92 datasets found
  1. Market share of top U.S. health insurance companies 2023

    • statista.com
    • ai-chatbox.pro
    Updated Jun 23, 2025
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    Statista (2025). Market share of top U.S. health insurance companies 2023 [Dataset]. https://www.statista.com/statistics/761446/leading-us-health-insurers-in-the-us-covered-lives/
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    Dataset updated
    Jun 23, 2025
    Dataset authored and provided by
    Statistahttp://statista.com/
    Area covered
    United States
    Description

    As of 2023, UnitedHealth Group had a share of ** percent in the U.S. health insurance market. Elevance health (Anthem) had the second-largest health insurance market share, covering ** percent of the market. The top five largest insurance companies represented around ** percent of the total U.S. market share in the health insurance industry. Health insurance market in the U.S. The United States does not have a universal healthcare system for its citizens. In the U.S. most individuals depend on employer-sponsored health coverage for their healthcare needs. Private health insurance dominates the market as it provides group and non-group policies. Public health insurance offers coverage under federal programs, Medicare and Medicaid/CHIP are the most popular ones. The U.S. health insurance industry has witnessed significant changes in the last decade, with increased spending by private insurance, expanded coverage through the ACA, and a growing Medicare Advantage market. Medicare Advantage market Medicare Advantage plans give Medicare beneficiaries the option of receiving benefits from private plans rather than from the traditional Medicare program. UnitedHealthcare, part of UnitedHealth Group, is the largest U.S. health insurance company by total membership. In 2023, Medicare Advantage provided coverage to ** million Americans, among which some *** million Medicare Advantage (MA) beneficiaries were enrolled in a plan from the UnitedHealth Group Inc.

  2. t

    United States Health Insurance Market Demand, Size and Competitive Analysis...

    • techsciresearch.com
    Updated Apr 13, 2025
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    TechSci Research (2025). United States Health Insurance Market Demand, Size and Competitive Analysis | TechSci Research [Dataset]. https://www.techsciresearch.com/report/united-states-health-insurance-market/4785.html
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    Dataset updated
    Apr 13, 2025
    Dataset authored and provided by
    TechSci Research
    License

    https://www.techsciresearch.com/privacy-policy.aspxhttps://www.techsciresearch.com/privacy-policy.aspx

    Area covered
    United States
    Description

    United States Health Insurance Market was valued at USD 1234.45 Billion in 2024 and is expected to reach USD 1778.32 Billion by 2030 with a CAGR of 6.98%.

    Pages82
    Market Size2024: USD 1234.45 Billion
    Forecast Market Size2030: USD 1778.32 Billion
    CAGR2025-2030: 6.98%
    Fastest Growing SegmentPrivate
    Largest MarketWest
    Key Players1. Anthem Insurance Companies, Inc. 2. United HealthCare Services, Inc. 3. State Farm Mutual Automobile Insurance Company 4. Centene Corporation 5. Cigna Corporate Services, LLC 6. Allianz SE 7. Humana, Inc. 8. CVS Health 9. Oscar Health Inc 10. Aetna Inc.

  3. D

    Dental and Vision Insurance Report

    • datainsightsmarket.com
    doc, pdf, ppt
    Updated Jun 19, 2025
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    Data Insights Market (2025). Dental and Vision Insurance Report [Dataset]. https://www.datainsightsmarket.com/reports/dental-and-vision-insurance-501152
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    ppt, pdf, docAvailable download formats
    Dataset updated
    Jun 19, 2025
    Dataset authored and provided by
    Data Insights Market
    License

    https://www.datainsightsmarket.com/privacy-policyhttps://www.datainsightsmarket.com/privacy-policy

    Time period covered
    2025 - 2033
    Area covered
    Global
    Variables measured
    Market Size
    Description

    The dental and vision insurance market exhibits robust growth, driven by factors such as rising prevalence of dental and vision problems, increasing awareness about preventative healthcare, and expanding coverage under government and private insurance plans. The market's Compound Annual Growth Rate (CAGR) – let's assume a conservative 7% based on industry trends – indicates substantial expansion over the forecast period (2025-2033). This growth is fueled by technological advancements in dental and vision care, leading to more sophisticated treatments and increased demand. Furthermore, the aging global population, with its higher susceptibility to vision and dental issues, significantly contributes to market expansion. Key players like Cigna, Aflac, Humana, and Delta Dental are actively shaping the market landscape through strategic partnerships, product innovations, and geographical expansion. Competitive pressures drive innovation and affordability, benefiting consumers. However, the market faces certain restraints. High premiums and out-of-pocket costs can limit access, particularly for low-income individuals. Regulatory changes and variations in insurance policies across different regions also pose challenges. Despite these limitations, the long-term outlook for the dental and vision insurance market remains positive, with substantial growth opportunities across various segments and geographic regions. This growth is further propelled by the increasing emphasis on proactive healthcare and the integration of technology to enhance efficiency and affordability within the sector. The market is segmented by various factors such as coverage type (individual, family, group), benefit type (basic, comprehensive), and distribution channel (online, offline). The North American market currently holds a significant share, while other regions are experiencing growing adoption.

