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The US Population Health Management market size is estimated to grow by USD 5.49 billion at a compound annual growth rate (CAGR) of 7.65% between 2022 and 2027.
The market is driven by several key factors. Firstly, the increasing adoption of healthcare IT solutions revolutionizes patient care and management, optimizing healthcare delivery and outcomes. Secondly, the rising number of specialty and multi-chain hospitals fosters a more integrated approach to healthcare, enabling comprehensive population health management strategies. Lastly, the growing incidence of chronic disorders necessitates proactive healthcare interventions and preventive measures, driving the demand for population health management solutions to effectively manage and mitigate these conditions. These factors collectively contribute to the robust growth of the market.
Study Period |
2023-2027 |
Base Year For Estimation |
2022 |
CAGR |
7.65% |
Historic period |
2017-2021 |
Fastest Growing Region |
North America at 100% |
List of Charts and Table |
120 |
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In company offerings, we provide an in-depth analysis of 20 top company profiles, along with other valuable insights comprising of:
• Company Overviews
• Key News and Updates
• Products and Services
• Market-leading Offerings
• Focused Segments
Athenahealth Inc: The company offers population health management, such as revenue cycle management and patient engagement.
The following are the leading companies in the Population Health Management Market. These companies are adopting various strategies, including strategic alliances, partnerships, mergers and acquisitions, geographical expansion, and product/service launches, to strengthen their market presence. Collectively, they hold the largest market share and set industry trends.
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Our segment comprises two primary segments, each with its respective sub-segments for further detailed analysis within specific national markets. Furthermore, our market coverage extends across geographic regions, with comprehensive breakdowns to provide in-depth insights. The Population Health Management Market in the US is witnessing significant growth driven by several factors. The increasing adoption of healthcare IT services and solutions is transforming care delivery, shifting from the traditional Fee-For-Service (FFS) model to the Value-Based Payment (VBP) model, thereby optimizing healthcare expenditure. Initiatives by the Centers for Medicare & Medicaid Services (CMS) promote value-based care and address chronic diseases like cardiac diseases, asthma, and diabetes.
Based upon Product ,the software sub- segment shows the significant during the forecast period.
One of the main benefits of the PHM software is that it predicts patient health conditions by providing advanced data and analytics tools such as data visualizations, business intelligence, and others by collecting patient data from healthcare systems and stores.
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The software segment was valued at USD 6.37 billion in 2017 and continued to grow until 2021. Some of the key advantages of the adoption of PHM software in the healthcare industry include increasing healthcare efficiency and lower operating costs while providing quality patient care. Thus there is increasing adoption of PHM software across these medical industries as it provides accurate patient data and helps in understanding the health risks associated with the community. Factors such as the increasing demand for value-based care and the increasing prevalence of chronic conditions globally are expected to drive the growth of this segment which, in turn, will drive the market growth during the forecast period.
In the evolving landscape of healthcare, employee satisfaction plays a pivotal role in ensuring the efficacy of care delivery, as satisfied employees are more likely to provide quality patient care. Moreover, the adoption of Value-Based Payment (VBP) models and the transition away from Fee-For-Service (FFS) reimbursement systems incentivize providers to focus on patient outcomes rather than volume. This shift aligns with the goals of accountable care organizations (ACOs) and emphasizes the importance of addressing chronic conditions such as cardiac diseases, asthma, and diabetes. By leveraging healthcare IT services and solutions, providers and payers can integrate clinical, financial, and operational data through open Application Programming Interfaces (APIs), facilitating interoperability and supporting Value-Based Care initiatives mandated by the Centers for Medicare & Medicaid Services (CMS). Additionally, the deployment of healthcare Customer-Relationship Management (CRM) platforms enables providers to deliver personalized care and consumer-focused health plans, ultimately enhancing patient outcomes and reducing healthcare expenditure.
Our researchers analyzed the data with 2022 as the base year, along with the key drivers, trends, and challenges. A holistic analysis of drivers will help companies refine their marketing strategies to gain a competitive advantage.
One of the primary catalysts propelling growth in the market is the escalating adoption of healthcare IT solutions. This surge is driven by the imperative for medical reimbursement and the transition from the traditional Fee-For-Service (FFS) model to the Value-Based Payment (VBP) model. Providers in the US are investing in IT infrastructure to enhance operational efficiency and mitigate healthcare expenditure. The integration of open Application Programming Interfaces (APIs) and sophisticated clinical, financial, and operational data management systems empowers healthcare service providers to optimize care delivery, particularly in addressing chronic conditions like cardiac diseases, asthma, and diabetes. Furthermore, these solutions facilitate seamless collaboration among providers, payers, and employer groups, fostering the delivery of patient-centric care and bolstering employee satisfaction. Such advancements are poised to drive market growth, elevating the efficacy of patient care and fortifying the role of accountable care organizations (ACOs) in the US healthcare landscape.
