全球保险和管理式医疗市场 – 2029 年行业趋势和预测

 保险和管理式医疗市场分析和规模

2019 年，首选医疗机构 (PPO) 部门以 28.0% 的收入份额领先医疗保险市场。美国实施的《平价医疗法案》 (ACA) 侧重于扩大低收入人群的医疗保险覆盖范围。该法案的目标是提高医疗服务质量，同时降低医疗成本，从而扩大保险覆盖范围。联邦政府在塑造医疗保健行业的各个方面发挥着关键作用。

Data Bridge Market Research 分析，保险和管理式医疗市场预计在 2022 年至 2029 年的预测期内将达到健康的复合年增长率。除了对市场价值、增长率、细分、地理覆盖范围和主要参与者等市场情景的见解之外，Data Bridge Market Research 策划的市场报告还包括深度专家分析、患者流行病学、管道分析、定价分析和监管框架。

保险和管理式医疗市场范围和细分      

Market Definition

Managed care plans are a type of health insurance contract with healthcare providers and medical facilities to provide patients with hospital care at a lower cost. These providers build the managed care network, which determines how much patients' planned care will cost. Managed care is primarily intended to reduce unnecessary health care costs through various mechanisms such as incentives for physicians and patients to choose less expensive forms of care, programmes for reviewing medical relevance for specific services, increased beneficiary cost sharing, controls on inpatient admissions and stay time, and the implementation of cost-sharing incentives for outpatient surgery.

Global Insurance and Managed Care Market Dynamics

Drivers

• Increasing cost of medical services

Health insurance provides financial assistance for a serious illness or accident. The rising cost of medical services such as surgeries and hospital stays has created a new financial crisis around the world. The cost of medical services includes the cost of surgery, doctor fees, hospital stay costs, emergency room costs, and diagnostic testing costs. As a result, the rise in the cost of medical services drives the market growth.

• Growing number of daycare procedures

Daycare procedures are medical procedures or surgeries that require only a short stay in the hospital. Patients are required to stay in the hospital for a short period of time during the daycare procedure. The majority of health insurance companies now cover daycare procedures in their insurance plans, and there is no requirement to spend 24 hours in the hospital, which is the minimum stay in the hospital to claim insurance. While the majority of health insurance plans cover hospital stays and major surgeries, policyholders can also claim daycare procedures through their health insurance policy, which drives the market demand.

Opportunities

• Advantages of health insurance policies

Global health spending is increasing at a faster rate. According to a World Health Organization (WHO) report, global health spending is rising. Over the last two decades, global health spending has more than doubled, reaching USD 8.5 trillion in 2019, or 9.8% of global GDP. It was, however, unequally distributed, with high-income countries accounting for roughly 80% of global health spending. In low-income countries, health spending was primarily funded by out-of-pocket spending (OOPS; 44%) and external aid (29%), whereas government spending dominated in high-income countries (70%). As a result, rising healthcare costs are expected to create opportunities in the global health insurance market.

Restraints/Challenges

• High cost of insurance premiums

Health insurance covers all types of medical treatment costs. It provides financial support to the policyholder by covering all medical expenses when the policyholder is hospitalized for treatment. Health insurance also covers pre- and post-hospitalization expenses. To keep a health insurance policy active, the policyholder must pay insurance premiums on a regular basis. The cost of insurance premiums is high in the majority of cases, depending on the insurance plan, impeding market growth.

• Lack of experienced professionals

The lack of experienced professionals only attracts generally healthy populations, which will act as a restraint and further challenge the growth of the insurance and managed care market during the forecast period.

This insurance and managed care market report provides details of new recent developments, trade regulations, import-export analysis, production analysis, value chain optimization, market share, impact of domestic and localized market players, analyses opportunities in terms of emerging revenue pockets, changes in market regulations, strategic market growth analysis, market size, category market growths, application niches and dominance, product approvals, product launches, geographic expansions, technological innovations in the market. To gain more info on the insurance and managed care market contact Data Bridge Market Research for an Analyst Brief, our team will help you take an informed market decision to achieve market growth.

