美國管理服務組織 (MSO) 市場規模、佔有率和趨勢分析報告：按最終用途、按服務、細分市場預測，2024-2030 年

美國管理服務組織 (MSO) 市場成長與趨勢：

Grand View Research, Inc.最新報告顯示，到2030年，美國管理服務機構市場規模預計將達到1084.4億美元，2024年至2030年複合年成長率為12.96%。

市場成長是由整合小型診所以實現規模經濟和提高業務效率的趨勢所推動的。

隨著消費主義變得越來越重要，MSO 認知到需要適應和回應不斷變化的患者期​​望和偏好。醫療保健領域消費主義的興起是由於患者在醫療保健決策中發揮積極作用，並要求更高的透明度、便利性和個人化體驗。患者越來越需要更多的資訊、選擇和工具，以便對醫療保健提供者和服務做出明智的選擇。這增加了人們對整個醫療保健旅程中無縫、以患者為中心的體驗的期望。

此外，在美國，MSO 擴大整合小型診所，從而提高業務效率並改善患者治療效果。 MSO 增加的收購讓診所能夠獲得私募股權公司的財務實力和專業知識，從而能夠投資於設施現代化、採用先進技術和擴大服務範圍。例如，2022年10月，耶魯紐黑文健康中心同意從Prospect Medical Holdings收購康乃狄克州的三家醫院：羅克維爾綜合醫院、沃特伯里健康中心和曼徹斯特紀念醫院。此次收購還包括相關業務、醫師診所營運和門診服務。

美國管理服務組織 (MSO) 市場報告亮點：

• 按服務分類，收益週期管理服務部門佔最大銷售佔有率，2023年將達59.5%。這可能是由於外包 RCM 的採用率高於內部服務，因為效率提高、現金流增加、成本降低以及對醫療保健法規的遵守情況得到改善。
• 這是因為美國擴大採用 MSO 來提高護理品質、提高業務效率並降低醫療保健提供者的成本。
• 2024 年 2 月，Conifer Health Solutions 簽署了一項新的多年協議，擴大了與達特茅斯健康中心的合作關係。透過此次合作，Conifer Health Solutions 將繼續為達特茅斯健康中心的醫院、醫生診所和其他營業單位提供 RCM 服務。

目錄

第1章調查方法和範圍

第 2 章執行摘要

第3章 市場變數、趨勢與範圍

• 市場體系展望
  • 母市場展望
  • 相關/輔助市場展望
• 市場趨勢及展望
• 市場動態
  • 市場促進因素分析
  • 市場限制因素分析
  • 市場機會分析
  • 市場問題分析
• 商業環境分析工具
  • 產業分析-波特五力分析
  • PESTEL分析
• 總目標市場 (TAM) 分析
  • 美國管理服務組織 (MSO) 為醫生提供的服務
• 定性分析
  • 執行醫療申請編碼的實踐
  • 典型的 MSO 合約
• 財務狀況及績效指標
  • 平均付款/薪資
  • 定性分析：盈利頻譜：分析從平均獲利能力到高收益的利潤率
• 總目標市場 (TAM) 分析

第4章服務業務分析

• 美國管理服務組織 (MSO) 市場：服務變化分析
• 美國管理服務組織 (MSO) 市場：服務細分儀表板
• 2023年及2030年服務趨勢及市場佔有率分析
• 按服務
• 醫療管理服務
• 病人訪問和通訊服務
• 收益週期管理服務
• 分析和諮詢服務

第5章 最終用途業務分析

• 美國管理服務組織 (MSO) 市場：最終用途變化分析
• 美國管理服務組織 (MSO) 市場：最終用途細分儀表板
• 2023 年和 2030 年最終用途趨勢和市場佔有率分析
• 按最終用途
• 醫生診所
• 日間手術中心 (ASC)
• 醫院
• 其他

第6章 競爭狀況

• 公司分類
• 公司市場分析
• 策略規劃
  • 夥伴關係/協作/聯盟
  • 新服務開始了
  • 併購
  • 其他
• 公司簡介/名單
  • HealthSmart Management Services Organization, Inc.
  • Network Medical Management（Apollo Medical Holdings, Inc.）
  • Conifer Health Solutions, LLC.（TH Medical）
  • MedPOINT Management, Inc.
  • Vanguard Health Solutions
  • Prospect Medical Holdings, Inc.
  • Centene Corporation
  • Advanced Medical Management
  • Pacific Partners Management Services Inc., a division of HCA Healthcare
  • MSO Inc.（Southern California）

