HMO Providers in the US - Industry Market Research Report

HMO Providers

Over the five years to 2018, gains in Medicare Advantage (MA) penetration and growing enrollment have benefited the HMO Providers industry. In recent years, HMOs have consistently lost ground in the provision of employer-based coverage. However, this overall decline has been outweighed by significant growth in the overall number of people with insurance. Despite a decreasing share, actual HMO enrollment has steadily increased. Over the five years to 2023, industry revenue is forecast to continue to increase, albeit at a slower rate compared with the previous five-year period. Rising aggregate health expenditure is anticipated to outweigh the continued decline of HMO penetration in the employer-sponsored insurance market.

This industry provides 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 generally 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.


  • About this Industry
  • Industry at a Glance
    • Table Key Statistics Snapshot
    • Table Revenue vs. employment growth
    • Table Products and services segmentation (2018)
    • Table Industry Structure
  • Industry Performance
    • Table Total health expenditure
    • Table Industry revenue
    • Table Life Cycle Stage
  • Products & Markets
    • Table KEY BUYING INDUSTRIES
    • Table KEY SELLING INDUSTRIES
    • Table Products and services segmentation (2018)
    • Table Major market segmentation (2018)
    • Table Business Locations 2018
    • Table Distribution of establishments vs. population
  • Competitive Landscape
    • Table Sector vs. Industry Costs
    • Table Barriers to Entry checklist
  • Major Companies
    • Table Major Players
    • Table UnitedHealth Group Inc. (US industry-specific segment) - financial performance*
    • Table Anthem Inc. (US industry-specific segment) - financial performance*
    • Table Humana Inc. (US industry-specific segment) - financial performance*
  • Operating Conditions
    • Table Capital Intensity
    • Table Tools of the Trade: Growth Strategies for Success
    • Table Volatility vs. growth
  • Key Statistics
    • Table Industry Data
    • Table Annual Change
    • Table Key Ratios
  • Jargon & Glossary

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