Population Health Management Sector, Global, 2024 2029
Published on: 30-Aug-2024 | SKU: HC_2024_981

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Healthcare providers worldwide struggle with operational, financial, and clinical challenges on top of workforce scarcity. Payers are challenged with rising healthcare costs and shrinking margins. Payers, providers, and policymakers seek ways to curb these expenditures. Population health management (PHM) software that enables cost containment strategies, such as waste reduction, care coordination, and preventative care initiatives, becomes essential in this context.

Healthcare reimbursement policies are moving away from traditional fee-for-service models toward value-based arrangements, such as pay-for-performance and bundled payments. This shift incentivizes providers to improve patient outcomes and reduce unnecessary costs, driving the need for population health management (PHM) tools that support these initiatives. Evolving PHM models strive to address patient health needs across the care continuum, with timely interventions targeting populations with diverse risk groups, aiming preventive health and quality care management aligned with value-based care and personalized healthcare goals.

This research service provides an overview of the global PHM market, including a detailed analysis of its applications, namely data and analytics, care management, performance and quality management, and advisory services. Discussions include industry challenges, drivers, and restraints as well as a revenue forecast for each application area. The study period is 2023 to 2029.

Author: Sagar Mukhekar

Revenue Forecast

The revenue estimate for the base year 2023 is $29,538.5 million, with a CAGR of 11.4% projected for the study period 2023–2029.

The Impact of the Top 3 Strategic Imperatives on the Population Health Management (PHM) Industry

Disruptive Technologies

  • The explosion of healthcare data from various sources, such as electronic health records (EHRs), wearables, genomics, and social determinants of health (SDoH), presents a rich opportunity for analytics.

  • Payers and providers recognize the value of leveraging this data to identify disease patterns, improve diagnostics, and make more informed treatment decisions.
  • PHM software vendors are now focused on enhancing their analytical capabilities. By integrating machine learning, deep learning, and natural language processing (NLP) into their platforms, they can offer more sophisticated risk stratification, predictive modeling, and clinical decision support tools.
  • These advancements enable providers to identify at-risk patients, predict healthcare needs, and personalize care plans more effectively.

Internal Challenges

  • Providers worldwide struggle with operational, financial, and clinical challenges and workforce scarcity. Payers as well are challenged with rising healthcare costs and shrinking margins.

  • PHM software vendors must demonstrate the return on investment (ROI) of their solutions.
  • This involves showcasing how their software helps identify unnecessary expenditures, streamline care processes, and optimize resource utilization. Providing tools for cost benchmarking and performance improvement is crucial.

Transformative Megatrends

  • PHM software providers must develop robust risk assessment and analytics capabilities. This includes predicting patient health risks, identifying care gaps, and analyzing cost drivers.

  • Vendors can position themselves as strategic partners by helping healthcare providers transition from volume to value-based care (VBC).

 

Scope of Analysis

  • This research service provides an overview of the global population health management (PHM) market.

  • The study’s revenue forecast involves an end-user-level breakdown of the global market during the study period.

  • The top-end users of PHM IT solutions are hospitals and health systems, primary care/physician practices, payers, and public health organizations.
  • The study also covers revenue forecasts by solution type, which includes software and services.
  • The study delivers detailed analyses of important business models, the regulatory outlook, cost structures, and the competitive landscape.
  • The research offers a description of the top growth opportunities for the global PHM market in the context of user relevance and calls to action.


Segmentation by Region

Global

  • North America (NA)

    • North America includes the United States and Canada.
  • Europe
    • Europe includes the United Kingdom, Germany, Italy, France, Spain, Benelux (Belgium, the Netherlands, and Luxembourg), and Scandinavia (Denmark, Norway, Sweden, and Finland).
  • Asia-Pacific (APAC)
    • APAC includes China, the Philippines, Indonesia, India, Malaysia, Singapore, Japan, Vietnam, South Korea, Taiwan, Australia, and Thailand.
  • Latin America (LATAM) & the Middle East and Africa (MEA)
    • This encompasses countries not in the other 3 regions.