COVID-19 Impact on the Insurance and Managed Care Market

COVID-19 对保险和管理式医疗市场产生了积极影响。由于 COVID-19 疫情，人们开始投资医疗保健计划。人们意识到购买医疗保健计划是确保财务安全的更好选择。为了竞争，服务提供商也在提供定制计划和服务。COVID-19 也包含在公司的保险政策中。提供商正在使用人工智能和数字工具逐步过渡到更高效和数字化集成的生态系统。这些先进的平台使投保人能够使用各种模型在线支付。在线门户、远程医疗、预测和行为分析使提供商能够专注于客户期望，同时以透明的方式降低医疗成本。

全球保险和管理式医疗市场范围

保险和管理式医疗市场根据类型、应用、最终用户和分销渠道进行细分。这些细分市场之间的增长情况将帮助您分析行业中增长缓慢的细分市场，并为用户提供有价值的市场概览和市场洞察，帮助他们做出战略决策，确定核心市场应用。

类型

• 健康维护组织 (HMO)
• 独家提供商组织 (EPO)
• 首选医疗机构 (PPO)
• 服务点计划 (POS)

 应用

• 通用管理
• 大型案件管理
• 专业利用管理
• 疾病管理
• 租赁网络和工人补偿利用管理

最终用户

• 企业
• 个人
• 其他的

分销渠道

• 直销
• 金融机构
• 电子商务
• 医院
• 诊所
• 其他的

保险和管理式医疗市场区域分析/见解

对保险和管理式医疗市场进行了分析，并按上述国家、类型、应用、最终用户和分销渠道提供了市场规模洞察和趋势。

保险和管理式医疗市场报告涵盖的国家包括北美洲的美国、加拿大和墨西哥、欧洲的德国、法国、英国、荷兰、瑞士、比利时、俄罗斯、意大利、西班牙、土耳其、欧洲其他地区、亚太地区 (APAC) 的中国、日本、印度、韩国、新加坡、马来西亚、澳大利亚、泰国、印度尼西亚、菲律宾、亚太地区 (APAC) 的其他地区、沙特阿拉伯、阿联酋、南非、埃及、以色列、中东和非洲 (MEA) 的其他地区、南美洲的巴西、阿根廷和南美洲其他地区。

由于北美拥有完善的医疗保健基础设施和优惠的报销政策，因此在保险和管理式医疗市场中占据主导地位。

由于公共和私人医疗支出增加、保险服务在农村和城镇地区的普及以及政府政策优惠，预计亚太地区将在 2022 年至 2029 年的预测期内以最高增长率增长。

报告的国家部分还提供了影响单个市场因素和国内市场监管变化，这些因素和变化会影响市场的当前和未来趋势。下游和上游价值链分析、技术趋势和波特五力分析、案例研究等数据点是用于预测单个国家市场情景的一些指标。此外，在提供国家数据的预测分析时，还考虑了全球品牌的存在和可用性以及它们因来自本地和国内品牌的激烈或稀缺竞争而面临的挑战、国内关税和贸易路线的影响。

医疗保健基础设施增长安装基础和新技术渗透

保险和管理式医疗市场还为您提供每个国家/地区资本设备医疗支出增长、保险和管理式医疗市场不同类型产品的安装基数、使用生命线曲线的技术影响以及医疗监管情景的变化及其对保险和管理式医疗市场的影响的详细市场分析。数据涵盖 2010-2020 年的历史时期。

竞争格局以及保险和管理式医疗市场份额分析

保险和管理式医疗市场竞争格局按竞争对手提供详细信息。详细信息包括公司概况、公司财务状况、产生的收入、市场潜力、研发投资、新市场计划、全球影响力、生产基地和设施、生产能力、公司优势和劣势、产品发布、产品宽度和广度、应用主导地位。以上提供的数据点仅与公司对保险和管理式医疗市场的关注有关。

保险和管理式医疗市场的一些主要参与者包括：

• Anthem Insurance Companies, Inc（美国）
• 凯撒基金会健康计划有限公司（美国）
• Centene Corporation（美国）
• Amerigroup Corporation（美国）
• Humana Inc（美国）
• 保柏（英国）
• 今生国际（中国）
• Cigna (美国)
• Aetna Inc.（美国）
• 安盛（法国）
• HBF Health Limited（澳大利亚）
• Vitality（英国）
• Centene Corporation（美国）
• 国际医疗集团有限公司（美国）
• Broadstone Corporate Benefits Limited（英国）
• 安联医疗（法国）
• Assicurazioni Generali SPA（意大利）
• Aviva（英国）
• Vhi 集团（爱尔兰）
• 联合健康集团（美国）
• MAPFRE（西班牙）
• 友邦保险集团有限公司（香港）

SKU-56294