Competitive Environment Market Gaps in the United StatesChanges in the Supply Market Landscape-Analyst PerspectivePHM Vendors Capability Matrix-DefinitionsMapping of Ecosystem PlayersPHM Vendors Capability Matrix-Snapshot 17. Introduction to Population Health Management PHM-Market Scope and DefinitionCategory Segmentation of the US PHM MarketRevenue Segmentation by Application AreasBenchmarking Strategic Attractiveness of PHM Sub-SegmentsValue Benefits of PHM-End-user ExpectationPHM-Market Maturity Indicator 4. The ability to benchmark patient risk profiles in real-time and develop customized health plans offers a significant competitive edge. Key Market Challenges Market ChallengesKey Market Challenges, Posing Threats to the US PHM Market 6. Executive Summary Key Findings - The US PHM MarketScope and SegmentationKey Questions this Study will AnswerMarket Engineering MeasurementsCEO's PerspectiveExecutive Summary - 3 Big Predictions 2. Overall, the need for improved clinical utility and better financial productivity remains the key driver for continued interest in PHM IT and services in the United States. Market Overview-What Has Changed in Value-Based Healthcare Since 2015 The Shift to Value based Payment Programs is Real but Is It Good News for the US PHM Market?Value-based Healthcare is Generating Positive Results for Those Embracing a Tiered Payment StrategyReceptivity for Health IT Enablers Has Improved Across All Provider TypesHigh Cost Burden of Chronic Conditions is Propelling the Growth of PHM Solutions in the United StatesChronic Condition Related Value-based Care Programs Become More Relevant 3.0) that considers both high-risk and at-risk patient populations and show better promise of tangible return on investment (ROI). All relevant stakeholders across the value chain must remain flexible on strategy, implementation, and management approaches to achieve success. Payers & Payer-Providers Segment Analysis Market Engineering Measurements-Payers & Payer-Providers SegmentRevenue Forecast-Payers & Payer-Providers Segment 13. CMS has recently replaced the Medicare Shared Saving Program (MSSP) with the Pathway to Success' program which mandates value-based providers to formulate a six-year digital transformation roadmap and support them with risk-free incentives and regulatory waiver. Exciting new research from the researcher's Transformational Health program touching on some of the most important issues in healthcare now and in the futureThis research service presents a comprehensive analysis of the market potential and dynamics of the population health management (PHM) market in the United States.The ideal approach is to first identify populations, providers, or payers that are responsible for and understand regional health trends while simultaneously evaluating complex quality metrics to determine relevancy and efficacy of a PHM program. The "US Population Health Management Market, Forecast to 2022" report has been added to ResearchAndMarkets. How Top Vendors Conceptualize PHM Offerings? Steps of PHM Program ImplementationHow to Prioritize Strategic Objectives for Each Care Setting in US to Implement a Holistic PHM Program?Program Needs that are Met by Basic and Advanced Solution Offerings 8. Such a revolutionary transformation is bound to pave the way for increased spending on PHM solutions. Interoperability-for example, the ability to connect disparate data sources in a standardized manner is another critical factor for PHM vendors. Appendix Selected SourcesMarket Engineering MethodologyList of Exhibits . Non-ACO Hospital Segment Analysis Market Engineering Measurements-Non-ACO Hospitals SegmentRevenue Forecast-Non-ACO Hospitals Segment 14. As a result, the scope of PHM-led intervention has been expanded from patients to other populations, namely consumers, physicians, and employees. Legacy PHM strategies centered on high-cost patient populations are being replaced by a more holistic and evidence-based medical approach (PHM 2.From a business strategy standpoint, it must be acknowledged that enterprise-wide PHM programs involve long-term, phase-based business approaches between payers, providers, and health IT enterprises. It includes the drivers, challenges, forecasts, and trends impacting the market:Market Overview: PHM 2. Successful market participants must offer machine learning-based predictive disease modeling and drive automated risk stratification that proactively identifies populations most receptive for precise intervention. The study provides a strategic PHM roadmap to progressive health entities that aspire to practice proactive care monitoring at a community level and synthesize clinical, administrative, and financial information to improve the well-being of different populations while taking responsibility of a value-driven reimbursement relationship. ACOs Segment Analysis Market Engineering Measurements-ACOs SegmentRevenue Forecast-ACOs Segment 12. Demand Analysis Penetration Analysis-ACOsPenetration Analysis-Payers & Payer-ProvidersPenetration Analysis-Non-ACO HospitalsPenetration Analysis-Non-ACO Physician Practices 16. At the same time, PHM implementation should involve deciding which initiative (prevention/prediction/management of disease conditions) will save the most money while producing the