The health economics and outcomes research (HEOR) services market in North America is expected to grow from US$ 548.8 million in 2020 to US$ 1,253.4 million by 2027; it is estimated to grow at a CAGR of 12.5% from 2020 to 2027.
The primary focus of the manufacturer is to offer cost-effective and efficient products in the market. The other main objective of the product development is to develop products to lead to better communication between the healthcare provider and patients. This would result in increased awareness and knowledge, which would eventually lead to the growth of the company and industry. However, to drive the better business there is a need much understanding the health economics and their outcomes. Hence, it becomes difficult for a market player to design a product and its lifecycle throughout the developmental process. Various companies outsource HEOR services to understand the regulations, healthcare coverage, and access decisions and identify the intervention that would benefit the specific populations of patients. The HEOR's most essential service is helping players fill the gap between clinical trials and actual health outcomes. Thus, due to increasing product development, there is growth in the demand for HEOR services, which is likely to continue in the coming future.The outbreak has highly affected the North American region. At present, the majority of the pharmaceutical companies and research institutes are engaged in the development of COVID-19 vaccines. The COVID-19 crisis has highlighted the use of real-world evidence (RWE) in the pharmaceutical industry. The FDA also acknowledge value of using RWD to understand COVID-19 and to assess potential re-purposed treatments being used in practice. A prominent example of RWE-data is Pfizer’s Ibrance, which is used for breast cancer and had undergone trials only for women. The HEOR services help governments to provide economic data on the burden of disease, the cost effectiveness of vaccines and the projected implementation costs of immunization programs to reach universal health coverage. Evidence on evaluating infectious disease and economic impact of vaccination is critical in informing national decision makers on the allocation of limited resources and in prioritizing interventions in the health sector. Thus, the demand of HEOR services is expected to remain high in the region.
With the new features and technologies, vendors can attract new customers and expand their footprints in emerging markets. This factor is likely to drive the health economics and outcomes research (HEOR) services market. The North America Health economics and outcomes research (HEOR) services market is expected to grow at a good CAGR during the forecast period.

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North America Health Economics and Outcomes Research (HEOR) Services Market Segmentation
By Service
- Economic Modelling/Evaluation
- Real-world Data Analysis and Information Systems
- Clinical Outcome
- Market Access Solutions and Reimbursement
By Service Provider
- Consultancy
- Contract Research Organizations
By End User
- Healthcare Providers
- Healthcare Payers
- Biotech/Pharma Companies
- Government Organizations
By Country
- North America
- US
- Canada
- Mexico
Companies Mentioned
- Axtria, Inc.
- Avalon Health Economics LLC
- MEDLIOR
- PHARMALEX GMBH
- Analysis Group
- ICON PLC
- IQVIA Inc.
- McKESSON CORPORATION
- Syneos Health
- Optum, Inc.