U.S. Management Service Organization Market Growth & Trends:

The U.S. management service organization market size is anticipated to reach USD 108.44 billion by 2030, growing at a CAGR of 12.96% from 2024 to 2030, according to a new report by Grand View Research, Inc. The market's growth can be attributed to the trend of consolidating smaller practices to achieve economies of scale and improve operational efficiency is a significant factor responsible for market growth.

With the growing emphasis on consumerism, MSOs are recognizing the need to adapt and cater to the evolving expectations and preferences of patients. The growth of consumerism in healthcare is due to the shift toward patients taking an active role in their healthcare decisions, seeking greater transparency, convenience, and personalized experiences. The need for more access to information, options, and tools is growing among patients to make informed choices about their healthcare providers & services. This has led to an increase in expectations for a seamless and patient-centric experience throughout the healthcare journey.

Moreover, the growing consolidation of smaller practices with an MSO leads to improved operational efficiency and better patient care outcomes in the U.S. are expected to propel the market's growth over the forecast period. The rising acquisition by MSOs provides access to the financial resources and expertise of private equity firms, enabling the practices to invest in modernizing their facilities, adopting advanced technologies, and expanding their services. For instance, in October 2022, Yale New Haven Health agreed to acquire three hospitals in Connecticut from Prospect Medical Holdings: Rockville General Hospital, Waterbury HEALTH, and Manchester Memorial Hospital. The acquisition also included related businesses, physician clinic operations, and outpatient services.

U.S. Management Service Organization Market Report Highlights:

• Based on services, the revenue cycle management services segment held the largest revenue share of 59.5% in 2023. This can be attributed to the increasing adoption of outsourcing RCM over in-house services due to improved efficiency, increased cash flow, reduced costs, and improved compliance with healthcare regulations.
• Based on end-use, the physician office segment dominated the market with the largest market share in 2023 owing to the growing adoption of MSO, which improves the quality of care, enhances operational efficiency, and drives cost savings for healthcare providers in the U.S.
• In February 2024, Conifer Health Solutions, LLC extended its partnership with Dartmouth Health through a new multiyear agreement. Through this partnership, the company is expected to continue to provide its RCM services to Dartmouth Health's hospitals, physician practices, and other entities.

Table of Contents

Chapter 1. Methodology and Scope

• 1.1. Market Segmentation & Scope
  • 1.1.1. Segment Definitions
• 1.2. Estimates and Forecast Timeline
• 1.3. Research Methodology
• 1.4. Information Procurement
  • 1.4.1. Purchased Database
  • 1.4.2. GVR's Internal Database
  • 1.4.3. Secondary Sources
  • 1.4.4. Primary Research
  • 1.4.5. Details of Primary Research
  • 1.4.6. Research Assumption
• 1.5. Information or Data Analysis
  • 1.5.1. Data Analysis Models
• 1.6. Market Formulation & Data Visualization
• 1.7. Model Details
  • 1.7.1. Commodity Flow Analysis
• 1.8. Objectives
• 1.9. List of Secondary Sources
• 1.10. List of Secondary Sources

Chapter 2. Executive Summary

• 2.1. U.S. Management Service Organization (MSO) Market
  • 2.1.1. Market Snapshot
  • 2.1.2. Segment Snapshot
    • 2.1.2.1. Services segment outlook
    • 2.1.2.2. End-use segment outlook
  • 2.1.3. Competitive Landscape Snapshot

