The U.S. population health management market size is anticipated to reach USD 210.18 billion by 2033, according to a new report by Grand View Research, Inc. The market is projected to grow at a CAGR of 21.70% from 2025 to 2033. 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 held the largest market share of 51.83% in 2024. The PHM services help organizations design frameworks that align with value-based care models and regulatory requirements.
The cloud-based segment led the U.S. population health management market with the largest revenue share of 72.03% in 2024 and is expected to grow at the fastest CAGR during the forecast period. The growth is attributed to its scalability and cost-effectiveness.
Grand View Research has segmented the U.S. population health management market report based on product, delivery mode, and end use:
U.S. Population Health Management Product Outlook (Revenue, USD Million, 2021 - 2033)
Software
Services
U.S. Population Health Management Delivery Mode Outlook (Revenue, USD Million, 2021 - 2033)
On-Premise
Cloud-based
U.S. Population Health Management End Use Outlook (Revenue, USD Million, 2021 - 2033)
Providers
Payers
Employer Groups
List of Key Players in the U.S. Population Health Management Market
Veradigm LLC.
Oracle
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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