Population Health Management Market - Analysis & Global Forecasts to 2020

Population health management is a process of aggregating patient data, analyzing the data, and taking measures to improve the quality of care and curtailing healthcare costs. Population health management solutions are used by healthcare providers and management of the healthcare delivery system to improve the efficacy of hospitals clinically as well as financially.

The population health management market is driven by the regulatory mandates laid by the Affordable Care Act (ACA). The act aims to lower the number of uninsured people in the U.S. to reduce the cost of healthcare for the government as well as individuals. The act has made it mandatory for tax-exempted hospitals to assess community health needs every three years and adopt implementation strategies to address these needs. In addition, the ACA had allocated USD 15 billion over a period of ten years to the Prevention and Public Health Investment Fund in 2010. This amount was subsequently reduced in 2012 to offset a scheduled cut to Medicare physician payments. However, the federal government is investing in this fund. The government invested a collective amount of USD 5.05 billion from 2010 to 2015(Source: United States Department of Health & Human Services). This funding is directed towards enhancing health outcomes and improving health care quality. Furthermore, government initiatives such as the Pay-for-Performance (P4P) Incentive program propel the growth of the HCIT market in the U.S. By aligning financial rewards with improved outcomes for healthcare providers, this program helps overcome the limitations of the current reimbursement system. Due to this, healthcare providers are more likely to adopt HCIT solutions such as PHM tools to get rewards and financial incentives.

In 2015, the software segment is expected to account for the largest share of the global population health management market, by component, and is expected to grow at the fastest CAGR from 2015 to 2020. The high growth rate of the software segment can be attributed to the increasing adoption of population health management solutions mandated by the Affordable Care Act (ACA).


In 2015, North America is expected to account for the largest share of the global population health management market, followed by Europe, Asia, and the Rest of the World (RoW). North America is also expected to be the fastest growing regional segment from 2015 to 2020. North America’s large share and high growth is attributed to a number of factors such as regulatory mandates set up under the Affordable Care Act (ACA), implementation of the Hospital Readmissions Reduction Program (HRRP), and rising geriatric population are driving the growth of the North American population health management market.

The market witnesses high competitive intensity, as there are several firms with similar product offerings. These companies adopt various strategies (agreements, partnerships, joint ventures, collaborations, geographic expansions, new product launches, and acquisitions) to increase their market shares and establish a strong foothold in the global market.
Reasons to Buy the Report:
The report will enrich both established firms as well as new entrants/smaller firms to gauge the pulse of the market, which in turn helps the firms to garner a greater market share. Firms purchasing the report could use any one or a combination of the below-mentioned five strategies (market penetration, product development/innovation, market development, market diversification, and competitive assessment) for strengthening their market shares.
The report provides insights on the following pointers:
‧ Market Penetration: Comprehensive information on the product portfolios of top players in the population health management market. The report analyzes the population health management market, by product and by application
‧ Product Development/Innovation: Detailed insights on upcoming technologies, research and development activities, and new product launches in the population health management market
‧ Market Development: Comprehensive information about the lucrative emerging markets. The report analyzes the markets for various population health management across regions
‧ Market Diversification: Exhaustive information about new products, untapped regions, recent developments, and investments in the population health management market
‧ Competitive Assessment: In-depth assessment of market shares, strategies, products, distribution networks, and manufacturing capabilities of the leading players in the population health management market

