Medicare Advantage Market Size, Trends and Insights By Type (Health Maintenance Organization (HMO), Preferred Provider Organization (PPO), Private Fee-for-Service (PFFS), Special Needs Plans (SNP)), By Age Group (Under 65 Years, Above 65 Years), By Plans (Zero-Premium Plans, Low-Cost Options), and By Region - Global Industry Overview, Statistical Data, Competitive Analysis, Share, Outlook, and Forecast 2023–2032


Report Code: CMI37871

Published Date: January 2024

Pages: 320+

Category: Consumer Goods

Report Snapshot

CAGR: 5.8%
431.6B
2022
456.6B
2023
758.5B
2032

Source: CMI

Study Period: 2023-2032
Fastest Growing Market: Asia-Pacific
Largest Market: Europe

Major Players

  • UnitedHealth Group Inc.
  • Humana Inc.
  • Anthem Inc.
  • Centene Corporation
  • Aetna Inc.
  • Others

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Reports Description

As per the current market research conducted by the CMI Team, the global Medicare Advantage Market is expected to record a CAGR of 5.8% from 2023 to 2032. In 2023, the market size is projected to reach a valuation of USD 456.6 Billion. By 2032, the valuation is anticipated to reach USD 758.5 Billion.

United States Total Gross Insurance Premiums

Year US Dollar, Millions
2018             26,32,284
2019             27,73,916
2020             29,34,829
2021             32,42,715
2022             35,01,194
Source: According to OECD. Stats

The Medicare Advantage market refers to a sector within the healthcare industry where private insurance companies offer Medicare-approved plans as an alternative to traditional Medicare. Also known as Medicare Part C, these plans provide comprehensive coverage that often includes additional benefits like vision, dental, and wellness programs.

The market is characterized by diverse plan options, such as Health Maintenance Organizations (HMOs) and Preferred Provider Organizations (PPOs), aiming to attract beneficiaries seeking more tailored and flexible healthcare solutions. The Medicare Advantage market continues to evolve, driven by innovations, regulatory changes, and a focus on improving the overall healthcare experience for seniors.

Medicare Advantage Market – Significant Growth Factors

The Medicare Advantage Market presents significant growth opportunities due to several factors:

  • Aging Population: The increasing aging population, particularly the rise of the baby boomer generation, serves as a primary driver for the Medicare Advantage market. As more individuals become eligible for Medicare, the demand for private health plans, offering additional benefits beyond traditional Medicare, continues to grow.
  • Value-Based Care and Quality Incentives: The shift towards value-based care and the implementation of quality incentives, reflected in Star Ratings, incentivize healthcare providers and insurers to enhance the quality of care and services. This encourages the development of innovative Medicare Advantage plans that prioritize improved health outcomes and member satisfaction.
  • Technological Advancements: Advances in healthcare technology, including telehealth services and digital health tools, drive the Medicare Advantage market. Integration of technology improves care coordination, enables remote healthcare services, and enhances the overall patient experience, aligning with the evolving preferences and needs of beneficiaries.
  • Flexibility and Additional Benefits: The flexibility offered by Medicare Advantage plans, allowing beneficiaries to choose from various plan types (HMOs, PPOs, etc.), and the inclusion of supplementary benefits such as dental, vision, and wellness programs, attract individuals seeking more personalized and comprehensive healthcare coverage.
  • Targeted Population Segmentation: There is an opportunity to target specific beneficiary segments with tailored Medicare Advantage plans. Creating plans that cater to the unique needs of diverse populations, including those with chronic conditions or specific health requirements.

Medicare Advantage Market – Mergers and Acquisitions

The Medicare Advantage Market has seen several mergers and acquisitions in recent years, with companies seeking to expand their market presence and leverage synergies to improve their product offerings and profitability. Some notable examples of mergers and acquisitions in the Medicare Advantage Market include:

  • In 2023, UnitedHealth Group collaborated with Morehouse School of Medicine to launch a mobile app, targeting new Black mothers in underserved Georgia communities. The app aims to connect mothers with resources for sustaining their health and promoting the well-being of their children, addressing healthcare disparities in maternal and child health.
  • In 2021, onehome collaborates with Devoted Health to deliver post-acute home-based care to Medicare Advantage members in Arizona, Ohio, and San Antonio, TX. This partnership ensures members receive enhanced care at home, including infusion services, wound therapy, and durable medical equipment, minimizing infection risks linked to institutional settings and promoting a safer healthcare environment.

