United States Healthcare Payer & Healthcare Providers Market

Healthcare Payer & Healthcare Providers Comprehensive Study by Type (Payers Outlook, Public Payers (Medicare, Medicaid), Private Payers (Health Maintenance Organizations (HMOs), Preferred Provider Organizations (PPOs), Point of Service (POS) Plans, High Deductible Health Plans (HDHPs), Exclusive Provider Organizations (EPOs), Others (Employer-Sponsored Payers, Self-Funded Plans)), Provider Outlook (Hospitals, Physician Practices, Ambulatory Care Centres, Long-Term Care Facilities, Others)), Service Type (Primary Care, Specialty Care, Emergency Care, Long-Term Care, Others (Behavioural Care, Ancillary Services))

Healthcare Payer & Healthcare Providers Market by XX Submarkets | Forecast Years 2024-2030  

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  • Summary
  • Market Segments
  • Table of Content
  • List of Table & Figures
  • Players Profiled
Healthcare Payer & Healthcare Providers Market Scope
In the United States, the healthcare landscape is characterized by a dynamic interplay between payers and providers, shaping the delivery and financing of medical services. On the payer side, a mix of government-sponsored programs like Medicare and Medicaid, private health insurance companies, and employer-sponsored plans dominate the market. These entities cater to the diverse needs of the population, offering a range of coverage options and financing mechanisms. Meanwhile, healthcare providers, including hospitals, physicians, clinics, and ancillary services, form the backbone of care delivery. From primary care to specialized treatments, these providers operate within a complex ecosystem, striving to meet patient needs while navigating regulatory requirements and financial constraints. Despite ongoing challenges such as rising costs and access disparities, the US healthcare system remains a dynamic arena where innovation and collaboration drive progress and change.

AttributesDetails
Study Period2018-2030
Base Year2023
UnitValue (USD Million)
Key Companies ProfiledCenters for Medicare & Medicaid Services (CMS), UnitedHealth Group, Anthem, Inc., Cigna Corporation, HCA Healthcare, CommonSpirit Health, OptumCare, DaVita Inc., Genesis Healthcare and CVS Health
CAGR%


Centers for Medicare & Medicaid Services (CMS), UnitedHealth Group, Anthem, Inc., Cigna Corporation, HCA Healthcare, CommonSpirit Health, OptumCare, DaVita Inc., Genesis Healthcare and CVS Health are some of the key players that are part of study coverage. Additionally, the Players which are also part of the research are Blue Cross Blue Shield Association, Kaiser Permanente, Centene Corp., Humana Inc. and HCSC.

About Approach
The research aims to propose a patent-based approach in searching for potential technology partners as a supporting tool for enabling open innovation. The study also proposes a systematic searching process of technology partners as a preliminary step to select the emerging and key players that are involved in implementing market estimations. While patent analysis is employed to overcome the aforementioned data- and process-related limitations, as expenses occurred in that technology allows us to estimate the market size by evolving segments as target market from the total available market.

Segmentation Overview
The study have segmented the market of United States Healthcare Payer & Healthcare Providers market by Type and Region with country level break-up.

On the basis of geography, the market of Healthcare Payer & Healthcare Providers has been segmented into . region held largest market share in the year 2023.




Report Objectives / Segmentation Covered

By Type
  • Payers Outlook
  • Public Payers (Medicare, Medicaid)
  • Private Payers (Health Maintenance Organizations (HMOs), Preferred Provider Organizations (PPOs), Point of Service (POS) Plans, High Deductible Health Plans (HDHPs), Exclusive Provider Organizations (EPOs), Others (Employer-Sponsored Payers, Self-Funded Plans))
  • Provider Outlook (Hospitals, Physician Practices, Ambulatory Care Centres, Long-Term Care Facilities, Others)

By Service Type
  • Primary Care
  • Specialty Care
  • Emergency Care
  • Long-Term Care
  • Others (Behavioural Care, Ancillary Services)

