Healthcare US Health Insurance Growth Opportunities

Transitional Care Delivery Models and Payer Policies Redefining Stakeholders’ Future Growth Strategies

INDUSTRY
Healthcare

RELEASE DATE
25-Apr-2022
REGION
North America
DELIVERABLE TYPE
Market Research

RESEARCH CODE
K779-01-00-00-00
SKU
HC03535-NA-MT_26473
Yes
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US Health Insurance Growth Opportunities
Published on: 25-Apr-2022 | SKU: HC03535-NA-MT_26473

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The United States is the world’s largest healthcare market, spending over 18% of its GDP on healthcare. Therefore, it is important for healthcare stakeholders to understand how the US healthcare market functions, primarily its insurance system. The US health insurance landscape has seen significant evolution through various legislations, ranging from the 1940s laws that established the Centers for Medicare and Medicaid Services (CMS) to the Affordable Care Act of 2010. More importantly, the insurance landscape has not been immune to the far-reaching impacts of the COVID-19 pandemic on how the payer community will operate in the future. The US healthcare landscape continues to evolve, leading to the growth of telehealth, virtual care, and home care models. These changes not only affect care delivery and reimbursement models in the United States, but also bring new opportunities for various stakeholders, including payers, home health agencies, and medtech companies. This study provides an overview of the US healthcare payer landscape and the emerging trends impacting this space, resulting in a slew of opportunities for growth in this evolving landscape.

Author: Siddharth Shah

Why Is It Increasingly Difficult to Grow?

The Strategic Imperative 8™

The Impact of the Top Three Strategic Imperatives on the US Health Insurance Industry

Growth Opportunities Fuel the Growth Pipeline Engine™

US Healthcare Payer Authority

2022 Payer Ecosystem

Important Regulations for US Healthcare Payers

Important Regulations for US Healthcare Payers (continued)

Medicaid Expansion (ACA)

Growth Drivers

Growth Restraints

Medicare

Standard Medicare vs Medicare Advantage (Medicare Part C)—2022

Medicare-Medicaid (Medi-Medi) Beneficiaries

Medicaid Overview

Medicaid Coverage

Medicaid for Long-Term Care

Commercial Health Insurance

Broad Trends and Technology Initiatives by Payers

Growth Opportunity 1—New Era of Portable and Smaller Medical Devices to Address Hospital at Home Demand

Growth Opportunity 1—New Era of Portable and Smaller Medical Devices to Address Hospital at Home Demand (continued)

Growth Opportunity 2—Home Health Agency Business to Evolve Patient Mix and Reimbursement in Response to Virtual Care Growth and PDGM

Growth Opportunity 2—Home Health Agency Business to Evolve Patient Mix and Reimbursement in Response to Virtual Care Growth and PDGM (continued)

Growth Opportunity 3—Hospital at Home a Major Growth Avenue for Care at Home Services, Payers, Healthcare Facilities, and Physician Groups

Growth Opportunity 3—Hospital at Home a Major Growth Avenue for Care at Home Services, Payers, Healthcare Facilities, and Physician Groups (continued)

List of Exhibits

Legal Disclaimer

List of Figures
  • Health Insurance Landscape: Proportion of Population Insured by Type, United States, 2016
  • Health Insurance Landscape: Regulations for Payers, United States, 1965–2012
  • Health Insurance Landscape: Affordable Care Act Plans, United States, 2021
  • Health Insurance Landscape: Status of Medicaid Expansion, United States, 2021
  • Health Insurance Landscape: Growth Drivers, United States, 2022–2026
  • Health Insurance Landscape: Growth Restraints, United States, 2022–2026
  • Health Insurance Landscape: Health Insurance Coverage of Total Population, United States, 2019
  • Health Insurance Landscape: Long-Term Care Spending by Source, United States, 2019
  • Health Insurance Landscape: Medicaid Role in Long-Term Care for Seniors, United States, 2019

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The United States is the world’s largest healthcare market, spending over 18% of its GDP on healthcare. Therefore, it is important for healthcare stakeholders to understand how the US healthcare market functions, primarily its insurance system. The US health insurance landscape has seen significant evolution through various legislations, ranging from the 1940s laws that established the Centers for Medicare and Medicaid Services (CMS) to the Affordable Care Act of 2010. More importantly, the insurance landscape has not been immune to the far-reaching impacts of the COVID-19 pandemic on how the payer community will operate in the future. The US healthcare landscape continues to evolve, leading to the growth of telehealth, virtual care, and home care models. These changes not only affect care delivery and reimbursement models in the United States, but also bring new opportunities for various stakeholders, including payers, home health agencies, and medtech companies. This study provides an overview of the US healthcare payer landscape and the emerging trends impacting this space, resulting in a slew of opportunities for growth in this evolving landscape. Author: Siddharth Shah
More Information
Deliverable Type Market Research
Author Siddharth Shah
Industries Healthcare
No Index No
Is Prebook No
List of Charts and Figures Health Insurance Landscape: Proportion of Population Insured by Type, United States, 2016~ Health Insurance Landscape: Regulations for Payers, United States, 1965–2012~ Health Insurance Landscape: Affordable Care Act Plans, United States, 2021~ Health Insurance Landscape: Status of Medicaid Expansion, United States, 2021~ Health Insurance Landscape: Growth Drivers, United States, 2022–2026~ Health Insurance Landscape: Growth Restraints, United States, 2022–2026~ Health Insurance Landscape: Health Insurance Coverage of Total Population, United States, 2019~ Health Insurance Landscape: Long-Term Care Spending by Source, United States, 2019~ Health Insurance Landscape: Medicaid Role in Long-Term Care for Seniors, United States, 2019~
Podcast No
WIP Number K779-01-00-00-00

US Health Insurance Growth Opportunities

$2,450.00

Special Price $1,837.50 save 25 %

In stock
SKU
HC03535-NA-MT_26473