These mergers and acquisitions have helped companies expand their product offerings, improve their market presence, and capitalize on growth opportunities in the Medicare Advantage Market. The trend is expected to continue as companies seek to gain a competitive edge in the market.

COMPARATIVE ANALYSIS OF THE RELATED MARKET

Medicare Advantage Market Commercial Property Insurance Market Professional Indemnity Insurance Market
CAGR 5.8% (Approx) CAGR 8.3% (Approx) CAGR 7.1% (Approx)
USB 758.5 Billion by 2032 USD 526.7 Billion by 2032 USD 54.6 Billion by 2032

Medicare Advantage Market – Significant Threats

The Medicare Advantage Market faces several significant threats that could impact its growth and profitability in the future. Some of these threats include:

  • Regulatory Changes and Policy Uncertainty: Frequent changes in healthcare regulations and policy uncertainties pose a significant threat to the Medicare Advantage market. Alterations in reimbursement rates, benefit structures, and compliance requirements can impact the financial stability and operational strategies of Medicare Advantage plans.
  • Rising Healthcare Costs: Escalating healthcare costs, including the costs associated with pharmaceuticals, medical services, and technology, pose a threat to the sustainability of Medicare Advantage plans. The ability to control and manage these costs while providing quality care is a key challenge for insurers in the market.
  • Risk of Payment Model Adjustments: Adjustments to payment models, such as changes in risk adjustment methodologies, can impact the revenue and profitability of Medicare Advantage plans. Shifts in payment models may result in financial challenges, particularly for plans serving higher-risk populations, potentially leading to adverse selection.
  • Competitive Pressures: Intense competition among Medicare Advantage plans creates pressure to offer attractive benefits and control costs. The competitive landscape can lead to price wars, reduced profit margins, and challenges in retaining members, posing threats to the financial viability and sustainability of individual plans.
  • Healthcare Provider Network Limitations: Limitations in healthcare provider networks can be a significant threat. If a Medicare Advantage plan has a restricted network that does not adequately cover the medical providers preferred by beneficiaries, it may lead to dissatisfaction among members, potential loss of enrollment, and negative impacts on the plan’s reputation.

Report Scope

Feature of the Report Details
Market Size in 2023 USD 456.6 Billion
Projected Market Size in 2032 USD 758.5 Billion
Market Size in 2022 USD 431.6 Billion
CAGR Growth Rate 5.8% CAGR
Base Year 2022
Forecast Period 2023-2032
Key Segment By Type, Age Group, Plans and Region
Report Coverage Revenue Estimation and Forecast, Company Profile, Competitive Landscape, Growth Factors and Recent Trends
Regional Scope North America, Europe, Asia Pacific, Middle East & Africa, and South & Central America
Buying Options Request tailored purchasing options to fulfil your requirements for research.

Category-Wise Insights

By Type

  • Health Maintenance Organization (HMO): HMOs in the Medicare Advantage Market are managed care plans requiring members to select a primary care physician and obtain referrals for specialist visits. Trends include the emphasis on preventive care, cost-effective networks, and the integration of wellness programs to enhance overall member health.
  • Preferred Provider Organization (PPO): PPOs within the Medicare Advantage Market offer flexibility, allowing beneficiaries to see out-of-network providers at a higher cost. Trends focus on expanded provider networks, increased member choice, and a balance between flexibility and cost-effectiveness.
  • Private Fee-for-Service (PFFS): PFFS plans in the Medicare Advantage Market permit beneficiaries to receive care from any Medicare-approved provider, often with variable costs. Trends involve adapting to changing reimbursement models, enhanced care coordination, and innovative benefit structures for a competitive edge.
  • Special Needs Plans (SNP): SNPs in the Medicare Advantage Market cater to individuals with specific health conditions or needs, such as chronic illnesses or dual eligibility for Medicare and Medicaid. Trends include personalized care models, expanded benefits for targeted populations, and a focus on improving health outcomes.