 

Competitive Environment

Number of Competitors100+ with revenue greater than $1.0 million
Competitive FactorsValue-based contracting, technology compatibility, next-gen capability, scalability, EMR centricity, interoperability, and SDoH integration
Key End-user Industry VerticalsHospitals, health systems, physician practices, ambulatory clinics, payers and payer-providers
Leading CompetitorsOptum, Oracle Health, Health Catalyst, eClinicalWorks, Arcadia.io., Solventum (3M HIS)
Revenue Share of Top 3 Competitors (2023)17.5%
Other Notable CompetitorsInnovaccer, Cedar Gate, Cipher Health, Athenahealth, Greenway Health, Philips Healthcare, Lexis Nexis, LightBeam, Siemens Healthineers, Clarify Health, Epic
Distribution StructureDirect to customer and value-added reselling
Notable Acquisitions and MergersHealth Catalyst acquired Lumeon (2024); Oracle acquired Cerner (2022)

 

Growth Drivers

  • VBC Solutions: The transition from volume- to value-based care models drives the need for PHM software that supports risk stratification, care gap identification, and quality improvement initiatives. These solutions enable providers to thrive in value-based reimbursement structures.

  • Internet of Things (IoT) and Remote Monitoring: The growing adoption of IoT and wearable devices enables remote patient monitoring and real-time data collection. PHM software integrates with these devices to track patients' vital signs, medication adherence, and health behaviors, facilitating proactive care and early intervention.

  • Advanced Analytics and AI: The expansion of IoT, telehealth, and remote patient monitoring (RPM) is generating a huge amount of patient health data, which creates the need for AI-driven advanced analytics. Demand for PHM software that analyzes vast amounts of data via AI and ML for risk stratification, predictive analytics, and treatment plan optimization is growing.

  • Aging Population and Chronic Disease Management: Globally, the rising burden of chronic conditions and the aging population as well as a scarcity of resources to address this burden present the need for an effective PHM strategy for preventive measures that support risk mitigation and optimal resource utilization.

Why is it Increasingly Difficult to Grow?

The Strategic Imperative 8™

The Impact of the Top 3 Strategic Imperatives on the Population Health Management (PHM) Industry

Scope of Analysis

Segmentation by Application and Solution Type

PHM Market Size by Application Segment

PHM Applications: Current Adoption Maturity and Future Potential

Segmentation by End User

Segmentation by Region

Population Health Management Framework

PHM: Key Use Cases

Why Do Providers Need Population Health Management?

Why Do Payers Need Population Health Management?

Population Health Management for Public Health Organizations

AI-powered Predictive Analytics Is a Catalyst for Data-driven Healthcare

Value-based Care and Population Health Management

Quality & Performance Measures Reporting

Voice of Consumers: Investment Priorities of Healthcare Leaders

Voice of Vendor Key Opinion Leaders

Competitive Environment

Key Competitors

Growth Metrics

Growth Drivers

Growth Restraints

Forecast Considerations

Revenue Forecast

Revenue Forecast Analysis

Revenue Forecast by Application

Revenue Forecast Analysis by Application: Benchmarking the Strategic Attractiveness per Segment

Revenue Forecast by End User

Revenue Forecast Analysis by End User

Revenue Forecast by Solution Type

Revenue Forecast Analysis by Solution Type

Revenue Forecast by Region

Analysis of PHM Solution Attractiveness

Results: Regional Attractiveness Ranking and Mapping

Revenue Forecast Analysis by Region

Revenue Forecast Analysis by Region (continued)

Pricing Trends and Forecast Analysis

Revenue Share

Revenue Share Analysis

Competitive Overview

Competitive Overview (continued)

Key Company Profiles

Growth Metrics

Revenue Forecast

Revenue Forecast by Region

Forecast Analysis

Growth Metrics

Revenue Forecast

Revenue Forecast by Region

Forecast Analysis

Growth Opportunity 1: AI, Gen AI, and Machine Learning

Growth Opportunity 1: AI, Gen AI, and Machine Learning (continued)

Growth Opportunity 2: Value-based Care in the United States and Europe

Growth Opportunity 2: Value-based Care in the United States and Europe (continued)

Growth Opportunity 3: Healthcare Transformation in the Middle East

Growth Opportunity 3: Healthcare Transformation in the Middle East (continued)

Growth Opportunity 4: Social Determinants of Health (SDoH)

Growth Opportunity 4: Social Determinants of Health (SDoH) (continued)

Best Practice Recognition

Frost Radar

Benefits and Impacts of Growth Opportunities

Next Steps

Market Segment Definitions

List of Exhibits

List of Exhibits (continued)