By Regions
    • 1. Market Overview
      • 1.1. Introduction
      • 1.2. Scope/Objective of the Study
        • 1.2.1. Research Objective
    • 2. Executive Summary
      • 2.1. Introduction
    • 3. Market Factor Analysis
      • 3.1. Porters Five Forces
      • 3.2. Supply/Value Chain
      • 3.3. PESTEL analysis
      • 3.4. Market Entropy
      • 3.5. Patent/Trademark Analysis
    • 4. United States Healthcare Payer & Healthcare Providers, by Type and Service Type (value) (2018-2023)
      • 4.1. Introduction
      • 4.2. United States Healthcare Payer & Healthcare Providers (Value)
        • 4.2.1. United States Healthcare Payer & Healthcare Providers by: Type (Value)
          • 4.2.1.1. Payers Outlook
          • 4.2.1.2. Public Payers (Medicare, Medicaid)
          • 4.2.1.3. Private Payers (Health Maintenance Organizations (HMOs), Preferred Provider Organizations (PPOs), Point of Service (POS) Plans, High Deductible Health Plans (HDHPs), Exclusive Provider Organizations (EPOs), Others (Employer-Sponsored Payers, Self-Funded Plans))
          • 4.2.1.4. Provider Outlook (Hospitals, Physician Practices, Ambulatory Care Centres, Long-Term Care Facilities, Others)
        • 4.2.2. United States Healthcare Payer & Healthcare Providers by: Type (Value)
          • 4.2.2.1. Payers Outlook
          • 4.2.2.2. Public Payers (Medicare, Medicaid)
          • 4.2.2.3. Private Payers (Health Maintenance Organizations (HMOs), Preferred Provider Organizations (PPOs), Point of Service (POS) Plans, High Deductible Health Plans (HDHPs), Exclusive Provider Organizations (EPOs), Others (Employer-Sponsored Payers, Self-Funded Plans))
          • 4.2.2.4. Provider Outlook (Hospitals, Physician Practices, Ambulatory Care Centres, Long-Term Care Facilities, Others)
        • 4.2.3. United States Healthcare Payer & Healthcare Providers by: Service Type (Value)
          • 4.2.3.1. Primary Care
          • 4.2.3.2. Specialty Care
          • 4.2.3.3. Emergency Care
          • 4.2.3.4. Long-Term Care
          • 4.2.3.5. Others (Behavioural Care, Ancillary Services)
    • 5. Healthcare Payer & Healthcare Providers: Manufacturers/Players Analysis
      • 5.1. Competitive Landscape
        • 5.1.1. Market Share Analysis
          • 5.1.1.1. Top 3
          • 5.1.1.2. Top 5
      • 5.2. Peer Group Analysis (2023)
      • 5.3. BCG Matrix
      • 5.4. Company Profile
        • 5.4.1. Centers for Medicare & Medicaid Services (CMS)
          • 5.4.1.1. Business Overview
          • 5.4.1.2. Products/Services Offerings
          • 5.4.1.3. Financial Analysis
          • 5.4.1.4. SWOT Analysis
        • 5.4.2. UnitedHealth Group
          • 5.4.2.1. Business Overview
          • 5.4.2.2. Products/Services Offerings
          • 5.4.2.3. Financial Analysis
          • 5.4.2.4. SWOT Analysis
        • 5.4.3. Anthem, Inc.
          • 5.4.3.1. Business Overview
          • 5.4.3.2. Products/Services Offerings
          • 5.4.3.3. Financial Analysis
          • 5.4.3.4. SWOT Analysis
        • 5.4.4. Cigna Corporation
          • 5.4.4.1. Business Overview
          • 5.4.4.2. Products/Services Offerings
          • 5.4.4.3. Financial Analysis
          • 5.4.4.4. SWOT Analysis
        • 5.4.5. HCA Healthcare
          • 5.4.5.1. Business Overview
          • 5.4.5.2. Products/Services Offerings
          • 5.4.5.3. Financial Analysis
          • 5.4.5.4. SWOT Analysis
        • 5.4.6. CommonSpirit Health
          • 5.4.6.1. Business Overview
          • 5.4.6.2. Products/Services Offerings
          • 5.4.6.3. Financial Analysis
          • 5.4.6.4. SWOT Analysis
        • 5.4.7. OptumCare
          • 5.4.7.1. Business Overview
          • 5.4.7.2. Products/Services Offerings
