• Cat-intel
  • MedIntelliX
  • Resources
  • About Us
  • Request Free Sample ×

    Kindly complete the form below to receive a free sample of this Report

    Leading companies partner with us for data-driven Insights

    clients tt-cursor
    Hero Background

    Clinical Risk Grouping Solution Market

    ID: MRFR/HC/40100-HCR
    200 Pages
    Garvit Vyas
    October 2025

    Clinical Risk Grouping Solution Market Research Report By Deployment Type (On-Premises, Cloud-Based, Hybrid), By Component (Software, Services, Consulting), By End User (Hospitals, Ambulatory Surgical Centers, Diagnostic Laboratories, Government Organizations), By Application (Patient Risk Assessment, Population Health Management, Clinical Decision Support) andBy Regional (North America, Europe, South America, Asia Pacific, Middle East and Africa)- Forecast to 2035

    Share:
    Download PDF ×

    We do not share your information with anyone. However, we may send you emails based on your report interest from time to time. You may contact us at any time to opt-out.

    Clinical Risk Grouping Solution Market Infographic
    Purchase Options

    Clinical Risk Grouping Solution Market Summary

    The Global Clinical Risk Grouping Solution Market is projected to grow from 5.64 USD Billion in 2024 to 12 USD Billion by 2035.

    Key Market Trends & Highlights

    Clinical Risk Grouping Solution Key Trends and Highlights

    • The market is expected to experience a compound annual growth rate of 7.1 percent from 2025 to 2035.
    • By 2035, the market valuation is anticipated to reach 12 USD Billion, indicating robust growth potential.
    • In 2024, the market is valued at 5.64 USD Billion, reflecting a strong foundation for future expansion.
    • Growing adoption of clinical risk grouping solutions due to the increasing need for efficient healthcare management is a major market driver.

    Market Size & Forecast

    2024 Market Size 5.64 (USD Billion)
    2035 Market Size 12 (USD Billion)
    CAGR (2025-2035) 7.1%

    Major Players

    IBM Watson Health, Cerner, Optum, Change Healthcare, McKesson, Hewlett Packard Enterprise, Inovalon, Siemens Healthineers, eClinicalWorks, NantHealth, Allscripts, Verisk Health, Cognizant, Epic Systems, TruBridge

    Clinical Risk Grouping Solution Market Trends

    The advent of advanced technologies such as artificial intelligence and machine learning further supports the market, facilitating better data analysis and decision-making processes in clinical settings.There are numerous opportunities to explore within the market, particularly as healthcare systems worldwide aim for improved patient care processes. The expansion of telehealth services and remote patient monitoring creates a favorable environment for integrating clinical risk grouping solutions.

    Furthermore, there is potential for growth in emerging markets where healthcare infrastructure is evolving and there is increasing awareness of the benefits of risk management tools. With a greater emphasis on personalized medicine, there is a chance to develop tailored solutions that cater specifically to the unique needs of individual patient populations.Recently, trends such as the shift toward value-based care have become more pronounced. Healthcare providers are focusing on improving patient outcomes while controlling costs, which aligns with the functionalities offered by clinical risk grouping solutions.

    The increasing emphasis on data-driven decision-making has spurred the adoption of analytic tools that enhance risk assessment and management in clinical practice. As healthcare organizations seek to harmonize quality and efficiency, the integration of clinical risk grouping solutions is likely to remain a significant focal point, ensuring that providers can deliver better care in a more structured and systematic manner.This evolving landscape represents a vital development that underscores the importance of adapting risk management practices to meet changing healthcare demands.

    The ongoing evolution of healthcare data analytics is reshaping the landscape of clinical risk grouping solutions, fostering enhanced patient care and resource allocation.