Report Coverage
Revenue forecast, Company Analysis, Industry landscape, Growth factors, and Trends
Segment Covered
Service, Service Provider, End User
Regional Scope
North America, Europe, Asia Pacific, Middle East & Africa, South & Central America
Country Scope
US, Canada
TABLE OF CONTENTS
1. Introduction
1.1 Scope of the Study
1.2 The Insight Partners Research Report Guidance
1.3 Market Segmentation
1.3.1 Health Economics and Outcomes Research (HEOR) Services Market – By Service
1.3.2 Health Economics and Outcomes Research (HEOR) Services Market – By Service Provider
1.3.3 Health Economics and Outcomes Research (HEOR) Services Market – By End User
1.3.4 North America Health Economics and Outcomes Research (HEOR) Services Market – By Country
2. North America Health Economics and Outcomes Research (HEOR) Services Market – Key Takeaways
3. Research Methodology
3.1 Coverage
3.2 Secondary Research
3.3 Primary Research
4. North America Health Economics and Outcomes Research (HEOR) Services Market – Market Landscape
4.1 Overview
4.2 PEST Analysis
4.2.1 Health Economics and Outcomes Research (HEOR) Services Market- North America PEST Analysis
4.3 Expert Opinion
5. North America Health Economics and Outcomes Research (HEOR) Services Market - Key Market Dynamics
5.1 Market Drivers
5.1.1 Increasing Product Development
5.1.2 Growing Healthcare Spending
5.2 Market Restraints
5.2.1 Restrictions on Access to Real-World Data (RWD)
5.3 Market Opportunities
5.3.1 Emergence of Precision Medicines
5.4 Future Trends
5.4.1 Digitalization in Healthcare
5.5 Impact Analysis
6. Health Economics and Outcomes Research (HEOR) Services Market – North America Analysis
6.1 North America Health Economics and Outcomes Research (HEOR) Services Market Revenue Forecasts and Analysis
7. North America Health Economics and Outcomes Research (HEOR) Services Market Analysis and Forecasts To 2027 – By Service
7.1 Overview
7.2 Health Economics and Outcomes Research (HEOR) Services Market Share, by Service, 2019 and 2027 (%)
7.3 Economic Modelling/Evaluation
7.3.1 Overview
7.3.2 Economic Modelling/Evaluation: Health Economics and Outcomes Research (HEOR) Services Market– Revenue and Forecast to 2027 (US$ Million)
7.4 Real-World Data Analysis and Information Systems
7.4.1 Overview
7.4.2 Real-World Data Analysis and Information Systems: Health Economics and Outcomes Research (HEOR) Services Market– Revenue and Forecast to 2027 (US$ Million)
7.5 Clinical Outcome
7.5.1 Overview
7.5.2 Clinical Outcome: Health Economics and Outcomes Research (HEOR) Services Market– Revenue and Forecast to 2027 (US$ Million)
7.6 Market Access Solutions and Reimbursement
7.6.1 Overview
7.6.2 Market Access Solutions and Reimbursement: Health Economics and Outcomes Research (HEOR) Services Market– Revenue and Forecast to 2027 (US$ Million)
8. North America Health Economics and Outcomes Research (HEOR) Services Market Analysis and Forecasts to 2027– By Service Provider
8.1 Overview
8.2 Health Economics and Outcomes Research (HEOR) Services Market Share, by Service Provider, 2019 and 2027, (%)
8.3 Consultancy
8.3.1 Overview
8.3.2 Consultancy: Health Economics and Outcomes Research (HEOR) Services Market – Revenue and Forecast to 2027 (US$ Million)
