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Value-Based Care Market Size, Share, Trends & Competitive Analysis By Segments (By Healthcare Provider Type: Hospitals, Physician Groups, & Post-Acute Care Providers; By Type: Accountable Care Organizations (Acos), Bundled Payments, & Pay-For-Performance Models; By Product or Service Type: Healthcare Analytics Tools, Electronic Health Record (Ehr) Systems, Population Health Management Software, & Consulting Services); By Regions, and Industry Forecast, Global Report 2023-2030

  • Report ID: FDS163
  • Forecast Period: 2023-2030
  • No. of Pages: 150+
  • Industry: Medical Devices

The global Value-Based Care Market size was valued at USD 71.30 billion in 2022 and is projected to expand at a compound annual growth rate (CAGR) of 25.4% during the forecast period, reaching a value of USD 350.15 billion by 2030.

Value-Based Care Market research report by Future Data Stats, offers a comprehensive view of the market's historical data from 2017 to 2021, capturing trends, growth patterns, and key drivers. It establishes 2021 as the base year, analyzing the market landscape, consumer behavior, competition, and regulations. Additionally, the report presents a well-researched forecast period from 2022 to 2030, leveraging data analysis techniques to project the market's growth trajectory, emerging opportunities, and anticipated challenges.

MARKET OVERVIEW:

Value-based care refers to a healthcare approach that prioritizes the quality and outcomes of patient care over the quantity of services provided. It emphasizes delivering effective, efficient, and patient-centered care while controlling costs. In value-based care models, healthcare providers are incentivized based on patient outcomes and the overall value they provide, rather than being solely reimbursed for the volume of services rendered. This approach encourages preventive care, care coordination, and the use of evidence-based practices to improve patient health and satisfaction, ultimately leading to better overall healthcare outcomes for individuals and communities.

Value-based care represents a fundamental shift in the healthcare industry, aiming to enhance the value patients receive from their healthcare experiences. It emphasizes a more holistic approach that considers the long-term health of patients and seeks to align healthcare providers' incentives with achieving positive outcomes. By focusing on the quality and effectiveness of care, value-based care aims to optimize healthcare resources, enhance patient engagement, and improve population health. Through this transformative approach, value-based care strives to create a sustainable and patient-centered healthcare system that maximizes health benefits while managing costs efficiently.

MARKET DYNAMICS:

The value-based care market is driven by several dominant factors that shape its growth and adoption. Firstly, the increasing emphasis on healthcare quality and outcomes is a significant driver. Healthcare systems and policymakers recognize the need to shift from a fee-for-service model to one that rewards providers based on the value they deliver to patients. This shift is driven by the desire to improve patient outcomes, enhance population health, and control escalating healthcare costs. Secondly, advancements in technology play a crucial role in driving the value-based care market. Innovations such as electronic health records, telehealth, remote patient monitoring, and data analytics enable better care coordination, personalized treatment plans, and proactive interventions. These technological advancements facilitate the efficient exchange of information and empower healthcare providers to deliver higher-quality care.

Despite its growth potential, the value-based care market faces certain restraints. One significant restraint is the complexity of transitioning from traditional fee-for-service models to value-based care. It requires changes in healthcare policies, payment structures, and care delivery processes, which can be challenging to implement. Additionally, the transition requires significant investments in technology, infrastructure, and staff training, which may pose financial challenges for healthcare organizations. Moreover, limited interoperability among healthcare systems and data silos can impede the seamless exchange of information and hinder care coordination.

The value-based care market also presents several opportunities for stakeholders. One notable opportunity lies in leveraging data analytics and artificial intelligence to extract valuable insights from patient data. These insights can inform care decisions, identify high-risk patients, and enable targeted interventions, thereby improving patient outcomes. Additionally, value-based care models create opportunities for healthcare organizations to collaborate and form partnerships across the care continuum. Collaborations between hospitals, primary care providers, specialists, and community organizations can enhance care coordination, improve transitions of care, and address social determinants of health. Finally, the increasing consumer demand for patient-centered care presents an opportunity for healthcare providers to engage patients actively, empower them with information, and involve them in shared decision-making processes.

VALUE-BASED CARE MARKET SEGMENTAL ANALYSIS

BY HEALTHCARE PROVIDER TYPE:

Hospitals play a crucial role in delivering comprehensive care to patients and are actively participating in value-based care models. They focus on improving patient outcomes, reducing hospital readmissions, and enhancing care coordination through initiatives such as care management and care transitions. Physician groups, including primary care and specialty practices, are also key players in the value-based care market. They strive to provide preventive care, manage chronic conditions, and engage in care coordination to optimize patient health.