Global Medicare Advantage Market 2023–2032 (By Billion)

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By Age Group

  • Under 65 Years: Medicare Advantage plans for those under 65 cater to individuals with disabilities. Trends include increased adoption of Special Needs Plans (SNPs) addressing specific health conditions, leveraging technology for member engagement, and offering diverse plan options to meet the unique healthcare needs of this segment.
  • Above 65 Years: Medicare Advantage plans for those above 65 provide comprehensive coverage beyond traditional Medicare. Trends involve a focus on preventive care, telehealth integration, and expanding supplemental benefits like wellness programs. Plans aim to enhance the overall health and well-being of seniors, fostering better health outcomes.

By Plan

  • Zero-Premium Plans: Zero-Premium Plans in the Medicare Advantage Market refer to plans that do not charge an additional premium beyond the standard Medicare Part B premium. These plans aim to attract beneficiaries by offering comprehensive coverage with no extra cost, making healthcare more affordable for eligible individuals.
  • Low-Cost Options: Low-Cost Options in the Medicare Advantage Market encompass plans with competitive pricing structures. These plans aim to provide affordable coverage by keeping premiums, copayments, and other out-of-pocket expenses at a minimum. The trend reflects a commitment to cost-conscious solutions, appealing to a wide range of beneficiaries seeking budget-friendly healthcare options.

Global Medicare Advantage Market 2023–2032 (By Age Group)

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Medicare Advantage Market – Regional Analysis

The Medicare Advantage Market is segmented into various regions, including North America, Europe, Asia-Pacific, and LAMEA. Here is a brief overview of each region:

  • North America: In North America, a notable trend in the Medicare Advantage market is the increasing integration of telehealth services. The region has witnessed a surge in demand for virtual care options, enabling beneficiaries to access healthcare remotely. Plans are emphasizing the convenience and safety of telehealth, reflecting a broader shift in consumer preferences and responding to the challenges posed by the COVID-19 pandemic.
  • Europe: In Europe, a prominent trend is the emphasis on preventive care within Medicare Advantage plans. Insurers are focusing on wellness programs, health screenings, and initiatives promoting healthy lifestyles. This preventive care approach aligns with European healthcare priorities, emphasizing proactive measures to improve overall health outcomes and reduce the burden on healthcare systems.
  • Asia-Pacific: The Asia-Pacific region is experiencing a trend toward personalized and culturally sensitive Medicare Advantage plans. Insurers are tailoring benefits to address specific healthcare needs prevalent in diverse Asian populations. The customization includes offerings such as traditional medicine coverage, reflecting a commitment to providing culturally relevant and comprehensive healthcare solutions.
  • Latin America, Middle East, and Africa (LAMEA): In LAMEA, a notable trend is the expansion of Medicare Advantage plans to address disparities in healthcare access. Insurers are working on improving the availability of healthcare services in remote or underserved areas. Initiatives include partnerships with local healthcare providers and leveraging technology to enhance telehealth capabilities, aiming to ensure broader access to quality healthcare services.

Global Medicare Advantage Market 2023–2032 (By Plans)

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Competitive Landscape – Medicare Advantage Market

The Medicare Advantage Market is highly competitive, with a large number of manufacturers and retailers operating globally. Some of the key players in the market include:

  • UnitedHealth Group Inc.
  • Humana Inc.
  • Anthem Inc.
  • Centene Corporation
  • Aetna Inc.
  • Cigna Corporation
  • Kaiser Permanente
  • Molina Healthcare Inc.
  • WellCare Health Plans, Inc.
  • Highmark Inc.
  • Blue Cross Blue Shield Association
  • AARP (UnitedHealth Group subsidiary)
  • SCAN Health Plan
  • Guidewell Mutual Holding Corporation
  • Independence Blue Cross
  • Others

These companies operate in the market through various strategies such as product innovation, mergers and acquisitions, and partnerships.