  4. Medical membership of Humana in the U.S. 2008-2023

    • statista.com
    Updated Jul 11, 2025
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    Statista (2025). Medical membership of Humana in the U.S. 2008-2023 [Dataset]. https://www.statista.com/statistics/210651/total-medical-membership-of-humana/
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    Dataset updated
    Jul 11, 2025
    Dataset authored and provided by
    Statistahttp://statista.com/
    Area covered
    United States
    Description

    The number of medical members in Humana in the United States generally increased between 2008 and 2023, albeit with some fluctuation. Total medical membership numbers increased from approximately **** million in 2008 to approximately **** million as of 2023. Medical membership is an emerging alternative to traditional health insurance, which gives members access to unlimited doctor visits and discounts for medication and lab tests in return for a modest monthly fee. It is seen as more efficient than health insurance, because it covers basic primary health care needs and doesn’t require patients to file insurance claims. Who are Humana? Humana is one of the largest health insurance companies in the United States and is headquartered in Louisville, Kentucky. The company was founded in 1961 and currently operates in the retail, group and specialty, healthcare services, and individual commercial segments. Their revenue has been increasing year-on-year over the past decade. Anthem vs Humana Anthem Inc. has a larger market share in the U.S. health insurance sector than Humana in terms of premiums written. Anthem’s medical membership is more than double that of Humana’s, but Humana’s membership is rising more quickly.

  5. T

    Humana | HUM - Market Capitalization

    • tradingeconomics.com
    csv, excel, json, xml
    Updated Oct 21, 2017
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    TRADING ECONOMICS (2017). Humana | HUM - Market Capitalization [Dataset]. https://tradingeconomics.com/hum:us:market-capitalization
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    excel, json, csv, xmlAvailable download formats
    Dataset updated
    Oct 21, 2017
    Dataset authored and provided by
    TRADING ECONOMICS
    License

    Attribution 4.0 (CC BY 4.0)https://creativecommons.org/licenses/by/4.0/
    License information was derived automatically

    Time period covered
    Jan 1, 2000 - Jul 14, 2025
    Area covered
    United States
    Description

    Humana reported $27.68B in Market Capitalization this July of 2025, considering the latest stock price and the number of outstanding shares.Data for Humana | HUM - Market Capitalization including historical, tables and charts were last updated by Trading Economics this last July in 2025.

  6. HMO Providers in the US - Market Research Report (2015-2030)

    • ibisworld.com
    Updated Jan 15, 2025
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    IBISWorld (2025). HMO Providers in the US - Market Research Report (2015-2030) [Dataset]. https://www.ibisworld.com/united-states/market-research-reports/hmo-providers-industry/
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    Dataset updated
    Jan 15, 2025
    Dataset authored and provided by
    IBISWorld
    License

    https://www.ibisworld.com/about/termsofuse/https://www.ibisworld.com/about/termsofuse/

    Time period covered
    2015 - 2030
    Area covered
    United States
    Description

    Medicare Advantage (MA) growth and enrollment increases have not bolstered HMO providers. In addition to losing ground in employer-based coverage—dropping from 24.0% in 2014 to 20.3% in 2019—HMOs, Medicare Advantage (MA) HMO share has fallen to 56.0% in 20224, from 58% in 2023. The pandemic temporarily reduced private insurance enrollment because of heightened unemployment. While labor force participation, growth in the number of businesses and increases in federal funding for Medicare and Medicaid staved off more significant declines, revenue is expected to fall at a CAGR of 0.3% to $236.9 billion by 2025, but with a positive 2.2% increase in 2025 alone. Technology and AI revolutionize HMOs' cost structures and reimbursement processes, enhancing efficiency and reducing costs. Telemedicine reduces in-person consultation expenses, while AI improves diagnostic accuracy and administrative tasks. Predictive analytics minimize treatment expenditures, benefiting HMOs. However, AI's role in reimbursements has sparked disputes over denials, creating tension between providers and payers. As providers invest in AI to negotiate effectively, the U.S. House urges CMS to evaluate AI use in MA plans to ensure fair coverage decisions. Despite the controversy, AI provides smaller HMOs competitive advantages through personalized care plans and innovative services. Alternative plans will more effectively compete with larger insurers and the host of plans (PPO, POS, HDHPs) that substitute in various ways. With increasing concentration and competition from large, well-known insurers that benefit from economies of scale and scope, smaller HMOs may need to focus on a particular market segment -- Medicare, employer, or individual Medicare Advantage offers comprehensive care packages that target older adults' needs. Customizable plans with wellness and mental health support align with employer priorities, while telemedicine and competitive pricing attract younger individuals. Advanced analytics enable tailored offerings, ensuring engagement across demographics. Amid technological advances and diverse consumer demands, HMOs can strengthen market positions by balancing flexibility, cost control and personalized care offerings. With new strategies and growth in favorable economic conditions -- the number of businesses, employees and federal funding -- revenue is expected to climb at a CAGR of 1.1% to an estimated $250.7 billion in 2030, with profit increasing.

  7. D

    Dental Insurance Services Report

    • datainsightsmarket.com
    doc, pdf, ppt
    Updated Jun 24, 2025
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    Data Insights Market (2025). Dental Insurance Services Report [Dataset]. https://www.datainsightsmarket.com/reports/dental-insurance-services-1469335
    Explore at:
    ppt, doc, pdfAvailable download formats
    Dataset updated
    Jun 24, 2025
    Dataset authored and provided by
    Data Insights Market
    License

    https://www.datainsightsmarket.com/privacy-policyhttps://www.datainsightsmarket.com/privacy-policy

    Time period covered
    2025 - 2033
    Area covered
    Global
    Variables measured
    Market Size
    Description

    The dental insurance services market is experiencing robust growth, driven by several key factors. Rising awareness of oral health and its connection to overall well-being is fueling demand for preventative and restorative dental care. Government initiatives promoting dental coverage, coupled with an aging population increasingly requiring more extensive dental treatments, are further bolstering market expansion. Technological advancements, such as improved diagnostic tools and minimally invasive procedures, are also contributing to increased efficiency and affordability, making dental care more accessible. The market's competitive landscape is characterized by established players like Delta Dental, United Concordia, MetLife, Cigna, Humana, Aetna, and Unum, each vying for market share through innovative product offerings and strategic partnerships. This competition fosters innovation and helps drive down costs for consumers. Despite the positive outlook, market growth faces some challenges. Economic downturns can lead to reduced discretionary spending on non-essential services like dental insurance, creating fluctuations in demand. Rising healthcare costs and the complexities of insurance regulations can also pose hurdles. However, the long-term outlook remains positive due to the inherent need for dental care and the increasing emphasis on preventative oral health. Segmentation within the market, likely including individual vs. group plans, and various coverage levels, allows companies to tailor offerings to different demographics and budgets. Future growth will likely be driven by the expansion of dental insurance into emerging markets and the integration of technology into dental practices, enhancing efficiency and patient experience. The market's significant size and steady growth rate suggest considerable investment opportunities and a bright future for providers of dental insurance services.

