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  • Published In : May 2024
  • Code : CMI6958
  • Pages :140
  • Formats :
      Excel and PDF
  • Industry : Healthcare IT

Market Size and Trends

The global patient access solution market is estimated to be valued at USD 2.18 Bn in 2024 and is expected to reach USD 3.79 Bn by 2031, exhibiting a compound annual growth rate (CAGR) of 8.2% from 2024 to 2031.

Global Patient Access Solution Market Key Factors

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The patient access solution market is expected to witness significant growth during the forecast period. This can be attributed to a rise in healthcare costs and demand for optimizing revenue cycle management. Additionally, the implementation of favorable government initiatives for enhancing patient access to healthcare insurances has also boosted the adoption of patient access solutions. Growing geriatric population susceptible to chronic diseases and the subsequent need for medical cost optimization is further expected to propel the market expansion through 2031. However, high implementation costs associated with these solutions might hinder the market growth.

Increasing Organic Growth Strategies by Key Market Players

Increasing adoption of organic growth strategies such as service launches by key market players is expected to drive the market growth over the forecast period. For instance, in July, 2023, Inizio Engage, a health technology company, announced the launch of patient access services. This custom-built, integrated suite of patient support services has been developed to enhance the overall patient experience while encouraging adherence and improving health outcomes in specialty or rare and orphan diseases. This service helps patient care partners and healthcare professionals (HCPs) and their staff navigate the inherent complexities encountered during what is often a long journey to diagnosis.

Market Concentration and Competitive Landscape

Global Patient Access Solution Market  Concentration By Players

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Increasing Collaborations among Key Market Players

Increasing adoption of inorganic growth strategies such as collaborations among key market players is expected to drive the market growth over the forecast period. For instance, on February 26, 2024, Health Gorilla, a Qualified Health Information Network (QHIN) and interoperability solution provider, announced a new collaboration with Unblock Health, a master key of patient access solutions, to enhance patient data access through the Trusted Exchange Framework and Common Agreement (TEFCA). The collaboration helps the patients can seamlessly and securely access their data from a vast network of participating hospitals and clinics.

Global Patient Access Solution Market Key Takeaways From Lead Analyst

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Market Challenges – Unfavorable Reimbursement Policies

Unfavorable reimbursement policies across different regions are posing significant challenges for the growth of the global patient access solution market. Stringent reimbursement criteria and complex regulatory guidelines related to reimbursement are making it difficult for healthcare providers to get full or partial reimbursement for their services and solutions. This ultimately impacts the adoption of modern patient access solutions which require significant upfront investments.

Market Opportunities – Increased Adoption of Telehealth and Remote Patient Monitoring

Increased adoption of digital health technologies presents a great opportunity for preventive healthcare globally. As people become more tech-savvy and connected, digital tools that make health monitoring and consultation more convenient are seeing wider acceptance. Technologies like remote patient monitoring devices, health apps on mobile phones, and telemedicine services allow patients to engage with healthcare providers without the need for in-person visits. This is beneficial especially during times of crisis like the current pandemic.

Global Patient Access Solution Market By Type

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Insights, By Type: Increasing Software Launches by key Market Players

The type segment includes software and services. The software sub-segment is estimated to hold 59.3% of the market share in 2024, owing to software launches by key market players. For instance, in December 2022, Pfizer, Inc., a healthcare company, announced that it had launched Pfizer PAP India’—a mobile application designed to ease and fast track enrolment to Pfizer's Patient Access Programs (PAP). At present, Pfizer runs over 10 programs supporting patients with Pfizer treatments.

Insights, By Delivery Mode: Remote Access Boosts Web and Cloud

The delivery mode segment includes web and cloud-based solutions and on-premise solutions. The web and cloud-based sub-segment is estimated to hold 69.4% of the market share in 2024 owing to the accessibility they provide. Cloud platforms allow all stakeholders, from patients to physicians to insurance agencies, to securely access relevant health information from any internet-connected device. This unlimited access empowers consumers to take a more proactive role in their healthcare outside of conventional clinical settings. Users can log vitals, book telehealth visits, message doctors, and view test results using only a smartphone or computer from the comfort of home.

