The United States health insurance market is projected to exhibit a growth rate (CAGR) of 4.3% during 2023-2028. Innovations in healthcare technology, such as telemedicine and digital health platforms, rising healthcare costs, legislative changes, economic conditions, and changes in the population structure, such as aging baby boomers, represent some of the key factors driving the market.
Health insurance is a type of insurance coverage that pays for the insured individual's medical, surgical, and sometimes dental expenses. It can either reimburse the insured for costs incurred from illness or injury or directly pay the health care provider. The terms of health insurance are set out in a contract, known as a policy, which details the kind and extent of care that will be covered. The policyholder pays a premium to the insurance company in exchange for this coverage, often through monthly installments. Some plans require the insured to pay a certain amount out-of-pocket, known as a deductible before the insurance coverage becomes functional. Additionally, co-payment or co-insurance terms might stipulate that the insured pays a portion of the costs for every visit or service. Health insurance is designed to provide financial protection against high or unexpected healthcare costs and improve access to healthcare services. It can cover a range of medical services, from routine check-ups and preventive care to major procedures and long-term care. Policies can be purchased individually or provided as part of an employee benefits package. Government programs, like Medicare in the United States, also offer health insurance to specific populations.
United States Health Insurance Market Trends:
Aging demographics represents one of the prominent factors driving the health insurance market across the United States. As the Baby Boomer population continues to age, the demand for health insurance and healthcare services increases significantly. This demographic shift places pressure on insurance providers to create and adopt policies that meet the specific needs of older adults, especially those related to chronic disease management and long-term care. The implementation of the Affordable Care Act (ACA) substantially transformed the health insurance landscape by mandating coverage for many individuals who were previously uninsured, thereby creating health insurance exchanges, and expanding Medicaid. Despite ongoing political debate and potential policy shifts, the ACA's impact has fundamentally changed consumer expectations around health insurance, which is leading to market expansion. The market is also driven by the escalating cost of healthcare in the United States. High costs for medical procedures, hospital stays, prescription drugs, and other health services make health insurance necessary for most individuals. As healthcare costs continue to rise, so does the demand for comprehensive health insurance plans that are mitigating these expenses. Significant technological advancements are further influencing the growth of the market. The proliferation of health tech, including telemedicine, wearables, and AI-powered health tools, is facilitating the market. These technologies allow for more personalized, efficient, and cost-effective care, which is leading to innovative insurance models and policies. Insurance providers are leveraging these technologies to reduce costs, enhance customer engagement, and improve health outcomes. Moreover, employer-sponsored health insurance remains a cornerstone of the U.S. market. Changes in employment patterns, such as the rise in gig economy workers, are creating a positive outlook for the market across the United States.
United States Health Insurance Market Segmentation:
IMARC Group provides an analysis of the key trends in each segment of the United States health insurance market report, along with forecasts at the country level for 2023-2028. Our report has categorized the market based on provider, type, plan type, demographics, and provider type.
- Private Providers
- Public Providers
The report has provided a detailed breakup and analysis of the market based on the providers. This includes private providers and public providers.
- Life-Time Coverage
- Term Insurance
A detailed breakup and analysis of the market based on the type has also been provided in the report. This includes life-time coverage and term insurance.
Plan Type Insights:
- Medical Insurance
- Critical Illness Insurance
- Family Floater Health Insurance
A detailed breakup and analysis of the market based on the plan type has also been provided in the report. This includes medical insurance, critical illness insurance, family floater health insurance, and others.
- Senior Citizen
A detailed breakup and analysis of the market based on the demographics has also been provided in the report. This includes minor, adults, and senior citizen.
Provider Type Insights:
- Preferred Provider Organizations (PPOs)
- Point of Service (POS)
- Health Maintenance Organizations (HMOs)
- Exclusive Provider Organizations (EPOs)
A detailed breakup and analysis of the market based on the provider type has also been provided in the report. This includes preferred provider organizations (PPOs), point of service (POS), health maintenance organizations (HMOs), and exclusive provider organizations (EPOs).
The report has also provided a comprehensive analysis of all the major regional markets, which include Northwest, Midwest, South, and West.
The report has also provided a comprehensive analysis of the competitive landscape in the United States health insurance market. Competitive analysis such as market structure, key player positioning, top winning strategies, competitive dashboard, and company evaluation quadrant has been covered in the report. Also, detailed profiles of all major companies have been provided.
United States Health Insurance Market Report Coverage:
|Base Year of the Analysis
| Historical Period
|Scope of the Report
||Exploration of Historical and Forecast Trends, Industry Catalysts and Challenges, Segment-Wise Historical and Predictive Market Assessment:
- Plan Type
- Provider Type
||Private Providers, Public Providers
||Life-Time Coverage, Term Insurance
||Medical Insurance, Critical Illness Insurance, Family Floater Health Insurance, Others
||Minor, Adults, Senior Citizen
|Provider Types Covered
||Preferred Provider Organizations (PPOs), Point of Service (POS), Health Maintenance Organizations (HMOs), Exclusive Provider Organizations (EPOs)
||Northwest, Midwest, South, West
||10% Free Customization
|Report Price and Purchase Option
||Single User License: US$ 2699
Five User License: US$ 3699
Corporate License: US$ 4699
|Post-Sale Analyst Support
||PDF and Excel through Email (We can also provide the editable version of the report in PPT/Word format on special request)
Key Questions Answered in This Report:
- How has the United States health insurance market performed so far and how will it perform in the coming years?
- What has been the impact of COVID-19 on the United States health insurance market?
- What is the breakup of the United States health insurance market on the basis of provider?
- What is the breakup of the United States health insurance market on the basis of type?
- What is the breakup of the United States health insurance market on the basis of plan type?
- What is the breakup of the United States health insurance market on the basis of demographics?
- What is the breakup of the United States health insurance market on the basis of provider type?
- What are the various stages in the value chain of the United States health insurance market?
- What are the key driving factors and challenges in the United States health insurance market?
- What is the structure of the United States health insurance market and who are the key players?
- What is the degree of competition in the United States health insurance market?
Key Benefits for Stakeholders:
- IMARC’s report offers a comprehensive quantitative analysis of various market segments, historical and current market trends, market forecasts, and dynamics of the United States health insurance market from 2017-2028.
- The research study provides the latest information on the market drivers, challenges, and opportunities in the United States health insurance market.
- Porter's five forces analysis assist stakeholders in assessing the impact of new entrants, competitive rivalry, supplier power, buyer power, and the threat of substitution. It helps stakeholders to analyze the level of competition within the United States health insurance industry and its attractiveness.
- Competitive landscape allows stakeholders to understand their competitive environment and provides an insight into the current positions of key players in the market.