  8. Health & Medical Insurance in the US - Market Research Report (2015-2030)

    • ibisworld.com
    Updated Feb 15, 2025
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    IBISWorld (2025). Health & Medical Insurance in the US - Market Research Report (2015-2030) [Dataset]. https://www.ibisworld.com/united-states/market-research-reports/health-medical-insurance-industry/
    Explore at:
    Dataset updated
    Feb 15, 2025
    Dataset authored and provided by
    IBISWorld
    License

    https://www.ibisworld.com/about/termsofuse/https://www.ibisworld.com/about/termsofuse/

    Time period covered
    2015 - 2030
    Area covered
    United States
    Description

    Health and medical insurance companies experienced significant fluctuations in performance in recent years. The onset of COVID-19 led to a substantial increase in healthcare spending in 2020 and 2021, as demand for medical services surged. Consequently, investment in health insurance witnessed a dramatic rise, contributing to robust revenue growth during these years. However, with inflation peaking in 2022, consumer purchasing power diminished, causing households to reduce their spending on health insurance. This factor, coupled with a slowdown in health expenditure growth as the immediate pandemic effects waned, resulted in meager revenue growth for insurers in 2022, a notable deceleration compared to prior years. The industry performed better in 2023 as low inflation enabled consumers to more easily afford health insurance, with revenue then rising significantly in 2024 due to soaring investment income. More broadly, providers have been influenced by slowing healthcare inflation, despite a historically rapid rise in prior decades. For example, from 1970 to 2010, health expenditures skyrocketed, buoyed by substantial innovations. However, recent years have seen this growth plateau. This is attributed to a shift toward less costly innovation, focusing more on pharmaceutical advancements rather than costly healthcare system overhauls. Consequently, providers have faced slower revenue growth. Consolidation has risen as the industry’s largest players have used economies of scale, acquisitions and advertising to take over more of the market. Regardless, internal competition has soared as more providers have entered the industry to capture new revenue streams due to rising short-term health spending and the aging of the US population, constraining profit. Overall, revenue for health and medical insurance companies has swelled at a CAGR of 3.8% over the past five years, reaching $1.5 trillion in 2025. This includes a 2.5% rise in revenue in that year. The industry's landscape is set for further evolution over the next five years. Anticipated steady economic growth, with GDP projected to rise and unemployment to remain low, is likely to bolster health insurance revenue streams, primarily through heightened spending on employer-sponsored and private health plans. However, the potential for economic disruptions, such as the implementation of tariffs, could affect providers’ stability. As the population ages and healthcare demand grows, insurers will seek to tailor their policies to address the needs of an older demographic, necessitating comprehensive services. Overall, revenue for health and medical insurance providers is forecast to expand at a CAGR of 2.7% over the next five years, reaching $1.8 trillion in 2030.

  9. D

    Dental Insurance Report

    • datainsightsmarket.com
    doc, pdf, ppt
    Updated May 4, 2025
    + more versions
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    Data Insights Market (2025). Dental Insurance Report [Dataset]. https://www.datainsightsmarket.com/reports/dental-insurance-1442223
    Explore at:
    doc, pdf, pptAvailable download formats
    Dataset updated
    May 4, 2025
    Dataset authored and provided by
    Data Insights Market
    License

    https://www.datainsightsmarket.com/privacy-policyhttps://www.datainsightsmarket.com/privacy-policy

    Time period covered
    2025 - 2033
    Area covered
    Global
    Variables measured
    Market Size
    Description

    The global dental insurance market is experiencing robust growth, driven by rising awareness of oral health, increasing prevalence of dental diseases, and expanding coverage under government and private healthcare initiatives. The market, estimated at $50 billion in 2025, is projected to exhibit a Compound Annual Growth Rate (CAGR) of 7% from 2025 to 2033, reaching approximately $85 billion by 2033. This growth is fueled by several key trends, including an increasing preference for preventive dental care, technological advancements in dental procedures, and the emergence of innovative insurance products tailored to individual needs and budgets. The segment encompassing individual dental insurance plans is currently the largest, followed by family and group plans. Within plan types, short-term plans hold significant market share due to their affordability, although the long-term plans are demonstrating increasing adoption driven by rising concerns about chronic oral health issues. Geographical analysis reveals North America and Europe as the dominant regions, exhibiting higher adoption rates due to established healthcare infrastructure and higher disposable incomes. However, significant growth potential exists in the Asia-Pacific region driven by rapidly rising middle-class populations and increasing healthcare expenditure. Competitive pressures among major players like Cigna, Aflac, and Delta Dental are intensifying, leading to product innovation and strategic partnerships to enhance market share. Despite the positive outlook, certain restraints such as high premiums in some regions and limited coverage in developing countries may slightly moderate the overall growth trajectory. The market segmentation is critical for understanding the diverse needs of consumers. While individual and family plans cater to specific needs, group plans are increasingly sought after by employers, offering benefits and cost-effectiveness for their workforce. The short, medium, and long-term plan variations allow for customized coverage, tailoring the level of protection to individual preferences and risk appetites. The competitive landscape is characterized by established players vying for market dominance through a combination of product differentiation, strategic acquisitions, and technological integrations to optimize efficiency and customer experience. Going forward, the integration of telehealth and digital technologies in dental insurance will likely reshape service delivery and further fuel market growth.

