Chapter1

ExecutiveSummary

ExecutiveSummary1-1

Chapter2

TotalU.S.PhysiciansPracticeManagementSystemsMarket

PhysiciansPracticeManagementSystemsMarketProfile2-1

Overview2-1

MarketSegmentation2-3

Stand-aloneandIntegratedSystems2-4

AdvantagesofIntegratedPPMSSystemsOvertheStand-aloneSystems2-5

RevenueForecastsandAnalysis2-5

ResearchMethodology2-5

TotalU.S.PPMSMarketRevenueForecastsandAnalysis2-6

RevenueForecastsbySizeofPractice2-8

PPMSMarketPenetrationAmongPhysicians2-10

ExistingPhysiciansUsingStand-alonePracticeManagementSystems2-11

ExistingPhysiciansUsinganIntegratedPracticeManagementSystem2-11

MarketEngineeringMeasurements2-11

MarketandTechnologyTrends2-13

PPMSIntegratedwithEMRSystems2-13

ApplicationServiceProviders(ASP)2-14

AdoptionRateofTechnologyAmongPhysicians2-14

GraphicalUserInterface(GUI)2-15

WirelessDevices2-15

IndustryChallengesandStrategicRecommendations2-16

IndustryChallenges2-16

BroaderPerspective2-16

SpecificIndustryChallenges2-17

TheNumberofClaims，FromthePhysicians，BeingDeniedandCancelledbythePayerCompaniesHasBeen

ConstantlyIncreasinginRecentTimes2-18

TheAdoptionRateoftheTechnologicalInnovationsinHealthcareInformationTechnology

isLowerThanExpectedAmongthePhysicians2-18

MoreNumberofPhysiciansHesitatetoUseInternetandWeb-basedSystemsasaPartofPPMS

DuetotheLackofConfidence，Safety，andPrivacy2-18

PhysiciansarenotveryComfortableEithertoUseTechnologicalSolutionsorChangeOverto

aNewerSystemfromTheirOlderPPMS2-19

TheU.S.PPMSVendorsArchitectureisHighlyCompetitive2-19

StrategicRecommendations2-20

PhysiciansShouldbeTrainedinEffectiveClaimsSubmissionsandClaimsDenialManagementSystems2-20

IncreaseAdoptionbyReducingClaimsDenials2-20

BuildConfidenceAmongPhysiciansbyIncludingaSecureandReliablee-MailasPartofthePPMSOffering2-21

ProvideWell-planned，IntensiveTrainingtoHelpPhysiciansAdapttoNewerSystems2-22

GainCompetitiveAdvantagebyDevelopingTotalCostofOwnershipandHighlightingOther

FavorableBenefitsandFeatures2-23

Chapter3

U.S.PhysiciansPracticeManagementSystemsMarketAnalysis

Overview3-1

NeedforaPracticeManagementSystemataPhysiciansOffice3-4

ClassificationofPhysicianPracticesintheUnitedStates3-5

ImplementationofNewPracticeManagementSystems3-6

TurnkeyModel3-6

OutsourcedModel3-6

MarketDrivers3-7

Reducingclaimsreimbursements，byinsurancepayers，forpapersubmissionsduetohighprobabilityoferrors3-7

Lowprobabilityoferrorsandquicksubmissionofclaimsthroughelectronicsystems3-8

RapidlyChangingGovernmentMandatesandRegulationsonthePhysiciansPracticeManagementSolution3-9

IncreasingInterestAmongPhysiciansforWirelessandWeb-basedPracticeManagementSystems3-9

IncreasingCompetitionintheHealthcareFieldAmongthePhysicians，ForcingThemtoStayAhead

inTreatingPatients3-9

MarketRestraints3-10

Replacingapaper-basedpracticemanagementbyelectronicsystemorreplacingastand-alonesystem

byanintegratedsystemhastheriskoflossofsensitivehealthrecorddataofthepatients3-11

CostConstraintsHinderAdoptionAmongSmall-sizedPhysicianPractices3-11

UpdatesandAnnualMaintenanceFeesConstrainAdoptionAmongMedium-sizedPhysicianPractices3-12

ComplexityofSystemCycles，HugeInvestment，andSecurityIssuesoftheDataDelayAdoption

AmongLarge-sizedPhysicianPractices3-12

DifficultiesinDevelopingConsolidatedPracticeManagementSystemSolutionsNegativelyAffectRevenues3-12

ConfusionAmongPhysiciansinChoosingaPracticeManagementSolutionDelayAdoption3-13

RevenueForecastsandAnalysis3-13

RevenueForecastsfortheStandalonesolutionsPPMSMarket3-13

RevenueForecastsfortheIntegratedPPMSSolutionsMarket3-15

PhysicianPracticeDemographics3-16

ForecastsforNumberofPhysiciansinVariousSizesofPractices3-16

NumberofFull-timePhysiciansWorkinginPhysician-basedPractices3-16

Small-sizedPhysicianPractices3-18

Medium-sizedPhysicianPractices3-18

Large-sizedPhysicianPractices3-18

MarketPenetrationofPPMSAmongPhysicians3-18

ForecastbySizeofPractice3-20

PricingForecastandAnalysis3-22

AveragePriceperPhysician3-22

AveragePriceperPractice3-23

Small-sizedPhysicianPractices3-24

Medium-sizedPhysicianPractices3-24

Large-sizedPhysicianPractices3-24

CompetitiveAnalysis3-25

CompetitiveStructure3-25

AcquisitionsofPhysician’sPracticeOffices3-26

HighlyCompetitiveMarketScenario3-26

Consolidation3-26

Namerecognition3-27

VendorDemographics3-27

MarketShareAnalysis3-28

ProductOverview3-29

AppointmentScheduling3-31

Patientperspective3-31

AppointmentCancellations3-32

ClaimsandBilling3-32

ANewBillingSystem3-32

TrainingonNewBillingSystems3-33

Chapter4

Appendix

DecisionSupportDatabase4-1

NumberofPracticingPhysicians4-1

NumberofSpecialtyCenters4-4

PerCapitaHealthcareExpenditure4-4

TotalHealthcareExpenditure4-7