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  • Published In : Apr 2024
  • Code : CMI6913
  • Pages :174
  • Formats :
      Excel and PDF
  • Industry : Smart Technologies

Market Size and Trends

Global accountable care solutions market is estimated to be valued at US$ 21.50 Bn in 2024 and is expected to reach US$ 42.54 Bn by 2031, exhibiting a compound annual growth rate (CAGR) of 10.2% from 2024 to 2031.

Accountable Care Solutions Market Key Factors

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The demand for accountable care solutions is driven by the need to provide quality care and minimize healthcare expenses. These solutions help healthcare providers enhance overall patient outcomes through clinical and financial accountability.

Global accountable care solutions market is witnessing significant growth due to rising geriatric population, increasing prevalence of chronic diseases, and growing demand for cost effective healthcare delivery. Key market trends include greater adoption of cloud based platforms, integration of AI and analytics, emphasis on patient engagement, and development of value based reimbursement models. Overall, the accountable care solutions industry is well positioned to experience continued expansion over the next decade. 

Market Concentration and Competitive Landscape

Accountable Care Solutions Market Concentration By Players

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Rising Healthcare Costs

One of the drivers for the growth of the accountable care solutions market is rising costs of healthcare across the world. Healthcare spending has been increasing at a rate much higher than general inflation in most countries for various reasons. Aging population coupled with people living longer has increased the burden of chronic diseases on healthcare systems. Advancement in medical technology has improved treatment options but also increased costs. Major diseases like cancer, heart disease and diabetes require prolonged and expensive treatment over months or years.

Governments and private insurers are finding it increasingly difficult to manage such rising costs through the traditional fee-for-service model. This model has an inherent risk of over-treatment and unnecessary tests being conducted for financial incentives of providers. There is a need for lower costs and improved health outcomes simultaneously. Accountable care solutions are emerging as an attractive option to address this challenge. By implementing value-based models that reward providers for quality and efficiency instead of volume of services, the per capita costs can be controlled. This helps in managing budgets while still providing best in class treatment to patients. Various countries have started accountable care programs and seen early promise in bending the healthcare cost curve through coordinated care models.

Shift Towards Value-Based Care

Another major driver for the growth of accountable care solutions has been the shift from traditional fee-for-service payment models to value-based care models. Traditionally, healthcare providers were reimbursed based on volume of services delivered rather than health outcomes achieved. This resulted in lack of coordination between different providers and accountability for overall patient health. With rising affordability challenges, policymakers and payers are now moving towards models that focus on keeping populations healthy instead of sick. Value-based models align incentives of providers with quality goals through mechanisms like bundled payments, shared savings programs and global payments.

Early programs of accountable care organizations, bundled payments for episodes of care, medical homes and other such models have demonstrated cost savings as well as improved quality benchmarks across different geographies. Providers also view population health management as a chance to embrace greater risks and rewards. This encourages them to put more resources into preventive care and work closely with other parties to improve people's health results. International healthcare leaders are working towards large scale adoption of such value-based payment systems combined with care delivery transformation. Accountable care solutions powered by digital and analytics tools are crucial enablers for the shift towards outcomes-focused and coordinated healthcare.

Accountable Care Solutions Market Key Takeaways From Lead Analyst

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Market Challenges: Adoption of Value-Based Care Models in Healthcare

Global accountable care solutions market faces the challenge of incentivizing healthcare providers to adopt value-based care models. As the healthcare system transitions from fee-for-service to bundled payments and shared savings, providers must invest in new technologies, care coordination strategies, and work collaboratively to improve patient outcomes. However, many providers lack the resources and expertise to make this transition successfully on their own.

Market Opportunities: Assisting Providers in Transitioning to Value-Based Care Models

As the focus shifts from quantity to quality, the market for accountable care solutions can assist providers as they adapt to this change. Technologies that facilitate data sharing, remote patient monitoring, and integrated care teams can help providers deliver more coordinated, preventive care. With the right solutions in place, providers gain the tools to improve quality metrics, lower costs, and thrive financially under new reimbursement models focused on patient wellness rather than services rendered.

Accountable Care Solutions Market By Product Type

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Insights, By Product Type- Finding Solutions to Evolve with New Healthcare Models

In terms of product type, healthcare provider solutions segment is estimated to contribute the highest share of 41.7% in 2024 of the market owing to the dynamic nature of healthcare provider operations. Healthcare providers are continually working to improve patient outcomes while reducing costs within new payment models. Accountable care solutions for providers enable teams to track patient populations, identify intervention opportunities, and coordinate care across settings. Provider solutions help integrate disparate data sources and provider networks to provide a holistic view of each patient's situation. This integrated view allows for proactive management, early intervention, and continuity between acute and ongoing care periods. As providers take on more financial risk through value-based contracts, these solutions are essential tools to succeed within new reimbursement structures. Their ability to enhance care coordination, analyze trends, and gain insights drives utilization supports success under bundled payments and shared savings programs. The evolving healthcare landscape increasingly demands this level of population health management and performance measurement, contributing to healthcare provider solutions' leading market share.

