Accountable Care Solutions Market Size, Share & Trends Analysis Report By Component (Software, Services), By End-user (Healthcare Providers, Healthcare Payers), By Solution (PHM, RCM), By Delivery Mode - Global Industry Analysis, Share, Growth, Regional Outlook and Forecasts, 2022-2030

According to Nova one advisor, the global Accountable Care Solutions market size is evaluated at USD 20.9 billion in 2022 and is expected to hit around USD 49.19 billion by 2030, growing at a CAGR of 11.8% from 2022 to 2030. 

Key Takeaways:

• By Component, the U.S. Accountable Care Solutions market was valued at USD 8.9 Billion in 2021 and expected to witness growth at a CAGR of 10.8% from 2022 to 2030.
• In 2021, the software segment dominated the industry due to the use of software to streamline workflows and offer better patient care and safety
• In 2021, the Population Health Management (PHM) solutions segment accounted for the maximum share owing to the increasing demand as these solutions help reduce healthcare costs and hospital re-admissions
• In 2021, the web & cloud-based segment dominated the global industry due to better availability and cost efficiency of the services offered by the web & cloud-based solutions
• In 2021, the healthcare providers segment held the largest revenue share due to the rising adoption of accountable care solutions to provide better healthcare services to the patients at reduced costs
• North America led the global industry in 2021 due to higher adoption of digital solutions and automation in healthcare facilities
• The rising number of initiatives undertaken by the key players is anticipated to drive the region’s growth over the coming years

Accountable care solutions help proactively identify chronic conditions in patients, which helps reduce hospital stays and healthcare costs considerably. This is a key factor driving the demand for accountable care solutions. The rising number of Accountable Care Organizations (ACOs) offering services at considerably lower costs is expected to increase the adoption of these solutions, thereby positively impacting the industry growth.

For instance, according to an article by Fierce Healthcare in January 2022, the number of ACOs participating in the Medicare Shared Savings Program (MSSP) in the U.S. increased to 483 in 2022 as compared to 477 in 2021. The article also states that the number of Medicare beneficiaries receiving care from a provider in MSSP ACO reached more than 11 million as of January 2021. Moreover, additional features offered by accountable care solutions, such as telehealth services, which help patients receive remote care through their phones or computers, are anticipated to bolster the adoption of these solutions. For instance, in March 2022, Collaborative Health Systems, a population health management organization, and Community Care Alliance, an accountable care organization, announced a venture.

Through this venture, they will provide value-based care in rural Colorado and eastern Utah. The venture aims to lower the healthcare costs for Medicare beneficiaries by operating Medicare ACOs and entering into value-based contracts with Medicare Advantage organizations. The venture has the prospect to reach 20,000 patients and several more non-Medicare populations. Furthermore, the rising number of partnerships and joint ventures between insurance companies and healthcare providers to enhance revenue flow and offer healthcare services at a lower cost through the adoption of ACO is anticipated to increase industry growth. For instance, in 2020, according to the Centers for Medicare and Medicaid Services, ACOs participating in MSSP earned shared savings of about USD 2.3 billion.

This helped Medicare save USD 1.9 billion. In addition, various government initiatives undertaken to increase the profitability of healthcare operations by the implementation of eHealth, Electronic Health Records (EHRs), and revenue systems to provide better care to the patients and provide patient-centric solutions are anticipated to drive industry growth during the forecast period. For instance, according to an article by HealthIT.gov, published in 2021, 86% of non-federal general acute care hospitals had adopted EHR systems.

Report Scope of the Accountable Care Solutions Market

Component Insights

Based on component, the global industry has been further categorized into software and services. The software component segment dominated the global industry in 2021 and accounted for the maximum share of more than 57.70%of the overall revenue. Accountable care software helps streamline workflows in healthcare institutions, reduce expenses, offer better patient care, and enhanced patient safety. These are some of the major factors driving the growth of the segment. Moreover, an increased number of initiatives undertaken by key players, such as Aetna Inc., Epic Systems Corp., and IBM Corp., is anticipated to boost the adoption of these services.

 For instance, in March 2022, Signify Health acquired Caravan Health with the intent of helping the company in improving its population health management and value-based program. The services segment is anticipated to grow at a lucrative CAGR during the forecast period. Various services offered by companies, such as hosting, revenue cycle management, optimization, and consulting, help manage the information systems in healthcare. This is anticipated to drive segment growth. Revenue cycle management helps manage clinical and administrative functions for the patients, which is expected to boost the adoption of these services.

Solution Insights

Based on solutions, the global industry has been further categorized into electronic health records, healthcare analytics, Revenue Cycle Management (RCM) solutions, patient engagement solutions, Population Health Management (PHM) solutions, claims management solutions, Healthcare Information Exchange (HIE), and others. The Population Health Management (PHM) solutions segment dominated the global industry in 2021 and accounted for the maximum share of more than 19.18% of the overall revenue. The PHM solutions help in integrating care management, EHR, patient management, and payment solutions, which further help in billing.