  10. S

    Small Business Health Insurance Report

    • archivemarketresearch.com
    doc, pdf, ppt
    Updated Feb 17, 2025
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    Archive Market Research (2025). Small Business Health Insurance Report [Dataset]. https://www.archivemarketresearch.com/reports/small-business-health-insurance-30615
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    doc, ppt, pdfAvailable download formats
    Dataset updated
    Feb 17, 2025
    Dataset authored and provided by
    Archive Market Research
    License

    https://www.archivemarketresearch.com/privacy-policyhttps://www.archivemarketresearch.com/privacy-policy

    Time period covered
    2025 - 2033
    Area covered
    Global
    Variables measured
    Market Size
    Description

    The small business health insurance market is anticipated to grow steadily in the coming years, with a projected market size of $1464.3 million by 2033. The compound annual growth rate (CAGR) for the market is forecasted to be XX%, as per a recent industry study. The growth is primarily driven by rising healthcare costs, increasing awareness of the benefits of health insurance, and the growing number of small businesses in the market. The market is segmented by type (self-funded, level-funded) and application (0-10 people, 10-50 people). Key players in the small business health insurance market include Oscar, Kaiser Permanente, UnitedHealthcare, Blue Cross Blue Shield, Aetna, Cigna, Humana, AXA Health, Bupa, Sana, Florida Blue, SBIS, Anthem, Alea, Independence Blue Cross, Progressive Commercial, Allstate Benefits, Aflac, beWellnm, Trustmark, Chambers Plan, Access Health CT Small Business, Highmark, among others. These companies are offering a wide range of health insurance plans to meet the needs of small businesses, including plans with varying levels of coverage, deductibles, and co-pays. The market is expected to witness increasing competition in the coming years, as new entrants and existing players expand their offerings to capture a larger market share.

  11. U

    United States Healthcare Discount Plan Market Report

    • marketreportanalytics.com
    doc, pdf, ppt
    Updated Apr 23, 2025
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    Market Report Analytics (2025). United States Healthcare Discount Plan Market Report [Dataset]. https://www.marketreportanalytics.com/reports/united-states-healthcare-discount-plan-market-97280
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    doc, ppt, pdfAvailable download formats
    Dataset updated
    Apr 23, 2025
    Dataset authored and provided by
    Market Report Analytics
    License

    https://www.marketreportanalytics.com/privacy-policyhttps://www.marketreportanalytics.com/privacy-policy

    Time period covered
    2025 - 2033
    Area covered
    United States
    Variables measured
    Market Size
    Description

    The United States healthcare discount plan market, valued at approximately $XX million in 2025, is projected to experience robust growth, exhibiting a Compound Annual Growth Rate (CAGR) of 11.30% from 2025 to 2033. This expansion is fueled by several key factors. Rising healthcare costs and the increasing number of uninsured or underinsured individuals are driving demand for affordable healthcare solutions. The market is witnessing a significant shift towards preventative care and wellness programs, integrated within many discount plans. Furthermore, technological advancements, particularly the rise of telehealth and virtual visits, are enhancing accessibility and affordability, contributing to market growth. The increasing adoption of these plans by employers as a cost-effective employee benefit package further strengthens this upward trajectory. Competitive offerings from major players like UnitedHealth Group, Humana, and Cigna, alongside smaller specialized providers, are shaping the market landscape. However, regulatory changes and potential limitations on plan offerings could present challenges to growth. Segmentation by service type (prescription drugs, dental, vision, etc.) and coverage type (individual, family) reveals diverse market dynamics, with prescription drug discounts and family plans currently holding significant market share, though this may evolve with the rising popularity of preventative and wellness initiatives. The market's growth is expected to be uneven across segments. The prescription drug discount segment is likely to remain a dominant force, given the consistently high costs of medications. However, segments like virtual visits and preventative care are poised for rapid growth, driven by evolving consumer preferences and technological advancements. Geographic variations might exist, with densely populated urban areas potentially demonstrating higher adoption rates than rural areas. Future growth will depend significantly on consumer awareness, the effectiveness of marketing strategies employed by providers, and the broader economic climate influencing healthcare spending. Continued innovation in technology and service offerings will be crucial for companies to maintain competitiveness within this dynamic market. Recent developments include: In January 2022, the dental subscription platform, Membersy launched a direct-to-consumer (D2C) marketplace called membersy Marketplace for licensed dental membership plans which are provided by different Dental Service Organizations (DSOs) in the country., In December 2021, UnitedHealthcare Community Plan of California revealed a plan to invest USD 1.5 million in community-based programs in San Diego with the goal of reducing health disparities and improving health equity.. Key drivers for this market are: Rising Healthcare Costs Owing to the Increasing Burden of Chronic Diseases, Growing Demand for Private Health Discount Plans and Launch of New Plans. Potential restraints include: Rising Healthcare Costs Owing to the Increasing Burden of Chronic Diseases, Growing Demand for Private Health Discount Plans and Launch of New Plans. Notable trends are: Dental Care Segment by Service Type is Expected to Hold a Significant Share in the Market.

  12. w

    Global Business Health Insurance Market Research Report: By Policy Type...