Insights, By Delivery Mode- Leveraging Connection Options for Flexibility

In terms of delivery mode, cloud based  segment is estimated to contribute the highest share of 59.4% in2024 of the market due to their flexibility and scalability. Cloud platforms allow practices and provider groups to implement accountable care solutions without extensive upfront infrastructure investments or long implementation timelines. The on-demand nature of cloud-based options suit organizations facing unpredictable needs or wanting to test new capabilities before committing to an on-premises deployment. Cloud models also facilitate connectivity between dispersed clinicians like those in independent primary care practices. Their web-based access from any location make cloud solutions practical for practices integrating behavioral health or adding new specialties like telemedicine. As payment models continue spurring new forms of collaboration between providers, the connectivity and scalability of cloud-based accountable care platforms prove crucial enablers. Their flexibility supports the evolving organizational structures within value-based care arrangements.

Insights, By End User - Focusing on Core Stakeholders in Care Delivery

In terms of end user, provider segment is estimated to contribute the highest market share of 71.4% in2024 due to their central role coordinating care. Accountable care demands close alignment between payers and providers, yet providers bear most responsibility for actual care delivery and outcomes achievement. Providers, with their direct view of patient experiences, are in the best position to grasp their needs and make meaningful improvements. Relative to payers, providers also interact more directly with individuals across varied settings from primary care to hospitals. Therefore, solution providers concentrate on accountable care offerings that provide providers with tools to track all assigned patients, identify services that are either overused or underused, and address gaps in care. Technologies supporting provider workflows optimize processes across staff like assessing social determinants of health. Enhancing providers’ care coordination and management capabilities such solutions directly reduce unnecessary costs and empower multi-disciplinary teams. Their end user centricity on providers reflects providers’ accountability in accountable care solutions models.

Regional Insights

Accountable Care Solutions Market Regional Insights

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North America has dominated the global accountable care solutions market with 51.7% in 2024  to strong presence of major healthcare IT companies and favorable government regulations in the region. The U.S. holds a substantial share of the market due to initiatives such as Affordable Care Act that promotes value-based reimbursements and transition to digital healthcare systems. Majority of global leaders in population health management, healthcare interoperability and data analytics solutions are headquartered in the U.S., providing the region competitive advantage in terms of technology availability and expertise.

Asia Pacific region, especially countries like India, China and Singapore, is witnessing rapid growth in the accountable care solutions market, owing to rising healthcare expenditure and focus on building digital healthcare infrastructure. While the basic healthcare needs are growing in Asia due to expanding middle-class and aging population, the governments are also implementing reforms and regulations that shift focus from fee-for-service to value-based care models and encourage wider adoption of healthcare IT tools. This has created a favorable environment for the penetration of accountable care solutions in the Asia Pacific region.

Indonesia in particular has emerged as one of the fastest growing markets for accountable care solutions in recent years.

In contrast to developed markets, there is a strong demand for solutions concerning basic population health management and care coordination here because of the previous absence of a digital healthcare system. This provides immense opportunities for accountable care solutions providers to implement cost-effective platforms tailored for the requirements of the Indonesian healthcare system. The presence of young tech-savvy population and growing digital penetration in the country has made consumers more receptive to innovative healthcare models supported by digital solutions. This places Indonesia uniquely to lead growth among other emerging Asian economies in terms of accountable care solutions adoption.

Market Report Scope

Accountable Care Solutions Market Report Coverage

Report Coverage Details
Base Year: 2023 Market Size in 2024: US$ 21.50 Bn
Historical Data for: 2019 to 2023 Forecast Period: 2024 to 2031
Forecast Period 2024 to 2031 CAGR: 10.2% 2031 Value Projection: US$ 42.54 Bn
Geographies covered:
  • North America: U.S., Canada
  • Latin America: Brazil, Argentina, Mexico, Rest of Latin America
  • Europe: Germany, U.K., France, Italy, Russia, Rest of Europe
  • Asia Pacific: China, India, Japan, Australia, South Korea, ASEAN, Rest of Asia Pacific
  • Middle East & Africa: GCC Countries, South Africa, Rest of Middle East & Africa
Segments covered:
  • By Product Type: Healthcare Payer Solutions, Healthcare Provider Solutions, Services 
  • By Delivery Mode: Cloud Based and On-premises  
  • By End User: Payer and Provider 
Companies covered:

Cerner Corporation, IBM Corporation, UnitedHealth Group, Aetna, Inc., Allscripts Healthcare Solutions, Inc., Epic Systems Corporation, McKesson Corporation, Verisk Health, ZeOmega, Inc., eClinicalWorks, Inc., NextGen Healthcare, Athenahealth Inc., Constellation Software Inc., Optum, Inc, COTIVITI, INC, Verisk Analytics, Inc