New entrants such as Devoted Health and Clover Health have adopted innovative approaches, leveraging technology and data analytics to disrupt the Medicare Advantage market. Established players like UnitedHealth Group, Humana, and CVS Health’s Aetna dominate the market with extensive networks, diversified plans, and significant financial resources.

UnitedHealth Group holds a substantial market share through its subsidiary, UnitedHealthcare, offering a wide array of Medicare Advantage plans. These key players focus on continuous innovation, value-based care, and strategic partnerships to maintain their market dominance and cater to the evolving needs of Medicare beneficiaries.

The Medicare Advantage Market is segmented as follows:

By Type

  • Health Maintenance Organization (HMO)
  • Preferred Provider Organization (PPO)
  • Private Fee-for-Service (PFFS)
  • Special Needs Plans (SNP)

By Age Group

  • Under 65 Years
  • Above 65 Years

By Plans

  • Zero-Premium Plans
  • Low-Cost Options

Regional Coverage:

North America

  • U.S.
  • Canada
  • Mexico
  • Rest of North America

Europe

  • Germany
  • France
  • U.K.
  • Russia
  • Italy
  • Spain
  • Netherlands
  • Rest of Europe

Asia Pacific

  • China
  • Japan
  • India
  • New Zealand
  • Australia
  • South Korea
  • Taiwan
  • Rest of Asia Pacific

The Middle East & Africa

  • Saudi Arabia
  • UAE
  • Egypt
  • Kuwait
  • South Africa
  • Rest of the Middle East & Africa

