The Health Insurance Market size worth USD 178.06 Billion at 9.8% CAGR over the forecast period 2023-2032. The Health Insurance Market is influenced by a myriad of factors that collectively shape its landscape and contribute to its dynamics. One of the primary drivers is the increasing awareness and emphasis on healthcare coverage, driven by the rising costs of medical care. An ever growing trend that we can predict to see is the rise of individuals and families looking into health insurance to help manage and alleviate their financial impacts of medical treatment and services expenses. This trend is also direct as a result of the growing perception of the significance of preventive care that makes individuals to look for the cover that is comprehensive for the purpose of their health.
Economic considerations which cover the general economy and the affordability of an insurance’s premium play an important role in linking to the consumers’ demand for health insurance. Economic factors form the basis of who is going to be able to afford or not health insurances plans and for individuals or business deciding on this. In addition to government subsidies and employer-based insurance schemes, the risk pooling dynamics and the carriers' business interests have a significant impact on the insurance landscape in the health sector and, consequently, different segments of the population have different coverage alternatives.
Demographic features, i.e. age and health category structure define tendencies in the market. Moreover, chronic illnesses and associated life style-related diseases also impact the type of coverage people are looking for, creating coverage offered by various health insurance plans to be adapted according to the demographic patterns of health issues.
Cultural perceptions just as insurance companies, health care and its fees are among the factors that define the structure of the health care market. The level of recognition of the significance of getting the healthcare insurance is limited by the presence of cultural obstacles, such as the perception of care prevention, getting the insurance and risk management. Cultural factors are also responsible for determined preferences of certain insurance types like alternative medicine or wellness programs, which to a degree explains the supply for the different kind of health insurance.
Digitalization and automation help the healthcare and insurance administration become integral part of the health insurance market dynamic. Digital platforms, data analytics, and telehealth services are increasingly integrated into insurance offerings, enhancing the efficiency of administrative processes and improving access to healthcare services. Technological innovations also enable insurers to tailor coverage options and pricing models based on individual health data, contributing to personalized and data-driven insurance solutions.
Report Attribute/Metric | Details |
---|---|
Market Size Value In 2022 | USD 69.23 Billion |
Growth Rate | 9.8% (2023-2032) |
Health Insurance Market Size was valued at USD 62.95 billion in 2021 and is projected to grow from USD 69.23 Billion in 2022 to USD 178.06 billion by 2032, exhibiting a compound annual growth rate (CAGR) of 9.8% during the forecast period (2023 - 2032). The prevalence of chronic diseases such as diabetes and hypertension and cost-sharing requirements imposed by insurers are driving the market growth.
Source: Secondary Research, Primary Research, MRFR Database and Analyst Review
The increased adoption of automation and digitization across the globe has transformed the health insurance industry. There is a huge transition in the market through technology such as artificial intelligence and blockchain technology. Artificial intelligence is enhancing claim management with real-time claim processing. Machine learning has numerous applications, including predictive analysis, improved customer service, and data management. Moreover, blockchain technology is enabling faster data access, automated claim verification, and lower administrative costs. In addition, companies are launching a digital health insurance product for individuals, families, and small & medium enterprises (SMEs). For instance, in February 2022, Wellx.ai (United Arab Emirates) partnered with INSTANDA (UK) and launched digital health insurance. Furthermore, in February 2022, Policybazaar (India) launched its AI-enabled WhatsApp chatbot to automate and expedite the claim management process for its clients.
Nonetheless, there is a huge focus on mental health illness, and health insurers are covering mental health care services such as expert consultation and access to meditation applications. The market players are forming strategic alliances to boost market growth while focusing on trends. For instance, in May 2022, AXA (France) partnered with the Manas Foundation (India) and launched mental health in Indian group policies.
Therefore, a wide range of applications of automation and digitization, strategic alliances to automate the claim management process, and an increased focus on mental health illnesses are driving the growth of the market.
Additionally, the growing demand for health care and increasing competition among providers has led to a high rate of inflation in the industry. This, in turn, has led to an increase in premiums, deductibles, co-pays, and out-of-pocket costs for consumers.
Moreover, the market growth is consistently increasing owing to the rise in non-communicable diseases such as cancer, diabetes, cardiovascular diseases, and others across the globe. As per the International Diabetes Federation, there were 537 million adults suffering from diabetes in 2021 worldwide.
The health insurance market segmentation, based on Demographic, includes minor, adult, and senior citizens. In 2021, the senior citizens segment held the majority share for the health insurance market's revenue. This is primarily due to the rising prevalence of communicable and non-communicable diseases among the elderly, as well as the increasing age of the world's population. For instance, the World Health Organization estimated in 2020 that there will be 2.1 billion people aged 60 and older by 2050.
December 2022: Bajaj Allianz (India) launched a health insurance for senior citizen "Respect Senior Care Rider". This insurance help provide services like emergency ambulance service, physiotherapy and nursing care at home.
