logo image
search icon
Value-Based Healthcare Services Market

U.S. Value-Based Healthcare Services Market Size, Share & Trends Analysis Report, By Models (Pay for performance, Patient-centered medical home, Shared savings, Shared risk, Bundled payment, Capitation models), By Payers Category (Medicare and Medicare Advantage, Medicaid, Commercial), By Provider’s Utilization Category (Home Health Care, Institutional Care, Self-Care, Hospital Therapy), By Region, Forecasts, 2024-2031

Report ID : 1421 | Published : 2024-06-07 | Pages: 180 | Format: PDF/EXCEL

The U.S. Value-Based Healthcare Services Market Size is valued at USD 3.42 trillion in 2023 and is predicted to reach USD 6.13 trillion by the year 2031 at a 7.62 % CAGR during the forecast period for 2024-2031.

value based healthcare

U.S.Value-based healthcare refers to a business model in which service providers, including hospitals, are paid according to their patients' effectiveness, efficiency, cost, and health outcomes. Intense supplier competition and growing pressure to lower costs and enhance treatment have shifted from volume-based to value-based healthcare. U.S. Value-based healthcare benefits everyone more, including patients, providers, payers, suppliers, and society. It focuses on assisting patients in promptly recovering and preventing chronic diseases from improving health at lower costs. High patient satisfaction benefits suppliers in the form of more effective care.

There have been many quick advancements in the healthcare sector since the advent of digital technology, which supports the growth of the market for value-based healthcare services. Due to increased investment by corporate and governmental organizations, there have been several quick improvements in healthcare following the introduction of digital technology. These changes have led to the market for value-based healthcare services expanding.

Furthermore, market participants have more attractive opportunities as chronic diseases like diabetes and cancer become increasingly widespread in developing countries. However, balancing two payment methods and two types of reimbursement is expected to limit the market growth. But it's projected that the lack of Internet access and essential healthcare facilities in some parts of emerging countries will limit the global market for value-based healthcare services throughout the projection period.

Competitive Landscape

Some major key players in the Value-Based Healthcare Services Market:

  • Athena Healthcare
  • Baker Tilly US, LLP
  • Boston Consulting Group
  • Change Healthcare
  • Curation Health
  • Deloitte
  • ForeSee Medical, Inc.
  • Genpact
  • Humana
  • Koninklijke Philips N.V.
  • McKesson Corporation
  • NXGN Management, LLC.
  • Privia Health
  • Siemens Medical Solutions USA, Inc.
  • Signify Health, Inc. (Sentara Healthcare)
  • Stellar Health
  • The Commonwealth Fund.
  • UnitedHealth Group.
  • Unlimited Technology Systems, LLC
  • Veritas Capital Fund Management, L.L.C.
  • Other Market Players

Market Segmentation:

The U.S. value-based healthcare services market is segmented by models, payers category, provider’s utilization category. Based on models, the market is segmented into Pay for performance, Patient-centered medical home, shared savings, shared risk, bundled payment, capitation models. The market is segmented by payers category into Medicare and Medicare advantage, Medicaid, commercial. The market is segmented by provider’s utilization category into home health care, institutional care, self-care, hospital therapy.

Based On The Model, The Patient-Centred Medical Home Category Is Accounted As A Significant Contributor To The U.S. Value-Based Healthcare Services Market.

The patient-centred medical home category dominated the market. Cost transparency is one of the critical developments that will improve the market for value-based healthcare services. By exposing their pricing structure, healthcare systems are assisting patients in better understanding what they are paying for, fostering more patient-health system trust. Patients will grasp the financial implications if they are informed of invoices before they get them. By giving patients clear information about costs, healthcare systems may gain their trust and become more motivated to provide affordable, high-quality care. Through cost transparency, patients can compare options and select the healthcare system that is most appropriate for them. Among the models now on the market, the patient-centred medical home (PCMH) will see a little larger demand.

The North American U.S. Value-Based Healthcare Services Market Holds A Significant Revenue Share.

The North American U.S. value-based healthcare services market is expected to register the highest market share due to increased patient demand for more easily accessible, functional, and affordable care. The established healthcare infrastructure and hub for significant industry players in the region significantly impact the market for value-based healthcare services. Because clinicians understand how early disease identification can lead to high patient satisfaction and enhanced treatment efficiency, value-based healthcare services are commonly used in the United States. 

U.S. Value-Based Healthcare Services Market Report Scope

Report Attribute

Specifications

Market Size Value In 2023

USD 3.42 trillion

Revenue Forecast In 2031

USD 6.13 trillion

Growth Rate CAGR

CAGR of 7.62 % from 2024 to 2031

Quantitative Units

Representation of revenue in US$ Tn and CAGR from 2024 to 2031

Historic Year

2019 to 2023

Forecast Year

2024-2031

Report Coverage

The forecast of revenue, the position of the company, the competitive market structure, growth prospects, and trends

Segments Covered

By Models, By Payers Category and By Provider’s Utilization Category 

Regional Scope

North America

Country Scope

U.S.; Canada; 

Competitive Landscape

Athena Healthcare, Baker Tilly US, LLP, Boston Consulting Group, Change Healthcare, Curation Health, Deloitte, ForeSee Medical, Inc., Genpact, Humana, Koninklijke Philips N.V., McKesson Corporation, NXGN Management, LLC., Privia Health, Siemens Medical Solutions USA, Inc., Signify Health, Inc. (Sentara Healthcare), Stellar Health, The Commonwealth Fund., UnitedHealth Group., Unlimited Technology Systems, LLC, Veritas Capital Fund Management, L.L.C.

