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市場調查報告書
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1609985

美國基於價值的醫療服務市場規模、佔有率和趨勢分析報告：按模式、付款人、醫療機構使用類別、細分市場預測，2025-2030

U.S. Value-based Healthcare Service Market Size, Share & Trends Analysis Report By Models (Pay For Performance, Patient-centered Medical Home), By Payer, By Providers Utilization Category, And Segment Forecasts, 2025 - 2030
出版日期: | 出版商: Grand View Research | 英文 100 Pages | 商品交期: 2-10個工作天內

價格

美國基於價值的醫療服務市場成長與趨勢：

到2030年，美國基於價值的醫療服務市場規模預計將達到6.16兆美元，2025年至2030年複合年成長率為7.4%。

除了初級保健之外，更多地採用基於價值的護理、增加醫療保健支出佔 GDP 的比例以及基於家庭和虛擬的模式的持續成長是該行業的關鍵成長動力。

醫療保險和醫療補助服務的目標是到 2025 年將所有醫療保險提供者轉向雙邊風險安排，並將一半的商業和醫療補助合約轉向基於價值的模式。醫療保健領域消費主義的興起、新技術的發展、實現四重目標的需要以及優先考慮預防性護理的同時降低不永續的醫療保健成本正在推動向基於價值的護理的轉變。

最近的醫療改革強調了對電子醫療資訊的需求以及對數位解決方案的興趣增加。此外，COVID-19 大流行加速了業務擴張，凸顯了利用電子健康資訊改善病患照護和安排的好處。一些國家已經引入了基於價值的護理系統。這推動了對先進醫療 IT 解決方案的需求，這些解決方案可提高臨床效率和工作流程，並支援市場成長。

基於價值的醫療服務的快速發展是推動該市場快速成長的因素之一。基於價值的醫療保健服務正在減少醫療成本曲線和過度醫療支出。據向醫療保健提供者提供基於價值的支付的美國健康保險公司聯合健康集團(UnitedHealth Group)稱，該行業的發展在2019年成長了15%以上。支持提供優質醫療服務，同時提高醫療資源的有效運用。

此外，Cigna 於 2021 年 12 月收購了 Bright Health，帶來了額外的技能和資源，並繼續向基於價值的醫療保健環境發展。基於價值的護理合作使醫療設備製造商、支付者和醫療保健組織等合作夥伴能夠制定有利於患者和醫療保健系統的計劃、解決方案和舉措，它在機構中越來越受歡迎。例如，2021年6月，Humana收購了數位健康公司League，為Humana的雇主團體和專業計畫用戶創建了一個新的數位平台。

為了利用未來成功所需的不同類型的服務和技術能力，有遠見的付款人正在擴大他們的選擇並超越傳統的醫療保健組織。這些公司採用了多種技術來提高其在美國基於價值的醫療服務產業的地位，包括聯盟、合作、合資和併購。例如，2021 年 2 月，醫療保健提供者 Optum 完成了家庭醫療保健提供者 Leadmark Health 的收購。這將創建該公司第一個居家照護醫療系統，並有望加速居家醫療向基於價值的護理的轉變。

美國基於價值的醫療服務市場報告亮點

  • 從模型來看，以患者為中心的醫療機構細分市場在 2024 年將佔據最大的收益佔有率，達到 31.69%，預計在預測期內將以最快的複合年成長率成長。
  • 由於政府不斷推出旨在引入新模式和計劃的舉措，預計共用儲蓄行業在預測期內將呈現良好的成長率。
  • 按付款人類別分類，醫療保險和醫療保險優勢部分在 2024 年佔據最大收益佔有率，達到 48.48%，預計在預測期內將以最快的複合年成長率成長。
  • 按服務分類，自我護理業佔銷售佔有率最大，2024年為37.26%。其優勢在於越來越重視以病人為中心的護理，個人積極管理自己的健康。

目錄

第1章調查方法與範圍

第 2 章執行摘要

第3章 市場變數、趨勢與範圍

  • 市場體系展望
    • 母市場展望
    • 相關/輔助市場展望
  • 市場趨勢及展望
  • 市場動態
    • 市場促進因素分析
    • 市場限制因素分析
  • 法律規範
  • 商業環境分析工具
    • 產業分析-波特五力分析
    • PESTEL分析

