The U.S. population health management market size is expected to reach USD 62.2 billion in 2027, registering a CAGR of 20.5% over the forecast period, 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 key factors likely to drive the market during the forecast period. Population health management stratifies population groups at risk and identifies high cost diseases and conditions, ultimately deriving the members that need to participate in disease management programs. Furthermore, insurance providers have initiated partnerships with healthcare providers through PHM integration for cost containment and value delivery. Due to the shift of healthcare providers and payers from volume to value-based care delivery, tools like PHM solutions are critical in addressing their needs. PHM solutions are an important part of Quality Payment Program (QPP), launched by the Centers for Medicare & Medicaid Services (CMS). In 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 U.S. PHM market is likely to witness rapid growth in the coming years due to 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. Further key findings from the report suggest: • In 2010, the U.S. government introduced the Patient Protection and Affordable Care Act, which ensures provision of high-quality care, while reducing cost. This has encouraged the establishment of various Accountable Care Organizations (ACOs) • Increase in healthcare expenditure, need for value-based healthcare delivery, and effective disease management across different care settings is expected to propel the U.S. population health management market growth • The services segment dominated the overall market in terms of revenue in 2019, while the software segment is likely to experience the fastest growth over the forecast period • Healthcare providers held a majority of the market in 2019 as population health management gives providers the flexibility to manage complex clinical data and assist in generating real-time insights. These functionalities and advantages offered by PHM are responsible for its increased adoption by healthcare providers • Some of the companies operating in this market are Cerner; Allscripts Healthcare, LLC; Conifer Health Solutions, LLC; eClinicalWorks; Enli Health Intelligence; McKesson Corporation, Optum, Inc.; Advisory Board; Koninklijke Philips N.V.; and athenahealth, Inc. • In May 2018, Allscripts acquired HealthGrid Holding Company, enabling Allscripts to integrate HealthGrid’s capabilities into its FollowMyHealth platform.
Table of Contents Chapter 1 Research Methodology 1.1 Information Procurement 1.2 Data Analysis Chapter 2 Executive Summary 2.1 Market Snapshot Chapter 3 Market Variables, Trends & Scope 3.1 Market Segmentation and Scope 3.1.1 Market Driver Analysis 188.8.131.52 Growing demand for value-based healthcare delivery 184.108.40.206 Rising healthcare expenditure 220.127.116.11 Need for effective disease management across different care settings 18.104.22.168 Rapidly aging population in the U.S. 3.1.2 Market Restraint Analysis 22.214.171.124 Lack of proper regulatory framework for PHM 3.2 Penetration & Growth Prospects Mapping 3.3 U.S. Population Health Management Market - PESTLE Analysis 3.4 Industry Analysis - Porter’s 3.5 U.S. Population Health Management Market: Regulatory Scenario Chapter 4 U.S. Population Health Management Market: Product Estimates & Trend Analysis 4.1 U.S. Population Health Management Market: Product Movement Analysis 4.2 Software 4.2.1 Software Market, 2016 - 2027 (USD Million) 4.3 Services 4.3.1 Services Market, 2016 - 2027 (USD Million) Chapter 5 U.S. Population Health Management Market: End Use Estimates & Trend Analysis 5.1 U.S. Population Health Management Market: End Use Movement Analysis 5.2 Providers 5.2.1 Providers Market, 2016 - 2027 (USD Million) 5.3 Payers 5.3.1 Payers Market, 2016 - 2027 (USD Million) 5.4 Employer Groups 5.4.1 Employer