The health insurance market segmentation, based on type, includes health maintenance organizations (HMOs), exclusive provider organizations (EPOs), point-of-service (POS) plans and preferred provider organizations. The point-of-service segment dominated the market in 2021 and is projected to be the faster-growing segment during the forecast period, 2022-2030. This is due to the high benefits offered as compared to the traditional plan as well as growing awareness also boosting the segment growth.
October 2019: CoreChoice, Inc. (US) launched a medical cost containment model with an exclusive provider organisation (EPO) for the workers' compensation sector. This model will work with clients to develop specific networks within a given city, state, or region.
The health insurance market data has been bifurcated by surgery into lifetime coverage and term insurance. The term insurance segment dominated the market in 2021 and is projected to be the faster-growing segment during the forecast period, 2022-2030. The term insurance plan offers financial security for the whole family as well as optional coverage for critical accidents and illnesses.
Figure 2: Health Insurance Market, by Period, 2021 & 2030 (USD Billion)Source: Secondary Research, Primary Research, MRFR Database and Analyst Review
Based on service provider, the health insurance industry has been segmented into public and private. The public segment is further bifurcated into Medicare and Medicaid moreover, the private segment has been further segmented into primary private health insurance, duplicate private health insurance, complementary private health insurance, and supplementary private health insurance. Public segment held the largest segment share in 2020, owing to offer plans and services to all segments of population. The public service providers include Medicare and Medicaid. Medicare is further subdivided into parts A, B, C, and D, which provide inpatient, outpatient, and prescription drug coverage, respectively. Moreover, the private sectors include the primary private health insurance, duplicate private health insurance, complementary private health insurance, and supplementary private health insurance.
Health Insurance Regional Insights
By Region, the study segments the market into North America, Europe, Asia-Pacific, and Rest of the World. North America Health insurance market is anticipated be the fastest growing region during the study period. This is attributed to the fact that there are numerous insurance companies that provide health & life insurance, and coverage is mandatory under the Affordable Care Act in the United States, which is driving the market's growth.
Further, the major countries studied are: The U.S, Canada, Germany, France, UK, Italy, Spain, China, Japan, India, Australia, South Korea, and Brazil.
Figure 3: HEALTH INSURANCE MARKET SHARE BY REGION 2021 (%)Source: Secondary Research, Primary Research, MRFR Database and Analyst Review
Europe health insurance market accounts for the second-largest market share. This is due to mandatory of having one insurance for health, increasing awareness about the tremendous benefits and requirements of health insurance are fueling the region's market growth. Further, the Germany health insurance market held the largest market share, and the UK health insurance market is the fastest growing market in the European region.
The Asia-Pacific Health insurance market is expected to grow at steady pace from 2022 to 2030. This is due to growing urban population, increasing ageing population, rising presence of private providers, and increasing launch of government schemes. Moreover, China health insurance market held the largest market share, and the India health insurance market was the fastest growing market in the Asia-Pacific region.
For instance, according to the World Economic Forum, after China, India had the second-largest geriatric population in 2020. Furthermore, the population in India is heavily focused on mental health illnesses, and market players are launching mental health insurance services that benefit children and adolescents.
Health Insurance Key Market Players & Competitive Insights
Market participants are taking a range of strategic initiatives to grow their worldwide footprint, including new product launches, contractual agreements, mergers and acquisitions, increased investments, and collaboration with other organizations. Competitors in the health insurance industry must offer cost-effective with numerous benefits health insurance plan to expand and survive in growing competitive and increasing market environment.
International Medical Group (US) is an award-winning insurance founded in 1990. It benefits and assistance services company that has served millions of members worldwide. In January 2022, International Medical Group launched the PTOgo is a first-of-its-kind travel medical insurance product for employers and employees. This insurance provides accident and sickness coverage for international trips taken during paid time off.
Additionally, AIA Group Limited (China) offers life insurance, medical insurance, critical illness insurance, accident protection insurance, disability protection insurance, and savings and investment plans to individuals. In February 2022, AIA Group Limited (China) established a pan-Asian health InsurTech company, namely "Amplify Health." The vision of Amplify Health's business is to spread digital health technology and integrated solutions to enhance the health and wellness outcomes of patients and communities in Asia.
Key Companies in the health insurance market includes
Health Insurance Industry Developments
June 2022:Allianz (Germany) subsidiary Bajaj Allianz launched the health insurance " Health Care". This insurance includes emergency treatment available for domestic and international usage.
October 2021:United Health Group (US) launched the virtual-first health plan. This plan provides people with 24/7 access to a dedicated care team and quality care at a lower cost.
April 2019:Aviva plc (UK) launched the private medical insurance service for corporate clients. It enables staff to access open recommendations to clinicians and medical specialists through their GP or the Aviva Digital GP app.
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