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PharmaSphere: Healthcare Information Technology Software and Services Report - Vertical Market Analysis of Leading IT Business Process Outsourcing and Electronic Medical Record Vendors

GlobalData
Published Date » 2014-02-10
No. Of Pages » 120

PharmaSphere: Healthcare Information Technology Software and Services Report Vertical Market Analysis of Leading IT Business Process Outsourcing and Electronic Medical Record Vendors" report discusses the various platforms, service models, and go-to-market strategies of the major players in the IT BPO, and EMR markets. The research provides an assessment of vendor strategies, outsourcing agreements, significant deals and corporate developments, and contract vehicles signed by these BPO and EMR firms over the past three years. 

This report also examines the impact of both the Affordable Care Act and the HITECH Act, Meaningful Use and the industrys transition to ICD-10, and how these vendors are helping healthcare organizations develop clear implementation strategies. This HITS&S report includes a drill-down analysis by healthcare subverticals Payers & Providers, Life Sciences, State/Local, and Federal and by three geographies Americas, EMEA, and APAC examining each of these segments business development strategies.

Highlights

Key Questions Answered

  • What are the HIT implications of the ACA, HITECH ACT, Meaningful Use, and the shift to ICD-10?
  • What specific strategies are these BPO and EMR companies employing to gain market share?
  • Which trends will affect the healthcare IT marketplace over the next few years?
  • What particular services or capabilities are my competitors developing?
  • What specific business development activities are taking place, in terms of contract deals, partnerships or M&A?

Scope

  • This report provides analysis of the key drivers and trends shaping the HIT outsourcing market in the US, particularly the Affordable Care Act, the HITECH Act, Meaningful Use, and the industrys shift to ICD-10
  • Comprehensive analysis of BPO and EMR vendors, the overall market size, and estimated HIT revenues for leading BPO and EMR firms
  • The report contains a discussion of business line and regional segment strategies
  • An examination of the strategic developments, acquisitions, service delivery and HIT solutions that these BPO and EMR firms are offering healthcare organizations
  • A brief overview of cloud computing, its characteristics, the types of deployment clouds, and service models
  • The delivery of care anywhere through the use of cloud solutions

Reasons to buy

  • Analyze the strategies that these HIT vendors are using to gain share in this increasingly competitive market
  • Use this information as an independent source for your due diligence and transaction strategy
  • Organize your sales and marketing plans to identify companies with specific service capabilities to capitalize on opportunities for strategic partnerships
  • Track contract and deal terms of your competitors
  • Leverage this report to identify and select potential vendors to outsource back-office functions
Table of Contents

1 Table of Contents
1 Table of Contents 6
1.1 List of Tables 10
1.2 List of Figures 11

2 Report Scope 12
2.1 BPO Company Coverage 13
2.2 EMR Company Converge 13
2.3 Report Guidance 13

3 Introduction 15
3.1 What is Cloud Computing? 15
3.2 Characteristics of Cloud Computing 16
3.2.1 On-Demand Self-Service 16
3.2.2 Broad Network Access 16
3.2.3 Resource Pooling 16
3.2.4 Rapid Elasticity 16
3.2.5 Measured Service 16
3.2.6 Service Oriented Architecture 17
3.2.7 Grid Computing 17
3.2.8 Hardware Virtualization 17
3.3 Types of Clouds 17
3.3.1 Public Clouds 18
3.3.2 Private Clouds 18
3.3.3 Hybrid Clouds 18
3.4 Service Models 19
3.4.1 Infrastructure-as-a-Service (IaaS) 19
3.4.2 Platform-as-a-Service (PaaS) 19
3.4.3 Software-as-a-Service (SaaS) 19

4 Overview of the US Healthcare System 20
4.1 An Expensive System with Poor Patient Outcomes 21

5 Key Drivers for IT BPO and EMR Vendors 26
5.1 Legislative Efforts to Reform the US Healthcare System will Drive Investments into HIT 28
5.1.1 The HITECH Act of 2009 and Meaningful Use 28
5.1.2 The Patient Protection and Affordable Care Act of 2010 36
5.2 The Migration to ICD-10 will Generate Opportunities for HITS&S Vendors 41
5.2.1 About ICD-10 41
5.2.2 Limitations of ICD-9 42
5.2.3 Benefits of ICD-10 42
5.2.4 Comparing ICD-9 and ICD-10 43
5.2.5 Implementation Glitches 44
5.2.6 Physicians Are Not Confident in a Smooth Transition to ICD-10 by 2014 Deadline 45
5.2.7 HITS&S Vendors Offer New Solutions for ICD-10 Compliance 46

6 Business Process Outsourcing 49
6.1 Overview 49
6.2 Strategic Developments in the HIT Business Process Outsourcing Market 55
6.2.1 IBM Global Services Bolsters Cloud Portfolio 55
6.2.2 CSC Delivers Cloud-Based Management Solutions for Health Plans 56
6.2.3 Cognizant Expands Data Center and Cloud Infrastructure 56
6.2.4 Accenture Launches New Business Service for Pharmaceutical R&D 57
6.2.5 Accenture Qualifies for Management Consulting Work across US Government 57
6.2.6 Accenture Acquires ASM Research to Expand Federal Health Business 58
6.2.7 Genpact Adds Healthcare Payer Expertise with Jawood Purchase 58
6.2.8 Atos Awarded Hong Kongs First Government Cloud Contract 59
6.2.9 HCL Technologies Launches ACE SmartCare Clinical Decision Support Solution 59
6.2.10 Wipro Drives Cloud Solutions through Partnerships 59
6.2.11 General Dynamics Completes Vangent Acquisition 61
6.2.12 Harris and Johns Hopkins Joint Venture to Provide Transformative Cloud Solutions 61
6.2.13 Harris Purchases Carefx Corporation 62
6.2.14 Unisys Completes the Sale of its Health Information Management Business 62
6.2.15 Tech Mahindra Absorbs Mahindra Satyam 63
6.2.16 Syntel Provides Payment Solution for Payers and Exchanges 63
6.3 Vertical Segmentation 64
6.3.1 Payers and Providers 64
6.3.2 Life Sciences 68
6.3.3 State and Local 72
6.3.4 Federal 75
6.4 Regional Segmentation 79
6.4.1 Americas 79
6.4.2 EMEA 80
6.4.3 APAC 83