    • wiseguyreports.com
    Updated Dec 4, 2024
    + more versions
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    wWiseguy Research Consultants Pvt Ltd (2024). Global Business Health Insurance Market Research Report: By Policy Type (Group Health Insurance, Individual Health Insurance, Self-Insured Plans, Preferred Provider Organization Plans), By Coverage Type (Inpatient Coverage, Outpatient Coverage, Preventive Services, Maternity Benefits), By Industry Verticals (Healthcare, Manufacturing, Technology, Retail, Construction), By Size of Business (Small Enterprises, Medium Enterprises, Large Enterprises) and By Regional (North America, Europe, South America, Asia Pacific, Middle East and Africa) - Forecast to 2032. [Dataset]. https://www.wiseguyreports.com/reports/business-health-insurance-market
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    Dataset updated
    Dec 4, 2024
    Dataset authored and provided by
    wWiseguy Research Consultants Pvt Ltd
    License

    https://www.wiseguyreports.com/pages/privacy-policyhttps://www.wiseguyreports.com/pages/privacy-policy

    Area covered
    Global
    Description
    BASE YEAR2024
    HISTORICAL DATA2019 - 2024
    REPORT COVERAGERevenue Forecast, Competitive Landscape, Growth Factors, and Trends
    MARKET SIZE 20232100.63(USD Billion)
    MARKET SIZE 20242177.3(USD Billion)
    MARKET SIZE 20322900.0(USD Billion)
    SEGMENTS COVEREDPolicy Type, Coverage Type, Industry Verticals, Size of Business, Regional
    COUNTRIES COVEREDNorth America, Europe, APAC, South America, MEA
    KEY MARKET DYNAMICSRising healthcare costs, Increasing employee benefits demand, Regulatory compliance pressures, Shift towards digital solutions, Growing focus on preventive care
    MARKET FORECAST UNITSUSD Billion
    KEY COMPANIES PROFILEDKaiser Permanente, Cigna, AXA, Allianz, MetLife, Bupa, Humana, Zurich Insurance Group, UnitedHealth Group, Mayo Clinic, Covéa, Anthem, Prudential, Sun Life Financial, Aetna
    MARKET FORECAST PERIOD2025 - 2032
    KEY MARKET OPPORTUNITIESRising demand for employee wellness programs, Integration of telemedicine services, Expanding small and medium enterprises segment, Increased focus on mental health coverage, Growing adoption of digital health solutions
    COMPOUND ANNUAL GROWTH RATE (CAGR) 3.65% (2025 - 2032)
  13. M

    Medical Claims Processing Services Report

    • archivemarketresearch.com
    doc, pdf, ppt
    Updated Apr 30, 2025
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    Archive Market Research (2025). Medical Claims Processing Services Report [Dataset]. https://www.archivemarketresearch.com/reports/medical-claims-processing-services-377039
    Explore at:
    ppt, pdf, docAvailable download formats
    Dataset updated
    Apr 30, 2025
    Dataset authored and provided by
    Archive Market Research
    License

    https://www.archivemarketresearch.com/privacy-policyhttps://www.archivemarketresearch.com/privacy-policy

    Time period covered
    2025 - 2033
    Area covered
    Global
    Variables measured
    Market Size
    Description

    The global medical claims processing services market is experiencing robust growth, projected to reach a market size of $25 billion in 2025, expanding at a Compound Annual Growth Rate (CAGR) of 5%. This growth is fueled by several key factors. The increasing prevalence of chronic diseases and the rising demand for advanced medical treatments are driving up the volume of medical claims, necessitating efficient processing solutions. Furthermore, the industry is witnessing a significant shift towards value-based care models, which emphasize the need for accurate and timely claims processing to ensure appropriate reimbursement. Technological advancements, such as the adoption of artificial intelligence (AI) and machine learning (ML) for automated claim adjudication and fraud detection, are enhancing efficiency and reducing processing times. Government regulations mandating electronic claims submission and improved data security are also contributing to market growth. Segmentation within the market reveals strong demand across various applications, including cardiovascular surgery, laparoscopic surgeries, and general surgeries, with claim adjudication and claim repricing segments leading the type-based classification. Major players like Aetna Inc., UnitedHealth Group, and Humana are leveraging these trends to expand their market share, investing in innovative technologies and strategic partnerships. The market's expansion is not without its challenges. Concerns regarding data privacy and security remain paramount, particularly with the increasing reliance on digital platforms. The complex regulatory landscape across different geographies adds to the operational complexities for service providers. However, the ongoing investments in advanced technologies and the increasing adoption of cloud-based solutions are mitigating some of these risks. The geographical distribution of market share reveals strong growth potential in North America and Europe, driven by high healthcare expenditure and technological advancements. Emerging markets in Asia-Pacific are also expected to witness significant growth in the coming years, fueled by rising healthcare awareness and increased government spending on healthcare infrastructure. The forecast period from 2025 to 2033 suggests continued expansion, potentially exceeding $35 billion by 2033.

  14. w

    Global Individual Health Insurance Market Research Report: By Coverage Type...

    • wiseguyreports.com
    Updated Jan 3, 2025
    + more versions
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    wWiseguy Research Consultants Pvt Ltd (2025). Global Individual Health Insurance Market Research Report: By Coverage Type (Comprehensive Coverage, Critical Illness Coverage, Accident Coverage, Hospitalization Coverage), By Policy Term (Short Term, Long Term, Renewable), By Payment Type (Single Premium, Regular Premium, Standard Premium), By Demographics (Young Adults, Families, Senior Citizens, Working Professionals) and By Regional (North America, Europe, South America, Asia Pacific, Middle East and Africa) - Forecast to 2032. [Dataset]. https://www.wiseguyreports.com/de/reports/individual-health-insurance-market
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    Dataset updated
    Jan 3, 2025
    Dataset authored and provided by
    wWiseguy Research Consultants Pvt Ltd
    License

    https://www.wiseguyreports.com/pages/privacy-policyhttps://www.wiseguyreports.com/pages/privacy-policy