Legal Disclaimer

List of Figures
  • PHM: Application Segmentation, Global, 2024
  • PHM: Market Size ($B), Global, 2024
  • PHM: Current Adoption (2024) vs. Incremental Usage (by 2026)
  • PHM: Investment Priorities of Healthcare Leaders, Global, 2024
  • PHM: Growth Metrics, Global, 2023
  • PHM: Growth Drivers, Global, 2024–2029
  • PHM: Growth Restraints, Global, 2024–2029
  • PHM: Revenue Forecast, Global, 2023–2029
  • PHM: Revenue Forecast by Application, Global, 2023–2029
  • PHM: Revenue Forecast by End User, Global, 2023–2029
  • PHM: Revenue Forecast by Solution, Global, 2023–2029
  • PHM: Revenue Forecast by Region, 2023–2029
  • PHM: Parameters for Regional Attractiveness, Global, 2024–2029
  • PHM: Solution Opportunity Map, Global, 2024–2029
  • PHM: Regional Attractiveness, Global, 2024–2029
  • PHM: Attractiveness Index and Regional Opportunities, Global, 2024–2029
  • PHM: Revenue Share of Top Participants, Global, 2023
  • PHM: Competitive Overview, Global, 2023
  • Software: Growth Metrics, Global, 2023
  • Software: Revenue Forecast, Global, 2023–2029
  • Software: Revenue Forecast by Region, Global, 2023–2029
  • Services: Growth Metrics, Global, 2023
  • Services: Revenue Forecast, Global, 2023–2029
  • Services: Revenue Forecast by Region, Global, 2023–2029

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Healthcare providers worldwide struggle with operational, financial, and clinical challenges on top of workforce scarcity. Payers are challenged with rising healthcare costs and shrinking margins. Payers, providers, and policymakers seek ways to curb these expenditures. Population health management (PHM) software that enables cost containment strategies, such as waste reduction, care coordination, and preventative care initiatives, becomes essential in this context. Healthcare reimbursement policies are moving away from traditional fee-for-service models toward value-based arrangements, such as pay-for-performance and bundled payments. This shift incentivizes providers to improve patient outcomes and reduce unnecessary costs, driving the need for population health management (PHM) tools that support these initiatives. Evolving PHM models strive to address patient health needs across the care continuum, with timely interventions targeting populations with diverse risk groups, aiming preventive health and quality care management aligned with value-based care and personalized healthcare goals. This research service provides an overview of the global PHM market, including a detailed analysis of its applications, namely data and analytics, care management, performance and quality management, and advisory services. Discussions include industry challenges, drivers, and restraints as well as a revenue forecast for each application area. The study period is 2023 to 2029. Author: Sagar Mukhekar
More Information
Deliverable Type Market Research
Author Sagar Mukhekar
Industries Healthcare
No Index No
Is Prebook No
Keyword 1 Population Health Management
Keyword 2 Healthcare Data Solutions
Keyword 3 Patient Care Management
List of Charts and Figures PHM: Application Segmentation, Global, 2024~ PHM: Market Size ($B), Global, 2024~ PHM: Current Adoption (2024) vs. Incremental Usage (by 2026)~ PHM: Investment Priorities of Healthcare Leaders, Global, 2024~ PHM: Growth Metrics, Global, 2023~ PHM: Growth Drivers, Global, 2024–2029~ PHM: Growth Restraints, Global, 2024–2029~ PHM: Revenue Forecast, Global, 2023–2029~ PHM: Revenue Forecast by Application, Global, 2023–2029~ PHM: Revenue Forecast by End User, Global, 2023–2029~ PHM: Revenue Forecast by Solution, Global, 2023–2029~ PHM: Revenue Forecast by Region, 2023–2029~ PHM: Parameters for Regional Attractiveness, Global, 2024–2029~ PHM: Solution Opportunity Map, Global, 2024–2029~ PHM: Regional Attractiveness, Global, 2024–2029~ PHM: Attractiveness Index and Regional Opportunities, Global, 2024–2029~ PHM: Revenue Share of Top Participants, Global, 2023~ PHM: Competitive Overview, Global, 2023~ Software: Growth Metrics, Global, 2023~ Software: Revenue Forecast, Global, 2023–2029~ Software: Revenue Forecast by Region, Global, 2023–2029~ Services: Growth Metrics, Global, 2023~ Services: Revenue Forecast, Global, 2023–2029~ Services: Revenue Forecast by Region, Global, 2023–2029~
Podcast No
Predecessor K6A3-01-00-00-00
WIP Number KA95-01-00-00-00

Population Health Management Sector, Global, 2024 2029

HealthcarePopulation Health Management Sector, Global, 2024 2029

Operational and Financial Challenges are Driving Transformational Growth with the Shift toward Value-based Care

RELEASE DATE
30-Aug-2024
REGION
Global
Deliverable Type
Market Research
Research Code: KA95-01-00-00-00
SKU: HC_2024_981
AvailableYesPDF Download
$4,950.00
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SKU
HC_2024_981