The U.S. population health management market size is expected to reach USD 103.7 billion in 2030, registering a CAGR of 19.54% from 2023 to 2030, according to a new report by Grand View Research, Inc. Increase in healthcare expenditure, need for value-based healthcare delivery, and effective disease management across different care settings are among the key factors expected to drive the market during the forecast period.
In the U.S., poor healthcare management results in the loss of productivity and a significant portion of healthcare costs. Adoption of PHM software by employers helps in the management of their healthcare budget as they can keep a track of the employees’ health status. The market is likely to witness rapid growth in the coming years due to the growing demand for healthcare IT services and solutions that encourage healthcare delivery reliant on value, resulting in a transition from Fee-For-Service to a value-based payment model.
Population health management is built on a Fee-for-Service (FFS) reimbursement method, wherein physicians and other healthcare providers are reimbursed by government agencies and insurance companies on basis of the number of services offered to patients. The new payment model allows reimbursement based on the quality of care delivered and provides comprehensive tools to handle financial and clinical risk for value-based care delivery.
The COVID-19 pandemic has changed the outlook of healthcare in the U.S. with the advanced use of web-based technology in healthcare. Healthcare providers are increasingly investing in PHM software to offer better outcomes. PHM can also be used for tracking the vital signs of patients discharged from hospitals, which can then be analyzed to offer meaningful insights into a patient’s health. The lockdown has disrupted the existing system and PHM systems are the current need to manage the patient population.
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An increase in healthcare expenditure, the need for value-based healthcare delivery, and effective disease management across different care settings is expected to drive the market
The services segment dominated the global market in 2022, while the software segment is likely to register the fastest CAGR over the forecast period
The market is now shifting to a value-based payment model. The value-based contracts are expected to grow substantially in the coming years
Grand View Research has segmented the U.S. population health management market based on product and end use:
U.S. Population Health Management Product Outlook (Revenue, USD Billion, 2017 - 2030)
Software
Services
U.S. Population Health Management End-use Outlook (Revenue, USD Billion, 2017 - 2030)
Providers
Payers
Employer Groups
List of Key Players in the U.S. Population Health Management Market
Allscripts Healthcare
Cerner Corp.
Conifer Health Solutions, LLC
EClinicalWorks
Enli Health Intelligence
McKesson Corp.
Medecision
Optum, Inc.
Advisory Board
Koninklijke Philips N.V.
Athenahealth, Inc.
RedBrick Health
Welltok
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