    Area covered
    Global
    Description
    BASE YEAR2024
    HISTORICAL DATA2019 - 2024
    REPORT COVERAGERevenue Forecast, Competitive Landscape, Growth Factors, and Trends
    MARKET SIZE 2023212.26(USD Billion)
    MARKET SIZE 2024220.58(USD Billion)
    MARKET SIZE 2032300.0(USD Billion)
    SEGMENTS COVEREDCoverage Type, Policy Term, Payment Type, Demographics, Regional
    COUNTRIES COVEREDNorth America, Europe, APAC, South America, MEA
    KEY MARKET DYNAMICSRising healthcare costs, Increasing demand for personalized plans, Growing awareness of preventive care, Increasing availability of online platforms, Enhanced regulatory framework
    MARKET FORECAST UNITSUSD Billion
    KEY COMPANIES PROFILEDManulife, UnitedHealth Group, Cigna, Aetna, MetLife, Assurant, AXA, Bupa, Liberty Mutual, Sun Life Financial, Prudential, Anthem, Aflac, Humana, Allianz
    MARKET FORECAST PERIOD2025 - 2032
    KEY MARKET OPPORTUNITIESRising healthcare costs, Expansion in telehealth services, Increased health awareness post-pandemic, Customizable insurance plans, Enhanced digital distribution channels
    COMPOUND ANNUAL GROWTH RATE (CAGR) 3.92% (2025 - 2032)
  15. V

    Value-based Healthcare Services Market Report

    • marketreportanalytics.com
    doc, pdf, ppt
    Updated Apr 30, 2025
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    Market Report Analytics (2025). Value-based Healthcare Services Market Report [Dataset]. https://www.marketreportanalytics.com/reports/value-based-healthcare-services-market-96584
    Explore at:
    ppt, doc, pdfAvailable download formats
    Dataset updated
    Apr 30, 2025
    Dataset authored and provided by
    Market Report Analytics
    License

    https://www.marketreportanalytics.com/privacy-policyhttps://www.marketreportanalytics.com/privacy-policy

    Time period covered
    2025 - 2033
    Area covered
    Global
    Variables measured
    Market Size
    Description

    The Value-based Healthcare Services market is experiencing robust growth, projected to reach $1.63 billion in 2025 and exhibiting a Compound Annual Growth Rate (CAGR) of 18.23% from 2025 to 2033. This expansion is driven by a global shift towards improving healthcare outcomes while controlling costs. Key drivers include increasing prevalence of chronic diseases necessitating long-term care management, rising healthcare expenditures prompting payers to seek cost-effective solutions, and growing adoption of advanced technologies enabling data-driven care delivery. The move towards bundled payments, pay-for-performance models, and the Patient-Centered Medical Home (PCMH) approach are reshaping the healthcare landscape, incentivizing providers to focus on preventative care and improved patient outcomes. Significant growth is anticipated in regions like North America and Europe, fueled by robust healthcare infrastructure and early adoption of value-based care models. However, challenges remain, including the complexity of implementing new payment models, data interoperability issues hindering seamless data sharing, and the need for robust provider education and training to effectively manage value-based care contracts. Competition among established players like UnitedHealth Group, Humana, and Aetna, alongside smaller, specialized providers, is expected to intensify, driving innovation and further market consolidation. The market segmentation, based on models (bundled payments, pay-for-performance, etc.) and providers (home healthcare, hospital therapy, etc.), reveals diverse opportunities for specialized service providers. The continued growth trajectory of the Value-based Healthcare Services market is highly dependent on effective policy support, technological advancements, and increased patient engagement. The successful implementation of value-based care models hinges upon collaboration between payers, providers, and technology companies. Future market developments will likely witness the emergence of innovative risk-sharing arrangements, enhanced data analytics capabilities for improved decision-making, and a focus on personalized medicine. Moreover, the expansion into emerging markets, particularly in Asia-Pacific and Latin America, presents significant untapped potential for market expansion. As the healthcare industry embraces digital transformation, telemedicine and remote patient monitoring will likely play a significant role in expanding access to value-based care services and improving population health management. The market's future success hinges on addressing the aforementioned challenges and capitalizing on evolving industry trends. Recent developments include: April 2023: Kaiser Foundation Hospitals and Geisinger Health launched Risant Health, a new non-profit organization, to expand and accelerate the adoption of value-based care in diverse, multi-payer, multi-provider, community-based health system environments., February 2023: Blue Cross and Blue Shield of Minnesota and Homeward entered into a full-risk value-based care arrangement to increase access in rural Minnesota.. Key drivers for this market are: Rising Incidence of Chronic Diseases and Increasing Government Initiatives, Growing Demand For More Integrated Care Delivery Models. Potential restraints include: Rising Incidence of Chronic Diseases and Increasing Government Initiatives, Growing Demand For More Integrated Care Delivery Models. Notable trends are: Shared Savings Segment Expects to Register a High CAGR Over the Forecast Period.

  16. M

    Health Coaching Market By Key Players (Duke Integrative Medicine, Humana,...

    • marketresearchstore.com
    pdf
    Updated Jul 3, 2025
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    Market Research Store (2025). Health Coaching Market By Key Players (Duke Integrative Medicine, Humana, National Consortium for Credentialing of Health & Wellness Coaches, Aetna); Global Report by Size, Share, Industry Analysis, Growth Trends, Regional Outlook, and Forecast 2024-2032 [Dataset]. https://www.marketresearchstore.com/market-insights/health-coaching-market-805068
    Explore at:
    pdfAvailable download formats
    Dataset updated
    Jul 3, 2025
    Dataset authored and provided by
    Market Research Store
    License

    https://www.marketresearchstore.com/privacy-statementhttps://www.marketresearchstore.com/privacy-statement

    Time period covered
    2022 - 2030
    Area covered
    Global
    Description

    [Keywords] Market include Aetna, National Consortium for Credentialing of Health & Wellness Coaches, Wellcoaches School of Coaching, National Society of Health Coaches, Duke Integrative Medicine

  17. k

    Humana (HUM) on the Horizon: A Look at the Future of Healthcare (Forecast)

    • kappasignal.com
    Updated Oct 11, 2024
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    KappaSignal (2024). Humana (HUM) on the Horizon: A Look at the Future of Healthcare (Forecast) [Dataset]. https://www.kappasignal.com/2024/10/humana-hum-on-horizon-look-at-future-of.html
    Explore at:
    Dataset updated
    Oct 11, 2024
    Dataset authored and provided by
    KappaSignal
    License

    https://www.kappasignal.com/p/legal-disclaimer.htmlhttps://www.kappasignal.com/p/legal-disclaimer.html

    Description

    This analysis presents a rigorous exploration of financial data, incorporating a diverse range of statistical features. By providing a robust foundation, it facilitates advanced research and innovative modeling techniques within the field of finance.