Groups Market, 2016 - 2027 (USD Million) Chapter 6 Competitive Landscape 6.1 Strategy Framework 6.2 Population Health Management Market: Company Market Share, 2019 6.3 PHM Vendors in the U.S. 6.4 U.S. Population Health Management Market: Market Position Analysis (Based on Product, End Use, Regional Presence, and Recent Updates) 6.5 Company Profiles 6.5.1 Allscripts Healthcare, LLC 126.96.36.199 Company overview 188.8.131.52 Financial performance 184.108.40.206 Product benchmarking 220.127.116.11 Strategic initiatives 6.5.2 Cerner Corporation 18.104.22.168 Company overview 22.214.171.124 Financial performance 126.96.36.199 Product benchmarking 188.8.131.52 Strategic initiatives 6.5.3 Conifer Health Solutions, LLC 184.108.40.206 Company overview 220.127.116.11 Product benchmarking 18.104.22.168 Strategic initiatives 6.5.4 eClinicalWorks 22.214.171.124 Company overview 126.96.36.199 Product benchmarking 6.5.5 Enli Health Intelligence 188.8.131.52 Company overview 184.108.40.206 Product benchmarking 220.127.116.11 Strategic Initiatives 6.5.6 McKesson Corporation 18.104.22.168 Company overview 22.214.171.124 Financial performance 126.96.36.199 Product benchmarking 188.8.131.52 Strategic initiatives 6.5.7 Medecision 184.108.40.206 Company overview 220.127.116.11 Product benchmarking 18.104.22.168 Strategic initiatives 6.5.8 Optum, Inc. 22.214.171.124 Company overview 126.96.36.199 Financial performance 188.8.131.52 Product benchmarking 6.5.9 Advisory Board 184.108.40.206 Company overview 220.127.116.11 Financial performance 18.104.22.168 Product benchmarking 22.214.171.124 Strategic initiatives 6.5.10 Koninklijke Philips N.V. 126.96.36.199 Company overview 188.8.131.52 Financial performance 184.108.40.206 Product benchmarking 220.127.116.11 Strategic initiatives 6.5.11 athenahealth, Inc. 18.104.22.168 Company overview 22.214.171.124 Financial overview 126.96.36.199 Product benchmarking 188.8.131.52 Strategic initiatives 6.5.12 RedBrick Health Corporation 184.108.40.206 Company overview 220.127.116.11 Product benchmarking 18.104.22.168 Strategic initiatives 6.5.13 Welltok 22.214.171.124 Company overview 126.96.36.199 Product benchmarking 188.8.131.52 Strategic initiatives
List of Tables TABLE 1 U.S. population health management market, by product, 2016 - 2027 (USD Million) TABLE 2 Primary functions of PHM software TABLE 3 U.S. population health management market, by end use, 2016 - 2027 (USD Million) TABLE 4 Vendors in the U.S. List of Figures FIG. 1 Market research process FIG. 2 Information procurement FIG. 3 Primary research pattern FIG. 4 Market research approaches FIG. 5 Value chain based sizing & forecasting FIG. 6 QFD modeling for market share assessment FIG. 7 U.S. population health management (PHM) market summary, 2019 FIG. 8 Market trends & outlook FIG. 9 Market segmentation & scope FIG. 10 Market driver relevance analysis (Current & future impact) FIG. 11 Market restraint relevance analysis (Current & future impact) FIG. 12 Penetration & growth prospect mapping FIG. 13 U.S. population health management market - PESTLE analysis FIG. 14 Porter’s Five Forces Analysis FIG. 15 U.S. population health management market product outlook key takeaways FIG. 16 U.S. population health management market: Product movement analysis FIG. 17 Software market, 2016 - 2027 (USD Million) FIG. 18 Services market, 2016 - 2027 (USD Million) FIG. 19 U.S. population health management market end use outlook key takeaways FIG. 20 U.S. population health management market: End use movement analysis FIG. 21 Providers market, 2016 - 2027 (USD Million) FIG. 22 Payers market, 2016 - 2027 (USD Million) FIG. 23 Employer groups market, 2016 - 2027 (USD Million) FIG. 24 Strategy framework FIG. 25 U.S. population health management competitive landscape: Market position analysis (based on product, end use, and regional presence (2019))
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