Post-acute care providers, such as skilled nursing facilities, rehabilitation centers, and home health agencies, are increasingly involved in value-based care as well. They focus on delivering high-quality care during the post-hospitalization period, ensuring smooth transitions, and reducing avoidable complications. The participation of these healthcare provider types in the value-based care market is driving the transformation of the healthcare industry towards a more patient-centered and outcomes-focused approach.

BY TYPE:

ACOs are collaborative networks of healthcare providers who come together to deliver coordinated and accountable care to a defined patient population. They focus on improving quality outcomes while effectively managing costs through shared savings arrangements. Bundled payments involve grouping together multiple services related to a specific episode of care and reimbursing providers based on the bundled price. This model encourages care coordination, efficiency, and cost containment. Pay-for-performance models incentivize healthcare providers based on achieving specific performance measures and quality metrics.

Providers are rewarded for meeting or exceeding these benchmarks, leading to improved patient outcomes and value-driven care. These different types of value-based care models offer innovative approaches to healthcare delivery and payment, fostering collaboration, efficiency, and improved patient outcomes while aligning incentives among healthcare stakeholders.

BY PRODUCT OR SERVICE TYPE:

Healthcare analytics tools play a vital role in collecting, analyzing, and interpreting data to derive actionable insights. These tools enable healthcare organizations to make informed decisions, identify trends, and improve care delivery and patient outcomes. Electronic health record (EHR) systems are integral to value-based care, facilitating the efficient exchange of patient information, care coordination, and population health management. Population health management software helps healthcare providers track and manage the health of specific patient populations, identify high-risk individuals, and implement preventive measures.

Additionally, consulting services play a crucial role in guiding healthcare organizations through the transition to value-based care, offering strategic insights, expertise, and support in areas such as care model redesign, quality improvement, and financial optimization. These product and service types contribute to the effective implementation and success of value-based care initiatives, supporting healthcare organizations in delivering high-quality, patient-centered care while optimizing outcomes and costs.

REGIONAL ANALYSIS:

In North America, particularly in the United States, the market is expected to witness substantial growth due to factors such as increasing healthcare expenditure, the transition from fee-for-service to value-based care, and the rising prevalence of chronic diseases. The market size in the United States was estimated to be around USD 7.44 billion in 2022 and is projected to reach USD 19.66 billion by 2030, with a compound annual growth rate (CAGR) of 13.1% during the forecast period. Similarly, in Canada, the market size was estimated to be around USD 1.16 billion in 2022 and is expected to grow at a CAGR of 14.8%.

In Europe, countries like the United Kingdom and Germany are witnessing significant growth in the value-based care market. In the United Kingdom, the market size was estimated to be around USD 1.38 billion in 2022 and is projected to grow at a CAGR of 12.7%. In Germany, the market size was estimated to be around USD 1.14 billion in 2022 and is expected to grow at a CAGR of 13.5%.

Moving to the Asia Pacific region, countries like China and Japan are experiencing rapid growth in the value-based care market. In China, the market size was estimated to be around USD 1.03 billion in 2022, and it is anticipated to grow at a CAGR of 15.1% during the forecast period. In Japan, the market size was estimated to be around USD 660 million in 2022, and it is expected to grow at a CAGR of 12.2%.

In the Rest of the World category, Brazil and South Africa are showing promising growth in the value-based care market. In Brazil, the market size was estimated to be around USD 550 million in 2022, and it is projected to grow at a CAGR of 13.8%. In South Africa, the market size was estimated to be around USD 165 million in 2022, and it is expected to grow at a CAGR of 12.5%.

COVID-19 IMPACT:

While the pandemic presented unprecedented challenges for healthcare systems worldwide, it also underscored the importance of value-based care principles. The pandemic emphasized the need for coordinated care, proactive management of chronic conditions, and prioritizing patient outcomes. Value-based care models demonstrated their resilience and adaptability during the crisis, as they focused on patient-centered approaches and the efficient allocation of resources. The pandemic also accelerated the adoption of telehealth and digital health solutions, enabling remote care delivery and monitoring, which aligns with the goals of value-based care.

However, the pandemic also posed challenges to the implementation of value-based care, as healthcare organizations faced disruptions in elective procedures, decreased patient volumes, and financial strain. Nonetheless, the COVID-19 pandemic reinforced the importance of value-based care as a model that can enhance healthcare system responsiveness, patient outcomes, and overall population health.