    U.S. Department of Health and Human Services

    Clinical Risk Grouping Solution Market Drivers

    Market Growth Visualization

    The Global Clinical Risk Grouping Solution Market Industry is poised for substantial growth, with projections indicating a market size of 5.64 USD Billion in 2024 and an anticipated rise to 12 USD Billion by 2035. The compound annual growth rate (CAGR) from 2025 to 2035 is estimated at 7.1%. This growth trajectory reflects the increasing adoption of clinical risk grouping solutions across healthcare systems globally, driven by technological advancements, regulatory support, and the rising prevalence of chronic diseases.

    Regulatory Support and Incentives

    Regulatory frameworks are increasingly supporting the adoption of clinical risk grouping solutions within the Global Clinical Risk Grouping Solution Market Industry. Governments and health authorities are implementing policies that encourage the use of these solutions to enhance healthcare delivery and patient safety. Incentives such as funding for technology adoption and reimbursement models that favor risk-based approaches are driving market growth. As healthcare systems worldwide strive for efficiency and improved patient care, the regulatory landscape is likely to continue evolving, further bolstering the market's expansion.

    Focus on Population Health Management

    Population health management is gaining traction within the Global Clinical Risk Grouping Solution Market Industry. Healthcare organizations are recognizing the importance of addressing the health outcomes of entire populations rather than just individual patients. Clinical risk grouping solutions facilitate this approach by enabling providers to analyze data across diverse patient groups, identify trends, and implement preventive measures. This focus on holistic health management is expected to drive market growth, as organizations aim to improve overall community health while reducing healthcare costs.

    Rising Prevalence of Chronic Diseases

    The Global Clinical Risk Grouping Solution Market Industry is significantly influenced by the rising prevalence of chronic diseases. Conditions such as diabetes, cardiovascular diseases, and obesity are becoming increasingly common, necessitating effective risk management strategies. Clinical risk grouping solutions play a crucial role in identifying at-risk populations and enabling targeted interventions. This trend is expected to drive market growth, with a compound annual growth rate (CAGR) of 7.1% projected from 2025 to 2035. As healthcare providers seek to manage chronic conditions more effectively, the demand for these solutions is likely to increase.

    Increasing Demand for Value-Based Care

    The Global Clinical Risk Grouping Solution Market Industry is experiencing a surge in demand for value-based care models. Healthcare providers are increasingly incentivized to improve patient outcomes while managing costs effectively. This shift is driven by the need to enhance quality of care and reduce unnecessary expenditures. As a result, clinical risk grouping solutions are being adopted to stratify patient populations and identify high-risk individuals. The market is projected to reach 5.64 USD Billion in 2024, reflecting the growing recognition of these solutions in facilitating value-based care initiatives.

    Technological Advancements in Healthcare

    Technological innovations are propelling the Global Clinical Risk Grouping Solution Market Industry forward. The integration of artificial intelligence and machine learning into clinical risk grouping solutions enhances predictive analytics capabilities, allowing for more accurate risk assessments. These advancements enable healthcare organizations to tailor interventions based on individual patient needs, ultimately improving health outcomes. As technology continues to evolve, the market is expected to grow significantly, with projections indicating a rise to 12 USD Billion by 2035. This growth underscores the importance of leveraging technology in clinical risk management.

    Market Segment Insights

    Clinical Risk Grouping Solution Market Deployment Type Insights

    The Global Clinical Risk Grouping Solution Market is experiencing notable growth in its Deployment Type segment, which includes On-Premises, Cloud-Based, and Hybrid solutions. In 2024, the On-Premises segment demonstrated a valuation of 2.26 USD Billion, revealing a preference among healthcare organizations for control over their systems and data. This segment is projected to achieve a market value of 5.0 USD Billion by 2035, reflecting its significant share and majority holding within the overall market landscape.

    Similarly, Cloud-Based solutions show considerable promise with a valuation of 2.85 USD Billion in 2024, set to rise to 6.0 USD Billion in 2035.The growing trend towards digital transformation and the necessity for effective data management in healthcare has made Cloud-Based systems increasingly vital, allowing for scalability, flexibility, and ease of access, which dominate market considerations.

