USD 5.2 Billion
Medical Case Management Market Size, Share, Growth Analysis, By Mode(Web-based Case Management, Telephonic Case Management, Field Case Management, and Bilingual Field Case Management), By Case(Chronic Pain Case Management, Catastrophic Case Management, Independent Medical Examinations, Short-term Disability), By End-user(Hospitals, Home Care Settings, and Others), By Region - Industry Forecast 2025-2032
Report ID:
SQMIG35A2870 |
Region:
Global |
Published Date: April, 2024
Pages:
213
|Tables:
94
|Figures:
79
Medical Case Management Market Insights
Medical Case Management Market size was valued at USD 5.43 Billion in 2023 and is poised to grow from USD 5.67 Billion in 2024 to USD 8.07 Billion by 2032, growing at a CAGR of 4.5% during the forecast period (2025-2032).
The healthcare industry is growing and innovating tremendously. By incorporating sophisticated digital solutions, healthcare organizations can dramatically improve patient care, increase employee happiness, and enable more accurate and faster diagnosis This includes diseases that compliance, continuous assessment of progress or recovery from illness, injury, or disability. This leads to more efficient methods of medical management. For example, the patient can choose therapeutic treatments and locations.
Medical case management is a comprehensive process that involves assessing, recommending, planning, organizing, and implementing health care interventions through caseworkers or patient advocates to ensure rehabilitation and treatment better to achieve better and more cost-effective results. Medical case management involves conducting medical research, establishing and implementing a system of care, developing coordinated health care systems, and delivering appropriate health care.
Market snapshot - 2025-2032
Global Market Size
Largest Segment
Field Case Management
Fastest Growth
Web-based
Growth Rate
4.5% CAGR
Global Medical Case Management Market ($ Bn)
Country Share for North America Region (%)
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Medical Case Management Market Segmental Analysis
The medical case management market segmentation, based on mode type, includes web-based case management, telephonic case management, field case management, and bilingual field case management. The medical case management market segmentation, based on case type, includes chronic pain case management, catastrophic case management, independent medical examinations, short-term disability, long-term disability, and others. The medical case management market data, based on end users, includes hospitals, home care settings, and others. By region, the study provides market insights for medical case management into North America, Europe, Asia-Pacific, and Rest of the World.
Analysis by Case Type
The chronic pain case management segment dominated the market growth of medical information management by 2022 and is expected to be the fastest growing segment during the forecast period 2024-2031. Increasing disposable income, growing number of patients, increased use of advanced technologies are some of the factors driving the market.
The chronic disabilities division is responsible for the development and implementation of comprehensive care plans tailored to the specific needs of individuals with chronic health conditions. These programs consider medical, psychological, social and environmental factors. The long-term disability segment comprises a range of health services including treatment, rehabilitation programs, and supportive services. They work closely with health care providers to ensure a uniform and integrated approach to care.
Analysis by Mode
Field case management segment work directly with patients to assess their individual needs and develop personalized care plans. This includes coordinating medical services, rehabilitation, and other support services according to the specific needs of each patient. Case managers act as advocates for patients, ensuring that their needs are adequately communicated and met by the health system.
Web-based case management accounted for the majority of global medical case management market data by 2022. The major factors contributing to the growth of the segment include penetration of healthcare providers with IT and medical management systems using web applications. Increased adoption of cutting-edge technologies is also driving the growth of the market.
Global Medical Case Management Market By Mode (%)
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Medical Case Management Market Regional Insights
The North America region in the global medical case management market reached $2.4 billion by 2022, accounting for about 45.80%, and is expected to exhibit a notable CAGR growth during the forecast period owing to the demand for quality monitoring services so from healthcare organizations and patients so it is expected to drive this market. Furthermore, rising healthcare costs are also driving the growth of medical data management in this area. For example, according to the California Health Foundation, the average per capita health care costs increased to $12,530 by 2020 compared to $11,462 by 2019.
