The US complex and chronic condition management market comprises population health management solutions that help healthcare providers to manage the complex and chronic conditions of the patients. These solutions assist in improving patient outcomes, reducing healthcare costs, and enhancing patient engagement & experience. The paradigm shift towards value-based care and rising need to curb healthcare spending is propelling the demand for complex and chronic condition management solutions in the US. The increasing prevalence of chronic and lifestyle diseases such as diabetes, cancer, cardiovascular diseases, among others is also contributing to market growth.
The US complex and chronic condition management market is estimated to be valued at US$ 11.30 Bn in 2024 and is expected to exhibit a CAGR of 13.% over the forecast period 2024 to 2031.
Key Takeaways
Key players operating in the US complex and chronic condition management are Medtronic plc., AllScripts, Siemens Healthineers, Koninklijke Philips N.V., Pegasystems, Inc., Cognizant TriZetto Software Group Inc., IBM Corporation, ScienceSoft USA, MINES & Associates, Inc., Healthcare at Home, Mediware Information Systems, Humana, Centene Corporation, Kaiser Permanente, WellCare Health Plans, Inc. These players are focusing on inorganic strategies such as partnerships and new product launches to enhance their market share.
The rising burden of chronic diseases in the US Complex And Chronic Condition Management Market Demand along with the implementation of favorable government policies present significant growth opportunities in the market. Healthcare providers are ramping up investments to develop advanced population health management solutions which is expected to attract more patients and reduce readmissions.
The growing adoption of telehealth and remote patient monitoring services amidst the pandemic has further fueled the demand for complex and chronic condition management solutions across the US. Major players are expanding their footprint in international markets through collaborations with local players to leverage the high market potential globally.
Market Drivers
The increasing prevalence of chronic and lifestyle diseases among the American population is a key factor driving the demand for complex and chronic condition management solutions. As per data by Centers for Disease Control and Prevention (CDC), 6 in 10 American adults suffer from at least one chronic disease. This is imposing a huge economic burden on the US healthcare system. Complex care management solutions help providers prioritize patients, coordinate their care and improve outcomes which is expected to significantly reduce healthcare spending in the long run. The rising need to curb escalating healthcare costs through value-based reimbursements and population health management is also propelling the US complex and chronic condition management market.
PEST Analysis
Political: The US Complex And Chronic Condition Management Market Size And Trends is experiencing greater government involvement through the implementation of the Affordable Care Act which expands insurance coverage and revises Medicare payment models to focus on quality of care rather than quantity, increasing demand for complex and chronic condition management solutions.
Economic: An aging U.S. population and increasing prevalence of chronic diseases is driving up national healthcare spending, putting economic pressure on payers to invest in technologies and programs that can more efficiently manage high-cost, high-need patient populations.
Social: Consumers are increasingly interested in taking an active role in managing their own health and wellness, demanding convenient access to virtual care resources and digital tools that empower self-management of chronic conditions outside traditional clinical settings.
Technological: Advancements in remote patient monitoring devices, mobile health apps, predictive analytics, and telehealth are enabling providers to more effectively coordinate care across settings for patients with complex medical, behavioral health, and social needs requiring multidisciplinary intervention. This is improving outcomes and experience while reducing costs.
Value Concentration by Geographic Region
The Northeast region of the United States accounts for the largest share of the complex and chronic condition management market in terms of value, led by states like New York, New Jersey, Massachusetts and Pennsylvania which have large, aging populations and are early adopters of value-based payment models. Medicare Advantage plans which focus on managing high-risk beneficiaries are also more prevalent in the Northeast.
Fastest Growing Region
The South region is projected to experience the fastest growth over the forecast period, expected to nearly double in market size by 2031. States like Texas, Florida and North Carolina have seen their populations rapidly expand in recent years and have a higher proportion of residents living with multiple chronic illnesses. Insurers and providers in the South are investing heavily in coordinated care programs and digital health tools to better support this growing demographic.
*Note:
1. Source: Coherent Market Insights, Public Source, Desk Research
2. We have leveraged AI tools to mine information and compile it
About Author - Money Singh
Money Singh is a seasoned content writer with over four years of experience in the market research sector. Her expertise spans various industries, including food and beverages, biotechnology, chemicals and materials, defense and aerospace, consumer goods, etc. LinkedIn Profile