Chapter 3. Market Variables, Trends, & Scope

• 3.1. Market Lineage Outlook
  • 3.1.1. Parent Market Outlook
  • 3.1.2. Related/Ancillary Market Outlook
• 3.2. Market Trends and Outlook
• 3.3. Market Dynamics
  • 3.3.1. Market Driver Analysis
    • 3.3.1.1. Growing investments by private equity firms
    • 3.3.1.2. Growing consolidation of smaller practices
    • 3.3.1.3. Rising focus on value-based care
  • 3.3.2. Market Restraint Analysis
    • 3.3.2.1. Interoperability issues and data security concerns
    • 3.3.2.2. Lack of capitalization of MSOs limits their growth and operational capabilities
  • 3.3.3. Market Opportunity Analysis
    • 3.3.3.1. Emergence of next-generation MSOs
    • 3.3.3.2. Expansion of consumerism in healthcare
  • 3.3.4. Market Challenges Analysis
    • 3.3.4.1. Regulatory challenges
• 3.4. Business Environment Analysis Tools
  • 3.4.1. Industry Analysis - Porter's Five Forces Analysis
    • 3.4.1.1. Supplier power
    • 3.4.1.2. Buyer power
    • 3.4.1.3. Substitution threat
    • 3.4.1.4. Threat of new entrant
    • 3.4.1.5. Competitive rivalry
  • 3.4.2. PESTEL Analysis
• 3.5. Total Addressable Market (TAM) Analysis
  • 3.5.1. U.S. Management Service Organization (MSO) Services for Physicians
• 3.6. Qualitative Analysis
  • 3.6.1. Practices Performing Medical Claim Coding
  • 3.6.2. Typical MSO Contract
• 3.7. Financial Landscape and Performance Metrics
  • 3.7.1. Average Payment/Salary
  • 3.7.2. Qualitative Analysis: Profitability spectrum: Analyzing margins from average to strong performers
• 3.8. Total Addressable Market (TAM) Analysis

Chapter 4. Service Business Analysis

• 4.1. U.S. Management Service Organization (MSO) Market: Services Movement Analysis
• 4.2. U.S. Management Service Organization (MSO) Market: Service Segment Dashboard
• 4.3. Services Movement & Market Share Analysis, 2023 & 2030
• 4.4. U.S. Management Service Organization (MSO) Market Estimates & Forecast, by Services
• 4.5. Practice Administration Services
  • 4.5.1. Practice administration services market, 2018 - 2030 (USD Billion)
• 4.6. Patient Access & Communication Services
  • 4.6.1. Patient access & communication services market, 2018 - 2030 (USD Billion)
• 4.7. Revenue Cycle Management Services
  • 4.7.1. Revenue cycle management services market, 2018 - 2030 (USD Billion)
• 4.8. Analytics & Consulting Services
  • 4.8.1. Analytics & consulting services market, 2018 - 2030 (USD Billion)

Chapter 5. End-use Business Analysis

• 5.1. U.S. Management Service Organization (MSO) Market: End-use Movement Analysis
• 5.2. U.S. Management Service Organization (MSO) Market: End-use Segment Dashboard
• 5.3. End-Use Movement & Market Share Analysis, 2023 & 2030
• 5.4. U.S. Management Service Organization (MSO) Market Estimates & Forecast, by End-use
• 5.5. Physician office
  • 5.5.1. Physician office market, 2018 - 2030 (USD Billion)
• 5.6. Ambulatory Surgery Centers (ASC)
  • 5.6.1. Ambulatory Surgery Centers (ASC) market, 2018 - 2030 (USD Billion)
• 5.7. Hospital
  • 5.7.1. Hospital market, 2018 - 2030 (USD Billion)
• 5.8. Others
  • 5.8.1. Others market, 2018 - 2030 (USD Billion)