TABLE OF CONTENTS

1 INTRODUCTION 15
1.1 OBJECTIVES OF THE STUDY 15
1.2 MARKET DEFINITION 15
1.3 MARKET SCOPE 16
1.3.1 MARKETS COVERED 16
1.3.2 YEARS CONSIDERED FOR THE STUDY 17
1.4 CURRENCY 17
1.5 LIMITATIONS 17
1.6 STAKEHOLDERS 17
2 RESEARCH METHODOLOGY 18
2.1 RESEARCH METHODOLOGY STEPS 18
2.2 SECONDARY AND PRIMARY RESEARCH METHODOLOGY 19
2.2.1 SECONDARY RESEARCH 19
2.2.1.1 Key data from secondary sources 19
2.2.2 PRIMARY RESEARCH 20
2.2.2.1 Key industry insights 21
2.2.2.2 Key data from primary sources 25
2.2.2.3 Key insights from primary sources 25
2.3 MARKET SIZE ESTIMATION METHODOLOGY 26
2.4 MARKET FORECAST METHODOLOGY 28
2.5 MARKET DATA VALIDATION AND TRIANGULATION 29
2.6 ASSUMPTIONS 29
3 EXECUTIVE SUMMARY 30
3.1 INTRODUCTION 30
3.2 CURRENT AND FUTURE SCENARIO 31
3.3 KEY GROWTH STRATEGIES ADOPTED BY PLAYERS BETWEEN 2012 & 2015 33
4 PREMIUM INSIGHTS 34
4.1 POPULATION HEALTH MANAGEMENT - MARKET OVERVIEW 34
4.2 GEOGRAPHIC ANALYSIS: POPULATION HEALTH MANAGEMENT MARKET, BY END USER 35
4.3 GEOGRAPHIC SNAPSHOT OF THE POPULATION HEALTH MANAGEMENT MARKET 36
4.4 POPULATION HEALTH MANAGEMENT MARKET, BY DELIVERY MODE 36
4.5 POPULATION HEALTH MANAGEMENT MARKET, BY COMPONENT 37
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5 MARKET OVERVIEW 38
5.1 INTRODUCTION 39
5.2 MARKET SEGMENTATION 39
5.3 MARKET DYNAMICS 40
5.3.1 DRIVERS 41
5.3.1.1 Affordable Care Act (ACA) 41
5.3.1.2 Federal funding for prevention of diseases and enhanced wellness 41
5.3.1.3 Incentives and investments by the government for the adoption of HCIT 42
5.3.1.4 Rapidly increasing aging population and subsequent rise in the number of chronic diseases 42
5.3.2 RESTRAINTS 43
5.3.2.1 Safeguarding patient information 43
5.3.2.2 Lack of data management capabilities and skilled analysts 43
5.3.2.3 Reluctance to migrate from legacy systems 44
5.3.3 OPPORTUNITIES 44
5.3.3.1 Increasing focus on value-based medicine 44
5.3.3.2 Focus on personalized medicine based on analytics 45
5.3.3.3 Asia-Pacific offers huge market potential 45
5.3.4 CHALLENGE 46
5.3.4.1 Huge investments in infrastructure required to set up a robust population health management program 46
6 ADOPTION ASSESSMENT OF POPULATION HEALTH MANAGEMENT SOLUTIONS IN THE U.S. 47
6.1 INTRODUCTION 47
6.1.1 POPULATION HEALTH MANAGEMENT ADOPTION ASSESSMENT, BY VENDOR IN THE U.S. 47
6.1.1.1 IBM Corporation 47
6.1.1.2 i2i Systems, Inc. 48
6.1.1.3 Health Catalyst, LLC 48
6.1.1.4 Wellcentive, Inc. 48
6.1.1.5 Caradigm 49
6.1.2 POPULATION HEALTH MANAGEMENT ADOPTION ASSESSMENT, BY SOLUTION, IN THE U.S. 49
6.1.2.1 Late-Binding Data Warehouse (EDW) and Analytics 50
6.1.2.2 i2iTracks 51
6.1.2.3 Allscripts dbMotion 52
6.1.2.4 Wellcentive’s Advance solution 53
6.1.2.5 ZeOmega’s Jiva 54
6.1.3 COMPETITIVE STRATEGIES, BY COMPANIES (2012-2015) 55
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7 POPULATION HEALTH MANAGEMENT MARKET, BY COMPONENT 59
7.1 INTRODUCTION 60
7.1.1 OFFERINGS FOR END USERS 61
7.1.1.1 Accountable Care Organizations (ACOs) 61
7.1.1.2 Physicians 61
7.1.1.3 Physician group practices 61
7.1.1.4 Hospitals and health systems 61
7.1.1.5 Community health centers 62
7.1.2 PHM SOFTWARE AND SERVICES, BY APPLICATION 62
7.1.2.1 Patient outreach 62
7.1.2.2 Hospital readmission reduction 62
7.1.2.3 No-show rate reduction 62
7.1.2.4 Automating Patient-Centered Medical Home (PCMH) 62
