U.S. Population Health Management Market Size, Share & Trends Report

U.S. Population Health Management Market Size, Share & Trends Analysis Report By Product (Software, Services), By End Use (Providers, Payers, Employer Groups), and Segment Forecasts, 2018 - 2025

  • Published Date: Sep, 2018
  • Base Year for Estimate: 2017
  • Report ID: GVR-2-68038-458-1
  • Format: Electronic (PDF)
  • Historical Data: 2014 - 2016
  • Number of Pages: 70

Industry Insights

The U.S. population health management market size was valued at around USD 9.7 billion in 2017. It is anticipated to expand at a CAGR of 19.9% over the forecast period. Spiraling demand for healthcare IT services and solutions that support value-based healthcare delivery resulting in a transition from Fee-For-Service (FFS) to a Value-Based Payment (VBP) model is one of the key trends stimulating market growth.

Increasing healthcare spending is working in favor of the market. Soaring need for value-based healthcare delivery and effective disease management across different care settings is expected to drive the market during the forecast period. 

U.S. Population Health Management market

In January 2017, Virginia Mason, a non-profit organization, implemented a patient portal creating a simpler and efficient technique to manage care for patients. The portal was designed and implemented by clinicians and received a response of more than 685,000 messages in seven months. Additionally, it saved more than 41,000 minutes of staff time wasted on appointment scheduling, which can be instead invested on patient care.

To encourage the adoption of population health management (PHM) systems among healthcare providers, the U.S. Centers for Medicare & Medicaid Services (CMS) has introduced Value-Based Payment Modifier, which provides differential payment to a group of physicians based upon the quality of care provided as opposed to cost of care during their performance period. Thus, by the end of 2018, majority of CMS payments will be based on models of delivery.

Product Insights

Based on products, the market is segmented into software and services. The services segment dominated the market in 2017. Rising demand for post-purchase assistance for PHM solutions is contributing to the growth of the segment. On the other hand, the software segment is likely to be the fastest growing segment during the forecast period due to its ability to manage several lines of business seamlessly on a single platform and robust network that offers actionable analytics for providers. As complexity in care delivery & payment models is increasing, requirement for a population health management program that combines multiple functionalities is rising in order to deal with clinical needs.

PHM programs can process clinical, financial, and operational data to improve efficiency and patient care. Healthcare systems use healthcare CRM platform to organize and analyze large volumes of data and derive consumer insights that can be used to encourage adoption of these programs for personalized patient engagement and improved health outcome.

End Use Insights

Based on end use, the U.S. PHM market has been segmented into providers, payers, and employer groups. Providers were the leading revenue contributor in the market in 2017. Healthcare providers need population health management systems that are compatible with electronic health record (EHR) systems to assist in delivering holistic and patient-centric care. Multiple functionalities and advantages offered by PHM are responsible for increase in their adoption.

Centers for Medicare & Medicaid Services has announced that the Alternative Payment model and the Merit-Based Incentive Payment system will help these providers develop technical management capabilities required to meet new PHM goals.

U.S. Population Health Management Market Share Insights

Allscripts Healthcare, LLC; Cerner Corporation; Conifer Health Solutions, LLC; eClinicalWorks; Enli Health Intelligence; McKesson Corporation; Medecision; Optum, Inc.; Advisory Board; Koninklijke Philips N.V.; and Athenahealth, Inc. are some of the key companies operating in the market. The players are increasing their interactions with healthcare organizations leading to a multi-level networking within the healthcare industry.

Cerner Corporation is a supplier of health IT services, hardware, and solutions. In April 2018, an ACO called Illinois Rural Community Care Organization announced the implementation of Cerner’s HealtheIntent with an aim to assist healthcare professionals in decision making process and improve patient engagement outside hospital setting. The solution platform offers comprehensive reports with information on population health, essential in the development and implementation of strategies in value-based healthcare delivery.

Report Scope

Attribute

Details

Base year for estimation

2017

Actual estimates/Historical data

2014 - 2016

Forecast period

2018 - 2025

Market representation

Revenue in USD Million and CAGR from 2018 to 2025

Country scope

U.S.

Report coverage

Revenue forecast, company share, competitive landscape, growth factors & trends

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Segments Covered in the Report

This report forecasts revenue growth at country level and provides an analysis of industry trends in each of the sub segments from 2014 to 2025. For the purpose of this study, Grand View Research has segmented the U.S. population health management market on the basis of product and end use:

  • Product Outlook (Revenue, USD Million, 2014 - 2025)

    • Software

    • Services

  • End Use Outlook (Revenue, USD Million, 2014 - 2025)

    • Providers

    • Payers

    • Employer Groups

Key questions answered by the report
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