HMO Providers in the US - Industry Market Research Report

Under care: Consistent aging of domestic population and healthcare reform will maintain profit

Over the past five years, gains in Medicare Advantage (MA) penetration and growing enrollment have benefited the HMO Providers industry. In recent years, HMOs (health maintenance organizations) have consistently lost ground in the provision of employer-based coverage. According to the Kaiser Family Foundation (KFF), HMOs represented 20.3% of insurance enrollment in 2019, a notable drop from 24.0% in 2014 (latest data available). However, this overall decline had been outweighed by growth in the overall number of people with insurance. Prior to 2020, private insurance enrollment had been on the rise, but in 2020, COVID-19 caused insurance enrollment to fall due to heightened unemployment. However, as the pandemic begins to pass, unemployment is expected to fall, causing revenue to grow an estimated 4.4% in 2023 alone. These trends caused revenue to grow at a CAGR of 1.8% to an estimated $250.9 billion through the end of 2023.

HMO Providers provide Health Maintenance Organization (HMO) insurance coverage that supplies clients with access to physicians and other medical staff primarily engaged in providing a range of outpatient medical services, with a focus on primary healthcare.

This report covers the scope, size, disposition and growth of the industry including the key sensitivities and success factors. Also included are five year industry forecasts, growth rates and an analysis of the industry key players and their market shares.