Chapter 6. Competitive Landscape

• 6.1. Company Categorization
• 6.2. Company Market Position Analysis
• 6.3. Strategy Mapping
  • 6.3.1. Partnership/Collaboration/Alliance
  • 6.3.2. New Service Launch
  • 6.3.3. Mergers & Acquisitions
  • 6.3.4. Others
• 6.4. Company Profiles/Listing
  • 6.4.1. HealthSmart Management Services Organization, Inc.
    • 6.4.1.1. Overview
    • 6.4.1.2. Financial performance
    • 6.4.1.3. Service benchmarking
    • 6.4.1.4. Strategic initiatives
  • 6.4.2. Network Medical Management (Apollo Medical Holdings, Inc.)
    • 6.4.2.1. Overview
    • 6.4.2.2. Financial performance
    • 6.4.2.3. Service benchmarking
    • 6.4.2.4. Strategic initiatives
  • 6.4.3. Conifer Health Solutions, LLC. (TH Medical)
    • 6.4.3.1. Overview
    • 6.4.3.2. Financial performance
    • 6.4.3.3. Service benchmarking
    • 6.4.3.4. Strategic initiatives
  • 6.4.4. MedPOINT Management, Inc.
    • 6.4.4.1. Overview
    • 6.4.4.2. Financial performance
    • 6.4.4.3. Service benchmarking
    • 6.4.4.4. Strategic initiatives
  • 6.4.5. Vanguard Health Solutions
    • 6.4.5.1. Overview
    • 6.4.5.2. Financial performance
    • 6.4.5.3. Service benchmarking
    • 6.4.5.4. Strategic initiatives
  • 6.4.6. Prospect Medical Holdings, Inc.
    • 6.4.6.1. Overview
    • 6.4.6.2. Financial performance
    • 6.4.6.3. Service benchmarking
    • 6.4.6.4. Strategic initiatives
  • 6.4.7. Centene Corporation
    • 6.4.7.1. Overview
    • 6.4.7.2. Financial performance
    • 6.4.7.3. Service benchmarking
    • 6.4.7.4. Strategic initiatives
  • 6.4.8. Advanced Medical Management
    • 6.4.8.1. Overview
    • 6.4.8.2. Financial performance
    • 6.4.8.3. Service benchmarking
    • 6.4.8.4. Strategic initiatives
  • 6.4.9. Pacific Partners Management Services Inc., a division of HCA Healthcare
    • 6.4.9.1. Overview
    • 6.4.9.2. Financial performance
    • 6.4.9.3. Service benchmarking
    • 6.4.9.4. Strategic initiatives
  • 6.4.10. MSO Inc. (Southern California)
    • 6.4.10.1. Overview
    • 6.4.10.2. Financial performance
    • 6.4.10.3. Service benchmarking
    • 6.4.10.4. Strategic initiatives

List of Tables

• Table 1 List of secondary sources
• Table 2 List of abbreviations
• Table 3 Salary of MSO workers in the U.S., by state, 2024
• Table 4 U.S. Management Service Organization (MSO) market revenue estimates and forecast, by services, 2018 - 2030 (USD Billion)
• Table 5 U.S. Management Service Organization (MSO) market revenue estimates and forecast, by end-use, 2018 - 2030 (USD Billion)

List of Figures

• Fig. 1 US Management Service Organization (MSO) market segmentation
• Fig. 2 Market research process
• Fig. 3 Information procurement
• Fig. 4 Primary research pattern
• Fig. 5 Market research approaches
• Fig. 6 Value chain based sizing & forecasting
• Fig. 7 QFD modelling for market share assessment
• Fig. 8 Market formulation & validation
• Fig. 9 Market snapshot
• Fig. 10 Services & end-use segment outlook
• Fig. 11 Competitive landscape
• Fig. 12 US Management Service Organization (MSO) market: Market dynamics
• Fig. 13 Total Addressable Market (TAM) analysis: US Management Service Organization (MSO) Market for physicians
• Fig. 14 U.S. Management Service Organization (MSO) market: Porter's analysis
• Fig. 15 U.S. Management Service Organization (MSO) market: PESTLE analysis
• Fig. 16 U.S. Management Service Organization (MSO) market: Services segment dashboard
• Fig. 17 U.S. Management Service Organization (MSO) market: Services movement share analysis
• Fig. 18 Practice administration services market, 2018 - 2030 (USD Billion)
• Fig. 19 Patient access & communication services market, 2018 - 2030 (USD Billion)
• Fig. 20 Revenue cycle management services market, 2018 - 2030 (USD Billion)
• Fig. 21 Analytics & consulting services market, 2018 - 2030 (USD Billion)
• Fig. 22 U.S. Management Service Organization (MSO) Market: End-use segment dashboard
• Fig. 23 U.S. Management Service Organization (MSO) Market: End-use movement share analysis
• Fig. 24 Physician office market, 2018 - 2030 (USD Billion)
• Fig. 25 Ambulatory Surgery Centers (ASC) market, 2018 - 2030 (USD Billion)
• Fig. 26 Hospital market, 2018 - 2030 (USD Billion)
• Fig. 27 Others market, 2018 - 2030 (USD Billion)
• Fig. 28 Company categorization
• Fig. 29 Company market position analysis
• Fig. 30 Strategic framework