centric and others where portal-centric is the

largest and messaging-centric is the fastest growing segment. Likewise, global HIE market by

implementation model is segmented into centralized/consolidated HIE, federated/distributed

HIE, switch, patient-managed and hybrid HIE. The hybrid HIE occupied the largest share of

XX% and is also the fastest growing segment with a CAGR of XX%.



–Forecast to 2021

Based on information exchange type the market contains push mode and pull mode. The push

mode type accounts the largest revenue of $XX million in 2014 and is expected to grow at a

CAGR of XX%. Whereas, the HIE component market includes enterprise master patient index

(EMPI), healthcare provider directory (HPD), record locator service (RLS) and clinical data

repository. The clinical data repository occupied the largest share of 44.5% and record locator

service is the fastest growing segment with a CAGR of XX%.

Further, the HIE market by application is classified as interfacing internal applications, workflow

management, secure messaging, web portal development, patient safety and others. Web

portal development is largest and interfacing internal applications is the fastest growing

segment. The HIE market includes emergency department provider, public health agency,

medical research, primary care provider, care manager and specialists as the end-users. In

which, Specialists occupies the largest share of XX%.

Based on region HIE market is classified into North America, Europe, Asia pacific and Rest of

the World. North America dominated the HIE market with a largest share of XX% as it is a

saturated and matured market with good healthcare centres and high adoption rate. Europe

holds the second largest share of 17.9% followed by Asia Pacific and rest of the world. Major

players in HIE market include AllScripts (U.S.), AT&T (U.S.), CareEvolution (U.S.), Cerner

Corporation (U.S.), Epic (U.S.), IBM Corporation (U.S.), Infor (U.S.), Intersystems (U.S.), Optum

(U.S.), Oracle (U.S.) and Orion Health (New Zealand).

The report provides an in depth market analysis of the above mentioned segments across the

following regions:

North America

Europe

Asia-Pacific

Rest of the World (RoW)



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TABLE 1

HEALTH INFORMATION EXCHANGE GLOBAL MARKET REVENUE,

BY REGION, (2013-2021) ($MN)

Region 2013 2014 2015 2021 CAGR (%)

(2015-2021)

North America XX XX XX XX XX

Europe XX XX XX XX XX

Asia-Pacific XX XX XX XX XX

RoW XX XX XX XX XX

Total XX XX XX 1,344.6 XX

Source: The society for worldwide medical exchange (SWME), Health Information Organization (HIO), National

Association for Trusted Exchange (NATE), American Health Information Management Association (AHIMA), Indiana

Health Information Exchange (IHIE), WHO, Industry Expert Interviews and IQ4I analysis

North America accounted for the largest revenue of $XX million of the global health information

exchange market in 2014 and is expected to grow at a CAGR of XX% to reach $XX million by

2021. Asia-Pacific is expected to grow at a strong CAGR of XX% during the forecast period.



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2 GLOBAL HEALTH INFORMATION EXCHANGE MARKET,

BY SET-UP

TABLE 2


BY SET-UP, (2013-2021) ($MN)

Set-up 2013 2014 2015 2021 CAGR (%)

(2015-2021)

Public HIE XX XX XX XX 7.8

Private HIE XX XX XX XX XX

Total XX XX XX XX XX

Source: The society for worldwide medical exchange (SWME), Health Information Organization (HIO), National

Association for Trusted Exchange (NATE), American Health Information Management Association (AHIMA), Indiana

Health Information Exchange (IHIE), WHO, Industry Expert Interviews and IQ4I analysis

Private HIE accounted for the largest revenue of $XX million in 2014 of global health information

exchange market and is expected to grow at a strong CAGR of XX% to reach $XX million by

2021.



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3 HEALTH INFORMATION EXCHANGE GLOBAL MARKET,

BY VENDOR

FIGURE 1


BY VENDOR (2014 V’S 2021) ($MN)

Portal-centric Messaging-centric Platfrom-centric Others

Mar

ket s

ize

($ M

N)

2014

2021



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BY IMPLEMENTATION MODEL

FIGURE 2

HIE GLOBAL MARKET REVENUE, BY IMPLEMENTATION MODEL

(2014 V’S 2021) ($MN)

2014 2021

Centralized HIE

Switch



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BY INFORMATION EXCHANGE TYPE

FIGURE 3

HIE GLOBAL MARKET REVENUE, BY INFORMATION EXCHANGE TYPE

(2014 V’S 2021) ($MN)

