U.S. Managed Care Market (Medicare, Medicaid, and Private Health Insurance): Insights & Forecast with Potential Impact of COVID-19 (2023-2027)
The US health expenditure is forecasted to reach US$6.07 trillion in 2027, experiencing growth at a CAGR of 5.61% during the period spanning from 2023 to 2027. The national health expenditure by source of funds can be segmented as follows: Managed care, Out of pocket, Investments and Others. In 2022, the dominant share was held by managed care segment. This was being followed by out of pocket, investments and others.
The US managed care market is forecasted to reach US$4.12 trillion in 2027, experiencing growth at a CAGR of 6.11% during the period spanning from 2023 to 2027. Growth in the US managed care market is supported by factors such as rise in global healthcare expenditure, escalating urban population, rising geriatric population, increasing prevalence of cancer cases, favorable government initiatives, and growing adoption of healthcare insurance. However, the market growth is expected to be restrained by lack of knowledge and privacy.
The US managed care market by payer can be segmented into the following segments: Private Health Insurance, Medicare and Medicaid. In 2022, the dominant share of the US managed care market was held by Private Health Insurance, followed by Medicare and Medicaid. The faster growth in the net cost of health insurance is a primary reason for the acceleration in spending growth for private health insurance, Medicaid, and Medicare
During Covid-19, there is a greater need for sophisticated healthcare, which raises healthcare expenditures. However, most people find it difficult to spend that much money on their healthcare needs, and hence the managed care industry is expanding during the time of COVID peak.
Scope of the report:
The US managed care market is forecasted to reach US$4.12 trillion in 2027, experiencing growth at a CAGR of 6.11% during the period spanning from 2023 to 2027. Growth in the US managed care market is supported by factors such as rise in global healthcare expenditure, escalating urban population, rising geriatric population, increasing prevalence of cancer cases, favorable government initiatives, and growing adoption of healthcare insurance. However, the market growth is expected to be restrained by lack of knowledge and privacy.
The US managed care market by payer can be segmented into the following segments: Private Health Insurance, Medicare and Medicaid. In 2022, the dominant share of the US managed care market was held by Private Health Insurance, followed by Medicare and Medicaid. The faster growth in the net cost of health insurance is a primary reason for the acceleration in spending growth for private health insurance, Medicaid, and Medicare
During Covid-19, there is a greater need for sophisticated healthcare, which raises healthcare expenditures. However, most people find it difficult to spend that much money on their healthcare needs, and hence the managed care industry is expanding during the time of COVID peak.
Scope of the report:
- The report provides a comprehensive analysis of the US managed care market with potential impact of COVID-19.
- The market dynamics such as growth drivers, market trends and challenges are analyzed in-depth.
- The competitive landscape of the market, along with the company profiles of leading players (Anthem, CVS, Cigna, Centene, United Health Group, Molina Healthcare) are also presented in detail.
- Insurance Agencies
- Managed Care Providers
- Healthcare Providers
- End Users (Businesses/Consumers)