Insights, By End User: Healthcare Providers Propel Global Patient Access Landscape

The end user segment includes healthcare providers, healthcare BPO service providers, and others. The healthcare providers sub-segment is estimated to hold 44.9% of the market share in 2024 owing to pressing needs for streamlined revenue cycle management. Revenue uncertainties from policy changes, rising claim denials, falling reimbursements, and aging populations place provider profitability under constant stress. Patient access solutions empower providers to focus on core clinical services by taking over administrative overhead linked to insurance verification, eligibility checks, document compilation and back-office coding. Automated workflow and pre-authorization functionalities boost first-pass resolution for authorizations and simplify exceptions. Centralized patient engagement portals also enhance the care experience through digital registration and billing.

Regional Insights

Global Patient Access Solution Market Regional Insights

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North America remains the dominant region in the global patient access solution market and is estimated to hold 34.9% of the market share in 2024 due to the region's well-established healthcare infrastructure and early adoption of technological advancements across the healthcare sector. With the presence of leading solution providers and several large hospitals deploying these solutions, North America accounts for the largest share of the market.

Asia Pacific region, on the other hand, is poised to be the fastest growing market for patient access solutions over the coming years. Rapid industrialization and economic development in countries like China and India have significantly increased healthcare spending in the region. At the same time, growing awareness about benefits of digitization is propelling more hospitals to invest in patient access technologies. Presence of medical tourism destinations coupled with large patient volumes have made solutions like pre-registration and online payments more relevant for Asia Pacific hospitals. Local players are also introducing affordable solutions tailored for mid-sized hospitals common in many APAC countries. This is helping solve issues related to long queues and documentation faced in understaffed facilities. The need for modernization and growing healthcare expenditure will continue driving the demand for patient access solutions at a strong pace in Asia Pacific.

Market Report Scope

Global Patient Access Solution Market Report Coverage

Report Coverage Details
Base Year: 2023 Market Size in 2024: US$ 2.18 Bn
Historical Data for: 2019 To 2023 Forecast Period: 2024 To 2031
Forecast Period 2024 to 2031 CAGR: 8.2% 2031 Value Projection: US$ 3.79 Bn
Geographies covered:
  • North America: U.S., Canada
  • Latin America: Brazil, Argentina, Mexico, Rest of Latin America
  • Europe: Germany, U.K., Spain, France, Italy, Russia, Rest of Europe
  • Asia Pacific: China, India, Japan, Australia, South Korea, ASEAN, Rest of Asia Pacific
  • Middle East: GCC Countries, Israel, Rest of Middle East
  • Africa: South Africa, North Africa, Central Africa
Segments covered:
  • By Type: Software and Services
  • By Delivery Mode: Web and Cloud-based Solutions and On-premise Solutions
  • By End User: Healthcare Providers, Healthcare BPO Service Providers, and Others 
Companies covered:

Allscripts Healthcare Solutions, Inc., Cognizant Technology Solutions Corporation, McKesson Corporation, Epic Systems Corporation, Oracle Corporation, Innovaccer Inc., Cognizant Technology Solutions Corporation, Crener Corporation, Conifer Health Solutions, Optum, Inc., Genentech, Inc., Cirius Group, Inc., The SSI Group, Experian plc, Athenahealth, Inc., Edward Lifesciences Corporation, and Getinge AB

Growth Drivers:
  • Increasing Organic Growth Strategies by Key Market Players
  • Increasing Collaborations among Key Market Players
Restraints & Challenges:
  • Unfavorable Reimbursement Policies
  • High Cost of Technologies and Services