7.1.2.5 Increased patient wellbeing and engagement 63
7.2 SOFTWARE 63
7.3 SERVICES 64
7.3.1 CONSULTING 64
7.3.2 IMPLEMENTATION SERVICES & ONGOING IT SUPPORT 64
7.3.3 TRAINING & EDUCATION 64
7.3.4 POST-SALE & MAINTENANCE 64
8 POPULATION HEALTH MANAGEMENT MARKET, BY DELIVERY MODE 66
8.1 INTRODUCTION 67
8.2 WEB-BASED 68
8.3 ON-PREMISE 69
8.4 CLOUD-BASED 70
9 POPULATION HEALTH MANAGEMENT MARKET, BY END USER 71
9.1 INTRODUCTION 72
9.2 HEALTHCARE PROVIDERS 73
9.3 HEALTHCARE PAYERS 74
9.4 EMPLOYER GROUPS 75
9.5 GOVERNMENT BODIES 76
10 POPULATION HEALTH MANAGEMENT MARKET, BY REGION 77
10.1 INTRODUCTION 78
10.2 NORTH AMERICA 80
10.2.1 U.S. 83
10.2.1.1 Regulatory mandates set under the Affordable Care Act (ACA) expected to drive the population health management market in the U.S. 83
10.2.1.2 Growing geriatric population in the U.S. to drive the population health management market in the country 83
10.2.2 CANADA 85
10.2.2.1 Implementation of the population health approach by the Canadian government to drive market growth 85
10.3 EUROPE 87
10.3.1 COLLABORATIONS BETWEEN FIRMS IN THE U.K. AND THE U.S. TO PROMOTE POPULATION HEALTH MANAGEMENT 88
10.3.2 U.K. TO LEVERAGE GENOMIC SEQUENCING FOR POPULATION HEALTH MANAGEMENT 88
10.3.3 IMPLEMENTATION OF POPULATION HEALTH MANAGEMENT PROGRAM BY CAISSE NATIONALE D'ASSURANCE MALADIE DES TRAVAILLEURS SALARIES IN FRANCE 88
10.3.4 ADOPTION OF THE POPULATION HEALTH MANAGEMENT APPROACH BY THE GOVERNMENT OF ANDALUCIA IN SPAIN 89
10.4 ASIA 91
10.4.1 NEW OUTLINE BY JAPAN’S INFORMATION AND COMMUNICATION TECHNOLOGY FUND STIMULATES THE POPULATION HEALTH MANAGEMENT MARKET 93
10.4.2 RAPIDLY GROWING INDIAN HEALTHCARE INDUSTRY ADOPTING NEW STRATEGIES SUCH AS POPULATION HEALTH MANAGEMENT 93
10.4.3 ONE SINGAPOREAN ONE HEALTH RECORD—ONE OF THE PIONEER POPULATION HEALTH MANAGEMENT PROGRAMS IN ASIA 94
10.5 REST OF THE WORLD (ROW) 96
10.5.1 IMPLEMENTATION OF A NUMBER OF PHM PROGRAMS TO IMPROVE POPULATION HEALTH IN AUSTRALIA 97
10.5.2 ‘THE POPULATION HEALTH CONGRESS’ TO SUPPORT THE MARKET GROWTH 97
10.5.3 UPCOMING MEDICAL CITIES IN SAUDI ARABIA TO CREATE OPPORTUNITIES FOR PHM 97
11 COMPETITIVE LANDSCAPE 99
11.1 OVERVIEW 99
11.2 COMPETITIVE SITUATION AND TRENDS 99
11.2.1 AGREEMENTS, ALLIANCES, PARTNERSHIPS, JOINT VENTURES, AND COLLABORATIONS 101
11.2.2 ACQUISITIONS 102
11.2.3 NEW PRODUCT LAUNCHES 103
11.2.4 EXPANSIONS 103
11.2.5 OTHER DEVELOPMENTS 105
12 COMPANY PROFILES 106
(Overview, Financials, Products & Services, Strategy, & Developments)*
12.1 ALLSCRIPTS HEALTHCARE SOLUTIONS, INC. 106
12.2 CERNER CORPORATION 108
12.3 CONIFER HEALTH SOLUTIONS, LLC 110
12.4 HEALTH CATALYST, LLC 112
12.5 HEALTHAGEN LLC 114
12.6 IBM CORPORATION 116
12.7 I2I SYSTEMS, INC. 118
12.8 MCKESSON CORPORATION 120
12.9 OPTUMHEALTH 122
12.10 VERISK HEALTH, INC. 124
12.11 WELLCENTIVE, INC. 126
*Details on Financials, Product & Services, Strategy, & Developments might not be captured in case of unlisted companies.
13 APPENDIX 128
13.1 DISCUSSION GUIDE 128
13.2 COMPANY DEVELOPMENTS (2012–2015) 132
13.2.1 CERNER CORPORATION 132
13.2.2 CONIFER HEALTH SOLUTIONS, LLC 132
13.2.3 HEALTH CATALYST, LLC 132
13.2.4 HEALTHAGEN, LLC 132
13.2.5 IBM CORPORATION 133
13.2.6 I2I SYSTEMS, INC. 133
13.2.7 WELLCENTIVE, INC. 133
13.3 INTRODUCING RT: REAL-TIME MARKET INTELLIGENCE 135
13.4 AVAILABLE CUSTOMIZATIONS 135
13.5 RELATED REPORTS 136