    Humana (HUM) on the Horizon: A Look at the Future of Healthcare

    Financial data:

    • Historical daily stock prices (open, high, low, close, volume)

    • Fundamental data (e.g., market capitalization, price to earnings P/E ratio, dividend yield, earnings per share EPS, price to earnings growth, debt-to-equity ratio, price-to-book ratio, current ratio, free cash flow, projected earnings growth, return on equity, dividend payout ratio, price to sales ratio, credit rating)

    • Technical indicators (e.g., moving averages, RSI, MACD, average directional index, aroon oscillator, stochastic oscillator, on-balance volume, accumulation/distribution A/D line, parabolic SAR indicator, bollinger bands indicators, fibonacci, williams percent range, commodity channel index)

    Machine learning features:

    • Feature engineering based on financial data and technical indicators

    • Sentiment analysis data from social media and news articles

    • Macroeconomic data (e.g., GDP, unemployment rate, interest rates, consumer spending, building permits, consumer confidence, inflation, producer price index, money supply, home sales, retail sales, bond yields)

    Potential Applications:

    • Stock price prediction

    • Portfolio optimization

    • Algorithmic trading

    • Market sentiment analysis

    • Risk management

    Use Cases:

    • Researchers investigating the effectiveness of machine learning in stock market prediction

    • Analysts developing quantitative trading Buy/Sell strategies

    • Individuals interested in building their own stock market prediction models

    • Students learning about machine learning and financial applications

    Additional Notes:

    • The dataset may include different levels of granularity (e.g., daily, hourly)

    • Data cleaning and preprocessing are essential before model training

    • Regular updates are recommended to maintain the accuracy and relevance of the data

  18. w

    Global Commercial Health Insurance Market Research Report: By Product Type...

    • wiseguyreports.com
    Updated Dec 4, 2024
    + more versions
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    wWiseguy Research Consultants Pvt Ltd (2024). Global Commercial Health Insurance Market Research Report: By Product Type (Group Health Insurance, Individual Health Insurance, Family Floater Health Insurance, Critical Illness Insurance), By Coverage Type (Comprehensive Coverage, Basic Coverage, Accidental Coverage), By End User (Corporates, Small and Medium Enterprises, Self-Employed Individuals), By Payment Model (Premium-Based, Co-Payment, Self-Funded) and By Regional (North America, Europe, South America, Asia Pacific, Middle East and Africa) - Forecast to 2032. [Dataset]. https://www.wiseguyreports.com/reports/commercial-health-insurance-market
    Explore at:
    Dataset updated
    Dec 4, 2024
    Dataset authored and provided by
    wWiseguy Research Consultants Pvt Ltd
    License

    https://www.wiseguyreports.com/pages/privacy-policyhttps://www.wiseguyreports.com/pages/privacy-policy

    Area covered
    Global
    Description
    BASE YEAR2024
    HISTORICAL DATA2019 - 2024
    REPORT COVERAGERevenue Forecast, Competitive Landscape, Growth Factors, and Trends
    MARKET SIZE 20231562.29(USD Billion)
    MARKET SIZE 20241605.72(USD Billion)
    MARKET SIZE 20322000.0(USD Billion)
    SEGMENTS COVEREDProduct Type, Coverage Type, End User, Payment Model, Regional
    COUNTRIES COVEREDNorth America, Europe, APAC, South America, MEA
    KEY MARKET DYNAMICSRising healthcare costs, Regulatory changes, Increasing consumer awareness, Technological advancements, Growing demand for personalized coverage
    MARKET FORECAST UNITSUSD Billion
    KEY COMPANIES PROFILEDCigna, Molina Healthcare, WellCare Health Plans, Bupa, Centene, Allianz, MetLife, Humana, Prudential Financial, Zurich Insurance Group, UnitedHealth Group, Blue Cross Blue Shield Association, Anthem, Aetna
    MARKET FORECAST PERIOD2025 - 2032
    KEY MARKET OPPORTUNITIESTelemedicine integration expansion, Personalized health plans development, Growing demand for preventive care, Digital health technology adoption, Rising awareness of mental health
    COMPOUND ANNUAL GROWTH RATE (CAGR) 2.78% (2025 - 2032)
  19. C

    Chronic Disease Management Platform Report

    • datainsightsmarket.com
    doc, pdf, ppt
    Updated Jul 8, 2025
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    Data Insights Market (2025). Chronic Disease Management Platform Report [Dataset]. https://www.datainsightsmarket.com/reports/chronic-disease-management-platform-1411693
    Explore at:
    pdf, doc, pptAvailable download formats
    Dataset updated
    Jul 8, 2025
    Dataset authored and provided by
    Data Insights Market
    License

    https://www.datainsightsmarket.com/privacy-policyhttps://www.datainsightsmarket.com/privacy-policy

    Time period covered
    2025 - 2033
    Area covered
    Global
    Variables measured
    Market Size
    Description

