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市场调查报告书
商品编码
1609985

美国基于价值的医疗服务市场规模、份额和趋势分析报告：按模式、付款人、医疗机构使用类别、细分市场预测，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个工作天内

价格

美国基于价值的医疗服务市场成长与趋势：

到2030年，美国基于价值的医疗服务市场规模预计将达到6.16兆美元，2025年至2030年复合年增长率为7.4%。

除了初级保健之外，更多地采用基于价值的护理、增加医疗保健支出占 GDP 的比例以及基于家庭和虚拟的模式的持续增长是该行业的关键增长动力。

医疗保险和医疗补助服务的目标是到 2025 年将所有医疗保险提供者转向双边风险安排，并将一半的商业和医疗补助合约转向基于价值的模式。医疗保健领域消费主义的兴起、新技术的发展、实现四重目标的需要以及优先考虑预防性护理的同时降低不可持续的医疗保健成本正在推动向基于价值的护理的转变。

最近的医疗改革强调了对电子医疗资讯的需求以及对数位解决方案的兴趣增加。此外，COVID-19 大流行加速了业务扩张，凸显了利用电子健康资讯改善病患照护和安排的好处。一些国家已经引入了基于价值的护理系统。这推动了对先进医疗 IT 解决方案的需求，这些解决方案可提高临床效率和工作流程，并支援市场成长。

基于价值的医疗服务的快速发展是推动该市场快速成长的因素之一。基于价值的医疗保健服务正在减少医疗成本曲线和过度医疗支出。据向医疗保健提供者提供基于价值的支付的美国健康保险公司联合健康集团(UnitedHealth Group)称，该行业的发展在2019年增长了15%以上。支持提供优质医疗服务，同时提高医疗资源的有效运用。

此外，Cigna 于 2021 年 12 月收购了 Bright Health，带来了额外的技能和资源，并继续向基于价值的医疗保健环境发展。基于价值的护理合作使医疗设备製造商、支付者和医疗保健组织等合作伙伴能够制定有利于患者和医疗保健系统的计划、解决方案和倡议，它在机构中越来越受欢迎。例如，2021年6月，Humana收购了数位健康公司League，为Humana的雇主团体和专业计画用户创建了一个新的数位平台。

为了利用未来成功所需的不同类型的服务和技术能力，有远见的付款人正在扩大他们的选择并超越传统的医疗保健组织。这些公司采用了多种技术来提高其在美国基于价值的医疗服务产业的地位，包括联盟、合作、合资和併购。例如，2021 年 2 月，医疗保健提供者 Optum 完成了家庭医疗保健提供者 Leadmark Health 的收购。这将创建该公司第一个居家照护医疗系统，并有望加速居家医疗向基于价值的护理的转变。

美国基于价值的医疗服务市场报告亮点

  • 从模型来看，以患者为中心的医疗机构细分市场在 2024 年将占据最大的收益占有率，达到 31.69%，预计在预测期内将以最快的复合年增长率增长。
  • 由于政府不断推出旨在引入新模式和计划的倡议，预计共用储蓄行业在预测期内将呈现良好的成长率。
  • 按付款人类别划分，医疗保险和医疗保险优势部分在 2024 年占据最大收益占有率，达到 48.48%，预计在预测期内将以最快的复合年增长率增长。
  • 按服务划分，自我护理业占销售份额最大，2024年为37.26%。其优势在于越来越重视以病人为中心的护理，个人积极管理自己的健康。

目录

第一章调查方法与范围

第 2 章执行摘要

第三章 市场变数、趋势与范围

  • 市场体系展望
    • 母市场展望
    • 相关/辅助市场展望
  • 市场趋势及展望
  • 市场动态
    • 市场驱动因素分析
    • 市场限制因素分析
  • 法律规范
  • 商业环境分析工具
    • 产业分析-波特五力分析
    • PESTEL分析

第四章商业分析模型

  • 美国基于价值的医疗服务市场：模型变异分析
  • 美国基于价值的医疗服务市场：模型细分仪表板
  • 2023 年和 2030 年车型趋势和市场占有率分析
  • 按型号
  • 绩效奖励
    • 绩效为基础的薪酬市场，2018-2030
  • 以病人为中心的医疗之家
    • 以病人为中心的医疗家居市场，2018-2030
  • 共用储蓄
    • 共用储蓄市场，2018-2030
  • 风险共用
    • 风险共用市场，2018-2030
  • 综合支付
    • 一揽子支付市场，2018-2030
  • 按人头付费模式
    • 2018-2030 年按人付费模式市场

第五章 付款人类别业务分析

  • 美国基于价值的医疗服务市场：付款人类别变化分析
  • 美国基于价值的医疗服务市场：付款人类别细分仪表板
  • 2023 年和 2030 年付款人类别趋势和市场占有率分析
  • 按付款人类别
  • 医疗保险/医疗保险优势
    • 医疗保险和医疗保险优势市场，2018-2030
  • 医疗补助
    • 医疗补助市场，2018-2030
  • 商业的
    • 商业市场，2018-2030

第六章 医疗机构用途分类业务分析

  • 美国价值型医疗服务市场：医疗机构使用类别变化分析
  • 美国基于价值的医疗保健服务市场：按医疗设施利用分类的细分仪表板
  • 2023年及2030年医疗机构使用分类趋势及市场占有率分析
  • 按医疗机构使用类别
  • 居家医疗
    • 居家医疗市场，2018-2030
    • 前熟练护理就诊
    • 专业预付费治疗就诊
  • 设施护理
    • 设施维护市场，2018-2030
  • 自我护理
    • 自我护理市场，2018-2030
  • 住院治疗
    • 医院治疗市场，2018-2030
    • 住院病人
    • 门诊病人

第七章 竞争格局

  • 公司分类
  • 公司市场分析
  • 策略规划
    • 伙伴关係/合作/联盟
    • 新产品发布
    • 併购
    • 其他的
  • 公司简介/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