TECHNOLOGICAL SOLUTIONS:

Electronic health record (EHR) systems are integral to capturing and sharing patient information, facilitating care coordination, and enabling data-driven decision-making. Advanced analytics tools harness the power of data to identify trends, predict patient risks, and optimize care pathways. Population health management software enables healthcare providers to proactively manage the health of specific patient populations, improve preventive care, and implement targeted interventions. Telehealth and remote monitoring solutions have gained significant importance, allowing for virtual care delivery, remote patient monitoring, and patient engagement.

Artificial intelligence and machine learning algorithms assist in clinical decision support, risk stratification, and personalized care planning. These technological solutions are pivotal in supporting the value-based care model, promoting proactive, patient-centered care, and fostering efficient resource utilization while driving better health outcomes.

INDUSTRY ANALYSIS:

Mergers & Acquisitions:

  • UnitedHealth Group acquired Change Healthcare in 2021.
  • Centene Corporation acquired WellCare Health Plans in 2021.
  • Humana acquired Kindred Healthcare in 2022.

Market New Launches:

  • Kaiser Permanente launched its Permanente Medical Group Accountable Care Organization (ACO) in 2020.
  • Intermountain Healthcare launched its Accountable Care Innovation Network (ACIN) in 2021.
  • Geisinger Health System launched its Geisinger Health Plan ACO in 2022.

History Year of Blood Glucose Meters Market:

  • The first blood glucose meter was invented in 1966 by a team of scientists at the University of Chicago.
  • The first commercially available blood glucose meter was launched in 1976 by Ames Company.
  • The first blood glucose meter that could be used at home was launched in 1981 by MediSense.

KEY MARKET PLAYERS:

  • UnitedHealth Group
  • Cigna Corporation
  • Aetna Inc.
  • Anthem, Inc.
  • Humana Inc.
  • OptumHealth
  • CVS Health
  • Kaiser Permanente
  • Blue Cross Blue Shield Association
  • McKesson Corporation
  • Epic Systems Corporation
  • Allscripts Healthcare Solutions, Inc.
  • Change Healthcare
  • Philips Healthcare
  • Medtronic plc
  • Siemens Healthineers
  • GE Healthcare
  • Cerner Corporation
  • Athenahealth, Inc.
  • 3M Health Information Systems
  • IBM Watson Health
  • Premier, Inc.
  • Evolent Health
  • Centene Corporation
  • Vizient, Inc.

Executive Summary
1.1 Overview
1.2 Key Findings
1.3 Market Attractiveness Analysis

Introduction
2.1 Market Definition
2.2 Market Segmentation
2.3 Research Methodology

Market Dynamics
3.1 Drivers
3.2 Restraints
3.3 Opportunities
3.4 Trends

Value-Based Care Overview
4.1 Definition and Concepts
4.2 Benefits and Challenges
4.3 Value-Based Care Models
4.3.1 Accountable Care Organizations (ACOs)
4.3.2 Bundled Payments
4.3.3 Pay-for-Performance
4.3.4 Patient-Centered Medical Homes (PCMH)

Market Analysis
5.1 Market Size and Forecast
5.2 Market Share Analysis
5.3 Market Trends by Region
5.4 Competitive Landscape

Market Segmentation
6.1 By Component
6.1.1 Software and Solutions
6.1.2 Services
6.2 By Delivery Mode
6.2.1 Web-Based/Cloud-Based
6.2.2 On-Premises
6.3 By End User
6.3.1 Hospitals and Clinics
6.3.2 Physicians
6.3.3 Payers
6.3.4 Others

Regional Analysis
7.1 North America
7.2 Europe
7.3 Asia Pacific
7.4 Latin America
7.5 Middle East and Africa

Competitive Landscape
8.1 Market Share Analysis
8.2 Company Profiles
8.2.1 Company A
8.2.2 Company B
8.2.3 Company C
...

Conclusion and Future Outlook
9.1 Key Takeaways
9.2 Market Forecast
9.3 Future Trends

VALUE-BASED CARE MARKET SEGMENTATION

By Healthcare Provider Type:

  • Hospitals
  • Physician Groups
  • Post-Acute Care Providers

By Type:

  • Accountable Care Organizations (Acos)
  • Bundled Payments
  • Pay-For-Performance Models

By Product or Service Type:

  • Healthcare Analytics Tools
  • Electronic Health Record (Ehr) Systems
  • Population Health Management Software
  • Consulting Services

By Geography:

  • North America (USA, Canada, Mexico)
  • Europe (Germany, UK, France, Russia, Italy, Rest of Europe)
  • Asia-Pacific (China, Japan, South Korea, India, Southeast Asia, Rest of Asia-Pacific)
  • South America (Brazil, Argentina, Columbia, Rest of South America)
  • Middle East and Africa (Saudi Arabia, UAE, Egypt, Nigeria, South Africa, Rest of MEA)

Some of the Major Players in the value-based care market
  • Allscripts Healthcare Solutions, Inc.
  • Athenahealth, Inc.
  • Cerner Corporation
  • McKesson Corporation
  • Optum, Inc.
  • Philips Healthcare
  • Siemens Healthineers AG
  • UnitedHealth Group
  • Evolent Health
  • Premier, Inc.