- Investment Banks
- Government Bodies & Regulating Authorities
1. MARKET OVERVIEW
1.1 Managed Care
1.1.1 Introduction
1.1.2 History
1.2 Features of Managed Care
1.3 Types of Managed Care Plans
1.4 Advantages and Disadvantages of Managed Care
1.5 Segments of Managed Care
1.6 Services of Managed Care
2. IMPACT OF COVID-19
2.1 Impact of COVID-19 on Healthcare Industry
2.2 Impact of COVID-19 on Managed Care Market
2.3 Prevalence of COVID-19
2.4 Impact on Healthcare Spending
2.5 Y/Y Growth in Medicaid Enrollment
2.6 Technological Advancements
3. THE US MARKET ANALYSIS
3.1 The US Health Expenditure
3.2 The US Health Expenditure Forecast
3.3 The US Health Expenditure by Source of Funds
3.4 The US Managed Care Market by Value
3.5 The US Managed Care Market Forecast by Value
3.6 The US Managed Care Market by Payer
3.6.1 The US Private Health Insurance (PHI) Market by Value
3.6.2 The US Private Health Insurance (PHI) Market Forecast by Value
3.6.3 The US Private Health Insurance (PHI) by Per Enrollee Spending Forecast
3.6.4 The US Private Health Insurance (PHI) by Enrollment Forecast
3.6.5 The US Medicare Market by Value
3.6.6 The US Medicare Market Forecast by Value
3.6.7 The US Medicare by Per Enrollee Spending Forecast
3.6.8 The US Medicare by Enrollment Forecast
3.6.9 The US Medicaid Market by Value
3.6.10 The US Medicaid Market Forecast by Value
3.6.11 The US Medicaid by Per Enrollee Spending Forecast
3.6.12 The US Medicaid by Enrollment Forecast
4. MARKET DYNAMICS
4.1 Growth Drivers
4.1.1 Rise in Healthcare Expenditure
4.1.2 Escalating Urban Population
4.1.3 Rising Geriatric Population
4.1.4 Increasing Prevalence of Cancer Cases
4.1.5 Favorable Government Initiatives
4.1.6 Growing Adoption of Healthcare Insurance
4.2 Key Trends & Developments
4.2.1 Adoption of Cloud Technology
4.2.2 Modernization of Medicaid
4.2.3 Consumerism
4.2.4 Automation of Healthcare Delivery Services
4.3 Challenges
4.3.1 Lack of Knowledge
4.3.2 Privacy
5. COMPETITIVE LANDSCAPE
5.1 The US Market
5.1.1 Individual Medicare Advantage Market Share- Key Players
5.1.2 Group Medicare Advantage Market Share- Key Players
6. COMPANY PROFILES
6.1 Anthem Inc.
6.1.1 Business Overview
6.2 Centene Corporation
6.2.1 Business Overview
6.3 Cigna
6.3.1 Business Overview
6.4 CVS Health
6.4.1 Business Overview
6.5 Molina Healthcare
6.5.1 Business Overview
6.6 United Health Group
6.6.1 Business Overview
1.1 Managed Care
1.1.1 Introduction
1.1.2 History
1.2 Features of Managed Care
1.3 Types of Managed Care Plans
1.4 Advantages and Disadvantages of Managed Care
1.5 Segments of Managed Care
1.6 Services of Managed Care
2. IMPACT OF COVID-19
2.1 Impact of COVID-19 on Healthcare Industry
2.2 Impact of COVID-19 on Managed Care Market
2.3 Prevalence of COVID-19
2.4 Impact on Healthcare Spending
2.5 Y/Y Growth in Medicaid Enrollment
2.6 Technological Advancements
3. THE US MARKET ANALYSIS
3.1 The US Health Expenditure
3.2 The US Health Expenditure Forecast
3.3 The US Health Expenditure by Source of Funds
3.4 The US Managed Care Market by Value
3.5 The US Managed Care Market Forecast by Value
3.6 The US Managed Care Market by Payer
3.6.1 The US Private Health Insurance (PHI) Market by Value
3.6.2 The US Private Health Insurance (PHI) Market Forecast by Value
3.6.3 The US Private Health Insurance (PHI) by Per Enrollee Spending Forecast
3.6.4 The US Private Health Insurance (PHI) by Enrollment Forecast
3.6.5 The US Medicare Market by Value
3.6.6 The US Medicare Market Forecast by Value
3.6.7 The US Medicare by Per Enrollee Spending Forecast
3.6.8 The US Medicare by Enrollment Forecast
3.6.9 The US Medicaid Market by Value
3.6.10 The US Medicaid Market Forecast by Value
3.6.11 The US Medicaid by Per Enrollee Spending Forecast
3.6.12 The US Medicaid by Enrollment Forecast
4. MARKET DYNAMICS
4.1 Growth Drivers
4.1.1 Rise in Healthcare Expenditure
4.1.2 Escalating Urban Population
4.1.3 Rising Geriatric Population
4.1.4 Increasing Prevalence of Cancer Cases
