Connected Care in North America

The ageing population and the increasing prevalence of chronic diseases will be two of the greatest challenges in North America during this century. It is widely believed that connected care solutions can ease the burden on society by enabling more efficient delivery of care and allowing people to live independently for longer. The analyst's definition of connected care includes medical alert systems and remote patient monitoring (RPM) solutions.

Medical alert systems, also known as personal emergency response systems (PERS), comprises solutions that trigger an alarm when the user presses a button or when a passive sensor detects an accident. RPM solutions comprise connected medical devices and monitoring services that are used for remote management of patients suffering from arrhythmia, asthma, chronic kidney disease, chronic obstructive pulmonary disease, congestive heart failure, coronary artery disease, diabetes, hypertension or obstructive sleep apnea.

Connected care revenues in North America to reach US$ 60 billion by 2028

At the end of 2023, there were 33.3 million people that relied on connected care services in North America. RPM is the largest and most mature segment of the connected care market with a total of 29.9 million users at the end of 2023. The market for medical alert systems is considerably smaller with an estimated total of 5.2 million users at the end of 2023. There is an overlap between the market segments as medical alert system users can also be equipped with an RPM solution, and vice versa. The market is forecasted to grow at a compound annual growth rate (CAGR) of 11.4 percent during the next five years to reach 57.2 million connected care users by 2028.

The analyst expects that RPM will remain the largest segment of the connected care market with a forecasted 52.7 million users in 2028. The number of medical alert system users will at the same time reach 7.5 million units. The analyst estimates that connected care revenues in North America reached US$ 33.3 billion in 2023. This includes revenues from medical alert systems and remote patient monitoring solutions. The market is expected to grow at a CAGR of 12.5 percent in the following five years to reach US$ 60.0 billion in 2028. RPM solutions accounted for the largest share of the market value in 2023 and will remain in lead during the forecast period. The market for RPM solutions involves a wide range of actors, from specialised equipment vendors to integrated mHealth solution providers. The leading RPM application has thus far been sleep therapy compliance monitoring.

Patients that suffer from sleep-disordered breathing such as obstructive sleep apnea (OSA) are typically prescribed an airflow generator. However, many patients find the devices unpleasant to use and poor compliance is common. Payers increasingly require that patients comply with their treatment plans to be reimbursed for the device which has driven equipment vendors to connect the devices. The sleep therapy device segment is dominated by ResMed. Examples of major players in the RPM segment include Abbott, Accuhealth, Biofourmis, BioTelemetry, Current Health, Lark Health, Medtronic, Omada Health, Omron Healthcare, Optimize Health, Philips, Teladoc Health (Livongo) and Withings. The market for medical alert systems is mature and key actors include Anelto, Climax Technology, Connect America, Essence Group, Freeus (Becklar Group), Lively, LogicMark, MobileHelp (Medical Guardian) and Mytrex.

The North American market for connected care solutions is affected by several trends and developments that will have an impact on the competitive landscape in the next years. Changing demographics is driving the demand for home care, while technological developments and regulatory changes affect the competitive landscape for solution vendors. At the same time, the industry is becoming more patient-centric which calls for integrated systems and improved interoperability of connected care solutions. New companies are entering the connected care market and connected medication management solutions are today in the centre of attention for start-ups. An incipient convergence of the medical alert system and remote patient monitoring markets can be seen, where some medical alert system providers have started to add remote patient monitoring services to their solutions.

Artificial intelligence has made significant progress, from disease detection to personalizing treatments analysing large amounts to patient data. The transition has further supported the shift from data collection to proactive personalized solutions. Finally, cybersecurity is very important in the context of digital health solutions and it is clear that more work and investments need to be done to ensure that patients and their data are kept safe also in the future.

This report will allow you to:

Profit from 30 executive interviews with market leading companies.
Identify key players in the connected care ecosystem.
Learn about the latest developments in connected care devices and services.
Understand the dynamics of the North American healthcare system.
Evaluate how the adoption of next-generation solutions is proceeding.
Benefit from expert market analysis including detailed market forecasts lasting until 2028.

The report answers the following questions:

Which are the main verticals within connected care?
What are the main drivers on this market in North America?
How many people are using connected care solutions in the US and Canada?
Which are the leading medical alert system providers in North America?
How will the connected care market evolve in the next five years?
What are the general technology trends for connected care products?
How are new reimbursement policies affecting the connected care market?
What is the potential market size for cellular IoT connectivity?