The Asia Pacific region in the global medical case management market is expected to grow at the fastest CAGR from 2024 to 2031. These factors are also expected to fuel the demand for these solutions in the market during the forecast period. Furthermore, the Chinese medical case management market held the largest market share, and the Indian medical case management market is the fastest growing market in the region.
Global Medical Case Management Market By Geography
- Largest
- Fastest
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Medical Case Management Market Dynamics
Drivers
Increasing Prevalence of Chronic Diseases
- Rates of chronic pain, long-term and short-term disabilities, and catastrophic accidents are on the rise. Patient and care management has become essential to treating these issues and increasing patient recovery. Chronic pain is associated with many physical and psychological conditions, resulting in increased healthcare costs and loss of productivity. Several studies estimate the prevalence of chronic pain to range from 11% to 40%. Chronic pain limits mobility, interfering with daily activities; stimulate opioid dependence, anxiety and depression; Poor perceived health or decreased quality of life. According to the Centers for Disease Control and Prevention (CDC), the prevalence of chronic pain is 20.4%, and the prevalence of chronic high-impact pain is 7.4% in 2019. Chronic pain issues in women age (21.7%), non-Hispanic white adults (23.6%), and age 65 and then most commonly in older adults (30.8%). Chronic high-impact pain was more common in women (8.5%) and age 65 years and older (11.8%). This type of pain is one of the most common types of pain adults seek treatment for. Therefore, the increasing prevalence of chronic pain is driving the demand for medical case management services.
Rise in Obese Population
- The obesity rates have risen rapidly in populations in developed and developing countries worldwide. Leading an unhealthy lifestyle is one of the major factors contributing to the rise in obesity. More than 1.9 billion adults will be obese by 2020, according to the Organization for Economic Cooperation (OECD). The prevalence of overweight has risen rapidly in Canada, Australia, Chile, the UK and South Africa. The US, Mexico and England have the highest prevalence of obesity, with ~47%, 39% and 35% respectively over the next two decades.
Restraints
Issue of Privacy and Security Notices
- Processing sensitive medical information requires strict compliance with privacy laws (such as HIPAA in the United States). The need for robust security measures to protect patient data can be a major challenge for medical information systems.
Compatibility Issues
- Integrating medical information systems into existing healthcare IT infrastructure can be complex and expensive. Compatibility issues with electronic health record systems and other software can hinder seamless integration.
Limits on Medical Expenditure
- The cost of implementation and maintenance costs associated with advanced medical information management solutions can be a barrier, especially for smaller healthcare organizations or those in resource-constrained environments.
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Medical Case Management Market Competitive Landscape
The competitive environment of the Global Medical Case Management Market is dynamic and characterized by the presence of a mix of well-established brands, emerging players, and niche producers. Innovation is a key competitive factor. Established organizations within the industry leverage techniques inclusive of product innovation, strategic partnerships, and mergers and acquisitions to strengthen their market position. Additionally, the market is witnessing elevated opposition from local and neighborhood producers supplying cost-powerful options.
Top Player’s Company Profiles
- GENEX Services Inc.
- EagleOne Case Management Solutions Inc.
- EK Health Services Inc.
- McKesson Corporation
- Procura Management Inc.
- Medecision Inc.
- Case Management Solutions
- Healthcare Solutions Inc.
- Europ Assistance - Global Corporate Solutions
- Precyse Solutions LLC.
- CorVel Corporation
- Axiom Medical Consulting LLC
- LifePlans Inc.
- Managed Medical Review Organization Inc.
- Advanced Medical Management Inc.
- Medical Case Management Group.
- Europ Assistance - Global Corporate Solutions
- CompAlliance
- Sierra Nevada Administrators
- Optum
- Paradigm Management Services
- The ALARIS Group Inc.
- Aetna Inc.
Recent Developments
- February 2022: Ardent Health Services partnered with Cadence to offer a remote practice management system to improve patient care and outcomes outside of hospitalization.
- December 2022: A virtual chronic pain override startup raises $3.5 million with 7wireVentures and Martin Ventures, among other investors. Override also won the nation’s top pain management training company.