          • 5.4.7.3. Financial Analysis
          • 5.4.7.4. SWOT Analysis
        • 5.4.8. DaVita Inc.
          • 5.4.8.1. Business Overview
          • 5.4.8.2. Products/Services Offerings
          • 5.4.8.3. Financial Analysis
          • 5.4.8.4. SWOT Analysis
        • 5.4.9. Genesis Healthcare
          • 5.4.9.1. Business Overview
          • 5.4.9.2. Products/Services Offerings
          • 5.4.9.3. Financial Analysis
          • 5.4.9.4. SWOT Analysis
        • 5.4.10. CVS Health
          • 5.4.10.1. Business Overview
          • 5.4.10.2. Products/Services Offerings
          • 5.4.10.3. Financial Analysis
          • 5.4.10.4. SWOT Analysis
    • 6. United States Healthcare Payer & Healthcare Providers Sale, by Type and Service Type (value) (2025-2030)
      • 6.1. Introduction
      • 6.2. United States Healthcare Payer & Healthcare Providers (Value)
        • 6.2.1. United States Healthcare Payer & Healthcare Providers by: Type (Value)
          • 6.2.1.1. Payers Outlook
          • 6.2.1.2. Public Payers (Medicare, Medicaid)
          • 6.2.1.3. Private Payers (Health Maintenance Organizations (HMOs), Preferred Provider Organizations (PPOs), Point of Service (POS) Plans, High Deductible Health Plans (HDHPs), Exclusive Provider Organizations (EPOs), Others (Employer-Sponsored Payers, Self-Funded Plans))
          • 6.2.1.4. Provider Outlook (Hospitals, Physician Practices, Ambulatory Care Centres, Long-Term Care Facilities, Others)
        • 6.2.2. United States Healthcare Payer & Healthcare Providers by: Type (Value)
          • 6.2.2.1. Payers Outlook
          • 6.2.2.2. Public Payers (Medicare, Medicaid)
          • 6.2.2.3. Private Payers (Health Maintenance Organizations (HMOs), Preferred Provider Organizations (PPOs), Point of Service (POS) Plans, High Deductible Health Plans (HDHPs), Exclusive Provider Organizations (EPOs), Others (Employer-Sponsored Payers, Self-Funded Plans))
          • 6.2.2.4. Provider Outlook (Hospitals, Physician Practices, Ambulatory Care Centres, Long-Term Care Facilities, Others)
        • 6.2.3. United States Healthcare Payer & Healthcare Providers by: Service Type (Value)
          • 6.2.3.1. Primary Care
          • 6.2.3.2. Specialty Care
          • 6.2.3.3. Emergency Care
          • 6.2.3.4. Long-Term Care
          • 6.2.3.5. Others (Behavioural Care, Ancillary Services)
    • 7. Appendix
      • 7.1. Acronyms
    • 8. Methodology and Data Source
      • 8.1. Methodology/Research Approach
        • 8.1.1. Research Programs/Design
        • 8.1.2. Market Size Estimation
        • 8.1.3. Market Breakdown and Data Triangulation
      • 8.2. Data Source
        • 8.2.1. Secondary Sources
        • 8.2.2. Primary Sources
      • 8.3. Disclaimer
    List of Tables
    • Table 1. Healthcare Payer & Healthcare Providers: by Type(USD Million)
    • Table 2. Healthcare Payer & Healthcare Providers: by Type(USD Million)
    • Table 3. Healthcare Payer & Healthcare Providers: by Service Type(USD Million)
    • Table 4. Company Basic Information, Sales Area and Its Competitors
    • Table 5. Company Basic Information, Sales Area and Its Competitors
    • Table 6. Company Basic Information, Sales Area and Its Competitors
    • Table 7. Company Basic Information, Sales Area and Its Competitors
    • Table 8. Company Basic Information, Sales Area and Its Competitors
    • Table 9. Company Basic Information, Sales Area and Its Competitors
    • Table 10. Company Basic Information, Sales Area and Its Competitors
    • Table 11. Company Basic Information, Sales Area and Its Competitors
    • Table 12. Company Basic Information, Sales Area and Its Competitors
    • Table 13. Company Basic Information, Sales Area and Its Competitors