Executive Summary

1 Healthcare in North America

1.1 Introduction
1.1.1 The ageing population
1.1.2 Metabolic syndrome and lifestyle-related diseases
1.2 Chronic diseases
1.2.1 Cardiovascular diseases
1.2.2 Chronic respiratory diseases
1.2.3 Diabetes
1.2.4 Obstructive sleep apnea
1.3 Neurological disorders, mental disorders and physical disabilities
1.3.1 Autism spectrum disorders
1.3.2 Dementia
1.3.3 Epilepsy
1.3.4 Other disorders and disabilities
1.4 Healthcare systems
1.4.1 Healthcare
1.4.2 Long-term care
1.5 The regulatory environment
1.5.1 Medical device regulations
1.5.2 Medical data regulations
1.5.3 Standardisation

2 Medical Alert Solutions

2.1 Market overview
2.1.1 Form factors and use cases
2.1.2 Monitoring services
2.1.3 Value chain
2.1.4 Competitive landscape
2.2 Solution providers
2.2.1 ADT Corporation
2.2.2 Alert1
2.2.3 Aloe Care Health
2.2.4 Anelto
2.2.5 Bay Alarm Medical
2.2.6 Climax Technology
2.2.7 Connect America
2.2.8 Essence Group
2.2.9 Freeus (Becklar Group)
2.2.10 HandsFree Health (Quarvis Health)
2.2.11 Laipac Technology
2.2.12 LifeAlert Emergency Response
2.2.13 LifeStation
2.2.14 Lively (Best Buy)
2.2.15 LogicMark
2.2.16 Medical Guardian
2.2.17 MetAlert (GTX Corp)
2.2.18 MobileHelp (Medical Guardian)
2.2.19 ModivCare
2.2.20 Mytrex
2.2.21 Numera (Previously Nortek Control)
2.2.22 QMedic
2.2.23 Silvertree
2.2.24 Vayyar Imaging

3 Remote Patient Monitoring Solutions

3.1 Market overview
3.1.1 Form factors and use cases
3.1.2 Value chain
3.1.3 Competitive landscape
3.2 Solution providers
3.2.1 A&D Medical
3.2.2 Abbott
3.2.3 Accuhealth
3.2.4 AMC Health
3.2.5 Biofourmis
3.2.6 BioIntelliSense
3.2.7 BioTelemetry (Philips)
3.2.8 BIOTRONIK
3.2.9 Boston Scientific
3.2.10 CareSimple
3.2.11 Current Health (BestBuy Health)
3.2.12 Dexcom
3.2.13 eDevice
3.2.14 Fisher & Paykel Healthcare
3.2.15 Glooko
3.2.16 Health Recovery Solutions (HRS)
3.2.17 Lark Health
3.2.18 Life365
3.2.19 Masimo
3.2.20 Medtronic
3.2.21 Nonin Medical
3.2.22 Omada Health
3.2.23 Omron Healthcare
3.2.24 Optimize Health
3.2.25 Philips
3.2.26 ResMed
3.2.27 Teladoc Health
3.2.28 TruBridge
3.2.29 TytoCare
3.2.30 Validic
3.2.31 VitalConnect
3.2.32 Withings

4 Market Forecasts and Conclusions

4.1 Market trends and analysis
4.1.1 An ageing population increases healthcare expenditure
4.1.2 Technology enabled care enables elderly to age at home for longer
4.1.3 Cellular technologies enable reliable connectivity for medical devices
4.1.4 Standalone systems to be replaced by platform solutions
4.1.5 Increasing government reimbursement for connected care applications
4.1.6 The growth of lightweight solutions is broadening the market
4.1.7 From remote patient monitoring to data-driven patient engagement
4.1.8 RPM applications can modernize clinical trial processes
4.1.9 Emerging players and market expansion transform the industry landscape
4.1.10 Convergence between medical alert systems and RPM solutions
4.1.11 The critical role of cybersecurity in digital solutions
4.2 Market forecasts
4.2.1 Medical alert systems
4.2.2 Remote patient monitoring solutions
4.3 Revenue forecasts
4.3.1 Medical alert systems
4.3.2 Remote patient monitoring solutions
List of Acronyms and Abbreviations