    Lastly, the Hybrid segment, while valued at 0.53 USD Billion in 2024 and expected to reach 1.0 USD Billion by 2035, plays an important role in catering to organizations that wish to leverage both On-Premises and Cloud capabilities, offering a balanced approach to risk management. Each of these Deployment types shows distinct growth drivers, with On-Premises maintaining its presence due to concerns over security and data privacy, Cloud-Based solutions thriving on the need for innovative operational efficiencies, and Hybrid models combining the best of both worlds to address diverse customer needs.

    The shifts in technology adoption and an increasing focus on regulatory compliance are forecasted to elevate the importance of these deployment strategies further in shaping the Global Clinical Risk Grouping Solution Market's future. As the market continues to evolve, the interplay between these deployment methods is expected to create various opportunities and challenges for stakeholders within the Global Clinical Risk Grouping Solution Market industry, thus reflecting the dynamic nature of market growth.

    Source: Primary Research, Secondary Research, Market Research Future Database and Analyst Review

    Clinical Risk Grouping Solution Market Component Insights

    The Global Clinical Risk Grouping Solution Market is projected to reach a value of 5.64 billion USD by 2024, driven by the increasing need for effective healthcare management and risk assessment. The Component segment of this market encompasses various categories, including Software, Services, and Consulting, which collectively play a crucial role in enhancing clinical workflows and patient outcomes. Software solutions are becoming increasingly vital for data analysis and risk stratification, facilitating real-time decision-making for healthcare providers.

    Services related to implementation, support, and maintenance significantly contribute to optimizing the deployment of clinical risk grouping solutions. Consulting services are also important, aiding organizations in navigating complex regulations and improving their risk management strategies. The overall market is experiencing substantial growth, supported by technological advancements and the rising emphasis on value-based care.

    While the market is dominated by software solutions, the significance of consulting and service offerings cannot be overlooked, as they contribute to the effective utilization and integration of these technologies across various healthcare settings.The ongoing trend towards digital transformation and the growing focus on patient-centric care further fuel the expansion of the Global Clinical Risk Grouping Solution Market.

    Clinical Risk Grouping Solution Market End User Insights

    The Global Clinical Risk Grouping Solution Market is poised for growth, with an expected valuation of 5.64 USD Billion in 2024. Among the various end users, hospitals play a crucial role, as they utilize clinical risk grouping solutions to improve patient outcomes and streamline operational efficiency. Ambulatory surgical centers are also significant, addressing the complexity of outpatient procedures and the need for precise risk management. Diagnostic laboratories contribute to the landscape by enabling accurate diagnostics and risk assessment workflows, which can enhance treatment decision-making.

    Government organizations play an essential part in facilitating regulations and funding that support the implementation of these solutions across the healthcare spectrum. The diverse applications within these sectors, alongside an increasing emphasis on quality care and patient safety, highlight the diverse Global Clinical Risk Grouping Solution Market segmentation. Overall, the market faces growth drivers from technological advancements and heightened awareness regarding healthcare quality, while challenges such as data integration and compliance regulations need continuous attention to leverage the potential opportunities within the Global Clinical Risk Grouping Solution Market industry.

    Clinical Risk Grouping Solution Market Application Insights

    The Global Clinical Risk Grouping Solution Market, valued at 5.64 billion USD in 2024, showcases a growing emphasis on applications that streamline healthcare processes. Within this market, Patient Risk Assessment plays a pivotal role by enabling healthcare providers to identify and mitigate risks effectively, leading to improved patient outcomes. Population Health Management, another critical application, focuses on the health outcomes of a group of individuals and allows organizations to manage costs while enhancing care quality. Clinical Decision Support assists healthcare professionals by providing evidence-based tools to facilitate informed decision-making, which ultimately reduces clinical errors and enhances patient safety.