Latin America

  • Brazil
  • Argentina
  • Rest of Latin America

Table of Contents

  • Chapter 1. Preface
    • 1.1 Report Description and Scope
    • 1.2 Research scope
    • 1.3 Research methodology
      • 1.3.1 Market Research Type
      • 1.3.2 Market Research Methodology
  • Chapter 2. Executive Summary
    • 2.1 Global Medicare Advantage Market, (2023 – 2032) (USD Billion)
    • 2.2 Global Medicare Advantage Market: snapshot
  • Chapter 3. Global Medicare Advantage Market – Industry Analysis
    • 3.1 Medicare Advantage Market: Market Dynamics
    • 3.2 Market Drivers
      • 3.2.1 Aging Population
      • 3.2.2 Value-Based Care and Quality Incentives
      • 3.2.3 Technological Advancements
      • 3.2.4 Flexibility and Additional Benefits
      • 3.2.5 Targeted Population Segmentation.
    • 3.3 Market Restraints
    • 3.4 Market Opportunities
    • 3.5 Market Challenges
    • 3.6 Porter’s Five Forces Analysis
    • 3.7 Market Attractiveness Analysis
      • 3.7.1 Market Attractiveness Analysis By Type
      • 3.7.2 Market Attractiveness Analysis By Age Group
      • 3.7.3 Market Attractiveness Analysis By Plans
  • Chapter 4. Global Medicare Advantage Market- Competitive Landscape
    • 4.1 Company market share analysis
      • 4.1.1 Global Medicare Advantage Market: Company Market Share, 2022
    • 4.2 Strategic development
      • 4.2.1 Acquisitions & mergers
      • 4.2.2 New Product launches
      • 4.2.3 Agreements, partnerships, collaboration, and joint ventures
      • 4.2.4 Research and development and Regional expansion
    • 4.3 Price trend analysis
  • Chapter 5. Global Medicare Advantage Market – Type Analysis
    • 5.1 Global Medicare Advantage Market Overview: By Type
      • 5.1.1 Global Medicare Advantage Market Share, By Type, 2022 and 2032
    • 5.2 Health Maintenance Organization (HMO)
      • 5.2.1 Global Medicare Advantage Market by Health Maintenance Organization (HMO), 2023 – 2032 (USD Billion)
    • 5.3 Preferred Provider Organization (PPO)
      • 5.3.1 Global Medicare Advantage Market by Preferred Provider Organization (PPO), 2023 – 2032 (USD Billion)
    • 5.4 Private Fee-for-Service (PFFS)
      • 5.4.1 Global Medicare Advantage Market by Private Fee-for-Service (PFFS), 2023 – 2032 (USD Billion)
    • 5.5 Special Needs Plans (SNP)
      • 5.5.1 Global Medicare Advantage Market by Special Needs Plans (SNP), 2023 – 2032 (USD Billion)
  • Chapter 6. Global Medicare Advantage Market – Age Group Analysis
    • 6.1 Global Medicare Advantage Market Overview: By Age Group
      • 6.1.1 Global Medicare Advantage Market Share, By Age Group, 2022 and 2032
    • 6.2 Under 65 Years
      • 6.2.1 Global Medicare Advantage Market by Under 65 Years, 2023 – 2032 (USD Billion)
    • 6.3 Above 65 Years
      • 6.3.1 Global Medicare Advantage Market by Above 65 Years, 2023 – 2032 (USD Billion)
  • Chapter 7. Global Medicare Advantage Market – Plans Analysis
    • 7.1 Global Medicare Advantage Market Overview: By Plans
      • 7.1.1 Global Medicare Advantage Market Share, By Plans, 2022 and 2032
    • 7.2 Zero-Premium Plans
      • 7.2.1 Global Medicare Advantage Market by Zero-Premium Plans, 2023 – 2032 (USD Billion)
    • 7.3 Low-Cost Options
      • 7.3.1 Global Medicare Advantage Market by Low-Cost Options, 2023 – 2032 (USD Billion)
  • Chapter 8. Medicare Advantage Market – Regional Analysis
    • 8.1 Global Medicare Advantage Market Regional Overview
    • 8.2 Global Medicare Advantage Market Share, by Region, 2022 & 2032 (USD Billion)
    • 8.3. North America
      • 8.3.1 North America Medicare Advantage Market, 2023 – 2032 (USD Billion)
        • 8.3.1.1 North America Medicare Advantage Market, by Country, 2023 – 2032 (USD Billion)
    • 8.4 North America Medicare Advantage Market, by Type, 2023 – 2032
      • 8.4.1 North America Medicare Advantage Market, by Type, 2023 – 2032 (USD Billion)
    • 8.5 North America Medicare Advantage Market, by Age Group, 2023 – 2032
      • 8.5.1 North America Medicare Advantage Market, by Age Group, 2023 – 2032 (USD Billion)
    • 8.6 North America Medicare Advantage Market, by Plans, 2023 – 2032
      • 8.6.1 North America Medicare Advantage Market, by Plans, 2023 – 2032 (USD Billion)
    • 8.7. Europe
      • 8.7.1 Europe Medicare Advantage Market, 2023 – 2032 (USD Billion)
        • 8.7.1.1 Europe Medicare Advantage Market, by Country, 2023 – 2032 (USD Billion)
    • 8.8 Europe Medicare Advantage Market, by Type, 2023 – 2032
      • 8.8.1 Europe Medicare Advantage Market, by Type, 2023 – 2032 (USD Billion)
    • 8.9 Europe Medicare Advantage Market, by Age Group, 2023 – 2032
      • 8.9.1 Europe Medicare Advantage Market, by Age Group, 2023 – 2032 (USD Billion)
    • 8.10 Europe Medicare Advantage Market, by Plans, 2023 – 2032
      • 8.10.1 Europe Medicare Advantage Market, by Plans, 2023 – 2032 (USD Billion)
    • 8.11. Asia Pacific
      • 8.11.1 Asia Pacific Medicare Advantage Market, 2023 – 2032 (USD Billion)