List of Figures

Figure 1.1: Population by age group and country (North America 2023-2050)
Figure 1.2: Prevalence of major chronic diseases by country (North America 2020)
Figure 1.3: Prevalence of dementia, ASDs and epilepsy by country (North America 2020)
Figure 1.4: Total and per capita healthcare expenditure by country (North America 2022)
Figure 1.5: Healthcare spending by type of service and product (Canada 2023)
Figure 1.6: Health insurance coverage by type of insurance (US 2022)
Figure 2.1: Adoption of medical alert systems by country (North America 2023)
Figure 2.2: Number of medical alert systems by form factor (North America 2023)
Figure 2.3: The MobileHelp Duo combined in-home and mobile medical alert system
Figure 2.4: The medical alert system value chain
Figure 2.5: Leading vendors of medical alert systems by shipments (North America 2023)
Figure 2.6: Leading providers of medical alert services by users (North America 2023)
Figure 2.7: Overview of medical alert system providers
Figure 2.8: The LooK watch I
Figure 2.9: Lively’s Mobile+ medical alert device and Lively Jitterbug Smart 4
Figure 2.10: GPS SmartSole
Figure 2.11: The MXD-LTE
Figure 2.12: QMedic’s in-home medical alert system
Figure 2.13: Silvertree Reach
Figure 2.14: Vayyar Care’s monitoring sensor
Figure 3.1: Adoption of RPM by country (North America 2023)
Figure 3.2: Installed base by disease segment (North America 2023)
Figure 3.3: mHealth gateway form factors
Figure 3.4: Connected medical devices and the provision of care
Figure 3.5: Overview of the remote patient monitoring value chain
Figure 3.6: Connected sleep therapy solutions by vendor (North America 2023)
Figure 3.7: Connected CRM implants by vendor (North America 2023)
Figure 3.8: Overview of RPM solution providers
Figure 3.9: A&D connected product and Heart Track app
Figure 3.10: The Merlin.net interface, Merlin@home transmitter and myMerlinPulse app
Figure 3.11: FreeStyle Libre 3 CGM system
Figure 3.12: BioIntelliSense BioButton wearable, BioMobile application and BioReport
Figure 3.13: The CardioMessenger smart device (left), and CardioMessenger II-S (right)
Figure 3.14: Latitude NXT Wave wireless communicator
Figure 3.15: Current Health's HomeHub and wearable monitor
Figure 3.16: Dexcom G7 family
Figure 3.17: HealthGO by eDevice
Figure 3.18: The Glooko Transmitter
Figure 3.19: iSpO2 (left) and MightySat device and application (right)
Figure 3.20: Masimo SafetyNet workflow
Figure 3.21: Omron Healthcare’s connected product family
Figure 3.22: VitalSight kit for remote patient monitoring by Omron Healthcare
Figure 3.23: eCareCompanion and eCareCoordinator from Philips
Figure 3.24: Philips DreamMapper mobile application
Figure 3.25: ResMed myAir with the Care Check-In and Personal Therapy Assistant
Figure 3.26: Withings connected devices, data hub and RPM solution
Figure 4.1: CMS reimbursement codes for RPM
Figure 4.2: Connected care users by segment (North America 2022-2028)
Figure 4.3: Medical alert system users (North America 2022-2028)
Figure 4.4: RPM users by disease segment (North America 2022-2028)
Figure 4.5: Connected care revenues by segment (North America 2022-2028)
Figure 4.6: Medical alert system revenues (North America 2022-2028)
Figure 4.7: RPM revenues (North America 2022-2028)

Companies Mentioned (Partial List)

A selection of companies mentioned in this report includes, but is not limited to:

A&D Medical
Abbott
Accuhealth
AMC Health
Biofourmis
BioIntelliSense
BioTelemetry (Philips)
BIOTRONIK
Boston Scientific
CareSimple
Current Health (BestBuy Health)
Dexcom
eDevice
Fisher & Paykel Healthcare
Glooko
Health Recovery Solutions (HRS)
Lark Health
Life365
Masimo
Medtronic
Nonin Medical
Omada Health
Omron Healthcare
Optimize Health
Philips
ResMed
Teladoc Health
TruBridge
TytoCare
Validic
VitalConnect
Withings

Methodology

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Connected Care in North America - 3rd Edition

Connected care revenues in North America to reach US$ 60 billion by 2028

This report will allow you to:

The report answers the following questions:

Table of Contents

Companies Mentioned (Partial List)

Methodology

Connected care revenues in North America to reach US$ 60 billion by 2028

This report will allow you to:

The report answers the following questions:

Table of Contents

Companies Mentioned (Partial List)

Methodology

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