- August 2022: IMA Group acquires Molly Cullen Case Management to increase its domestic footprint making it its fourth acquisition in 2022.
Medical Case Management Key Market Trends
- Increasing Digitalization to Develop Strategies for Efficiency in the Medical Field to Drive Market Growth: The digital revolution is bringing tremendous growth and innovation to the healthcare industry. Healthcare organizations can dramatically improve patient care, employee satisfaction, and improve diagnosis more accurately and faster by leveraging cutting-edge technological solutions. Healthcare organizations that embrace digital transformation can also gain the agility needed to optimize business processes while reducing costs. Examples of digitization in healthcare are technological developments such as electronic health records, online systems, telemedicine, SaMD (Software as a Medical Device), case management software, AI-driven medical devices etc. These technologies are changing how patients interact with them especially medical professionals interact, how data is shared among suppliers, how decisions are made about their treatment options and thus this product is driving the CAGR of the market for medical information.
- Growing Demand for Information Processing: Growing demand for information processing due to the benefits offered is also among the major drivers of the market. Case (care) management in hospitals is a highly important and complex task. A successful case management system that includes a high proportion of billing, length of stay, co-caregiver, and other necessary services associated with inpatient care is provided great benefits. It reduces readmissions, reduces length of stay, increases patient satisfaction, reduces unnecessary consumption, increases revenue In one job case managers reduced LOS by 2.62 days, transferring exactly 45 percent of patients to the routine inpatient or postoperative setting , reducing readmissions by one hundred each, managing to raise a total of $70 million in additional funding for the four hospitals over a three-year period and spending US$1.5 Billion, 2 million dollars.
Medical Case Management Market SkyQuest Analysis
SkyQuest’s ABIRAW (Advanced Business Intelligence, Research & Analysis Wing) is our Business Information Services team that Collects, Collates, Correlates, and Analyses the Data collected by means of Primary Exploratory Research backed by robust Secondary Desk research. The purpose of medical case management is to monitor the health of the patient and the benefits of the treatment to the patient. Hospitals and home care centers provide medical information services via the Internet, telephone, and person-to-person calls. Damage resulting in temporary disabilities and personal medical examinations are some of the cases addressed by these services. Businesses frequently connect with hospitals, specialty clinics, and other healthcare facilities and collaborate at one end with managers, organizations, conferences and individuals to form a chain. The global medical case management market is progressing, but insufficient teamwork, security issues and privacy concerns are hindering causes. The global medical case management market study examines opportunities and prospects that can influence market expansion. Embracing digital transformation can streamline business processes while reducing costs for healthcare services.
| Report Metric | Details |
|---|---|
| Market size value in 2023 | USD 5.43 Billion |
| Market size value in 2032 | USD 8.07 Billion |
| Growth Rate | 4.5% |
| Base year | 2024 |
| Forecast period | 2025-2032 |
| Forecast Unit (Value) | USD Billion |
| Segments covered |
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| Regions covered | North America (US, Canada), Europe (Germany, France, United Kingdom, Italy, Spain, Rest of Europe), Asia Pacific (China, India, Japan, Rest of Asia-Pacific), Latin America (Brazil, Rest of Latin America), Middle East & Africa (South Africa, GCC Countries, Rest of MEA) |
| Companies covered |
|
| Customization scope | Free report customization with purchase. Customization includes:-