Customization Scope

Free customization report with the procurement of the report, Modifications to the regional and segment scope. Particular Geographic competitive landscape.

Pricing And Available Payment Methods

Explore pricing alternatives that are customized to your particular study requirements.

Chapter 1. Methodology and Scope

1.1. Research Methodology
1.2. Research Scope & Assumptions

Chapter 2. Executive Summary

Chapter 3. Global U.S. Value-Based Healthcare Services Market Snapshot

Chapter 4. Global U.S. Value-Based Healthcare Services Market Variables, Trends & Scope

4.1. Market Segmentation & Scope
4.2. Drivers
4.3. Challenges
4.4. Trends
4.5. Investment and Funding Analysis
4.6. Industry Analysis – Porter’s Five Forces Analysis
4.7. Competitive Landscape & Market Share Analysis
4.8. Impact of Covid-19 Analysis

Chapter 5. Market Segmentation 1: by Model Estimates & Trend Analysis

5.1. by Model & Market Share, 2019 & 2031
5.2. Market Size (Value (US$ Mn)) & Forecasts and Trend Analyses, 2019 to 2031 for the following by Model:
5.2.1. Pay for performance
5.2.2. Patient-centered medical home
5.2.3. Shared savings
5.2.4. Shared risk
5.2.5. Bundled payment
5.2.6. Capitation models

Chapter 6. Market Segmentation 2: by Payers Category Estimates & Trend Analysis

6.1. by Payers Category & Market Share, 2019 & 2031
6.2. Market Size (Value (US$ Mn)) & Forecasts and Trend Analyses, 2019 to 2031 for the following by Payers Category:
6.2.1. Medicare and Medicare Advantage
6.2.2. Medicaid
6.2.3. Commercial

Chapter 7. Market Segmentation 3: by Provider’s Utilization Category Estimates & Trend Analysis

7.1. by Provider’s Utilization Category & Market Share, 2019 & 2031
7.2. Market Size (Value (US$ Mn)) & Forecasts and Trend Analyses, 2019 to 2031 for the following by Provider’s Utilization Category:
7.2.1. Home Health Care
7.2.1.1. Frontloading Skilled Nursing Visits
7.2.1.2. Specialized Frontloading Therapy Visits
7.2.2. Institutional Care
7.2.3. Self-Care
7.2.4. Hospital Therapy
7.2.4.1. In-Patient
7.2.4.2. Outpatient

Chapter 8. U.S. Value-Based Healthcare Services Market Segmentation 5: Regional Estimates & Trend Analysis

8.1. North America
8.1.1. North America U.S. Value-Based Healthcare Services Market Revenue (US$ Million) Estimates and Forecasts by Model, 2024-2031
8.1.2. North America U.S. Value-Based Healthcare Services Market Revenue (US$ Million) Estimates and Forecasts by Payers Category, 2024-2031
8.1.3. North America U.S. Value-Based Healthcare Services Market Revenue (US$ Million) Estimates and Forecasts by Provider’s Utilization Category, 2024-2031
8.1.4. North America U.S. Value-Based Healthcare Services Market Revenue (US$ Million) Estimates and Forecasts by country, 2024-2031

Chapter 9. Competitive Landscape

9.1. Major Mergers and Acquisitions/Strategic Alliances
9.2. Company Profiles

9.2.1. Athena Healthcare
9.2.2. Baker Tilly US, LLP
9.2.3. Boston Consulting Group
9.2.4. Change Healthcare
9.2.5. Curation Health
9.2.6. Deloitte
9.2.7. ForeSee Medical, Inc.
9.2.8. Genpact
9.2.9. Humana
9.2.10. Koninklijke Philips N.V.
9.2.11. McKesson Corporation
9.2.12. NXGN Management, LLC.
9.2.13. Privia Health
9.2.14. Siemens Medical Solutions USA, Inc.
9.2.15. Signify Health, Inc. (Sentara Healthcare)
9.2.16. Stellar Health
9.2.17. The Commonwealth Fund.
9.2.18. UnitedHealth Group.
9.2.19. Unlimited Technology Systems, LLC
9.2.20. Veritas Capital Fund Management, L.L.C.
9.2.21. Other Market Players

 