Growth Drivers:
  • Rising Healthcare Costs
  • Shift Towards Value-Based Care
Restraints & Challenges:
  • Adoption of Value-Based Care Models in Healthcare
  • Lack of infrastructure

Key Developments

  • In January 2022, Optum is a prominent healthcare services and innovation company partnered with Marin Health, a healthcare provider serving Marin County and nearby regions. The goal of this partnership was to enhance operational efficiency within the health system. Marin Health would implement Optum technology to simplify non-clinical administrative processes and improve experiences for patients and providers.
  • In October 2021, Optum collaborated with SSM Health, a Catholic nonprofit healthcare system in the U.S. This collaboration aimed to increase accessibility and affordability of quality care across the Midwest region. Optum would work with SSM Health on various initiatives, including inpatient care management, digital transformation, and revenue cycle management. The collaboration aimed to enhance overall well-being and address social and economic factors impacting health.
  • In May 2021, Oracle is renowned for its expertise in developing and selling enterprise software products, cloud-based services, and hardware systems. partnered with HealthPartners, the largest consumer-governed nonprofit healthcare organization in the U.S. The focus of this partnership was to deliver high-quality healthcare at a reasonable cost, aiming to improve healthcare delivery and reduce expenses.
  • In April 2021, Aetna offers a wide range of health insurance products and services entered into an agreement with Aledade, a platform for primary care physicians. This agreement aimed to support participating physicians in Aledade's Accountable Care Organizations (ACOs) in delivering high-quality, coordinated care to patients covered by the Aetna Medicare Advantage plan.
  • In March 2021, IBM is a global technology and consulting company partnered with Cleveland Clinic, a nonprofit academic medical center. Together, both established the Discovery Accelerator, a center dedicated to leverage AI, hybrid cloud, and quantum computing technologies to accelerate healthcare discovery. The partnership aimed to advance patient care and address public health challenges such as COVID-19.
  • *Definition: Accountable care solutions market provides healthcare organizations tools and services to help coordinate patient care and improve health outcomes while reducing costs. It offers population health management platforms, care management solutions, healthcare analytics and business intelligence capabilities. These solutions help providers gain valuable insights into their patient populations, identify gaps in care, and engage patients to ensure they receive the right treatment and services. This helps healthcare organizations deliver higher quality care and operate more efficiently in value-based payment environments like accountable care organizations.

Market Segmentation

  • Product Type Insights (Revenue, US$ BN, 2019 - 2031)
    • Healthcare Payer Solutions
    • Healthcare Provider Solutions
    • Services
  • Delivery Mode Insights (Revenue, US$ BN, 2019 - 2031)
    • Cloud Based
    • On-premises
  • End User Insights (Revenue, US$ BN, 2019 - 2031)
    • Payer
    • Provider
  • Regional Insights (Revenue, US$ BN, 2019 - 2031)
    • North America
      • U.S.
      • Canada
    • Latin America
      • Brazil
      • Argentina
      • Mexico
      • Rest of Latin America
    • Europe
      • Germany
      • U.K.
      • France
      • Italy
      • Russia
      • Rest of Europe
    • Asia Pacific
      • China
      • India
      • Japan
      • Australia
      • South Korea
      • ASEAN
      • Rest of Asia Pacific
    • Middle East & Africa
      • GCC Countries
      • South Africa
      • Rest of Middle East & Africa
  • Key Players Insights
    • Cerner Corporation
    • IBM Corporation
    • UnitedHealth Group
    • Aetna, Inc.
    • Allscripts Healthcare Solutions, Inc.
    • Epic Systems Corporation
    • McKesson Corporation
    • Verisk Health
    • ZeOmega, Inc.
    • eClinicalWorks, Inc.
    • NextGen Healthcare
    • Athenahealth Inc.
    • Constellation Software Inc.
    • Optum, Inc
    • Verisk Analytics, Inc

Frequently Asked Questions

The CAGR of global accountable care solutions market is projected to be 10.2% from 2024 to 2031.

Rising healthcare costs and shift towards value-based care are the major factors driving the growth of global accountable care solutions market.

Adoption of value-based care models in healthcare and lack of infrastructure are the major factor hampering the growth of global accountable care solutions market.

In terms of product type, healthcare provider solutions segment is estimated to dominate the market in 2024.

Cerner Corporation, IBM Corporation, UnitedHealth Group, Aetna, Inc., Allscripts Healthcare Solutions, Inc., Epic Systems Corporation, McKesson Corporation, Verisk Health, ZeOmega, Inc., eClinicalWorks, Inc., NextGen Healthcare, Athenahealth Inc., Constellation Software Inc., Optum, Inc, COTIVITI, INC, Verisk Analytics, Inc are the major players.

North America is expected to lead the global accountable care solutions market in 2024.

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