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, 2023 - 2030

  • Report ID: GVR-2-68038-458-1
  • Number of Report Pages: 92
  • Format: PDF, Horizon Databook
  • Historical Range: 2017 - 2021
  • Forecast Period: 2023 - 2030 
  • Industry: Healthcare

Research Methodology

A three-pronged approach was followed for deducing the U.S. population health management market estimates and forecasts. The process has three steps: information procurement, analysis, and validation. The whole process is cyclical, and steps repeat until the estimates are validated. The three steps are explained in detail below:

Information procurement: Information procurement is one of the most extensive and important stages in our research process, and quality data is critical for accurate analysis. We followed a multi-channel data collection process for U.S. population health management market to gather the most reliable and current information possible.

  • We buy access to paid databases such as Hoover’s and Factiva for company financials, industry information, white papers, industry journals, SME journals, and more.
  • We tap into Grand View’s proprietary database of data points and insights from active and archived monitoring and reporting.
  • We conduct primary research with industry experts through questionnaires and one-on-one phone interviews.
  • We pull from reliable secondary sources such as white papers and government statistics, published by organizations like WHO, NGOs, World Bank, etc., Key Opinion Leaders (KoL) publications, company filings, investor documents, and more.
  • We purchase and review investor analyst reports, broker reports, academic commentary, government quotes, and wealth management publications for insightful third-party perspectives.

Analysis: We mine the data collected to establish baselines for forecasting, identify trends and opportunities, gain insight into consumer demographics and drivers, and so much more. We utilized different methods of U.S. population health management market data depending on the type of information we’re trying to uncover in our research.

  • Market Research Efforts: Bottom-up Approach for estimating and forecasting demand size and opportunity, top-down Approach for new product forecasting and penetration, and combined approach of both Bottom-up and Top-down for full coverage analysis.

  • Value-Chain-Based Sizing & Forecasting: Supply-side estimates for understanding potential revenue through competitive benchmarking, forecasting, and penetration modeling.

  • Demand-side estimates for identifying parent and ancillary markets, segment modeling, and heuristic forecasting.

  • Qualitative Functional Deployment (QFD) Modelling for market share assessment.

Market formulation and validation: We mine the data collected to establish baselines for forecasting, identify trends and opportunities, gain insight into consumer demographics and drivers, and so much more. We utilize different methods of data analysis depending on the type of information we’re trying to uncover in our research.

  • Market Formulation: This step involves the finalization of market numbers. This step on an internal level is designed to manage outputs from the Data Analysis step.

  • Data Normalization: The final market estimates and forecasts are then aligned and sent to industry experts, in-panel quality control managers for validation.

  • This step also entails the finalization of the report scope and data representation pattern.

  • Validation: The process entails multiple levels of validation. All these steps run in parallel, and the study is forwarded for publishing only if all three levels render validated results.

U.S. Population Health Management Market Categorization:

The U.S. population health management market was categorized into two segments, namely product (Software, Services), end-use (Providers, Payers, Employer Groups).

Segment Market Methodology:

The U.S. population health management market was segmented into product, and end-use. The demand at a segment level was deduced using a funnel method. Concepts like the TAM, SAM, SOM, etc., were put into practice to understand the demand. We at GVR deploy three methods to deduce market estimates and determine forecasts. These methods are explained below:

Market research approaches: Bottom-up

  • Demand estimation of each product across countries/regions summed up to from the total market.

  • Variable analysis for demand forecast.

  • Demand estimation via analyzing paid database, and company financials either via annual reports or paid database.

  • Primary interviews for data revalidation and insight collection.

Market research approaches: Top-down

  • Used extensively for new product forecasting or analyzing penetration levels.

  • Tool used invoice product flow and penetration models Use of regression multi-variant analysis for forecasting Involves extensive use of paid and public databases.

  • Primary interviews and vendor-based primary research for variable impact analysis.

Market research approaches: Combined

  • This is the most common method. We apply concepts from both the top-down and bottom-up approaches to arrive at a viable conclusion.

Regional Market Methodology:

The U.S. population health management market was analyzed at a regional level. The country is divided into one region i.e. U.S.

All three above-mentioned market research methodologies were applied to arrive at regional-level conclusions. The regions were then summed up to form the global market.