第4章商業分析模型

  • 美國基於價值的醫療服務市場：模型變異分析
  • 美國基於價值的醫療服務市場：模型細分儀表板
  • 2023 年和 2030 年車型趨勢和市場佔有率分析
  • 按型號
  • 績效獎勵
    • 績效為基礎的薪酬市場，2018-2030
  • 以病人為中心的醫療之家
    • 以病人為中心的醫療家居市場，2018-2030
  • 共用儲蓄
    • 共用儲蓄市場，2018-2030
  • 風險共用
    • 風險共用市場，2018-2030
  • 綜合支付
    • 一攬子支付市場，2018-2030
  • 按人頭付費模式
    • 2018-2030 年按人付費模式市場

第5章 付款人類別業務分析

  • 美國基於價值的醫療服務市場：付款人類別變化分析
  • 美國基於價值的醫療服務市場：付款人類別細分儀表板
  • 2023 年和 2030 年付款人類別趨勢和市場佔有率分析
  • 按付款人類別
  • 醫療保險/醫療保險優勢
    • 醫療保險和醫療保險優勢市場，2018-2030
  • 醫療補助
    • 醫療補助市場，2018-2030
  • 商業的
    • 商業市場，2018-2030

第6章 醫療機構用途分類業務分析

  • 美國價值型醫療服務市場：醫療機構使用類別變化分析
  • 美國基於價值的醫療保健服務市場：按醫療設施利用分類的細分儀表板
  • 2023年及2030年醫療機構使用分類趨勢及市場佔有率分析
  • 按醫療機構使用類別
  • 居家醫療
    • 居家醫療市場，2018-2030
    • 前熟練護理就診
    • 專業預付費治療就診
  • 設施護理
    • 設施維護市場，2018-2030
  • 自我護理
    • 自我護理市場，2018-2030
  • 住院治療
    • 醫院治療市場，2018-2030
    • 住院病人
    • 門診病人

第7章 競爭格局

  • 公司分類
  • 公司市場分析
  • 策略規劃
    • 夥伴關係/合作/聯盟
    • 新產品發布
    • 併購
    • 其他
  • 公司簡介/上市公司
    • Baker Tilly US, LLP
    • Deloitte
    • Siemens Medical Solutions USA, Inc.
    • Boston Consulting Group
    • Change Healthcare
    • Athena Healthcare
    • Veritas Capital Fund Management, LLC
    • UnitedHealth Group.
    • NXGN Management, LLC.
    • McKesson Corporation
    • Genpact
    • Unlimited Technology Systems, LLC
    • ForeSee Medical, Inc.
    • Signify Health, Inc.（Sentara Healthcare）
    • Curation Health
    • Koninklijke Philips NV
    • Humana
    • The Commonwealth Fund.
    • Stellar Health
    • Privia Health
Product Code: GVR-4-68039-984-1

U.S. Value-based Healthcare Service Market Growth & Trends:

The U.S. value-based healthcare service market size is anticipated to reach USD 6.16 trillion in 2030 and is expected to grow at a CAGR of 7.4% from 2025 to 2030. Increased adoption of value-based care beyond primary care, increase in healthcare spending as a percentage of GDP, and continued growth in home and virtual-based models are the major growth drivers for the industry.

The Centers for Medicare & Medicaid Services' objective is to transition all Medicare providers to two-sided risk arrangements and half of its commercial and Medicaid contracts to value-based models by 2025; currently, fewer than 20% of Medicare expenditure is value-based. The increase of consumerism in health care, the development of new technology, the need to fulfilling the Quadruple Aim, and prioritizing preventative care while decreasing unsustainable healthcare expenditures are the primary drivers of the shift to value-based care.

Healthcare reforms in recent years have highlighted the need for electronic health information, which has raised interest in digital solutions. Furthermore, the COVID-19 pandemic has accelerated business expansion by highlighting the benefits of using electronic health information to help improve patient care and scheduling. Several countries are implementing value-based care systems. This increases the demand for high-acuity IT solutions that boost clinical efficacy and workflow, thus supporting market growth.