    The demand for these applications is driven by the need for efficient healthcare delivery and effective risk management strategies in a rapidly evolving healthcare landscape. As the Global Clinical Risk Grouping Solution Market continues to evolve, these applications are expected to play increasingly significant roles in shaping healthcare delivery systems. Moreover, with an expected market growth supported by technological advancements, the future trajectory seems promising for these vital applications.

    Get more detailed insights about Clinical Risk Grouping Solution Market

    Regional Insights

    The Global Clinical Risk Grouping Solution Market is showing promising growth across various regions, with 2024 valuing the overall market at approximately 5.64 USD Billion. North America leads significantly, holding a major share with 2.3 USD Billion in 2024, and is expected to grow to 5.0 USD Billion by 2035, highlighting its dominance and establishment in the market due to advanced healthcare infrastructure and technological adoption. Europe follows with a valuation of 1.4 USD Billion in 2024 and projected growth to 3.0 USD Billion, supported by increasing regulatory frameworks emphasizing patient safety.

    The APAC region, valued at 1.2 USD Billion, is forecasted to reach 2.6 USD Billion, driven by expanding healthcare access and investment in digital health solutions. South America, while smaller at 0.4 USD Billion, expects to grow to 0.8 USD Billion, buoyed by rising healthcare spending. Meanwhile, the MEA region, starting at 0.34 USD Billion in 2024, is estimated to achieve 0.6 USD Billion, reflecting increasing focus on improving healthcare services. The Global Clinical Risk Grouping Solution Market statistics reveal that North America holds the majority, ensuring its critical role in advancing clinical risk management solutions globally.

    Clinical Risk Grouping Solution Market Region

     Source: Primary Research, Secondary Research, Market Research Future Database and Analyst Review

    Key Players and Competitive Insights

    The Global Clinical Risk Grouping Solution Market is experiencing a notable transformation as healthcare providers increasingly seek to enhance patient outcomes through data-driven insights and risk management strategies. This market encompasses tools and systems designed to systematically classify patients based on risk levels, enabling healthcare organizations to implement targeted interventions. Competitive dynamics in this sector are shaped by technological advancements, regulatory changes, and the pressing need for cost containment in healthcare.

    Vendors in this space are not only competing on the basis of technology and features but also on their ability to integrate these solutions within existing healthcare infrastructures to provide seamless experiences for both providers and patients.

    The focus is also on ensuring compliance with evolving healthcare regulations while delivering real-time analytics that can significantly impact patient care pathways.IBM Watson Health stands out in the Global Clinical Risk Grouping Solution Market due to its advanced data analytics capabilities and robust artificial intelligence offerings. The company leverages its strong expertise in cognitive computing to provide healthcare organizations with powerful risk stratification tools that drive efficient clinical decision-making.

    Its solutions are designed to improve patient outcomes through precise identification of high-risk cohorts, ultimately helping providers optimize resource allocation. The strength of IBM Watson Health lies in its ability to integrate vast amounts of medical data from diverse sources, applying machine learning algorithms to generate actionable insights. This capability not only enhances clinical workflows but also contributes to operational efficiencies by reducing unnecessary hospitalizations and streamlining care management strategies.

    Cerner also plays a significant role in the Global Clinical Risk Grouping Solution Market, offering comprehensive solutions aimed at enhancing clinical outcomes and operational effectiveness. The organization is known for its healthcare information technology systems which facilitate effective patient data management and clinical risk assessment. Cerner's strength lies in its integrated approach to electronic health records (EHR) and clinical decision support systems, which empowers providers to identify at-risk populations and tailor interventions accordingly.

    The ability of Cerner's solutions to seamlessly interact with existing healthcare technologies ensures that clinicians receive timely and relevant risk insights, fostering a proactive rather than reactive approach to patient care. With strong market presence and a commitment to innovation, Cerner continues to solidify its position as a key player in supporting the transformation of clinical risk management practices within healthcare organizations.