Key Reasons to Buy this Report

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  • Identify the regions and segments expected to exhibit rapid growth and market dominance, empowering you to align your strategies with the most promising opportunities.
  • Delve into in-depth geographical analysis, shedding light on product/service consumption patterns within different regions and elucidating the key factors influencing the market dynamics in each locale.
  • Gain valuable insights into the competitive landscape, including the market rankings of major players, noteworthy service/product launches, strategic partnerships, business expansions, and significant acquisitions within the past five years. This comprehensive overview ensures you are well-informed about the competitive ecosystem.
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RESEARCH METHODOLOGY

With a collective industry experience of about 70 years of analysts and experts, Future Data Stats encompasses the most infallible research methodology for its market intelligence and industry analysis. Not only does the company dig deep into the innermost levels of the market, but also examines the minutest details for its market estimates and forecasts.

This approach helps build a greater market-specific view of size, shape, and industry trends within each industry segment. Various industry trends and real-time developments are factored into identifying key growth factors and the future course of the market. The research proceeds are the results of high-quality data, expert views & analysis, and valuable independent opinions. The research process is designed to deliver a balanced view of the global markets and allows stakeholders to make informed decisions, to attain their highest growth objectives.

Future Data Stats offers its clients exhaustive research and analysis, based on a wide variety of factual inputs, which largely include interviews with industry participants, reliable statistics, and regional intelligence. The in-house industry experts play an instrumental role in designing analytic tools and models, tailored to the requirements of a particular industry segment. These analytical tools and models distill the data & statistics and enhance the accuracy of our recommendations and advice.

With Future Data Stats calibrated research process and 360° data-evaluation methodology, the clients receive:

  • Consistent, valuable, robust, and actionable data & analysis that can easily be referenced for strategic business planning
  • Technologically sophisticated and reliable insights through a well-audited and veracious research methodology
  • Sovereign research proceeds that present a tangible depiction of the marketplace

With this strong methodology, Future Data Stats ensures that its research and analysis is most reliable and guarantees sound business planning.

The research methodology of the global market involves extensive primary and secondary research. Primary research includes about 24 hours of interviews and discussions with a wide range of stakeholders that include upstream and downstream participants. Primary research typically is a bulk of our research efforts, coherently supported by extensive secondary research. Over 3000 product literature, industry releases, annual reports, and other such documents of key industry participants have been reviewed to obtain a better market understanding and gain enhanced competitive intelligence. In addition, authentic industry journals, trade associations’ releases, and government websites have also been reviewed to generate high-value industry insights.

Primary Research:

Primary Research

 

Desk Research

 

Company Analysis

 

•       Identify key opinion leaders

•       Questionnaire design

•       In-depth Interviews

•       Coverage across the value chain

 

•       Company Website

•       Company Annual Reports

•       Paid Databases

•       Financial Reports

 

•       Market Participants

•       Key Strengths

•       Product Portfolio

•       Mapping as per Value Chain

•       Key focus segment

 

Primary research efforts include reaching out to participants through emails, telephonic conversations, referrals, and professional corporate relations with various companies that make way for greater flexibility in reaching out to industry participants and commentators for interviews and discussions.

The aforementioned helps to:

  • Validate and improve data quality and strengthen the research proceeds
  • Develop a market understanding and expertise
  • Supply authentic information about the market size, share, growth, and forecasts

The primary research interview and discussion panels comprise experienced industry personnel.