U.S. population health management market companies & financials:

The U.S. population health management market was analyzed via companies operating in the sector. Analyzing these companies and cross-referencing them to the demand equation helped us validate our assumptions and conclusions. Key market players analyzed include:

  • Allscripts Healthcare, LLC: Allscripts is an IT and service company that provides solutions to healthcare organizations and stakeholders. These services are focused on helping healthcare organizations achieve optimized clinical, financial, and operational results. The company’s main clientele includes hospitals, physicians, governments, health plans, retail clinics, life science companies, pharmacy benefit managers, insurance companies, clinics, and post-acute care organizations.

  • Cerner Corporation: Cerner Corporation is a supplier of health IT solutions, hardware, and. services. It offers a variety of enterprise-level financial and clinical solutions that address the operational needs of organizations. The company caters to government institutions, hospitals, and other healthcare systems as well as helps prepare healthcare plans that integrate key population information for better consumer engagement. In February 2015, Cerner acquired Siemens AG's health information technology business unit. The company has sales offices in approximately 25 countries.

  • Conifer Health Solutions, LLC: Conifer Health Solutions, LLC is a healthcare service provider that helps companies transform from volume to value-based care. It helps strengthen the clinical and financial performance of its clients. The company provides services to enhance the healthcare experience of customers as well as patients by improving quality & access to healthcare, as well as controlling costs. The company has collaborated with 800 clients and its services have received around 24 million patient interactions. It has provided health management services to 5.7 million patients, leading to USD 30 billion net patient revenue.

  • eClinicalWorks: eClinicalWorks is a Healthcare IT (HCIT) solutions provider. It provides a range of HCIT solutions, such as EHR systems, population health solutions, patient engagement solutions, and solutions for revenue cycle management. The company serves a clientele of physicians, hospitals, outpatient departments, care clinics, Accountable Care Organizations (ACOs), and health centers, among others. Its EHR services are used by more than 130 million doctors and 850 million medical professionals.

  • Enli Health Intelligence: Enli Health Intelligence is a developer of population health management software. This management suite developed by the company has several features, such as integration of evidence-based guidelines with healthcare data in provider workflows. Furthermore, the company offers risk stratification solutions for provider organizations. The company’s major customers are physicians, healthcare systems, ACOs, and health plan applications. In September 2015, it changed its name from Kryptiq Corporation to Enli Health Intelligence Corporation and currently operates as a subsidiary of Surescripts.

  • McKesson Corporation: McKesson Corporation is a leader in healthcare supply chain management solutions and is a manufacturer & developer of pharmaceutical, medical, and HCIT software. The company has two operating segments, namely, McKesson technology solutions and McKesson distribution solutions. McKesson distribution solutions account for 98% of the total revenue of the company. The company offers revenue cycle management, practice management, and reimbursement support under the McKesson Specialty Health business.

  • Medecision: Medecision is a developer of a Software-as-a-Service (SaaS)-based platform-Aerial-which provides population health management solutions through its workflow & engagement applications. It includes utilization management, care & disease management, and appeals & grievances handling. The software is multifeatured and has several functions, such as standardizing, connecting, and directing data into insights and translating the same into care models for better delivery & quality. Aerial supports coaching along with providing care management as well as coordination of care workflow. Since August 2008, Medecision operates as a subsidiary of Health Care Service Corporation.

  • Optum, Inc.: Optum, Inc. (part of UnitedHealth Group Incorporated) is the provider of health services aided by technological platforms. Their main offerings include PHM, revenue cycle management, clinical performance, and healthcare analytics. Their main customers are provider organizations; government organizations, including federal & state agencies; life sciences companies; and Fortune 500 employers. The company has a strategic alliance with PAREXEL International Corporation. It is present in multiple locations in the U.S., including New Jersey, California, and San Francisco. Optum, Inc. operates as a subsidiary of UnitedHealth Group.

  • Advisory Board: Advisory Board is a developer of performance technology software. The company operates in the U.S. as well as internationally and offers cloud-based business intelligence solutions and software. This software allows users to derive insights from research on best practices, along with their operational and financial data. Doing this helps users identify & assess revenue, cost-saving, and performance improvement opportunities. Consumers of this company are hospitals, health systems, independent medical groups, and pharmaceutical & biotechnology companies. In November 2017, its healthcare business was acquired by Optum, whereas its educational business operates as a standalone company.