Push Mode Pull Mode

Mar

ket s

ize

($ M

N)

2014

2021



–Forecast to 2021


BY COMPONENT

FIGURE 4

HIE GLOBAL MARKET REVENUE, BY COMPONENT

(2014 V’S 2021) ($MN)

Enterprise Master Patient Index

Healthcare Provider Directory

Record Locator Service

Clinical Data Repository

Mar

ket s

ize

($ M

N)

2014

2021



–Forecast to 2021


BY APPLICATION

FIGURE 5

HIE GLOBAL MARKET REVENUE, BY APPLICATION

(2014 V’S 2021) ($MN)

Interfacing internal applications

Workflow management

Secure messaging

Web portal development

Patient safety

Others

Market size ($MN)

2021

2014



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BY END-USERS

FIGURE 6

HIE GLOBAL MARKET REVENUE, BY END-USERS

(2014 V’S 2021) ($MN)

2021

Primary Care Provider

2014



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9 MARKET ANALYSIS

9.1 DRIVERS

9.1.1 REDUCTION IN HEALTHCARE COST

Implementation of electronic health records and health information exchangers with e-

prescribing increases the efficiency and patient satisfaction. The advanced level of exchanging

patient’s complete clinical information via faxing or mailing paper files among physicians,

organization and other healthcare providers has tremendously decreased the cost of healthcare

and point-to-point interfaces. Exchange of clinical information improves the quality care during

emergency care setting hence, reduction in repeated testing and hospital

admissions/readmissions will decrease the healthcare cost.

Now-a-days the use of primary and at-home preventive care services, reimbursement cuts in

individual hospitals and insurance company’s avoids readmission rate, unnecessary duplicate

test procedure and number of days spent in the hospital, all of which reduces high medical

expenditure and drive the HIE market.



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9.2 MARKET SHARE ANALYSIS BY MAJOR PLAYERS

FIGURE 7

HIE GLOBAL MARKET SHARE ANALYSIS, BY KEY PLAYERS, 2014

Epic accounted for the largest share of 26.5% of global health information exchange market. It

is one of the leading companies connecting outside software to integrated system. The

company endorses and adopts the EHR association’s developer that encourages cooperative

and transparent business practices among industry stakeholders. High profile product portfolio

and adoption of acquisitions and mergers ensure the growth of the market. In May 2015, IBM

Watson health, EPIC and Mayo clinic collaborated to advance patient health by applying

the capabilities of Watson to Electronic Health Records (EHRs).

26.51

Epic



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10 INTRODUCTION

10.1 RESEARCH METHODOLOGY

The research on Health Information Exchange market involved both widespread secondary and

primary research. The secondary research was carried out on company websites, annual

reports, SEC filings, HIE associations, articles, press releases and journals to identify and

collect both the qualitative and quantitative data. The primary sources were experts from supply

side such as CEOs, directors, international/regional marketing managers and marketing

executives. All the primary sources were interviewed to acquire and verify critical qualitative and

quantitative information and also to assess the future forecast of all the segments in health

information exchange market. Along with these, additional information was extracted about the

key players in this industry with their market revenues, products and developments. The factors

responsible for growth and restriction of the health exchange market along with the future

opportunities were also determined through secondary research and verified through primary

sources.

The following illustrative figure shows the market research methodology applied in making this

report on the global health information exchange.



–Forecast to 2021

• Bottom-up and Top-down approach

• Data triangulation

• Qualitative & Quantitative analysis

• Health Information Exchange market segmentation

• Market size, CAGR and market trends validation

• Market size of sub segments and market shares of major players

• Upcoming trends and technological advancements in Set-up,

implementation and applications.

• Validation of factors influencing market and regional market shares

• Technical information of HIE and components

• Strategic insights, financial revenues and competitive intelligence of

Key players

• Set-up, vendor, implementation and applications of HIE

• Market trends and growth scenario of sub markets and parent market

Market

Breakdown

Primary

Research

Secondary

Research

FIGURE 8

HIE GLOBAL MARKET: RESEARCH APPROACH



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10.1.1 MARKET SIZE ESTIMATION

The size of the global health information exchange market and its various segments and sub-

segments were estimated and validated through secondary and primary research. All the health

information exchange market percentage shares, splits, and breakdowns were determined

using secondary sources and verified through primary sources to get the final quantitative and

qualitative data. This data is consolidated and added with detailed inputs and analysis from IQ4I

and presented in this report.

