Population health management (PHM) is a methodical and transparent delivery of services to improve the health status of a given population at a prospective price and to deliver better outcomes at lower cost. PHM programs are designed to keep defined patient populations, especially those with high-risk diseases, as healthy as possible while decreasing the need for costly interventions such as emergency department visits, hospitalizations, and invasive tests and procedures. The PHM services segment (by type of source) and the cloud-based population health management systems segment (by mode of operation) are likely to record fastest growth due to the upward trend in health IT adoption in the U.S. Moreover, the PHM software segment would spearhead the growth of cloud-based PHM solutions in the near future. The population health management solutions market in the U.S. was valued at US$ 3.4 Bn in 2014 and is projected to reach US$ 45.7 Bn by 2023, expanding at a CAGR of 23.9% during the forecast period.
The PHM services segment is projected to expand at the highest CAGR compared to the software segment. Moreover, cloud-based population health management systems was one of the fastest growing segments of the market. The key factor responsible for its market dominance and significant growth is the increasing uptake of healthcare IT by health care providers, health insurance companies, and pharmaceutical industries and recurring demand for continuing existing health management solutions at population level. The major factor driving the PHM solutions market is the high disease burden on the U.S. health systems which is rising rapidly due to the demographic transition. Furthermore, these PHM tools facilitate database management for monitoring and comparison in health outcomes among population groups under study.
Investment by pharmaceutical companies in potential drug discovery and clinical trials involving PHM software would also contribute to market growth. Well-established health care infrastructure and high demand for health care analytics training and development are the major factors driving the PHM solutions market in the U.S. Moreover, patient rights based health care laws in the U.S. for post-sales client service and demand for system upgrade across the country has widened the scope of PHM application in the U.S. health programs.
PHM solutions are in high demand during epidemics and outbreaks as preventive and control measures for large population groups in the country. PHM platforms provide remote health management offerings such as personal emergency response systems (PERS), medication dispensers, and telemonitoring solutions. These become important components to deal with sudden pressures on health systems to provide medical assistance. These solutions would facilitate this health care provision to huge population groups simultaneously during epidemic and aid in managing operational cost of hospitals and health care organizations. Moreover, various pharmaceutical companies deploy PHM tools to ensure and store clinical trial data illustrating progress of a new or potential drug for chronic diseases such as cancer, diabetes, and cardiovascular ailments. Therefore, the PHM solutions market is anticipated to witness a steep rise in the U.S during the forecast period.
Key players operating in the population health management solutions market in the U.S. are Caradigm, Conifer Health Solutions, Health Catalyst, Healthagen, LLC, International Business Machines (IBM) Corporation, Lumeris, NextGen Healthcare Information Systems, LLC, OptumHealth, Inc., Persivia, Premier, Inc., The Advisory Board Company, Verisk Health, Wellcentive, Inc., and ZeOmega, Inc. These key market players are actively engaged in constant innovations and development related to health care technology and service management to maintain their positions in the market.