  • Koninklijke Philips N.V.: Koninklijke Philips N.V., previously known as Koninklijke Philips Electronics N.V., is a technology company that provides products for advanced molecular imaging, diagnostic imaging solutions, image-guided therapy solutions & therapy devices, and integrated clinical solutions. Philips manufactures CT, MRI, and diagnostic X-ray devices under its diagnostic imaging products category. In addition, Philips provides patient monitoring solutions, clinical decision support systems, therapeutic care products, and respiratory monitoring devices. In July 2016, the company acquired Wellcentive-a developer of cloud-based population health management and data analytics solutions. Wellcentive’s main customers were hospitals, physician practices, health systems, ACOs, employer groups, and payers.

Value chain-based sizing & forecasting

Supply Side Estimates

  • Company revenue estimation via referring to annual reports, investor presentations, and Hoover’s.

  • Segment revenue determination via variable analysis and penetration modeling.

  • Competitive benchmarking to identify market leaders and their collective revenue shares.

  • Forecasting via analyzing commercialization rates, pipelines, market initiatives, distribution networks, etc.

Demand side estimates

  • Identifying parent markets and ancillary markets

  • Segment penetration analysis to obtain pertinent

  • revenue/volume

  • Heuristic forecasting with the help of subject matter experts

  • Forecasting via variable analysis

U.S. Population Health Management Market Report Objectives:

  • Understanding market dynamics (in terms of drivers, restraints, & opportunities) in the countries.

  • Understanding trends & variables in the individual countries & their impact on growth and using analytical tools to provide high-level insights into the market dynamics and the associated growth pattern.

  • Understanding market estimates and forecasts (with the base year as 2022, historic information from 2017 to 2021, and forecast from 2023 to 2030). Regional estimates & forecasts for each category are available and are summed up to form the global market estimates.

U.S. Population Health Management Market Report Assumptions:

  • The report provides market value for the base year 2022 and a yearly forecast till 2030 in terms of revenue/volume or both. The market for each of the segment outlooks has been provided on region & country basis for the above-mentioned forecast period.

  • The key industry dynamics, major technological trends, and application markets are evaluated to understand their impact on the demand for the forecast period. The growth rates were estimated using correlation, regression, and time-series analysis.

  • We have used the bottom-up approach for market sizing, analyzing key regional markets, dynamics, & trends for various products and end-users. The total market has been estimated by integrating the country markets.

  • All market estimates and forecasts have been validated through primary interviews with the key industry participants.

  • Inflation has not been accounted for to estimate and forecast the market.

  • Numbers may not add up due to rounding off.

  • Europe consists of EU-8, Central & Eastern Europe, along with the Commonwealth of Independent States (CIS).

  • Asia Pacific includes South Asia, East Asia, Southeast Asia, and Oceania (Australia & New Zealand).

  • Latin America includes Central American countries and the South American continent

  • Middle East includes Western Asia (as assigned by the UN Statistics Division) and the African continent.

Primary Research

GVR strives to procure the latest and unique information for reports directly from industry experts, which gives it a competitive edge. Quality is of utmost importance to us, therefore every year we focus on increasing our experts’ panel. Primary interviews are one of the critical steps in identifying recent market trends and scenarios. This process enables us to justify and validate our market estimates and forecasts to our clients. With more than 8,000 reports in our database, we have connected with some key opinion leaders across various domains, including healthcare, technology, consumer goods, and the chemical sector. Our process starts with identifying the right platform for a particular type of report, i.e., emails, LinkedIn, seminars, or telephonic conversation, as every report is unique and requires a differentiated approach.

We send out questionnaires to different experts from various regions/ countries, which is dependent on the following factors:

  • Report/Market scope: If the market study is global, we send questionnaires to industry experts across various regions, including North America, Europe, Asia Pacific, Latin America, and MEA.

  • Market Penetration: If the market is driven by technological advancements, population density, disease prevalence, or other factors, we identify experts and send out questionnaires based on region or country dominance.

The time to start receiving responses from industry experts varies based on how niche or well-penetrated the market is. Our reports include a detailed chapter on the KoL opinion section, which helps our clients understand the perspective of experts already in the market space.

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