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.
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. |