1.1. Report Description
1.2. Research Methodology
1.3. Market Segmentation
2. Executive Summary
2.1. Comparative Analysis: U.S. Population Health Investment, by Providers and Payers, 2015 & 2016 (Value %)
2.2. Comparative Analysis: Top Integration Challenges for PHM vendors to Assess
2.3. U.S. Population Health Management Solutions Market, by Mode of Operations 2015-2023 (US$ Bn)
2.4. Market Snapshot: Market, 2015-2023
3. Market Overview
3.1. Market Dynamics
3.2.1. Affordable Care Act (ACA) to Drive PHM Implementation in the U.S.
3.2.2. Aging Population and Rise in Chronic Disease Status to Boost Demand For PHM Based solutions
3.2.3. Big Data, an Attributor to Population Health Management
3.3.1. Lack of Efficient Data Integration Technology - A Challenge For PHM Vendors
3.3.2. Investment in Infrastructure and Deployment of Adequate Skill Set a Burden for End-users and PHM Vendors
3.4.1. Acquisitions and Alliances
3.5. Competitive Landscape (Heat Map Analysis)
4. By Source
4.2. U.S. Population Health Management Solutions Software Market Revenue, 2013-2023 (US$ Bn)
4.3. U.S. Population Health Management Solutions Services Market Revenue, 2013-2023 (US$ Bn)
5. By Mode of Operation
5.2. Premise Based Market Revenue, 2013-2023 (US$ Bn)
5.3. Cloud Based Market Revenue, 2013-2023 (US$ Bn)
5.4. Web Based U.S. Population Health Management Solutions Market Revenue, 2013-2023 (US$ Bn)
6. U.S. Population Health Management Solutions Market, by End-user
6.2. U.S. Market Revenue, by Health Care Providers, 2013-2023 (US$ Bn)
6.3. U.S. Market Revenue, by Government Insurance Providers, 2013-2023 (US$ Bn)
6.4. U.S. Market Revenue, by Private Insurance Providers, 2013-2023 (US$ Bn)
6.5. U.S. Market Revenue, by Pharmaceuticals Companies, 2013-2023 (US$ Bn)
6.6. U.S. Market Revenue, by Medical Device Organizations, 2013-2023 (US$ Bn)
6.7. Market Revenue, by Others (employers, diagnostic and imaging centers and research inst.), 2013-2023 (US$ Bn)
7.1. Focus on Cloud Based Mode of Operation
8. Company Profiles
8.2. Conifer Health Solutions, LLC
8.3. Health Catalyst
8.4. Healthagen, LLC
8.5. F. Hoffmann-La Roche Ltd.
8.6. International Business Machine (IBM) Corporation
8.8. NextGen Healthcare Information Systems, LLC
8.9. Optum, Inc.
8.11. Premier, Inc.
8.12. The Advisory Board Company
8.13. Verisk Health, Inc.
8.15. ZeOmega, Inc.
This report on the U.S. population health management (PHM) solutions market studies the current as well as future prospects of the market. The stakeholders of this report include technology vendors, software companies and other intermediaries engaged in population health management solutions as well as new entrants that are planning to enter the U.S. PHM solutions market. This report comprises an elaborate executive summary with a market snapshot providing overall information of various segments and sub-segments considered in the study scope. The section also provides with overall information and data analysis of the PHM solutions market in U.S. with respect to the leading market segments based on source type, mode of operation, and type of end-users. Based on source types, the U.S. population health management solutions market has been categorized into two major segments: software and services. The market for these two segments has been extensively analyzed based on of their application as a population health management solution and their respective role in terms of efficiency, cost-effectiveness, sales, and presence in the U.S. healthcare system. The market revenue in terms of USD billion for the period between 2013 and 2023 along with the compound annual growth rate (CAGR %) from 2015 to 2023 are provided for both the segments under source type, considering 2014 as the base year.
By mode of operation, the U.S. market has been segmented into premise-based operations; cloud-based operations, web-based operations. Market revenue in terms of USD billion for the period between 2013 and 2023 along with the compound annual growth rate (CAGR %) from 2015 to 2023 are provided for all the segments categorized under mode of operation, considering 2014 as the base year. In terms of end-users, the market has been categorized into health care providers, government insurance providers, private insurance providers, pharmaceuticals companies, medical device organizations, others (employers, diagnostic and imaging centers and research institutions etc.). Market revenue in terms of USD billion for the period between 2013 and 2023 along with the compound annual growth rate (CAGR %) from 2015 to 2023 are provided for all the segments classified under the end users, considering 2014 as the base year.
Each of the segments has been analyzed in detail for market trends, recent developments, outlook, and opportunities. The market overview section of the report explores market dynamics such as drivers, restraints, and opportunities that currently have strong impact on the U.S. population health management solutions market and could influence the market in the future as well. Market attractiveness analysis has been provided in the market overview section in order to explain the intensity of competition between leading market players in the U.S. market. Porter’s five forces analysis is also explained in this section to understand the market in U.S. considering different parameters that have an impact on the sustainability of the companies operating in the market.
The competitive scenario among different market players is evaluated through market share analysis in the competitive landscape section of the report. All these factors would help market players to take strategic decisions in order to strengthen their positions and expand their respective market shares in the U.S. The recommendations section included in the report would assist existing market players in targeting the end users of population health management solutions and also to those aiming to seek an entry. The report also profiles major players in the population health management solutions market based on various attributes such as company overview, financial overview, business strategies, product portfolio, and recent developments.
Major players operating in the U.S. PHM solution market includes Caradigm, Conifer Health Solutions, Health Catalyst, Healthagen, LLC, International Business Machines (IBM) Corporation, Lumeris, NextGen Healthcare Information Systems, LLC, Optum Health, Inc., Persivia, Premier, Inc., The Advisory Board Company, Verisk Health, Wellcentive, Inc., and ZeOmega, Inc. Many of these players continuously innovate by developing new software’s and services besides improvising existing ones to keep pace with technological advances in order to maintain their position in the market.
The U.S. population health management solutions Market is segmented as follows:
By Source, 2015-2023 (US$ Bn)
By Mode of Operation
- Premise Based
- Cloud Based
- Web Based
By End Users
- Health Care Providers
- Government Insurance Providers
- Private Insurance Providers
- Pharmaceuticals Companies
- Medical Device Organizations
- Others (employers, diagnostic and imaging centers and research inst.)