        • 8.11.1.1 Asia Pacific Medicare Advantage Market, by Country, 2023 – 2032 (USD Billion)
    • 8.12 Asia Pacific Medicare Advantage Market, by Type, 2023 – 2032
      • 8.12.1 Asia Pacific Medicare Advantage Market, by Type, 2023 – 2032 (USD Billion)
    • 8.13 Asia Pacific Medicare Advantage Market, by Age Group , 2023 – 2032
      • 8.13.1 Asia Pacific Medicare Advantage Market, by Age Group , 2023 – 2032 (USD Billion)
    • 8.14 Asia Pacific Medicare Advantage Market, by Plans , 2023 – 2032
      • 8.14.1 Asia Pacific Medicare Advantage Market, by Plans, 2023 – 2032 (USD Billion)
    • 8.15. Latin America
      • 8.15.1 Latin America Medicare Advantage Market, 2023 – 2032 (USD Billion)
        • 8.15.1.1 Latin America Medicare Advantage Market, by Country, 2023 – 2032 (USD Billion)
    • 8.16 Latin America Medicare Advantage Market, by Type, 2023 – 2032
      • 8.16.1 Latin America Medicare Advantage Market, by Type, 2023 – 2032 (USD Billion)
    • 8.17 Latin America Medicare Advantage Market, by Age Group , 2023 – 2032
      • 8.17.1 Latin America Medicare Advantage Market, by Age Group , 2023 – 2032 (USD Billion)
    • 8.18 Latin America Medicare Advantage Market, by Plans , 2023 – 2032
      • 8.18.1 Latin America Medicare Advantage Market, by Plans, 2023 – 2032 (USD Billion)
    • 8.19. The Middle East and Africa
      • 8.19.1 The Middle-East and Africa Medicare Advantage Market, 2023 – 2032 (USD Billion)
        • 8.19.1.1 The Middle-East and Africa Medicare Advantage Market, by Country, 2023 – 2032 (USD Billion)
    • 8.20 The Middle-East and Africa Medicare Advantage Market, by Type, 2023 – 2032
      • 8.20.1 The Middle-East and Africa Medicare Advantage Market, by Type, 2023 – 2032 (USD Billion)
    • 8.21 The Middle-East and Africa Medicare Advantage Market, by Age Group , 2023 – 2032
      • 8.21.1 The Middle-East and Africa Medicare Advantage Market, by Age Group , 2023 – 2032 (USD Billion)
    • 8.22 The Middle-East and Africa Medicare Advantage Market, by Plans , 2023 – 2032
      • 8.22.1 The Middle-East and Africa Medicare Advantage Market, by Plans, 2023 – 2032 (USD Billion)
  • Chapter 9. Company Profiles
    • 9.1 UnitedHealth Group Inc.
      • 9.1.1 Overview
      • 9.1.2 Financials
      • 9.1.3 Product Portfolio
      • 9.1.4 Business Strategy
      • 9.1.5 Recent Developments
    • 9.2 Humana Inc.
      • 9.2.1 Overview
      • 9.2.2 Financials
      • 9.2.3 Product Portfolio
      • 9.2.4 Business Strategy
      • 9.2.5 Recent Developments
    • 9.3 Anthem Inc.
      • 9.3.1 Overview
      • 9.3.2 Financials
      • 9.3.3 Product Portfolio
      • 9.3.4 Business Strategy
      • 9.3.5 Recent Developments
    • 9.4 Centene Corporation
      • 9.4.1 Overview
      • 9.4.2 Financials
      • 9.4.3 Product Portfolio
      • 9.4.4 Business Strategy
      • 9.4.5 Recent Developments
    • 9.5 Aetna Inc.
      • 9.5.1 Overview
      • 9.5.2 Financials
      • 9.5.3 Product Portfolio
      • 9.5.4 Business Strategy
      • 9.5.5 Recent Developments
    • 9.6 Cigna Corporation
      • 9.6.1 Overview
      • 9.6.2 Financials
      • 9.6.3 Product Portfolio
      • 9.6.4 Business Strategy
      • 9.6.5 Recent Developments
    • 9.7 Kaiser Permanente
      • 9.7.1 Overview
      • 9.7.2 Financials
      • 9.7.3 Product Portfolio
      • 9.7.4 Business Strategy
      • 9.7.5 Recent Developments
    • 9.8 Molina Healthcare Inc.
      • 9.8.1 Overview
      • 9.8.2 Financials
      • 9.8.3 Product Portfolio
      • 9.8.4 Business Strategy
      • 9.8.5 Recent Developments
    • 9.9 WellCare Health Plans
      • 9.9.1 Overview
      • 9.9.2 Financials
      • 9.9.3 Product Portfolio
      • 9.9.4 Business Strategy
      • 9.9.5 Recent Developments
    • 9.10 Independence Blue Cross.
      • 9.10.1 Overview
      • 9.10.2 Financials
      • 9.10.3 Product Portfolio
      • 9.10.4 Business Strategy
      • 9.10.5 Recent Developments
    • 9.11 Highmark Inc.
      • 9.11.1 Overview
      • 9.11.2 Financials
      • 9.11.3 Product Portfolio
      • 9.11.4 Business Strategy
      • 9.11.5 Recent Developments
    • 9.12 Blue Cross Blue Shield Association
      • 9.12.1 Overview
      • 9.12.2 Financials
      • 9.12.3 Product Portfolio
      • 9.12.4 Business Strategy
      • 9.12.5 Recent Developments
    • 9.13 AARP (UnitedHealth Group subsidiary)
      • 9.13.1 Overview
      • 9.13.2 Financials
      • 9.13.3 Product Portfolio
      • 9.13.4 Business Strategy
      • 9.13.5 Recent Developments
    • 9.14 SCAN Health Plan
      • 9.14.1 Overview
      • 9.14.2 Financials
      • 9.14.3 Product Portfolio
      • 9.14.4 Business Strategy
      • 9.14.5 Recent Developments
    • 9.15 Guidewell Mutual Holding Corporation
      • 9.15.1 Overview
      • 9.15.2 Financials
      • 9.15.3 Product Portfolio
      • 9.15.4 Business Strategy
      • 9.15.5 Recent Developments
    • 9.16 Others
      • 9.16.1 Overview
      • 9.16.2 Financials
      • 9.16.3 Product Portfolio
      • 9.16.4 Business Strategy
      • 9.16.5 Recent Developments
List Of Figures