8.4 Contract Research Organizations
8.4.1 Overview
8.4.2 Contract Research Organizations: Health Economics and Outcomes Research (HEOR) Services Market – Revenue and Forecast to 2027 (US$ Million)
9. North America Health Economics and Outcomes Research (HEOR) Services Market Analysis and Forecasts to 2027– By End User
9.1 Overview
9.2 Health Economics and Outcomes Research (HEOR) Services Market Share, by End User, 2019 and 2027, (%)
9.3 Healthcare Providers
9.3.1 Overview
9.3.2 Healthcare Providers: Health Economics and Outcomes Research (HEOR) Services Market – Revenue and Forecast to 2027 (US$ Million)
9.4 Healthcare Payers
9.4.1 Overview
9.4.2 Healthcare Payers: Health Economics and Outcomes Research (HEOR) Services Market – Revenue and Forecast to 2027 (US$ Million)
9.5 Biotech/Pharma Companies
9.5.1 Overview
9.5.2 Biotech/Pharma Companies: Health Economics and Outcomes Research (HEOR) Services Market – Revenue and Forecast to 2027 (US$ Million)
9.6 Government Organization
9.6.1 Overview
9.6.2 Government Organization: Health Economics and Outcomes Research (HEOR) Services Market – Revenue and Forecast to 2027 (US$ Million)
10. Health Economics and Outcomes Research (HEOR) Services Market Revenue and Forecasts to 2027 – Geographical Analysis
10.1 North America: Health Economics and Outcomes Research (HEOR) Services Market
10.1.1 Overview
10.1.2 North America: Health Economics and Outcomes Research (HEOR) Services Market, by Country, 2019 & 2027 (%)
10.1.3 US: Health Economics and Outcomes Research (HEOR) Services Market – Revenue and Forecast to 2027 (USD Million)
10.1.3.1 US: Health Economics and Outcomes Research (HEOR) Services Market – Revenue and Forecast to 2027 (USD Million)
10.1.3.2 US: Health Economics and Outcomes Research (HEOR) Services Market, by Service, 2018–2027 (USD Million)
10.1.3.3 US: Health Economics and Outcomes Research (HEOR) Services Market, by Service Provider, 2018–2027 (USD Million)
10.1.3.4 US: Health Economics and Outcomes Research (HEOR) Services Market, by End User, 2018–2027 (Million Units)
10.1.4 Canada: Health Economics and Outcomes Research (HEOR) Services Market – Revenue and Forecast to 2027 (USD Million)
10.1.4.1 Canada: Health Economics and Outcomes Research (HEOR) Services Market – Revenue and Forecast to 2027 (USD Million)
10.1.4.2 Canada: Health Economics and Outcomes Research (HEOR) Services Market, by Service, 2018–2027 (USD Million)
10.1.4.3 Canada: Health Economics and Outcomes Research (HEOR) Services Market, by Service Provider, 2018–2027 (USD Million)
10.1.4.4 Canada: Health Economics and Outcomes Research (HEOR) Services Market, by End User, 2018–2027 (Million Units)
10.1.5 Mexico: Health Economics and Outcomes Research (HEOR) Services Market – Revenue and Forecast to 2027 (USD Million)
10.1.5.1 Mexico: Health Economics and Outcomes Research (HEOR) Services Market – Revenue and Forecast to 2027 (USD Million)
10.1.5.2 Mexico: Health Economics and Outcomes Research (HEOR) Services Market, by Service, 2018–2027 (USD Million)
10.1.5.3 Mexico: Health Economics and Outcomes Research (HEOR) Services Market, by Service Provider, 2018–2027 (USD Million)