A key factor shaping the market growth in the US is the increasing adoption of analytics in PHM. Some of the main benefits of integrating analytics and business intelligence in the healthcare industry include extracting meaningful insights from the data gathered about clinical and non-clinical operations.
Healthcare organizations generate a huge amount of clinical data, such as patient health data, and non-clinical data, such as administrative and financial information, which can be analyzed to gather meaningful insights and extract hidden information, such as trends and patterns in patient data. Hence, such applications are expected to drive the market growth during the forecast period.
Data security and privacy concerns associated with cloud-based PHM solutions are the key challenges hindering market growth. One of the significant challenges which impact the market is data privacy concerns as the adoption of cloud-based PHM solutions in medical practice can make the patient's information and insurance-related information available to the public.
Hence, the data is prone to hacking, and the risk of information leakage is high, resulting in the misuse or manipulation of data, which can lead to several legal and security concerns related to illegal insurance claims, regulatory and legislative compliance issues, and auditing and logging issues. Hence, such factors are expected to hinder the market growth during the forecast period.
The market forecasting report includes the adoption lifecycle of the market, covering from the innovator’s stage to the laggard’s stage. It focuses on adoption rates in different regions based on penetration. Furthermore, the report also includes key purchase criteria and drivers of price sensitivity to help companies evaluate and develop their market growth analysis strategies.
Moreover, the proliferation of open Application Programming Interfaces (APIs) facilitates data sharing among payers and providers, enhancing interoperability and supporting accountable care organizations (ACOs). Comprehensive population health solutions leverage clinical, financial, and operational data, empowering healthcare Customer-Relationship Management (CRM) platforms. Notable players like Allscripts Healthcare, LLC and innovative products drive the population health management sector, ensuring effective treatment, patient record maintenance, and surveillance of chronic illnesses. Collaborations between stakeholders further enhance the efficacy of population health solutions, catering to the evolving healthcare landscape in the US.
The market is further bolstered by the rise in lifestyle disorders and the growing adoption of innovative solutions in the services segment. Regulatory measures such as interoperability final rules and initiatives like the Patient-Centered Medical Home (PCMH) promote the integration of Electronic Health Record (EHR) systems and facilitate the transition to Alternative Payment Models (APMs) like the Merit-Based Incentive Payment System (MIPS).
Additionally, collaborations among stakeholders, including providers-payers, employer groups, and insurance carriers, drive the development and deployment of predictive analytics competency and consumer-focused health plans. Investments in research and development by manufacturers and healthcare technology companies like CarePort Health, WellSky Corp, and Health Catalyst further enrich the market with solutions like Population Health Foundations, ensuring comprehensive care delivery and enhancing global population health management outcomes amidst the escalating incidence of chronic disorders among adults.
Market Scope |
|
Report Coverage |
Details |
Page number |
121 |
Base year |
2022 |
Historic period |
2017 - 2021 |
Forecast period |
2023-2027 |
Growth momentum & CAGR |
Accelerate at a CAGR of 7.65% |
Market growth 2023-2027 |
USD 5.49 billion |
Market structure |
Fragmented |
YoY growth 2022-2023(%) |
6.45 |
Regional analysis |
US |
Performing market contribution |
North America at 100% |
Key countries |
US |
Competitive landscape |
Leading Companies, Market Positioning of Companies, Competitive Strategies, and Industry Risks |
Key companies profiled |
athenahealth Inc., CareCloud Inc., Cedar Gate Technologies, CureMD.com Inc., DrChrono Inc., eClinicalWorks LLC, Epic Systems Corp., Global Payments Inc., Greenway Health LLC, Koninklijke Philips NV, McKesson Corp., Medecision Inc., Medical Information Technology Inc., NextGen Healthcare Inc., Oracle Corp., PointClickCare Technologies Inc., Tebra Technologies Inc., Tenet Healthcare Corp., UnitedHealth Group Inc., and Veradigm LLC |
Market dynamics |
Parent market analysis, Market Forecast , Market growth inducers and obstacles, Fast-growing and slow-growing segment analysis, COVID 19 impact and recovery analysis and future consumer dynamics, Market condition analysis for forecast period |
Customization purview |
If our market report has not included the data that you are looking for, you can reach out to our analysts and get segments customized. |
We can help! Our analysts can customize this market research report to meet your requirements.
1 Executive Summary
2 Market Landscape
3 Market Sizing
4 Historic Market Size
5 Five Forces Analysis
6 Market Segmentation by Product
7 Market Segmentation by Deployment
8 Customer Landscape
9 Drivers, Challenges, and Trends
10 Vendor Landscape
11 Vendor Analysis
12 Appendix
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