4.1.5 Favorable Government Initiatives
4.1.6 Growing Adoption of Healthcare Insurance
4.2 Key Trends & Developments
4.2.1 Adoption of Cloud Technology
4.2.2 Modernization of Medicaid
4.2.3 Consumerism
4.2.4 Automation of Healthcare Delivery Services
4.3 Challenges
4.3.1 Lack of Knowledge
4.3.2 Privacy
5. COMPETITIVE LANDSCAPE
5.1 The US Market
5.1.1 Individual Medicare Advantage Market Share- Key Players
5.1.2 Group Medicare Advantage Market Share- Key Players
6. COMPANY PROFILES
6.1 Anthem Inc.
6.1.1 Business Overview
6.2 Centene Corporation
6.2.1 Business Overview
6.3 Cigna
6.3.1 Business Overview
6.4 CVS Health
6.4.1 Business Overview
6.5 Molina Healthcare
6.5.1 Business Overview
6.6 United Health Group
6.6.1 Business Overview
LIST OF FIGURES
Advantages and Disadvantages of Managed Care
Services of Managed Care
Rising Coronavirus Cases in the US (Feb 2020- Mar 2022)
Y/Y Growth Rates in National Health Spending (Jan 2020-Oct 2020)
The US Health Expenditure (2018-2022)
The US Health Expenditure Forecast (2023-2027)
The US Health Expenditure by Source Of Funds (2022)
The US Managed Care Market by Value (2018-2022)
The US Managed Care Market Forecast by Value (2023-2027)
The US Managed Care Market by Payer (2022)
The US Private Health Insurance (PHI) Market by Value (2018-2022)
The US Private Health Insurance (PHI) Market Forecast by Value (2023-2027)
The US Private Health Insurance (PHI) by Per Enrollee Spending Forecast (2018-2027)
The US Private Health Insurance (PHI) by Enrollment Forecast (2018-2027)
The US Medicare Market by Value (2018-2022)
The US Medicare Market Forecast by Value (2023-2027)
The US Medicare by Per Enrollee Spending Forecast (2018-2027)
The US Medicare by Enrollment Forecast (2018-2027)
The US Medicaid Market by Value (2018-2022)
The US Medicaid Market Forecast by Value (2023-2027)
The US Medicaid by Per Enrollee Spending Forecast (2023-2027)
The US Medicaid by Enrollment Forecast (2018-2027)
The US Health Expenditures as a Percent of Gross Domestic Product (2014-2022)
The US Urban Population (2017-2022)
The US Geriatric Population (2011-2040)
The US Estimated Number of New Cases of Cancer by Gender (2022)
Key Players – Individual Medicare Advantage Market Share (2022)
Key Players – Group Medicare Advantage Market Share (2022)
Advantages and Disadvantages of Managed Care
Services of Managed Care
Rising Coronavirus Cases in the US (Feb 2020- Mar 2022)
Y/Y Growth Rates in National Health Spending (Jan 2020-Oct 2020)
The US Health Expenditure (2018-2022)
The US Health Expenditure Forecast (2023-2027)
The US Health Expenditure by Source Of Funds (2022)
The US Managed Care Market by Value (2018-2022)
The US Managed Care Market Forecast by Value (2023-2027)
The US Managed Care Market by Payer (2022)
The US Private Health Insurance (PHI) Market by Value (2018-2022)
The US Private Health Insurance (PHI) Market Forecast by Value (2023-2027)
The US Private Health Insurance (PHI) by Per Enrollee Spending Forecast (2018-2027)
The US Private Health Insurance (PHI) by Enrollment Forecast (2018-2027)
The US Medicare Market by Value (2018-2022)
The US Medicare Market Forecast by Value (2023-2027)
The US Medicare by Per Enrollee Spending Forecast (2018-2027)
The US Medicare by Enrollment Forecast (2018-2027)
The US Medicaid Market by Value (2018-2022)
The US Medicaid Market Forecast by Value (2023-2027)
The US Medicaid by Per Enrollee Spending Forecast (2023-2027)
The US Medicaid by Enrollment Forecast (2018-2027)
The US Health Expenditures as a Percent of Gross Domestic Product (2014-2022)
The US Urban Population (2017-2022)
The US Geriatric Population (2011-2040)
The US Estimated Number of New Cases of Cancer by Gender (2022)
Key Players – Individual Medicare Advantage Market Share (2022)
Key Players – Group Medicare Advantage Market Share (2022)
LIST OF TABLES
Y/Y Growth in Medicaid Enrollment (Nov 2020-Nov 2021)
Y/Y Growth in Medicaid Enrollment (Nov 2020-Nov 2021)