    The Chronic Disease Management Platform market is experiencing robust growth, driven by the rising prevalence of chronic conditions globally, escalating healthcare costs, and the increasing adoption of telehealth solutions. The market's expansion is fueled by several key trends, including the development of sophisticated remote patient monitoring (RPM) technologies, the integration of artificial intelligence (AI) for personalized care, and the growing demand for convenient and accessible healthcare options. Furthermore, the increasing focus on value-based care models is incentivizing healthcare providers to adopt these platforms to improve patient outcomes and reduce overall healthcare expenditures. While data limitations prevent precise quantification, a reasonable estimation, based on industry reports showing similar markets expanding at 15-20% CAGR, suggests a market size around $15 billion in 2025, potentially reaching $30 billion by 2030. This growth, however, faces certain restraints. High initial investment costs, concerns regarding data security and privacy, and the need for robust infrastructure and digital literacy among both patients and healthcare providers pose challenges to wider market penetration. Nonetheless, ongoing technological advancements, coupled with favorable regulatory landscapes in several regions, are expected to mitigate these challenges and propel continued market growth. The segmentation of the market reflects various platform types, such as those focused on diabetes, cardiovascular diseases, or mental health, and is further diversified by deployment models (cloud-based, on-premise) and end-users (hospitals, clinics, home healthcare providers). The competitive landscape is characterized by a mix of established players and innovative startups. Companies like Humana and Omada Health represent established players leveraging their existing healthcare networks and patient bases. Meanwhile, smaller, agile companies such as EveryDose and Pathmate are focusing on niche applications and leveraging technological advancements to gain market share. The geographical distribution likely shows higher penetration in developed regions like North America and Europe, driven by higher healthcare spending and technological adoption rates, while emerging markets are expected to witness significant growth in the coming years as healthcare infrastructure improves and digital literacy increases. The market's future trajectory hinges on sustained investment in research and development, increased collaboration between stakeholders, and the continued development of user-friendly, secure, and effective platforms that address the diverse needs of both patients and healthcare providers.

  20. H

    Healthcare Discount Plan Report

    • marketresearchforecast.com
    doc, pdf, ppt
    Updated Apr 23, 2025
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    Market Research Forecast (2025). Healthcare Discount Plan Report [Dataset]. https://www.marketresearchforecast.com/reports/healthcare-discount-plan-153182
    Explore at:
    pdf, doc, pptAvailable download formats
    Dataset updated
    Apr 23, 2025
    Dataset authored and provided by
    Market Research Forecast
    License

    https://www.marketresearchforecast.com/privacy-policyhttps://www.marketresearchforecast.com/privacy-policy

    Time period covered
    2025 - 2033
    Area covered
    Global
    Variables measured
    Market Size
    Description

    The healthcare discount plan market is experiencing robust growth, driven by rising healthcare costs and increasing consumer demand for affordable healthcare solutions. The market's value, while not explicitly stated, can be reasonably estimated based on the presence of numerous large and established players like Humana, Cigna, and United Health Group, indicating a substantial market size. The Compound Annual Growth Rate (CAGR) suggests consistent expansion, fueled by several key trends. These include the increasing adoption of value-based healthcare models, a growing preference for out-of-network coverage options, and the expanding availability of digital platforms for plan access and management. Segmentation reveals a diverse market, with dental and vision care plans holding significant shares, alongside growing interest in hearing aids and health advocacy programs. The market is geographically dispersed, with North America likely representing a substantial portion due to the presence of major players headquartered in the region and the high healthcare costs prevalent in the United States and Canada. However, growth in emerging markets, such as Asia Pacific and parts of South America, is expected due to rising middle classes and increasing affordability of private healthcare options. While potential restraints such as regulatory changes and concerns about plan limitations exist, the overall market outlook remains positive due to the strong underlying drivers of affordability and access to quality healthcare. The competitive landscape is characterized by both large multinational corporations and smaller specialized providers. This suggests a market with opportunities for both established giants seeking to expand their service offerings and niche players focusing on specific healthcare segments. The presence of online platforms like DentalPlans.com indicates a shift towards digital distribution channels, enhancing market access and convenience for consumers. Further growth will depend on factors such as technological advancements, innovation in plan design, and effective marketing strategies that highlight the value proposition of these plans to consumers. A focus on transparency, comprehensive coverage information, and customer service will be crucial for companies to build trust and maintain a competitive edge in a continuously evolving market.

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Statista (2025). Market share of top U.S. health insurance companies 2023 [Dataset]. https://www.statista.com/statistics/761446/leading-us-health-insurers-in-the-us-covered-lives/
Organization logo

Market share of top U.S. health insurance companies 2023

Explore at:
Dataset updated
Jun 23, 2025
Dataset authored and provided by
Statistahttp://statista.com/
Area covered
United States
Description

As of 2023, UnitedHealth Group had a share of ** percent in the U.S. health insurance market. Elevance health (Anthem) had the second-largest health insurance market share, covering ** percent of the market. The top five largest insurance companies represented around ** percent of the total U.S. market share in the health insurance industry. Health insurance market in the U.S. The United States does not have a universal healthcare system for its citizens. In the U.S. most individuals depend on employer-sponsored health coverage for their healthcare needs. Private health insurance dominates the market as it provides group and non-group policies. Public health insurance offers coverage under federal programs, Medicare and Medicaid/CHIP are the most popular ones. The U.S. health insurance industry has witnessed significant changes in the last decade, with increased spending by private insurance, expanded coverage through the ACA, and a growing Medicare Advantage market. Medicare Advantage market Medicare Advantage plans give Medicare beneficiaries the option of receiving benefits from private plans rather than from the traditional Medicare program. UnitedHealthcare, part of UnitedHealth Group, is the largest U.S. health insurance company by total membership. In 2023, Medicare Advantage provided coverage to ** million Americans, among which some *** million Medicare Advantage (MA) beneficiaries were enrolled in a plan from the UnitedHealth Group Inc.

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