10.1.5.4 Mexico: Health Economics and Outcomes Research (HEOR) Services Market, by End User, 2018–2027 (Million Units)
11. Impact Of COVID-19 Pandemic on North America Health Economics and Outcomes Research (HEOR) Services Market
11.1 North America: Impact Assessment of COVID-19 Pandemic
12. Industry Landscape
12.1 Overview
12.2 Inorganic Growth Strategies
12.2.1 Overview
12.3 Organic Growth Strategies
12.3.1 Overview
13. COMPANY PROFILES
13.1 Axtria, Inc.
13.1.1 Key Facts
13.1.2 Business Description
13.1.3 Products and Services
13.1.4 Financial Overview
13.1.5 SWOT Analysis
13.1.6 Key Developments
13.2 Avalon Health Economics LLC
13.2.1 Key Facts
13.2.2 Business Description
13.2.3 Products and Services
13.2.4 Financial Overview
13.2.5 SWOT Analysis
13.2.6 Key Developments
13.3 MEDLIOR
13.3.1 Key Facts
13.3.2 Business Description
13.3.3 Products and Services
13.3.4 Financial Overview
13.3.5 SWOT Analysis
13.3.6 Key Developments
13.4 PHARMALEX GMBH
13.4.1 Key Facts
13.4.2 Business Description
13.4.3 Products and Services
13.4.4 Financial Overview
13.4.5 SWOT Analysis
13.4.6 Key Developments
13.5 Analysis Group
13.5.1 Key Facts
13.5.2 Business Description
13.5.3 Products and Services
13.5.4 Financial Overview
13.5.5 SWOT Analysis
13.5.6 Key Developments
13.6 ICON PLC
13.6.1 Key Facts
13.6.2 Business Description
13.6.3 Products and Services
13.6.4 Financial Overview
13.6.5 SWOT Analysis
13.6.6 Key Developments
13.7 IQVIA Inc.
13.7.1 Key Facts
13.7.2 Business Description
13.7.3 Products and Services
13.7.4 Financial Overview
13.7.5 SWOT Analysis
13.7.6 Key Developments
13.8 McKESSON CORPORATION
13.8.1 Key Facts
13.8.2 Business Description
13.8.3 Products and Services
13.8.4 Financial Overview
13.8.5 SWOT Analysis
13.8.6 Key Developments
13.9 Syneos Health
13.9.1 Key Facts
13.9.2 Business Description
13.9.3 Products and Services
13.9.4 Financial Overview
13.9.5 SWOT Analysis
13.9.6 Key Developments
13.10 Optum, Inc. (UnitedHealth Group Incorporated)
13.10.1 Key Facts
13.10.2 Business Description
13.10.3 Products and Services
13.10.4 Financial Overview
13.10.5 SWOT Analysis
13.10.6 Key Developments
14. Appendix
14.1 About the Insight Partners
14.2 Glossary of Terms
LIST OF TABLES
Table 1. US: Health Economics and Outcomes Research (HEOR) Services Market, by Service– Revenue and Forecast to 2027 (USD Million)
Table 2. US: Health Economics and Outcomes Research (HEOR) Services Market, by Service Provider – Revenue and Forecast to 2027 (USD Million)
Table 3. US: Health Economics and Outcomes Research (HEOR) Services Market, by End User– Revenue and Forecast to 2027 (Million Units)
Table 4. Canada: Health Economics and Outcomes Research (HEOR) Services Market, by Service– Revenue and Forecast to 2027 (USD Million)
Table 5. Canada: Health Economics and Outcomes Research (HEOR) Services Market, by Service Provider– Revenue and Forecast to 2027 (USD Million)
Table 6. Canada: Health Economics and Outcomes Research (HEOR) Services Market, by End User– Revenue and Forecast to 2027 (Million Units)
Table 7. Mexico: Health Economics and Outcomes Research (HEOR) Services Market, by Service– Revenue and Forecast to 2027 (USD Million)
Table 8. Mexico: Health Economics and Outcomes Research (HEOR) Services Market, by Service Provider – Revenue and Forecast to 2027 (USD Million)
Table 9. Mexico: Health Economics and Outcomes Research (HEOR) Services Market, by End User– Revenue and Forecast to 2027 (Million Units)
Table 10. Recent Inorganic Growth Strategies in The Health Economics and Outcomes Research Services Market
Table 11. Recent Organic Growth Strategies in The Health Economics and Outcomes Research Services Market
Table 12. Glossary of Terms, Health Economics and Outcomes Research (HEOR) Services Market
LIST OF FIGURES
Figure 1. Health Economics and Outcomes Research (HEOR) Services Market Segmentation
Figure 2. North America Health Economics and Outcomes Research (HEOR) Services Market Overview
Figure 3. Clinical Outcome Segment Held Largest Share of Service in Health Economics and Outcomes Research (HEOR) Services Market
Figure 4. US is Expected to Show Remarkable Growth During the Forecast Period
Figure 5. Health Economics and Outcomes Research (HEOR) Services Market - North America PEST Analysis
Figure 6. Health Economics and Outcomes Research (HEOR) Services Market Impact Analysis of Driver and Restraints
Figure 7. North America Health Economics and Outcomes Research (HEOR) Services Market – Revenue Forecasts and Analysis – 2019- 2027
