Valued at USD 24.96 billion in 2021, the population health management market is projected to reach USD 74.91 billion by 2030, growing at a CAGR of 13.5% during the forecast period of 2022–2030. Leading participants include ZeOmega, McKesson Corporation, Koninklijke Philips, Lumeris, Cerner Corporation, Healthagen LLC, Health Catalyst, UnitedHealth Group, and Persivia, with Epic Systems Corporation, Conifer Health Solutions, SPH Analytics and Innovaccer noted as major industry players in North America. This article reviews end-use demand, regional leadership and reimbursement trends in the population health management market.

End-Use Insights: Providers and Payers

The healthcare providers segment is expected to account for the highest share in 2021 and to dominate over the forecast period. Rising technological investment in the medical sector is the major driving factor, and governments, hospitals and clinics have raised budgets and expenditure on the medical sector while shifting toward digitalization. A growing number of hospitals, diagnostic centers and clinics further expands the base of healthcare providers adopting these systems. The rising presence of leading industry players and an increasing patient pool further create demand for the segment.

Polaris cites the Agency for Healthcare Research and Quality, noting that injuries are increasing rapidly worldwide and that approximately 754,000 knee replacements were carried out in the United States, which it describes as the leading country in population health management. Healthcare payers are projected to exhibit a progressive growth rate, supported by rising medical awareness, increasing disposable income, changing lifestyles and increasing disease incidence.

Public spending also matters. According to the International Monetary Fund in 2021, the United States disbursed USD 772 million in budget support for COVID vaccination procurement and infrastructure in June 2021, illustrating the government funding that boosts the medical sector. Polaris also notes that, in March 2021, the U.S. government provided around USD 1,844 billion, about 8.8 percent of GDP, toward public health improvement.

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Services Growth and the Patient-Centered Medical Home

The services component is expected to witness the highest growth. Rising demand for the patient-centered medical home, a holistic method designed to advance care coordination, is likely to encourage adoption of digital solutions. Growing investment in medical IT services and rising incidence of chronic diseases also fuel demand, which creates opportunities for providers of implementation, analytics and support services.

Regional Outlook for the Population Health Management Market

North America accounted for the largest revenue share. Chief factors include federal medical mandates to minimize costs, rising government initiatives, increasing adoption of electronic health records, and awareness of personalized and value-based reimbursement. The presence of major industry players in the region, including Epic Systems Corporation, Cerner Corporation, Lightbeam Health Solutions, Conifer Health Solutions, SPH Analytics and Innovaccer, is another driver. Cardiovascular diseases, according to the American Heart Association figures cited by Polaris, are projected to cause around 17.3 million deaths globally every year.

Asia Pacific is expected to exhibit the highest CAGR because of increasing disposable income, growing medical tourism and the implementation of strict government regulation. In India, each state has more than around 30 diagnostic centers, and the Indian laboratory diagnostic industry was expected, according to NATHEALTH in 2019, to reach a value of USD 6 billion in coming years.

Restraints and Strategic Takeaways

The Population Health Management report outline identifies cyber-security concerns and capital-intensive solutions as restraints, while government support for healthcare-related IT solutions, the rising geriatric population and the need to reduce healthcare costs are listed as opportunities.

For B2B stakeholders, the implication is that sales strategies should differentiate between healthcare providers, which lead on share, and healthcare payers, which are expected to grow progressively. Vendors that support electronic health records integration and value-based reimbursement models are aligned with the factors Polaris highlights in North America. Increasing public and government spending on the medical sector is expected to boost market growth in the foreseen years.

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