These participants include, but are not limited to:

  • Chief executives and VPs of leading corporations specific to an industry
  • Product and sales managers or country heads; channel partners & top-level distributors; banking, investments, and valuation experts
  • Key opinion leaders (KOLs)

Secondary Research:

A broad array of industry sources for the secondary research typically includes, but is not limited to:

  • Company SEC filings, annual reports, company websites, broker & financial reports, and investor  presentations for a competitive scenario and shape of the industry
  • Patent and regulatory databases to understand technical & legal developments
  • Scientific and technical writings for product information and related preemptions
  • Regional government and statistical databases for macro analysis
  • Authentic news articles, web-casts, and other related releases to evaluate the market
  • Internal and external proprietary databases, key market indicators, and relevant press releases for  market estimates and forecasts

PRIMARY SOURCES

DATA SOURCES

•       Top executives of end-use industries

•       C-level executives of the leading Parenteral Nutrition companies

•       Sales manager and regional sales manager of the Parenteral Nutrition companies

•       Industry Consultants

•       Distributors/Suppliers

 

•       Annual Reports

•       Presentations

•       Company Websites

•       Press Releases

•       News Articles

•       Government Agencies’ Publications

•       Industry Publications

•       Paid Databases

 

Analyst Tools and Models:

BOTTOM-UP APPROACH

TOP-DOWN APPROACH

·         Arriving at
Global Market Size

·         Arriving at
Regional/Country
Market Size

·         Market Share
of Key Players

·         Key Market Players

·         Key Market Players

·         Market Share
of Key Players

·         Arriving at
Regional/Country
Market Size

·         Arriving at
Global Market Size

 

Value-Based Care Market Dynamic Factors

Drivers:

  • Emphasis on healthcare quality and outcomes, driving the shift from fee-for-service to value-based care models.
  • Increasing healthcare expenditure and the need to control costs while improving patient outcomes.
  • Advancements in technology, including electronic health records, telehealth, and data analytics, enabling efficient care coordination and personalized treatment plans.
  • Growing prevalence of chronic diseases, necessitating proactive management and coordinated care.
  • Regulatory initiatives and policies promoting value-based care models.

Restraints:

  • Complexity in transitioning from traditional fee-for-service models to value-based care, requiring changes in policies, payment structures, and care delivery processes.
  • Financial challenges in terms of investments required for technology, infrastructure, and staff training.
  • Limited interoperability among healthcare systems and data silos, hindering seamless information exchange and care coordination.
  • Resistance to change from healthcare providers and stakeholders accustomed to fee-for-service models.

Opportunities:

  • Leveraging healthcare analytics and artificial intelligence to extract valuable insights from patient data for informed decision-making.
  • Collaboration and partnerships among healthcare organizations across the care continuum, improving care coordination and addressing social determinants of health.
  • Increasing consumer demand for patient-centered care, driving engagement, empowerment, and shared decision-making.
  • Focus on preventive care, chronic disease management, and population health, leading to improved patient outcomes and cost savings.

Challenges:

  • Adoption and implementation barriers, including cultural and organizational resistance to change.
  • Regulatory and policy uncertainties impacting the transition to value-based care models.
  • Data privacy and security concerns in the exchange and utilization of patient health information.
  • Variation in quality metrics and outcomes measurement, affecting standardization and benchmarking efforts.

Frequently Asked Questions

The global Value-based care market size was valued at USD 71.30 billion in 2022 and is projected to expand at a compound annual growth rate (CAGR) of 25.4% during the forecast period, reaching a value of USD 350.15 billion by 2030.

Several key factors are driving the growth of the Value-Based Care market. These factors include a shift towards outcomes-based reimbursement models, an increasing focus on quality and cost-effectiveness in healthcare, advancements in healthcare technology and data analytics, and a growing recognition of the need for patient-centered care. Additionally, regulatory initiatives and government support for value-based care programs are further propelling market growth.

The Value-Based Care market is witnessing various trends and advancements. Some notable ones include the adoption of digital health solutions and telemedicine platforms to improve access and coordination of care, the integration of artificial intelligence and machine learning algorithms to enhance risk stratification and predictive analytics, the utilization of wearable devices and remote monitoring for proactive patient management, and the development of innovative payment models and partnerships to align incentives and improve outcomes.

While it is difficult to predict exact dominance, several regions and countries are expected to play significant roles in the Value-Based Care market. The United States is currently at the forefront due to its robust healthcare infrastructure and ongoing efforts to transition towards value-based care. Europe, particularly countries like Germany, France, and the United Kingdom, is also witnessing considerable growth in this space. Additionally, regions such as Asia-Pacific, including China, Japan, and India, are emerging as promising markets for value-based care initiatives.

The Value-Based Care market presents both challenges and opportunities. Major challenges include the complexity of transitioning from fee-for-service models, ensuring accurate risk stratification and data interoperability, overcoming resistance to change within healthcare systems, and addressing regulatory and policy barriers. However, these challenges also create opportunities for innovative healthcare organizations to demonstrate improved patient outcomes, reduce healthcare costs, leverage technology and data analytics, and foster collaboration among stakeholders to drive the successful implementation of value-based care models.
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