Figure 8. Health Economics and Outcomes Research (HEOR) Services Market Share, by Service, 2019 and 2027 (%)
Figure 9. Economic Modelling/Evaluation: Health Economics and Outcomes Research (HEOR) Services Market– Revenue and Forecast to 2027 (US$ Million)
Figure 10. Real-World Data Analysis and Information Systems: Health Economics and Outcomes Research (HEOR) Services Market– Revenue and Forecast to 2027 (US$ Million)
Figure 11. Clinical Outcome: Health Economics and Outcomes Research (HEOR) Services Market– Revenue and Forecast to 2027 (US$ Million)
Figure 12. Market Access Solutions and Reimbursement: Health Economics and Outcomes Research (HEOR) Services Market – Revenue and Forecast to 2027 (US$ Million)
Figure 13. Health Economics and Outcomes Research (HEOR) Services Market Share, by Service Provider, 2019 and 2027 (%)
Figure 14. Consultancy: Hospitals Health Economics and Outcomes Research (HEOR) Services Market – Revenue and Forecast to 2027 (US$ Million)
Figure 15. Contract Research Organizations: Health Economics and Outcomes Research (HEOR) Services Market – Revenue and Forecast to 2027 (US$ Million)
Figure 16. Health Economics and Outcomes Research (HEOR) Services Market Share, by End User, 2019 and 2027 (%)
Figure 17. Healthcare Providers: Health Economics and Outcomes Research (HEOR) Services Market – Revenue and Forecast to 2027 (US$ Million)
Figure 18. Healthcare Payers: Health Economics and Outcomes Research (HEOR) Services Market – Revenue and Forecast to 2027 (US$ Million)
Figure 19. Biotech/Pharma Companies: Health Economics and Outcomes Research (HEOR) Services Market – Revenue and Forecast to 2027 (US$ Million)
Figure 20. Government Organization: Health Economics and Outcomes Research (HEOR) Services Market – Revenue and Forecast to 2027 (US$ Million)
Figure 21. North America: Health Economics and Outcomes Research (HEOR) Services Market, by Key Country – Revenue (2019) (USD Million)
Figure 22. North America: Health Economics and Outcomes Research (HEOR) Services Market, by Country, 2019 & 2027 (%)
Figure 23. US: Health Economics and Outcomes Research (HEOR) Services Market – Revenue and Forecast to 2027 (USD Million)
Figure 24. Canada: Health Economics and Outcomes Research (HEOR) Services Market – Revenue and Forecast to 2027 (USD Million)
Figure 25. Mexico: Health Economics and Outcomes Research (HEOR) Services Market – Revenue and Forecast to 2027 (USD Million)
Figure 26. Impact of COVID-19 Pandemic in North American Country Markets
Figure 27. Growth Strategies Done by the Companies in the Market, (%)
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The Insight Partners performs research in 4 major stages: Data Collection & Secondary Research, Primary Research, Data Analysis and Data Triangulation & Final Review.
- Data Collection and Secondary Research:
As a market research and consulting firm operating from a decade, we have published many reports and advised several clients across the globe. First step for any study will start with an assessment of currently available data and insights from existing reports. Further, historical and current market information is collected from Investor Presentations, Annual Reports, SEC Filings, etc., and other information related to company’s performance and market positioning are gathered from Paid Databases (Factiva, Hoovers, and Reuters) and various other publications available in public domain.
Several associations trade associates, technical forums, institutes, societies and organizations are accessed to gain technical as well as market related insights through their publications such as research papers, blogs and press releases related to the studies are referred to get cues about the market. Further, white papers, journals, magazines, and other news articles published in the last 3 years are scrutinized and analyzed to understand the current market trends.
- Primary Research:
The primarily interview analysis comprise of data obtained from industry participants interview and answers to survey questions gathered by in-house primary team.
For primary research, interviews are conducted with industry experts/CEOs/Marketing Managers/Sales Managers/VPs/Subject Matter Experts from both demand and supply side to get a 360-degree view of the market. The primary team conducts several interviews based on the complexity of the markets to understand the various market trends and dynamics which makes research more credible and precise.