The rapid evolution of value-based healthcare services is one of the factors driving this market's rapid growth. Due to value-based healthcare services, the healthcare cost curve and excessive health spending have decreased. According to "UnitedHealth Group," a US-based health insurance firm that delivers value-based payments to healthcare providers, this industry's development increased by more than 15% in 2019. It supports the delivery of high-quality treatment while improving the efficient use of healthcare resources.

Furthermore, "Cigna" acquired Bright Health in December 2021, bringing additional skills and resources to continue their development toward a value-based healthcare setting. Collaborations in value-based care are becoming increasingly popular among providers because they enable partners such as medical device makers, payers, and provider groups to build programs, solutions, and initiatives that benefit both patients and healthcare systems. For instance, in June 2021, "Humana'' acquired League, a digital health company, to create a new digital platform for Humana employer group and specialty insurance members.

To take advantage of the various types of services and technology capabilities required for future success, forward-thinking payers are broadening their options and moving beyond traditional providers. These firms have employed several techniques to improve their position in the value-based healthcare services industry in the U.S., including partnerships, collaborations, joint ventures, and mergers and acquisitions. For instance, in February 2021, Optum, a healthcare provider, completed the acquisition of Leadmark Health, a home healthcare company. It will create the first of its home-based care health system and would accelerate home health care's move toward value-based care.

U.S. Value-based Healthcare Service Market Report Highlights:

  • On the basis of models, the patient-centred medical homes segment held the largest revenue share of 31.69% in 2024 and is expected to grow at a fastest CAGR over the forecast period
  • The shared savings segment is expected to grow at the lucrative rate over the forecast period due to growing government initiatives aimed at introducing new models and programs
  • On the basis of payer category, the medicare and medicare advantage segment held the largest revenue share of 48.48% in 2024 and is anticipated to grow at a fastest CAGR over the forecast period.
  • On the basis of service, the self-care segment held the largest revenue share of 37.26% in 2024. Its dominance is due to increasing emphasis on patient-centered care, encouraging individuals to manage their health actively

Table of Contents

Chapter 1. Methodology and Scope

  • 1.1. Market Segmentation & Scope
    • 1.1.1. Segment Definitions
  • 1.2. Estimates and Forecast Timeline
  • 1.3. Research Methodology
  • 1.4. Information Procurement
    • 1.4.1. Purchased Database
    • 1.4.2. GVR's Internal Database
    • 1.4.3. Secondary Sources
    • 1.4.4. Primary Research
    • 1.4.5. Details of Primary Research
    • 1.4.6. Research Assumption
  • 1.5. Information or Data Analysis
    • 1.5.1. Data Analysis Models
  • 1.6. Market Formulation & Data Visualization
  • 1.7. Model Details
    • 1.7.1. Commodity Flow Analysis
  • 1.8. Objectives
    • 1.8.1. Objective - 1
    • 1.8.2. Objective - 2
    • 1.8.3. Objective - 3
  • 1.9. List of Secondary Sources
  • 1.10. List of Secondary Sources

Chapter 2. Executive Summary

  • 2.1. U.S. Value-based Healthcare Service Market
    • 2.1.1. Market Snapshot
    • 2.1.2. Segment Snapshot
      • 2.1.2.1. Model segment outlook
      • 2.1.2.2. Payer category segment outlook
      • 2.1.2.3. Providers utilization category outlook
    • 2.1.3. Competitive Landscape Snapshot