FIGURE 9

HIE MARKET: TOP-DOWN AND BOTTOM-UP APPROACH

Global Healthcare Analytics market

Market share of Health Information

Exchange segments

Market share of sub

Segments/Technologies

Sub segments

market size and

CAGR

Overall

market size and CAGR

Market share of the players in

the overall Health Information Exchange

Market and sub markets

Top players Market Revenue in the HIE

Market: Allscripts Healthcare Solutions (U.S.), AT&T(U.S.), Care Evolution (U.S.), Cerner

Corporation (U.S.), IBM Corporation (U.S.), Infor

(U.S.), Inter Systems (U.S.), Optum, Inc (U.S.) Oracle (U.S.) and Orion Health (New Zealand)

Regional market shares

Global health Information Exchange

market



–Forecast to 2021

The top-down approach was used to derive the global health information exchange market size

as well as the health exchange market size by technology, applications and products. Different

percentage splits were applied for different segments of health information exchange market.

This percentage split was assumed to be same across the geography.

FIGURE 10

HIE MARKET: FORECASTING MODEL

Historical Data

and trends of Health Information Exchange

Market

Evolution

Company

developmentsApplications

Download Pattern

Regulatory

Landscape

Factors Influencing

Market GrowthMarket Opportunities

• Increased adoption of HIE in emerging countries

Agreements & Joint ventures

contributed for 60%

New product launch

contributed for 22.5%

Technology

EvolutionExchange cost Adoption pattern Regulations

Market ShareNumber of

exchanges

Geographical

Usage

Market Penetration

• Acceleration in cloud and

mobile health information exchange

Market Restraints

• Interoperability issues

• Slow return of investments• Lack of cooperation by EHR

vendor

• High implementation cost

Investments

In Feb 2015, HHS &ONC invested$28 Mn to increase adoption of

interoperable health IT tools &

services for sharing information.

Market Drivers

• Rising demand for HIE and

EHR technologies

• Increasing number of U.S. federal government incentive

program

.

Historical Market Data

Impact Analysis of Market

Trends

Market Size & Forecast by

Technology

Market Size & Forecast by

Application & Implementation

Global Health Information

Exchange Market Size,

Segmental share and CAGR

from 2014-2021

Market Trend and

Growth Forecasting

Agreement

Care Mode Medical Group (Nevada) in May 2015 selected Allscripts Chronic Care Management (CCM)program for improving patient engagement, care quality and increase Centers for Medicare and Medicaid

Services (CMS) reimbursements.



–Forecast to 2021

10.1.2 MARKET BREAKDOWN AND DATA TRIANGULATION

FIGURE 11

HIE MARKET: MARKET BREAKDOWN & DATA TRIANGULATION

Market share of Health

Information Exchange

Market in Global

Healthcare Analytics market

Top-down

Primary

Research

Bottom -up

Secondary

Research

HIE Market

(~XX Mn)

(2014)

•Financial/Annual reports

•Investor Presentations

•SEC f ilings

•Scientif ic Journals

•Organizations/

Associations & Groups

Market Share analysis

of key Players :

AT&T(U.S.),

CareEvolution(U.S.),Cerne

r Corporation (U.S.), IBM

Corporation (U.S.), Inter

Systems

Demand & Supply

Side:

Specialists, ED

provider, Public health

agency, Medical

research, Primary care

provider, Care provider



–Forecast to 2021

10.1.3 ASSUMPTIONS

MARKET ASSUMPTIONS

Market Revenue

The global health information exchange

market revenue is estimated to be ~16% of

the global health analytics market. The value

is cross validated through top-down and

bottom-up approach as well.

Market growth

The CAGR for the forecasted period (2014-

2020) is assumed to be normalized and the

effect of inflation, recession, economic

downturn, regulatory or policy changes, or

other factors are not considered.

Techniques/Application market

The % splits arrived for public and private

HIE based on the primary inputs. Similarly,

the applications splits were assumed based

on the contribution of implementation model

search in respective application area.

Segmental & Sub segmental market shares

The market shares are analyzed purely

based on the primary inputs in case of the

data non-availability for the sub markets the

parent market trends has been assumed for

the forecasted period.

Market Share

Market share analysis of key players is

performed in two ways that is based on the

primary research rankings (Market

penetration of players) and the other method

is based on the estimated health information

exchange products revenues of key players.



–Forecast to 2021

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[Set-up (Public and Private HIE); Vendor (Portal-centric ...efficient flow of secure healthcare information through healthcare system. Usually, clinicians do ... implementation model,