Key Developments

  • In November 2023, Docquity, Southeast Asia's largest community of HCPs connecting two out of three doctors in the region, announced the expansion of DocquityCare PAP, its digitized patient access program, to Thailand. Docquity has introduced five PAPs in the country, supporting over 100 enrolled hospitals and 250 authorized HCPs to improve patient care for those with cancer and other life-threatening illnesses
  • In September 2023, Health Gorilla, a privacy-focused health information network and interoperability solution provider, announced the launch of its patient access solution, which allows healthcare organizations to access comprehensive health data by enabling consumers to submit queries to national health information networks under the Individual Access Services (IAS) purpose of use.
  • In January 2022, Healthlane launched the Healthlane App, a preventive healthcare technology that fosters comprehensive world-class medical care for longer and healthier lives.
  • In April 2021, Memora Health Inc., a software company, announced that it had been selected as the inaugural member of the Patient Access Collaborative (PAC) Industry Partner program. As the first member of this program, Memora Health brings its robust care delivery platform to over 90 of PAC's health system and ambulatory enterprise members. It helps at PAC utilize robust and innovative technologies as they transform their patient access operations.
  • *Definition: Patient access solution consists of software and services that help healthcare providers and payers streamline processes related to insurance verification, eligibility checks, medical necessity determinations, referrals, prior authorizations, and claims management. These patient access solutions help facilitate the flow of communication and information exchange between patients, providers, and payers to help patients receive the care they need in a timely and affordable manner.

Market Segmentation

  •  Type Insights (Revenue, USD Bn, 2019 - 2031)
    • Software
    • Services
  •  Delivery Mode Insights (Revenue, USD Bn, 2019 - 2031)
    • Web and Cloud-based Solutions
    • On-premise Solutions
  •  End User Insights (Revenue, USD Bn, 2019 - 2031)
    • Healthcare Providers
    • Healthcare BPO Service Providers
    • Others
  • Regional Insights (Revenue, USD Bn, 2019 - 2031)
    • North America
      • U.S.
      • Canada
    • Latin America
      • Brazil
      • Argentina
      • Mexico
      • Rest of Latin America
    • Europe
      • Germany
      • U.K.
      • Spain
      • France
      • Italy
      • Russia
      • Rest of Europe
    • Asia Pacific
      • China
      • India
      • Japan
      • Australia
      • South Korea
      • ASEAN
      • Rest of Asia Pacific
    • Middle East
      • GCC Countries
      • Israel
      • Rest of Middle East
    • Africa
      • South Africa
      • North Africa
      • Central Africa
  • Key Players Insights
    • Allscripts Healthcare Solutions, Inc.
    • Cognizant Technology Solutions Corporation
    • McKesson Corporation
    • Epic Systems Corporation
    • Oracle Corporation
    • Innovaccer Inc.
    • Cognizant Technology Solutions Corporation
    • Crener Corporation
    • Conifer Health Solutions
    • Optum, Inc.
    • Genentech, Inc.
    • Cirius Group, Inc.
    • The SSI Group
    • Experian plc
    • Athenahealth, Inc. 
    • Edward Lifesciences Corporation
    • Getinge AB

Frequently Asked Questions

The CAGR of the patient access solution market is projected to be 8.2% from 2024 to 2031.

Increasing organic growth strategies by key market players and increasing collaborations among key market players are the major factor driving the growth of the patient access solution market.

Unfavorable reimbursement policies and high cost of technologies and services are the major factor hampering the growth of the patient access solution market.

In terms of Type, Software is estimated to dominate the market revenue share in 2024.

Allscripts Healthcare Solutions, Inc., Cognizant Technology Solutions Corporation, McKesson Corporation, Epic Systems Corporation, Oracle Corporation, Innovaccer Inc., Cognizant Technology Solutions Corporation, Crener Corporation, Conifer Health Solutions, Optum, Inc., Genentech, Inc., Cirius Group, Inc., The SSI Group, Experian plc, Athenahealth, Inc., Edward Lifesciences Corporation, and Getinge AB are the major players.

North America is expected to lead the patient access solution market.

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