Chapter 3. Market Variables, Trends, & Scope

  • 3.1. Market Lineage Outlook
    • 3.1.1. Parent Market Outlook
    • 3.1.2. Related/Ancillary Market Outlook
  • 3.2. Market Trends and Outlook
  • 3.3. Market Dynamics
    • 3.3.1. Market Driver Analysis
      • 3.3.1.1. Rising Incidence of Chronic Diseases and Increasing Government Initiatives
      • 3.3.1.2. Growing Demand for More Integrated Care Delivery Models
    • 3.3.2. Market Restraint Analysis
      • 3.3.2.1. Challenges in Balancing Two Reimbursement Types and Payment
  • 3.4. Regulatory Framework
  • 3.5. Business Environment Analysis Tools
    • 3.5.1. Industry Analysis - Porter's Five Forces Analysis
      • 3.5.1.1. Supplier power
      • 3.5.1.2. Buyer power
      • 3.5.1.3. Substitution threat
      • 3.5.1.4. Threat of new entrant
      • 3.5.1.5. Competitive rivalry
    • 3.5.2. PESTEL Analysis

Chapter 4. Models Business Analysis

  • 4.1. U.S. Value-based Healthcare Service Market: Models Movement Analysis
  • 4.2. U.S. Value-based Healthcare Service Market: Models Segment Dashboard
  • 4.3. Models Movement & Market Share Analysis, 2023 & 2030
  • 4.4. U.S. Value-based Healthcare Service Market Estimates & Forecast, by Models
  • 4.5. Pay For Performance
    • 4.5.1. Pay for performance market, 2018 - 2030 (USD Billion)
  • 4.6. Patient-Centered Medical Home
    • 4.6.1. Patient-centered medical home market, 2018 - 2030 (USD Billion)
  • 4.7. Shared Savings
    • 4.7.1. Shared savings market, 2018 - 2030 (USD Billion)
  • 4.8. Shared Risk
    • 4.8.1. Shared risk market, 2018 - 2030 (USD Billion)
  • 4.9. Bundled Payment
    • 4.9.1. Bundled payment market, 2018 - 2030 (USD Billion)
  • 4.10. Capitation Models
    • 4.10.1. Capitation models market, 2018 - 2030 (USD Billion)

Chapter 5. Payer Category Business Analysis

  • 5.1. U.S. Value-based Healthcare Service Market: Payer Category Movement Analysis
  • 5.2. U.S. Value-based Healthcare Service Market: Payer Category Segment Dashboard
  • 5.3. Payer Category Movement & Market Share Analysis, 2023 & 2030
  • 5.4. U.S. Value-based Healthcare Service Market Estimates & Forecast, by Payer Category
  • 5.5. Medicare and Medicare Advantage
    • 5.5.1. Medicare and medicare advantage market, 2018 - 2030 (USD Billion)
  • 5.6. Medicaid
    • 5.6.1. Medicaid market, 2018 - 2030 (USD Billion)
  • 5.7. Commercial
    • 5.7.1. Commercial market, 2018 - 2030 (USD Billion)

Chapter 6. Providers Utilization Category Business Analysis

  • 6.1. U.S. Value-based Healthcare Service Market: Providers Utilization Category Movement Analysis
  • 6.2. U.S. Value-based Healthcare Service Market: Providers Utilization Category Segment Dashboard
  • 6.3. Providers Utilization Category Movement & Market Share Analysis, 2023 & 2030
  • 6.4. U.S. Value-based Healthcare Service Market Estimates & Forecast, by Providers Utilization Category
  • 6.5. Home Health Care
    • 6.5.1. Home health care market, 2018 - 2030 (USD Billion)
    • 6.5.2. Frontloading skilled nursing visits
      • 6.5.2.1. Frontloading skilled nursing visits market, 2018 - 2030 (USD Billion)
    • 6.5.3. Specialized frontloading therapy visits
      • 6.5.3.1. Specialized frontloading therapy visits market, 2018 - 2030 (USD Billion)
  • 6.6. Institutional Care
    • 6.6.1. Institutional care market, 2018 - 2030 (USD Billion)
  • 6.7. Self-Care
    • 6.7.1. Self-care market, 2018 - 2030 (USD Billion)
  • 6.8. Hospital Therapy
    • 6.8.1. Hospital therapy market, 2018 - 2030 (USD Billion)
    • 6.8.2. InPatient
      • 6.8.2.1. InPatient market, 2018 - 2030 (USD Billion)
    • 6.8.3. Outpatient
      • 6.8.3.1. Outpatient market, 2018 - 2030 (USD Billion)