Segmentation of Value-Based Healthcare Services Market-

By Models-

  • Pay for performance
  • Patient-centered medical home
  • Shared savings
  • Shared risk
  • Bundled payment
  • Capitation models

 value based healthcare

By Payers Category-

  • Medicare and Medicare Advantage
  • Medicaid
  • Commercial

By Provider’s Utilization Category-

  • Home Health Care
    • Frontloading Skilled Nursing Visits
    • Specialized Frontloading Therapy Visits
  • Institutional Care
  • Self-Care
  • Hospital Therapy
    • In-Patient
    • Outpatient

By Region-

North America-

  • The US
  • Canada
  • Mexico

Europe-

  • Germany
  • The UK
  • France
  • Italy
  • Spain
  • Rest of Europe

Asia-Pacific-

  • China
  • Japan
  • India
  • South Korea
  • South East Asia
  • Rest of Asia Pacific

Latin America-

  • Brazil
  • Argentina
  • Rest of Latin America

 Middle East & Africa-

  • GCC Countries
  • South Africa
  • Rest of Middle East and Africa

 

InsightAce Analytic follows a standard and comprehensive market research methodology focused on offering the most accurate and precise market insights. The methods followed for all our market research studies include three significant steps – primary research, secondary research, and data modeling and analysis - to derive the current market size and forecast it over the forecast period. In this study, these three steps were used iteratively to generate valid data points (minimum deviation), which were cross-validated through multiple approaches mentioned below in the data modeling section.

Through secondary research methods, information on the market under study, its peer, and the parent market was collected. This information was then entered into data models. The resulted data points and insights were then validated by primary participants.

Based on additional insights from these primary participants, more directional efforts were put into doing secondary research and optimize data models. This process was repeated till all data models used in the study produced similar results (with minimum deviation). This way, this iterative process was able to generate the most accurate market numbers and qualitative insights.

Secondary research

The secondary research sources that are typically mentioned to include, but are not limited to:

  • Company websites, financial reports, annual reports, investor presentations, broker reports, and SEC filings.
  • External and internal proprietary databases, regulatory databases, and relevant patent analysis
  • Statistical databases, National government documents, and market reports
  • Press releases, news articles, and webcasts specific to the companies operating in the market

The paid sources for secondary research like Factiva, OneSource, Hoovers, and Statista

Primary Research:

Primary research involves telephonic interviews, e-mail interactions, as well as face-to-face interviews for each market, category, segment, and subsegment across geographies

The contributors who typically take part in such a course include, but are not limited to: 

  • Industry participants: CEOs, CBO, CMO, VPs, marketing/ type managers, corporate strategy managers, and national sales managers, technical personnel, purchasing managers, resellers, and distributors.
  • Outside experts: Valuation experts, Investment bankers, research analysts specializing in specific markets
  • Key opinion leaders (KOLs) specializing in unique areas corresponding to various industry verticals
  • End-users: Vary mainly depending upon the market

Data Modeling and Analysis:

In the iterative process (mentioned above), data models received inputs from primary as well as secondary sources. But analysts working on these models were the key. They used their extensive knowledge and experience about industry and topic to make changes and fine-tuning these models as per the product/service under study.

The standard data models used while studying this market were the top-down and bottom-up approaches and the company shares analysis model. However, other methods were also used along with these – which were specific to the industry and product/service under study.

To know more about the research methodology used for this study, kindly contact us/click here.

 

user icon
office icon
mail icon
call icon

This website is secure, and we do not share your personal information with any third party. Privacy Policy

Need Customization
Need specific information/chapter from the report of the custom data table, graph or complete report? Tell us more.

Frequently Asked Questions

How big is the U.S. Value-Based Healthcare Services Market Size?

The U.S. Value-Based Healthcare Services Market is expected to grow at a 7.62 % CAGR during the forecast period for 2024-2031.

Athena Healthcare, Baker Tilly US, LLP, Boston Consulting Group, Change Healthcare, Curation Health, Deloitte, ForeSee Medical, Inc., Genpact, Humana,

Our Clients

  • client logo
  • client logo
  • client logo
  • client logo
  • client logo
  • client logo
  • client logo
  • client logo
  • client logo
  • client logo
  • client logo
  • client logo
  • client logo
  • client logo
  • client logo
  • client logo
  • client logo
  • client logo
  • client logo
  • client logo
  • client logo
  • client logo
  • client logo
  • client logo
  • client logo
  • client logo
  • client logo
  • client logo
  • client logo
  • client logo
  • client logo
  • client logo
  • client logo
  • client logo
  • client logo
  • client logo
  • client logo
  • client logo
  • client logo
  • client logo

Media Citations

  • media citation logo
  • media citation logo
  • media citation logo
  • media citation logo
  • media citation logo
  • media citation logo
  • media citation logo
  • media citation logo
  • media citation logo

Growth opportunities and latent adjacency in Healthcare IT

Select Licence Type
$4456
$7789
$10000
$1200
Get Your GTM Strategy

Navigate market entry with channel selection, launch strategy & timeline, and pricing model support.

Equip yourself with the insights needed to develop a winning go-to-market strategy

Get real-time updates and joint control over project direction with our collaborative approach