    Key Companies in the Clinical Risk Grouping Solution Market market include

    Industry Developments

    • Q2 2024: Optum launches new AI-powered clinical risk grouping platform for U.S. payers Optum announced the launch of an advanced AI-driven clinical risk grouping solution designed to help U.S. health insurers improve risk stratification and population health management. The platform integrates predictive analytics and social determinants of health data.
    • Q2 2024: 3M Health Information Systems partners with Cerner to integrate clinical risk grouping analytics 3M Health Information Systems entered a strategic partnership with Cerner to embed its clinical risk grouping analytics into Cerner’s electronic health record platform, aiming to enhance risk adjustment and care management for hospital clients.
    • Q3 2024: Conduent secures multi-year contract with NHS England for risk grouping analytics Conduent was awarded a multi-year contract by NHS England to deploy its clinical risk grouping solution across several regional health networks, supporting population health initiatives and value-based care programs.
    • Q3 2024: Cerner opens new analytics R&D center in Dublin focused on clinical risk grouping solutions Cerner inaugurated a new research and development facility in Dublin, Ireland, dedicated to advancing clinical risk grouping technologies and expanding its European market presence.
    • Q4 2024: Optum acquires predictive analytics startup focused on clinical risk grouping Optum completed the acquisition of a U.S.-based startup specializing in predictive analytics for clinical risk grouping, aiming to bolster its technology portfolio and accelerate innovation in risk stratification.
    • Q4 2024: 3M Health Information Systems receives regulatory approval for new risk grouping module in Canada 3M Health Information Systems announced regulatory approval from Health Canada for its latest clinical risk grouping module, enabling Canadian providers to adopt advanced risk adjustment tools.
    • Q1 2025: Conduent launches cloud-native clinical risk grouping dashboard for payers and providers Conduent introduced a new cloud-native dashboard for clinical risk grouping, offering real-time analytics and longitudinal risk tracking for healthcare payers and providers.
    • Q1 2025: Cerner signs partnership with Singapore Ministry of Health for risk grouping pilot program Cerner entered a partnership with Singapore’s Ministry of Health to pilot its clinical risk grouping solution in select hospitals, supporting the country’s digital health transformation efforts.
    • Q2 2025: Optum appoints new Chief Data Science Officer to lead clinical risk grouping innovation Optum named Dr. Priya Desai as Chief Data Science Officer, tasking her with driving innovation in clinical risk grouping and predictive analytics for global healthcare clients.
    • Q2 2025: 3M Health Information Systems wins contract with German hospital network for risk grouping solution 3M Health Information Systems secured a contract to deploy its clinical risk grouping solution across a major German hospital network, supporting risk adjustment and population health management.
    • Q3 2025: Conduent expands clinical risk grouping solution to Australia with new regulatory clearance Conduent received regulatory clearance to launch its clinical risk grouping solution in Australia, marking its entry into the Asia-Pacific market and supporting local value-based care initiatives.
    • Q3 2025: Cerner announces $100M investment in next-generation clinical risk grouping technology Cerner committed $100 million to develop next-generation clinical risk grouping technology, focusing on AI-driven risk stratification and global market expansion.

    Future Outlook

    Clinical Risk Grouping Solution Market Future Outlook

    The Clinical Risk Grouping Solution Market is projected to grow at a 7.1% CAGR from 2024 to 2035, driven by technological advancements, regulatory changes, and increasing demand for personalized healthcare solutions.

    New opportunities lie in:

    • Develop AI-driven analytics tools to enhance risk assessment accuracy.
    • Expand partnerships with healthcare providers to integrate solutions into existing systems.
    • Invest in user-friendly interfaces to improve clinician adoption and engagement.

    By 2035, the market is expected to achieve substantial growth, reflecting its critical role in healthcare innovation.