Chapter 7. Competitive Landscape

  • 7.1. Company Categorization
  • 7.2. Company Market Position Analysis
  • 7.3. Strategy Mapping
    • 7.3.1. Partnership/Collaboration/Alliance
    • 7.3.2. New Product Launch
    • 7.3.3. Mergers & Acquisitions
    • 7.3.4. Others
  • 7.4. Company Profiles/Listing
    • 7.4.1. Baker Tilly US, LLP
      • 7.4.1.1. Overview
      • 7.4.1.2. Financial performance
      • 7.4.1.3. Product benchmarking
      • 7.4.1.4. Strategic initiatives
    • 7.4.2. Deloitte
      • 7.4.2.1. Overview
      • 7.4.2.2. Financial performance
      • 7.4.2.3. Product benchmarking
      • 7.4.2.4. Strategic initiatives
    • 7.4.3. Siemens Medical Solutions USA, Inc.
      • 7.4.3.1. Overview
      • 7.4.3.2. Financial performance
      • 7.4.3.3. Product benchmarking
      • 7.4.3.4. Strategic initiatives
    • 7.4.4. Boston Consulting Group
      • 7.4.4.1. Overview
      • 7.4.4.2. Financial performance
      • 7.4.4.3. Product benchmarking
      • 7.4.4.4. Strategic initiatives
    • 7.4.5. Change Healthcare
      • 7.4.5.1. Overview
      • 7.4.5.2. Financial performance
      • 7.4.5.3. Product benchmarking
      • 7.4.5.4. Strategic initiatives
    • 7.4.6. Athena Healthcare
      • 7.4.6.1. Overview
      • 7.4.6.2. Financial performance
      • 7.4.6.3. Product benchmarking
      • 7.4.6.4. Strategic initiatives
    • 7.4.7. Veritas Capital Fund Management, L.L.C.
      • 7.4.7.1. Overview
      • 7.4.7.2. Financial performance
      • 7.4.7.3. Product benchmarking
      • 7.4.7.4. Strategic initiatives
    • 7.4.8. UnitedHealth Group.
      • 7.4.8.1. Overview
      • 7.4.8.2. Financial performance
      • 7.4.8.3. Product benchmarking
      • 7.4.8.4. Strategic initiatives
    • 7.4.9. NXGN Management, LLC.
      • 7.4.9.1. Overview
      • 7.4.9.2. Financial performance
      • 7.4.9.3. Product benchmarking
      • 7.4.9.4. Strategic initiatives
    • 7.4.10. McKesson Corporation
      • 7.4.10.1. Overview
      • 7.4.10.2. Financial performance
      • 7.4.10.3. Product benchmarking
      • 7.4.10.4. Strategic initiatives
    • 7.4.11. Genpact
      • 7.4.11.1. Overview
      • 7.4.11.2. Financial performance
      • 7.4.11.3. Product benchmarking
      • 7.4.11.4. Strategic initiatives
    • 7.4.12. Unlimited Technology Systems, LLC
      • 7.4.12.1. Overview
      • 7.4.12.2. Financial performance
      • 7.4.12.3. Product benchmarking
      • 7.4.12.4. Strategic initiatives
    • 7.4.13. ForeSee Medical, Inc.
      • 7.4.13.1. Overview
      • 7.4.13.2. Financial performance
      • 7.4.13.3. Product benchmarking
      • 7.4.13.4. Strategic initiatives
    • 7.4.14. Signify Health, Inc. (Sentara Healthcare)
      • 7.4.14.1. Overview
      • 7.4.14.2. Financial performance
      • 7.4.14.3. Product benchmarking
      • 7.4.14.4. Strategic initiatives
    • 7.4.15. Curation Health
      • 7.4.15.1. Overview
      • 7.4.15.2. Financial performance
      • 7.4.15.3. Product benchmarking
      • 7.4.15.4. Strategic initiatives
    • 7.4.16. Koninklijke Philips N.V.
      • 7.4.16.1. Overview
      • 7.4.16.2. Financial performance
      • 7.4.16.3. Product benchmarking
      • 7.4.16.4. Strategic initiatives
    • 7.4.17. Humana
      • 7.4.17.1. Overview
      • 7.4.17.2. Financial performance
      • 7.4.17.3. Product benchmarking
      • 7.4.17.4. Strategic initiatives
    • 7.4.18. The Commonwealth Fund.
      • 7.4.18.1. Overview
      • 7.4.18.2. Financial performance
      • 7.4.18.3. Product benchmarking
      • 7.4.18.4. Strategic initiatives
    • 7.4.19. Stellar Health
      • 7.4.19.1. Overview
      • 7.4.19.2. Financial performance
      • 7.4.19.3. Product benchmarking
      • 7.4.19.4. Strategic initiatives
    • 7.4.20. Privia Health
      • 7.4.20.1. Overview
      • 7.4.20.2. Financial performance
      • 7.4.20.3. Product benchmarking
      • 7.4.20.4. Strategic initiatives

