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, 2019 - 2026

  • Published Date: Apr, 2019
  • Base Year for Estimate: 2018
  • Report ID: GVR-2-68038-458-1
  • Format: Electronic (PDF)
  • Historical Data: 2014 - 2017
  • Number of Pages: 80

Industry Insights

The U.S. population health management market size was valued at USD 11.7 billion in 2018 and is anticipated to grow at a CAGR of 20.1% over the forecast period. The market is majorly driven by the growing 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. Moreover, increasing healthcare spending is working in favor of the market.

Rising need for value-based healthcare delivery and effective disease management across different care settings is also expected to propel the market growth during the forecast period. 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.

U.S. population health management market

Additionally, it saved more than 41,000 minutes of staff time wasted on appointment scheduling, which can be instead invested in patient care. To encourage the adoption of PHM (population health management) systems, 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 the cost of care during their performance period.

Healthcare Information Technology (IT) has witnessed a steady growth since the last decade in U.S. The American Recovery and Reinvestment Act of 2009 (ARRA), also known as the stimulus bill, provided a huge boost to the adoption of healthcare IT solutions in the country. The PHM system focuses on the identification of unwell patients. More than 133 million people in U.S. suffer from at least one chronic condition, which accounts for around 75% of the national healthcare expenditure.

Implementation of healthcare IT solutions, such as PHM, can result in improved disease prevention and management, leading to financial savings.In 2010, the U.S. government introduced the Patient Protection and Affordable Care Act, which ensures the provision of high-quality care at low cost. This has encouraged the establishment of various Accountable Care Organizations (ACOs), which include a group of doctors, hospitals, etc. partnering with insurance providers to deliver high-quality service.

Product Insights

Based on products, the PHM market is segmented into software and services. The services segment dominated the market in 2018. Rising demand for post-purchase assistance for PHM solutions is contributing to the growth of this segment. On the other hand, software is projected to be the fastest-growing segment during the forecast period due to the ability of software solutions 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 and payment models is increasing, requirement for a PHM program that combines multiple functionalities is rising to deal with clinical needs. PHM programs can process clinical, financial, and operational data to improve efficiency and patient care. Healthcare systems use healthcare (Customer-Relationship Management) CRM platform to organize and analyze large volumes of data and derive consumer insights that can be used to boost adoption of these programs.

End Use Insights

Based on end use, the population health management (PHM) market has been segmented into providers, payers, and employer groups. Providers were the leading revenue contributor in the market in 2018. Healthcare providers need PHM 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 their increased 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; eClinicalWorks; McKesson Corporation; Medecision; Optum, Inc.; Advisory Board; Koninklijke Philips N.V.; and Athenahealth, Inc. are some of the key companies operating in the market. These companies are increasing their interactions with healthcare organizations leading to a multi-level networking within the healthcare industry. In May 2018, SingHealth partnered with Allscripts to implement the iPro Anesthesia platform across its institutions.

The software keeps track of patient’s vital signs and medications during surgery, as well as generates digital records for clinical research. In the same year, Cerner announced an agreement with the Uniform Data System for Medical Rehabilitation (UDSMR)-a nonprofit organization that provides extensive rehabilitation data. The agreement enabled Cerner to develop centralized and standardized integrated solutions using their systems and expand Cerner’s expertise in inpatient rehabilitation facilities.

The company offers a range of enterprise-level clinical and financial solutions that address the operational needs of various organizations. 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 the 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

2018

Actual estimates/Historical data

2014 - 2017

Forecast period

2019 - 2026

Market representation

Revenue in USD Million and CAGR from 2019 to 2026

Regional scope

North America

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 and volume growth at regional and country levels and provides an analysis of the latest industry trends in each of the sub-segments from 2014 to 2026. For the purpose of this study, Grand View Research has segmented the U.S. population health management market report on the basis of product and end use:

  • Product Outlook (Revenue, USD Million, 2014 - 2026)

    • Software

    • Services

  • End Use Outlook (Revenue, USD Million, 2014 - 2026)

    • Providers

    • Payers

    • Employer Groups

Key questions answered by the report
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