    Market Segmentation

    Outlook

    • On-Premises
    • Cloud-Based
    • Hybrid

    Clinical Risk Grouping Solution Market End User Outlook

    • Hospitals
    • Ambulatory Surgical Centers
    • Diagnostic Laboratories
    • Government Organizations

    Clinical Risk Grouping Solution Market Regional Outlook

    • North America
    • Europe
    • South America
    • Asia Pacific
    • Middle East and Africa

    Clinical Risk Grouping Solution Market Component Outlook

    • Software
    • Services
    • Consulting

    Clinical Risk Grouping Solution Market Application Outlook

    • Patient Risk Assessment
    • Population Health Management
    • Clinical Decision Support

    Clinical Risk Grouping Solution Market Deployment Type Outlook

    • On-Premises
    • Cloud-Based
    • Hybrid

    Report Scope

    Attribute/Metric Source: Details
    MARKET SIZE 2023 5.26(USD Billion)
    MARKET SIZE 2024 5.64(USD Billion)
    MARKET SIZE 2035 12.0(USD Billion)
    COMPOUND ANNUAL GROWTH RATE (CAGR) 7.11% (2025 - 2035)
    REPORT COVERAGE Revenue Forecast, Competitive Landscape, Growth Factors, and Trends
    BASE YEAR 2024
    MARKET FORECAST PERIOD 2025 - 2035
    HISTORICAL DATA 2019 - 2023
    MARKET FORECAST UNITS USD Billion
    KEY COMPANIES PROFILED IBM Watson Health, Cerner, Optum, Change Healthcare, McKesson, Hewlett Packard Enterprise, Inovalon, Siemens Healthineers, eClinicalWorks, NantHealth, Allscripts, Verisk Health, Cognizant, Epic Systems, TruBridge
    SEGMENTS COVERED Deployment Type, Component, End User, Application, Regional
    KEY MARKET OPPORTUNITIES AI-driven predictive analytics integration, Expansion into emerging markets, Increasing demand for personalized healthcare, Regulatory compliance enhancements, Rising need for cost containment solutions
    KEY MARKET DYNAMICS rising healthcare costs, increasing regulatory compliance, growing demand for personalized medicine, technological advancements in data analytics, emphasis on patient safety and quality
    COUNTRIES COVERED North America, Europe, APAC, South America, MEA

    FAQs

    What is the projected market size of the Global Clinical Risk Grouping Solution Market in 2024?

    The Global Clinical Risk Grouping Solution Market is expected to be valued at 5.64 USD Billion in 2024.

    What is the expected growth rate of the Global Clinical Risk Grouping Solution Market from 2025 to 2035?

    The market is expected to grow at a CAGR of 7.11% from 2025 to 2035.

    Which region holds the largest market share in the Global Clinical Risk Grouping Solution Market in 2024?

    North America is projected to hold the largest market share, valued at 2.3 USD Billion in 2024.

    What will be the market value of the Global Clinical Risk Grouping Solution Market in 2035?

    The market is expected to reach a value of 12.0 USD Billion by 2035.

    How is the On-Premises segment of the Global Clinical Risk Grouping Solution Market expected to perform by 2035?

    The On-Premises segment is projected to be valued at 5.0 USD Billion by 2035.

    Which major players are involved in the Global Clinical Risk Grouping Solution Market?

    Key players include IBM Watson Health, Cerner, Optum, and Change Healthcare among others.

    What is the expected market size for Cloud-Based solutions in 2024?

    The Cloud-Based segment is expected to be valued at 2.85 USD Billion in 2024.

    What is the anticipated market size for the APAC region in 2035?

    The APAC region is expected to reach a market size of 2.6 USD Billion by 2035.

    How much is the Hybrid deployment segment projected to be valued in 2024?

    The Hybrid segment is projected to be valued at 0.53 USD Billion in 2024.

    What market value does the South America region hold in 2035?

    The South America market is expected to be valued at 0.8 USD Billion in 2035.

    Download Free Sample

    Kindly complete the form below to receive a free sample of this Report

    Case Study
    Chemicals and Materials