List of Tables

  • Table 1. List of secondary sources
  • Table 2. List of abbreviations
  • Table 3. U.S. value-based healthcare service market revenu estimates and forecast, by models, 2018 - 2030 (USD Billion)
  • Table 4. U.S. value-based healthcare service market revenue estimates and forecast, by payer category, 2018 - 2030 (USD Billion)
  • Table 5. U.S. value-based healthcare service market revenue estimates and forecast, by providers utilization category, 2018 - 2030 (USD Billion)

List of Figures

  • Fig 1. U.S. value-based healthcare service market segmentation
  • Fig 2. Market research process
  • Fig 3. Information procurement
  • Fig 4. Primary research pattern
  • Fig 5. Market research approaches
  • Fig 6. Value chain based sizing & forecasting
  • Fig 7. QFD modelling for market share assessment
  • Fig 8. Market formulation & validation
  • Fig 9. Market snapshot
  • Fig 10. Type segment outlook
  • Fig 11. Competitive landscape
  • Fig 12. U.S. value-based healthcare service market: Market dynamics
  • Fig 13. U.S. value-based healthcare service market: Porter's analysis
  • Fig 14. U.S. value-based healthcare service market: PESTLE analysis
  • Fig 15. U.S. value-based healthcare service market: models segment dashboard
  • Fig 16. U.S. value-based healthcare service market: models movement share analysis
  • Fig 17. Pay for performance market: models movement share analysis
  • Fig 18. Patient-centred medical home market: models movement share analysis
  • Fig 19. Shared savings market: models movement share analysis
  • Fig 20. Shared risk market: models movement share analysis
  • Fig 21. Bundled payment market: models movement share analysis
  • Fig 22. Capitation models market, 2018 - 2030 (USD Million)
  • Fig 23. U.S. value-based healthcare service market: payer category segment dashboard
  • Fig 24. U.S. value-based healthcare service market: payer category movement share analysis
  • Fig 25. Medicare and medicare advantage market, 2018 - 2030 (USD Million)
  • Fig 26. Medicaid market, 2018 - 2030 (USD Million)
  • Fig 27. Commercial market, 2018 - 2030 (USD Million)
  • Fig 28. U.S. value-based healthcare service market: providers utilization category segment dashboard
  • Fig 29. U.S. value-based healthcare service market: providers utilization category share analysis
  • Fig 30. Home health care market, 2018 - 2030 (USD Billion)
  • Fig 31. Frontloading skilled nursing visits market, 2018 - 2030 (USD Billion)
  • Fig 32. Specialized frontloading therapy visits market, 2018 - 2030 (USD Billion)
  • Fig 33. Institutional care market, 2018 - 2030 (USD Billion)
  • Fig 34. Self-care market, 2018 - 2030 (USD Billion)
  • Fig 35. Hospital therapymarket, 2018 - 2030 (USD Billion)
  • Fig 36. InPatient market, 2018 - 2030 (USD Billion)
  • Fig 37. Outpatient market, 2018 - 2030 (USD Billion)
  • Fig 38. Company categorization
  • Fig 39. Company market position analysis
  • Fig 40. Strategic framework