U.S. Population Health Management Solutions Market

U.S. Population Health Management Solutions Market Outlook 2028

• The U.S. population health management solutions market was valued at US$ 11.20 Bn in 2020
• It is estimated to expand at a CAGR of 14.8% from 2021 to 2028
• The U.S. population health management solutions market is expected to reach the value of US$ 34.59 Bn by the end of 2028

Analysts’ Viewpoint on U.S. Population Health Management Solutions Market Scenario

Companies with years of population health management experience are finding it easy to adapt to precision technology, with the capacity to respond to COVID-19 and potential infectious outbreaks quickly in the future. Even though the U.S. population health management solutions market is projected to register robust CAGR throughout the assessment tenure, issues related to data theft are causing concerns among software providers and highly vulnerable patients. Hence, companies in the U.S. population health management solutions market should join forces with tech giants and cybersecurity experts to safeguard patient data. Software providers should increase R&D in building robust computer firewalls and the Blockchain technology to develop platforms that help to effectively manage confidential patient data. Managing healthcare quality and costs for the geriatric population is one of the key focus areas of the U.S. Government.

Big Data Holds Potentials to Transform U.S. Population Health Management Solutions Market

The advantages of patient health management (PHM) software include assistance in formulation of data integration and ease in analysis of patient data. Technology is the catalyst for changes in the healthcare industry, which helps to assist in informed decision-making, improve quality of care, and reduce costs. Big Data's core foundations are efficiency and low cost, thereby enabling an individual to connect with and assimilate all clinical & claims data from payer organizations, primary & secondary care providers, and large hospital institutions.

Physicians can improve population health management through various m-health applications, compassionate care, patient care, etc. Utilization of patient-generated health data and patient portals is helping to expand growth for the U.S. population health management solutions market.

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New Population Health Management Solutions Help Prevent COVID-19 Spread

The providing COVID-19 focused tools that support healthcare during and beyond the pandemic has become essentially important for healthcare organizations. Existing technology platforms that adapted to new and innovative solutions hold promising potentials to serve high-risk communities affected by possible infectious outbreaks in the future. Such findings are contributing to the growth of the U.S. population health management solutions market amid the ongoing pandemic.

As community health centers align care givers and equipment to support the needs of COVID-19 tests, new population health management solutions help to identify high-risk patients and help to efficiently prevent community spread.

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Video & Audio Features in eHealth Apps Apt for Home Care

The high prevalence of chronic diseases involving chronic lung disease, heart disease, stroke, diabetes, and cancer has increased significantly. It has been found that around 15% of adults in the U.S. have at least two chronic conditions.

The utilization of population health management services with the help of tracking applications and home monitoring could help to reduce the need of hospitalization. New Internet video & audio features are enabling individuals and patients to gain access to physicians & nursing staff without the need to visit a hospital. This is expected to be a vital driving factor for the expansion of the U.S. population health management solutions market.

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Affordable Care Act Helps Eliminate Payments for Unnecessary Hospital Readmissions

The Affordable Care Act (ACA) continues to drive changes in the healthcare providers' strategies for managing and treating chronic conditions such as heart failure, diabetes, and obesity. The implementation of the ACA is likely to play a major role in the growth and expansion of the U.S. population health management solutions market over the next few years. The ACA eliminates payments for unnecessary re-admissions, thereby making hospitals financially accountable for patients up to 30 days after they leave the hospital. This would prompt hospitals and care providers to install PHM based platforms as a measure to reduce cost burden on patients and enhance patient outcomes.

Leading-edge Cloud Computing Systems Revolutionizing Population Health Management Solutions

Applications, resources, and services are being made available to users through the Internet from cloud computing provider's server. Cloud computing is a type of computing that depends on shared computing resources, rather than local servers or devices.

The use of patient portals and patient-generated health data can aid in population health management. Increase in technological advancements pertaining to improved population education, electronic health records (EHR), analytics, and Blockchain technology are bolstering the expansion of the U.S. population health management solutions market.

U.S. Population Health Management Solutions Market: Overview

• Population health management is the collection of patient data across multiple health information technology resources, analysis of that data into a single, actionable patient record, and actions through which care providers can improve both clinical and financial outcomes
• Components such as software and services are used in population health management
• Assistance in formulation of data integration and ease in analyzing patient data are few advantages of software
• Services offered by population health management (PHM) vendors include guidance in data analysis and training. They are also required to maintain and check performance of the software.

Affordable Care Act (ACA) to Drive PHM Implementation in U.S.

• The Affordable Care Act (ACA) continues to drive changes in healthcare providers' strategies for treating and managing chronic conditions such as diabetes, obesity, and heart failure
• Implementation of the ACA is likely to play a major role in the growth and expansion of PHM solutions in the next few years. The ACA eliminates payments for unnecessary readmissions, making hospitals financially accountable for patients up to 30 days after they leave the hospital. This would prompt hospitals and care providers to install PHM based platforms as a measure to reduce cost burden on patients and enhance quality of service.

Increase in Incidence of Diabetes, Cardiovascular Diseases, and Other Chronic Diseases

• Prevalence of chronic diseases including heart disease, stroke, cancer, diabetes and chronic lung disease has increased significantly. For instance, around 15% of adults in the U.S. have at least two chronic conditions.
• The geriatric population has to face numerous challenges — across social, financial, economic, and political dimensions. Managing health care quality and costs for this demographic is one of the key focus areas of the U.S. Government. Prevalence of multiple chronic conditions and functional impairment within the geriatric population is increasing. There is an unmet need for a level of coordination that improves outcomes and lowers the total cost of care.
• Utilization of population health management services using home monitoring and tracking applications could help reduce the need of hospitalization. Use of new Internet video/audio features could enable consumers and patients to increase access to physicians and nursing staff without the need to visit a hospital. This would be a vital driving factor, especially with respect to aged or geriatric population groups.

Web-based segment to Lead U.S. Population Health Management Solutions Market

• In terms of mode of operation, the U.S. population health management solutions market has been classified into web-based, cloud-based, and on-premise
• The web-based segment is expected to dominate the global market during the forecast period
• Web-based population health management enables simultaneous tracking and measurement of progress of providers and patients for multiple centers. This is a key factor that is estimated to drive the segment during the forecast period.

Major Players

• Key players operating in the U.S. population health management solutions market include 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., Verisk Health, Wellcentive, Inc., and ZeOmega, Inc.
• Each of these players has been profiled in the U.S. population health management solutions market report based on parameters such as company overview, financial overview, business strategies, application portfolio, business segments, and recent developments

U.S. Population Health Management Solutions Market Snapshot

U.S. Population Health Management Solutions Market – Segmentation

TMR’s study on the U.S. population health management solutions market includes information divided into three segments: source, mode of operation, and end-user. Changing industry trends and other market dynamics associated with these segments of the U.S. population health management solutions market are discussed in detail.