7 Electronic Medical Records 89
7.1 Overview 89
7.2 Strategic Developments in the Electronic Medical Records Market 94
7.2.1 Leading EMR Vendors Announce Ground Breaking Alliance 94
7.2.2 McKesson Joint Venture to Provide Operations Management Services to Physicians 94
7.2.3 Allscripts Acquires dbMotion and Jardogs 95
7.2.4 GE Healthcare to Invest $2B in Software Development over the Next Five Years 96
7.2.5 Quality Systems Acquires Mirth Corporation, Releases Mirth Connect 3.0 96
7.2.6 NextGen and Microsoft Join to Deliver Consumer-Based Healthcare Solution 97
7.2.7 NextGen Selected by T-Systems to Boost its Clients Revenue Cycle 97
7.2.8 Athenahealth Goes Mobile with Epocrates and iTriage 97
7.2.9 Athenahealth Acquires Healthcare Data Services 98
7.2.10 After its IPO, Greenway Medical Technologies is acquired by Vitera Healthcare Solutions 98
7.3 Vertical Segmentation 99
7.3.1 Payers and Providers 99
7.3.2 Life Sciences 103
7.3.3 State and Federal 105
7.4 Regional Segmentation 106
7.4.1 EMEA 106
7.4.2 APAC 108

8 Future of Healthcare 109

9 Appendix 111
9.1 Bibliography 111
9.2 Research Methodology 114
9.2.1 Coverage 114
9.2.2 Secondary Research 115
9.3 About the Author 116
9.3.1 Adam Dion, Industry Analyst 116
9.4 Director, Healthcare Industry Dynamics 117
9.5 Global Head of Healthcare 117
9.6 About the Industry Dynamics Team 118
9.7 About GlobalData 118
9.8 Disclosure Information 118
9.9 Disclaimer 119

List of Tables


Table 1: Comparisons of EHR Incentive Program, Medicare and Medicaid, 2013 29
Table 2: Meaningful Use Stages and Objectives, 2011-2016 30
Table 3: Meaningful Use: Core Objectives, Eligible Providers and Eligible Hospitals 31
Table 4: Meaningful Use: Menu Set Objectives, Eligible Providers and Eligible Hospitals 32
Table 5: Meaningful Use: Clinical Quality Measures, Eligible Providers 33
Table 6: Meaningful Use: Clinical Quality Measures, Eligible Hospitals and Critical Access Hospitals 35
Table 7: Diagnostic Code Comparison of ICD-9-CM and ICD-10-CM 43
Table 8: Percentages of Different Types of Matches Between ICD-10 and ICD-9 45
Table 9: IT Business Process Outsourcing Integrators, Market Leaders, 2012 52
Table 10: IT Business Process Outsourcing Integrators, Second Tier, 2012 53
Table 11: IT Business Process Outsourcing Integrators, Third Tier, 2012 54
Table 12: Summary of Key State Medicaid Contracts Awarded to HP Services, 2012-2013 74
Table 13: Federal Contracts Awarded to IT BPO Vendors, 2010-2013 77
Table 14: Electronic Medical Record Vendors, Market Leaders, 2012 92
Table 15: Electronic Medical Record Vendors, Second Tier, 2012 93

List of Figures


Figure 1: US Healthcare Expenditures and GDP, 2003-2012 21
Figure 2: US Healthcare Expenditure Per Capita and Healthcare Spending as a Percentage of GDP, 2003-2012 22
Figure 3: Average Life Expectancy at Birth, 1970 and 2011 23
Figure 4: Average Life Expectancy at Birth and Healthcare Spending Per Capita, 2011 24
Figure 5: US Healthcare IT Market Forecast ($bn), 2013-2016 27
Figure 6: State Positions on Medicaid Expansion 37
Figure 7: Physician Confidence in Ability of Practices to Smoothly Transition to ICD-10 Requirement 45
Figure 8: US and Worldwide IT BPO Services Market Forecast ($bn), 2013-2017 50
Figure 9: HITS&S Revenue ($m) by IT BPO Integrator, 2012 51
Figure 10: Total HITS&S Revenue Percentage Breakout by Vertical, 2012 71
Figure 11: Total HITS&S Revenue Percentage Breakout by Region, 2012 83
Figure 12: Domestic Indian IT BPO Vendors by HITS&S Revenue ($m), 2010-2012 86
Figure 13: EMR Peer Group Vendor Revenue Forecast ($bn), 2012-2017 89
Figure 14: HITS&S Revenue ($m) by EMR Vendor, 2012 90
Figure 15: Total HITS&S Revenue Percentage Breakout by Vertical, 2012 104
Figure 16: Total HITS&S Revenue Percentage Breakout by Region, 2012 107

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