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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, 2020 - 2027

Published: Feb, 2020 | Pages: 80 | Publisher: Grand View Research
Industry: Healthcare | Report Format: Electronic (PDF)

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
                             3.1.1.1 Growing demand for value-based healthcare delivery
                             3.1.1.2 Rising healthcare expenditure
                             3.1.1.3 Need for effective disease management across different care settings
                             3.1.1.4 Rapidly aging population in the U.S.
                        3.1.2 Market Restraint Analysis
                             3.1.2.1 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
                             6.5.1.1 Company overview
                             6.5.1.2 Financial performance
                             6.5.1.3 Product benchmarking
                             6.5.1.4 Strategic initiatives
                        6.5.2 Cerner Corporation
                             6.5.2.1 Company overview
                             6.5.2.1 Financial performance
                             6.5.2.2 Product benchmarking
                             6.5.2.3 Strategic initiatives
                        6.5.3 Conifer Health Solutions, LLC
                             6.5.3.1 Company overview
                             6.5.3.2 Product benchmarking
                             6.5.3.3 Strategic initiatives
                        6.5.4 eClinicalWorks
                             6.5.4.1 Company overview
                             6.5.4.2 Product benchmarking
                        6.5.5 Enli Health Intelligence
                             6.5.5.1 Company overview
                             6.5.5.2 Product benchmarking
                             6.5.5.3 Strategic Initiatives
                        6.5.6 McKesson Corporation
                             6.5.6.1 Company overview
                             6.5.6.2 Financial performance
                             6.5.6.3 Product benchmarking
                             6.5.6.4 Strategic initiatives
                        6.5.7 Medecision
                             6.5.7.1 Company overview
                             6.5.7.2 Product benchmarking
                             6.5.7.3 Strategic initiatives
                        6.5.8 Optum, Inc.
                             6.5.8.1 Company overview
                             6.5.8.2 Financial performance
                             6.5.8.3 Product benchmarking
                        6.5.9 Advisory Board
                             6.5.9.1 Company overview
                             6.5.9.2 Financial performance
                             6.5.9.3 Product benchmarking
                             6.5.9.4 Strategic initiatives
                        6.5.10 Koninklijke Philips N.V.
                             6.5.10.1 Company overview
                             6.5.10.2 Financial performance
                             6.5.10.3 Product benchmarking
                             6.5.10.4 Strategic initiatives
                        6.5.11 athenahealth, Inc.
                             6.5.11.1 Company overview
                             6.5.11.2 Financial overview
                             6.5.11.3 Product benchmarking
                             6.5.11.4 Strategic initiatives
                        6.5.12 RedBrick Health Corporation
                             6.5.12.1 Company overview
                             6.5.12.2 Product benchmarking
                             6.5.12.3 Strategic initiatives
                        6.5.13 Welltok
                             6.5.13.1 Company overview
                             6.5.13.2 Product benchmarking
                             6.5.13.3 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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