2015
IQ4I Research & Consultancy Pvt. Ltd.
www.iq4i.com
– Forecast to 2021
Copyright © 2015 IQ4I
All Rights Reserved. This document contains highly confidential
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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
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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%.
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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 $XX million by
2021. Asia-Pacific is expected to grow at a strong CAGR of XX% during the forecast period.
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2 GLOBAL HEALTH INFORMATION EXCHANGE MARKET,
BY SET-UP
TABLE 2
HEALTH INFORMATION EXCHANGE GLOBAL MARKET REVENUE,
BY SET-UP, (2013-2021) ($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 $XX million by
2021.
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3 HEALTH INFORMATION EXCHANGE GLOBAL MARKET,
BY VENDOR
FIGURE 1
HEALTH INFORMATION EXCHANGE GLOBAL MARKET REVENUE,
BY VENDOR (2014 V’S 2021) ($MN)
Portal-centric Messaging-centric Platfrom-centric Others
Mar
ket s
ize
($ M
N)
2014
2021
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4 HEALTH INFORMATION EXCHANGE GLOBAL MARKET,
BY IMPLEMENTATION MODEL
FIGURE 2
HIE GLOBAL MARKET REVENUE, BY IMPLEMENTATION MODEL
(2014 V’S 2021) ($MN)
2014 2021
Centralized HIE
Switch
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5 HEALTH INFORMATION EXCHANGE GLOBAL MARKET,
BY INFORMATION EXCHANGE TYPE
FIGURE 3
HIE GLOBAL MARKET REVENUE, BY INFORMATION EXCHANGE TYPE
(2014 V’S 2021) ($MN)
Push Mode Pull Mode
Mar
ket s
ize
($ M
N)
2014
2021
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6 HEALTH INFORMATION EXCHANGE GLOBAL MARKET,
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
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7 HEALTH INFORMATION EXCHANGE GLOBAL MARKET,
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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8 HEALTH INFORMATION EXCHANGE GLOBAL MARKET,
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.
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• 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
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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.
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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
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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.
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