A typical research interview fulfils the following functions:
- Provides first-hand information on the market size, market trends, growth trends, competitive landscape, and outlook
- Validates and strengthens in-house secondary research findings
- Develops the analysis team’s expertise and market understanding
Primary research involves email interactions and telephone interviews for each market, category, segment, and sub-segment across geographies. The participants who typically take part in such a process include, but are not limited to:
- Industry participants: VPs, business development managers, market intelligence managers and national sales managers
- Outside experts: Valuation experts, research analysts and key opinion leaders specializing in the electronics and semiconductor industry.
Below is the breakup of our primary respondents by company, designation, and region:

Once we receive the confirmation from primary research sources or primary respondents, we finalize the base year market estimation and forecast the data as per the macroeconomic and microeconomic factors assessed during data collection.
- Data Analysis:
Once data is validated through both secondary as well as primary respondents, we finalize the market estimations by hypothesis formulation and factor analysis at regional and country level.
- 3.1 Macro-Economic Factor Analysis:
We analyse macroeconomic indicators such the gross domestic product (GDP), increase in the demand for goods and services across industries, technological advancement, regional economic growth, governmental policies, the influence of COVID-19, PEST analysis, and other aspects. This analysis aids in setting benchmarks for various nations/regions and approximating market splits. Additionally, the general trend of the aforementioned components aid in determining the market's development possibilities.
- 3.2 Country Level Data:
Various factors that are especially aligned to the country are taken into account to determine the market size for a certain area and country, including the presence of vendors, such as headquarters and offices, the country's GDP, demand patterns, and industry growth. To comprehend the market dynamics for the nation, a number of growth variables, inhibitors, application areas, and current market trends are researched. The aforementioned elements aid in determining the country's overall market's growth potential.
- 3.3 Company Profile:
The “Table of Contents” is formulated by listing and analyzing more than 25 - 30 companies operating in the market ecosystem across geographies. However, we profile only 10 companies as a standard practice in our syndicate reports. These 10 companies comprise leading, emerging, and regional players. Nonetheless, our analysis is not restricted to the 10 listed companies, we also analyze other companies present in the market to develop a holistic view and understand the prevailing trends. The “Company Profiles” section in the report covers key facts, business description, products & services, financial information, SWOT analysis, and key developments. The financial information presented is extracted from the annual reports and official documents of the publicly listed companies. Upon collecting the information for the sections of respective companies, we verify them via various primary sources and then compile the data in respective company profiles. The company level information helps us in deriving the base number as well as in forecasting the market size.
- 3.4 Developing Base Number:
Aggregation of sales statistics (2020-2022) and macro-economic factor, and other secondary and primary research insights are utilized to arrive at base number and related market shares for 2022. The data gaps are identified in this step and relevant market data is analyzed, collected from paid primary interviews or databases. On finalizing the base year market size, forecasts are developed on the basis of macro-economic, industry and market growth factors and company level analysis.
- Data Triangulation and Final Review:
The market findings and base year market size calculations are validated from supply as well as demand side. Demand side validations are based on macro-economic factor analysis and benchmarks for respective regions and countries. In case of supply side validations, revenues of major companies are estimated (in case not available) based on industry benchmark, approximate number of employees, product portfolio, and primary interviews revenues are gathered. Further revenue from target product/service segment is assessed to avoid overshooting of market statistics. In case of heavy deviations between supply and demand side values, all thes steps are repeated to achieve synchronization.
We follow an iterative model, wherein we share our research findings with Subject Matter Experts (SME’s) and Key Opinion Leaders (KOLs) until consensus view of the market is not formulated – this model negates any drastic deviation in the opinions of experts. Only validated and universally acceptable research findings are quoted in our reports.
We have important check points that we use to validate our research findings – which we call – data triangulation, where we validate the information, we generate from secondary sources with primary interviews and then we re-validate with our internal data bases and Subject matter experts. This comprehensive model enables us to deliver high quality, reliable data in shortest possible time.

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