Figures No 1 to 24

List Of Tables

Tables No 1 to 77

Report Methodology

In order to get the most precise estimates and forecasts possible, Custom Market Insights applies a detailed and adaptive research methodology centered on reducing deviations. For segregating and assessing quantitative aspects of the market, the company uses a combination of top-down and bottom-up approaches. Furthermore, data triangulation, which examines the market from three different aspects, is a recurring theme in all of our research reports. The following are critical components of the methodology used in all of our studies:

Preliminary Data Mining

On a broad scale, raw market information is retrieved and compiled. Data is constantly screened to make sure that only substantiated and verified sources are taken into account. Furthermore, data is mined from a plethora of reports in our archive and also a number of reputed & reliable paid databases. To gain a detailed understanding of the business, it is necessary to know the entire product life cycle and to facilitate this, we gather data from different suppliers, distributors, and buyers.

Surveys, technological conferences, and trade magazines are used to identify technical issues and trends. Technical data is also gathered from the standpoint of intellectual property, with a focus on freedom of movement and white space. The dynamics of the industry in terms of drivers, restraints, and valuation trends are also gathered. As a result, the content created contains a diverse range of original data, which is then cross-validated and verified with published sources.

Statistical Model

Simulation models are used to generate our business estimates and forecasts. For each study, a one-of-a-kind model is created. Data gathered for market dynamics, the digital landscape, development services, and valuation patterns are fed into the prototype and analyzed concurrently. These factors are compared, and their effect over the projected timeline is quantified using correlation, regression, and statistical modeling. Market forecasting is accomplished through the use of a combination of economic techniques, technical analysis, industry experience, and domain knowledge.