greatest clinical impact. However, the implementation is critical. Key Issues Addressed How sustained momentum of value-based healthcare is transforming the PHM market?How chronic condition prevalence is aiding the US PHM market? How healthcare stakeholders aspire to improve clinical and financial outcomes via PHM led to chronic condition management?How to define the scope of PHM? What are PPH Pipes Manufacturers the key service segments that PHM applications cater to? What are different types of populations that can be provided value-based care via PHM IT and services?What are the key market forces that propel growth for the US PHM market?What are the key market forces that appear restrictive to the growth of the US PHM market?What are the key infrastructure, technical, and service competencies needed to support a successful PHM offering?How top vendors conceptualize PHM offerings?What are the key business/revenue models of different PHM offerings?What are the predominant pricing models of different PHM offerings?What are the key purchasing considerations for PHM solutions?What is the value of the US PHM market? How is it expected to grow in the next five years?What are the competitive characteristics of the US PHM market? Who are the key participants in the market? Key Topics Covered: 1. Infrastructure, Technical Expertise, and Key Competencies Needed to Support a Successful PHM Offering Infrastructure and Operating Model Needed to Support a Successful PHM Offering (Technology)Technical Expertise and Key Competencies Needed to Support a Successful PHM Offering (Technology)Infrastructure Needed to Support a Successful PHM Offering (Services)Operating Model Needed to Support a Successful PHM Offering (Services)AI-Powered PHM-Framework 7. Technologies that provide preventative and proactive health management, especially for vulnerable, high-cost populations, have experienced rapid adoption in the recent past.0 will be Characterized by the Transition from Population Health to Precision Health Approaches. Purchasing Considerations for PHM Solutions What are the Value Levers that Drive Purchasing Decision in Favor of Any Specific PHM IT and Solution Provider 10. PHM Revenue and Pricing Models PHM Revenue Models for Each Customer SegmentPricing Model Assessment for the PHM MarketPricing Mix Assessment for PHM IT and Service DeploymentsCost Structure Assessment-PHM Vendor Perspective 9. Non-ACO Physician Practice Segment Analysis Market Engineering Measurements-Non-ACO Physician Practices SegmentRevenue Forecast-Non-ACO Physician Practices Segment 15. Forecasts and Trends-Total PHM Market Market Engineering MeasurementsForecast Assumptions and DefinitionsRevenue ForecastRevenue Forecast DiscussionPercent Revenue Forecast by Customer SegmentRevenue Forecast by SegmentRevenue Forecast by Segment Discussion 11. Key PHM capabilities that are tailored for both private and public reimbursement models include identification, stratification, and management of high-risk populations to improve care quality, streamline costs, and augment outcomes.Despite its benefits, PHM faces daunting challenges. Democratization of AI technologies coupled with advanced precision medicine approaches will help achieve that goal.com's offering. Growth Opportunities 5 Growth Opportunities Critical for Future StrategiesLevers for GrowthGrowth Opportunity 1-Define PatientsGrowth Opportunity 2-Personalize DiagnosisGrowth Opportunity 3-Automate Care ManagementGrowth Opportunity 4-Measure Patient OutcomesStrategic Imperatives for PHMLegal Disclaimer 18.Demographic shifts alongside rising demand for evidence-based care and risk-based contracting make PHM an increasingly critical competency for payers and providers. Key Market Forces Market DriversKey Market Forces Driving the US PHM Market in 2018CMS Has Replaced the MU Program with Pathway to Success Program and It is Good News for PHM ITThe growth of Medicare Shared Saving ACOs is Driving PHM Vendors to Offer Innovative and Scalable SolutionsPotential Supply-Demand Disparity of Skills Prompt Healthcare Enterprises to Opt for Advanced PHM IT SolutionsHigher Need for Value-based Contracting Leads to Adoption of IT that Helps to Successfully Implement Risk-based PHM ServicesConsumerism of On-Demand Healthcare Services is Accelerating Revenue for PHM VendorsEmployer-led PHM Programs are Gaining Popularity Due to Growing Evidence of Positive ROIIncreased Adoption of Precision Medicine Approaches is Supporting Patients' Need for Measurable InterventionsIntroduction of Value-based Drug Pricing is Driving the Need for PHM-based Healthcare StrategiesPrevalence of Mental Illness Among the Aging Population is Paving the Way for IT-enabled Public Health ServicesGrowing Evidence of Medication Abuse Needs to be Countered with Real-Time PHM ServicesBenefits of Payer-led Wellness Programs are Prompting Consumers to Embrace Innovative PHM ServicesHigher Need to Address the Physician-Burnout Issue via PHM Programs Has Been Established in the United States 5.Overall, this research reveals that effective PHM requires a collaborative, team-based approach supported by a robust health information technology (IT) infrastructure that achieves both regulatory and corporate objectives.
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