 The PHM solutions also help in reducing healthcare costs by providing patient-centric care and reducing readmissions to hospitals. The healthcare analytics solution segment, on the other hand, is anticipated to witness the fastest growth rate during the forecast period. Healthcare analytics provide actionable insights to the users to make data-driven decisions. Moreover, healthcare analytics also helps in improving patient outcomes and coordination between operating teams. These factors are anticipated to drive the adoption of healthcare analytics software by providers in the coming years.

 End-user Insights

Based on end-user, the global industry has been further categorized into healthcare providers and healthcare payers. The healthcare providers end-user segment dominated the global industry in 2021 and accounted for the maximum share of more than 58.32% of the total revenue. Rising adoption of these solutions by healthcare providers, such as hospitals, healthcare institutions, and insurance providers, to provide affordable and improved healthcare solutions to patients are the key factors responsible for the segment’s high share. Furthermore, increased adoption of patient-centric solutions and software, such as electronic software, by providers is anticipated to boost segment growth.

 On the other hand, the healthcare payers segment is estimated to witness the fastest growth rate during the forecast period. Increased initiatives undertaken by governments and private players across the globe are anticipated to bolster segment growth. For instance, in November 2020, Caravan Health and Blue Cross Blue Shield of North Carolina collaborated to launch a new Accountable Care Organization (ACO). Such initiatives are expected to increase awareness about accountable care solutions among the payers.

 Delivery Mode Insights

Based on delivery modes, the global industry has been further categorized into web & cloud-based, and on-premise. The web & cloud-based delivery mode segment dominated the global industry in 2021 and accounted for the largest share of more than 83.25% of the overall revenue. The segment is anticipated to expand further at a steady growth rate and maintain its dominant industry position throughout the forecast period. Various advantages offered by the web and cloud-based solutions, such as better data management, cost efficiency, and accessibility of data, are some of the key factors driving the segment.

Furthermore, cloud-based technology helps host services and applications remotely, which can be used through the internet. On the other hand, the segment is also anticipated to witness the fastest growth rate during the forecast period. The fast-paced growth of this segment can be attributed to the higher adoption by hospitals and healthcare facilities on account of the increased security features, availability of cloud-based solutions, and low upfront investments.

Regional Insights

North America dominated the global industry in 2021 with the largest share of more than 52.55% of the overall revenue. Factors, such as the high rate of adoption of digital solutions and automation in healthcare facilities across the region, are driving the region’s growth. A rising number of initiatives and cross-partnerships between hospitals, insurance providers, and government institutions are anticipated to boost growth during the forecast period. For instance, Collaborative Health Systems, a population health management organization, and Community Care Alliance, an accountable care organization, announced a venture, which will provide value-based care in eastern Utah and Colorado.

The venture has the potential to reach 20,000 patients. On the other hand, the Asia Pacific region is estimated to register the fastest growth rate during the forecast period. The rising adoption of eHealth platforms and increased healthcare spending in the region is also expected to drive the region’s growth. For instance, the Australian government increased its healthcare spending from USD 94.5 billion in 2020-21 to USD 98.2 billion in 2021-2022. The increased spending is anticipated to boost the demand for accountable care solutions in the region.

Some of the prominent players in the Accountable Care Solutions Market include:

• Cerner Corp. (Oracle)
• IBM Corp.
• UnitedHealth Group
• Aetna, Inc.
• Allscripts Healthcare Solutions, Inc.
• Epic Systems Corp.
• McKesson Corp.
• Zeomega, Inc.,
• Verisk Health, Inc.
• Eclinicalworks, LLC

Segments Covered in the Report

This report forecasts revenue growth at global, regional, and country levels and provides an analysis of the latest industry trends in each of the sub-segments from 2017 to 2030. For this study, Nova one advisor, Inc. has segmented the global Accountable Care Solutions market

• Component
• Software
• Services
• Solution
• Electronic Health/Medical Records
• Healthcare Analytics
• Revenue Cycle Management Solutions (RCM)
• Patient Engagement Solutions
• Population Health Management (PHM) Solutions
• Claims Management Solutions
• Healthcare Information Exchange (HIE)
• Others
• Delivery Mode
• Web & Cloud-based
• On-Premise
• End-user
• Healthcare Providers
• Healthcare Payers

By Geography

• North America
• Europe
• Asia-Pacific
• Latin America
• Middle East & Africa (MEA)

Key Benefits for Stakeholders

• This report provides a quantitative analysis of the market segments, current trends, estimations, and dynamics of the global Accountable Care Solutions industry analysis from 2022 to 2030 to identify the prevailing Accountable Care Solutions industry opportunity.
• The market research is offered along with information related to key drivers, restraints, and opportunities.
• Porter's five forces analysis highlights the potency of buyers and suppliers to enable stakeholders make profit-oriented business decisions and strengthen their supplier-buyer network.
• In-depth analysis of the global Accountable Care Solutions industry segmentation assists to determine the prevailing market opportunities.
• Major countries in each region are mapped according to their revenue contribution to the global market.
• Market player positioning facilitates benchmarking and provides a clear understanding of the present position of the market players.
• The report includes the analysis of the regional as well as global Accountable Care Solutions industry trends, key players, market segments, application areas, and market growth strategies.