Short-term forecasting is typically done with econometric models, while long-term forecasting is done with technological market models. These are based on a synthesis of the technological environment, legal frameworks, economic outlook, and business regulations. Bottom-up market evaluation is favored, with crucial regional markets reviewed as distinct entities and data integration to acquire worldwide estimates. This is essential for gaining a thorough knowledge of the industry and ensuring that errors are kept to a minimum.

Some of the variables taken into account for forecasting are as follows:

• Industry drivers and constraints, as well as their current and projected impact

• The raw material case, as well as supply-versus-price trends

• Current volume and projected volume growth through 2032

We allocate weights to these variables and use weighted average analysis to determine the estimated market growth rate.

Primary Validation

This is the final step in our report’s estimating and forecasting process. Extensive primary interviews are carried out, both in-person and over the phone, to validate our findings and the assumptions that led to them.
Leading companies from across the supply chain, including suppliers, technology companies, subject matter experts, and buyers, use techniques like interviewing to ensure a comprehensive and non-biased overview of the business. These interviews are conducted all over the world, with the help of local staff and translators, to overcome language barriers.

Primary interviews not only aid with data validation, but also offer additional important insight into the industry, existing business scenario, and future projections, thereby improving the quality of our reports.

All of our estimates and forecasts are validated through extensive research work with key industry participants (KIPs), which typically include:

• Market leaders

• Suppliers of raw materials

• Suppliers of raw materials

• Buyers.

The following are the primary research objectives:

• To ensure the accuracy and acceptability of our data.

• Gaining an understanding of the current market and future projections.

Data Collection Matrix

Perspective Primary research Secondary research
Supply-side
  • Manufacturers
  • Technology distributors and wholesalers
  • Company reports and publications
  • Government publications
  • Independent investigations
  • Economic and demographic data
Demand-side
  • End-user surveys
  • Consumer surveys
  • Mystery shopping
  • Case studies
  • Reference customers


Market Analysis Matrix

Qualitative analysis Quantitative analysis
  • Industry landscape and trends
  • Market dynamics and key issues
  • Technology landscape
  • Market opportunities
  • Porter’s analysis and PESTEL analysis
  • Competitive landscape and component benchmarking
  • Policy and regulatory scenario
  • Market revenue estimates and forecast up to 2032
  • Market revenue estimates and forecasts up to 2032, by technology
  • Market revenue estimates and forecasts up to 2032, by application
  • Market revenue estimates and forecasts up to 2032, by type
  • Market revenue estimates and forecasts up to 2032, by component
  • Regional market revenue forecasts, by technology
  • Regional market revenue forecasts, by application
  • Regional market revenue forecasts, by type
  • Regional market revenue forecasts, by component

Prominent Player

  • UnitedHealth Group Inc.
  • Humana Inc.
  • Anthem Inc.
  • Centene Corporation
  • Aetna Inc.
  • Cigna Corporation
  • Kaiser Permanente
  • Molina Healthcare Inc.
  • WellCare Health Plans, Inc.
  • Highmark Inc.
  • Blue Cross Blue Shield Association
  • AARP (UnitedHealth Group subsidiary)
  • SCAN Health Plan
  • Guidewell Mutual Holding Corporation
  • Independence Blue Cross
  • Others

FAQs

The key factors driving the Market are Aging Population, Value-Based Care and Quality Incentives, Technological Advancements, Flexibility and Additional Benefits And Targeted Population Segmentation.

The “Health Maintenance Organization (HMO)” category dominated the market in 2022.

The key players in the market are UnitedHealth Group Inc., Humana Inc., Anthem Inc., Centene Corporation, Aetna Inc., Cigna Corporation, Kaiser Permanente, Molina Healthcare Inc., WellCare Health Plans, Inc., Highmark Inc., Blue Cross Blue Shield Association, AARP (UnitedHealth Group subsidiary), SCAN Health Plan, Guidewell Mutual Holding Corporation, Independence Blue Cross, Others.

“North America” had the largest share in the Medicare Advantage Market.

The global market is projected to grow at a CAGR of 5.8% during the forecast period, 2023-2032.

The Medicare Advantage Market size was valued at USD 456.6 Billion in 2023.

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