    • Table 14. Healthcare Payer & Healthcare Providers: by Type(USD Million)
    • Table 15. Healthcare Payer & Healthcare Providers: by Type(USD Million)
    • Table 16. Healthcare Payer & Healthcare Providers: by Service Type(USD Million)
    • Table 17. Research Programs/Design for This Report
    • Table 18. Key Data Information from Secondary Sources
    • Table 19. Key Data Information from Primary Sources
    List of Figures
    • Figure 1. Porters Five Forces
    • Figure 2. Supply/Value Chain
    • Figure 3. PESTEL analysis
    • Figure 4. United States Healthcare Payer & Healthcare Providers: by Type USD Million (2018-2023)
    • Figure 5. United States Healthcare Payer & Healthcare Providers: by Type USD Million (2018-2023)
    • Figure 6. United States Healthcare Payer & Healthcare Providers: by Service Type USD Million (2018-2023)
    • Figure 7. United States Healthcare Payer & Healthcare Providers share by Players 2023 (%)
    • Figure 8. United States Healthcare Payer & Healthcare Providers share by Players (Top 3) 2023(%)
    • Figure 9. United States Healthcare Payer & Healthcare Providers share by Players (Top 5) 2023(%)
    • Figure 10. BCG Matrix for key Companies
    • Figure 11. Centers for Medicare & Medicaid Services (CMS) Revenue, Net Income and Gross profit
    • Figure 12. Centers for Medicare & Medicaid Services (CMS) Revenue: by Geography 2023
    • Figure 13. UnitedHealth Group Revenue, Net Income and Gross profit
    • Figure 14. UnitedHealth Group Revenue: by Geography 2023
    • Figure 15. Anthem, Inc. Revenue, Net Income and Gross profit
    • Figure 16. Anthem, Inc. Revenue: by Geography 2023
    • Figure 17. Cigna Corporation Revenue, Net Income and Gross profit
    • Figure 18. Cigna Corporation Revenue: by Geography 2023
    • Figure 19. HCA Healthcare Revenue, Net Income and Gross profit
    • Figure 20. HCA Healthcare Revenue: by Geography 2023
    • Figure 21. CommonSpirit Health Revenue, Net Income and Gross profit
    • Figure 22. CommonSpirit Health Revenue: by Geography 2023
    • Figure 23. OptumCare Revenue, Net Income and Gross profit
    • Figure 24. OptumCare Revenue: by Geography 2023
    • Figure 25. DaVita Inc. Revenue, Net Income and Gross profit
    • Figure 26. DaVita Inc. Revenue: by Geography 2023
    • Figure 27. Genesis Healthcare Revenue, Net Income and Gross profit
    • Figure 28. Genesis Healthcare Revenue: by Geography 2023
    • Figure 29. CVS Health Revenue, Net Income and Gross profit
    • Figure 30. CVS Health Revenue: by Geography 2023
    • Figure 31. United States Healthcare Payer & Healthcare Providers: by Type USD Million (2025-2030)
    • Figure 32. United States Healthcare Payer & Healthcare Providers: by Type USD Million (2025-2030)
    • Figure 33. United States Healthcare Payer & Healthcare Providers: by Service Type USD Million (2025-2030)
    List of companies from research coverage that are profiled in the study
    • Centers for Medicare & Medicaid Services (CMS)
    • UnitedHealth Group
    • Anthem, Inc.
    • Cigna Corporation
    • HCA Healthcare
    • CommonSpirit Health
    • OptumCare
    • DaVita Inc.
    • Genesis Healthcare
    • CVS Health
    Additional players considered in the study are as follows:
    Blue Cross Blue Shield Association , Kaiser Permanente , Centene Corp. , Humana Inc. , HCSC
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    Key Highlights of Report


    May 2024 217 Pages 64 Tables Base Year: 2023 Coverage: 15+ Companies; 18 Countries

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    The Healthcare Payer & Healthcare Providers Market is gaining popularity and expected to see strong valuation by 2030.

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