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Table Of Content
Executive Summary
Market overview
- Exhibit: Executive Summary – Chart on Market Overview
- Exhibit: Executive Summary – Data Table on Market Overview
- Exhibit: Executive Summary – Chart on Medical Case Management Market Characteristics
- Exhibit: Executive Summary – Chart on Market by Geography
- Exhibit: Executive Summary – Chart on Market Segmentation
- Exhibit: Executive Summary – Chart on Incremental Growth
- Exhibit: Executive Summary – Data Table on Incremental Growth
- Exhibit: Executive Summary – Chart on Vendor Market Positioning
Parent Market Analysis
Market overview
Market size
- Market Dynamics
- Exhibit: Impact analysis of DROC, 2021
- Drivers
- Opportunities
- Restraints
- Challenges
- Exhibit: Impact analysis of DROC, 2021
- SWOT Analysis
KEY MARKET INSIGHTS
- Technology Analysis
- (Exhibit: Data Table: Name of technology and details)
- Pricing Analysis
- (Exhibit: Data Table: Name of technology and pricing details)
- Supply Chain Analysis
- (Exhibit: Detailed Supply Chain Presentation)
- Value Chain Analysis
- (Exhibit: Detailed Value Chain Presentation)
- Ecosystem Of the Market
- Exhibit: Parent Market Ecosystem Market Analysis
- Exhibit: Market Characteristics of Parent Market
- IP Analysis
- (Exhibit: Data Table: Name of product/technology, patents filed, inventor/company name, acquiring firm)
- Trade Analysis
- (Exhibit: Data Table: Import and Export data details)
- Startup Analysis
- (Exhibit: Data Table: Emerging startups details)
- Raw Material Analysis
- (Exhibit: Data Table: Mapping of key raw materials)
- Innovation Matrix
- (Exhibit: Positioning Matrix: Mapping of new and existing technologies)
- Pipeline product Analysis
- (Exhibit: Data Table: Name of companies and pipeline products, regional mapping)
- Macroeconomic Indicators
COVID IMPACT
- Introduction
- Impact On Economy—scenario Assessment
- Exhibit: Data on GDP - Year-over-year growth 2016-2022 (%)
- Revised Market Size
- Exhibit: Data Table on Medical Case Management Market size and forecast 2021-2027 ($ million)
- Impact Of COVID On Key Segments
- Exhibit: Data Table on Segment Market size and forecast 2021-2027 ($ million)
- COVID Strategies By Company
- Exhibit: Analysis on key strategies adopted by companies
MARKET DYNAMICS & OUTLOOK
- Market Dynamics
- Exhibit: Impact analysis of DROC, 2021
- Drivers
- Opportunities
- Restraints
- Challenges
- Exhibit: Impact analysis of DROC, 2021
- Regulatory Landscape
- Exhibit: Data Table on regulation from different region
- SWOT Analysis
- Porters Analysis
- Competitive rivalry
- Exhibit: Competitive rivalry Impact of key factors, 2021
- Threat of substitute products
- Exhibit: Threat of Substitute Products Impact of key factors, 2021
- Bargaining power of buyers
- Exhibit: buyers bargaining power Impact of key factors, 2021
- Threat of new entrants
- Exhibit: Threat of new entrants Impact of key factors, 2021
- Bargaining power of suppliers
- Exhibit: Threat of suppliers bargaining power Impact of key factors, 2021
- Competitive rivalry
- Skyquest special insights on future disruptions
- Political Impact
- Economic impact
- Social Impact
- Technical Impact
- Environmental Impact
- Legal Impact
Market Size by Region
- Chart on Market share by geography 2021-2027 (%)
- Data Table on Market share by geography 2021-2027(%)
- North America
- Chart on Market share by country 2021-2027 (%)
- Data Table on Market share by country 2021-2027(%)
- USA
- Exhibit: Chart on Market share 2021-2027 (%)
- Exhibit: Market size and forecast 2021-2027 ($ million)
- Canada
- Exhibit: Chart on Market share 2021-2027 (%)
- Exhibit: Market size and forecast 2021-2027 ($ million)
- Europe
- Chart on Market share by country 2021-2027 (%)
- Data Table on Market share by country 2021-2027(%)
- Germany
- Exhibit: Chart on Market share 2021-2027 (%)
- Exhibit: Market size and forecast 2021-2027 ($ million)
- Spain
- Exhibit: Chart on Market share 2021-2027 (%)
- Exhibit: Market size and forecast 2021-2027 ($ million)
- France
- Exhibit: Chart on Market share 2021-2027 (%)
- Exhibit: Market size and forecast 2021-2027 ($ million)
- UK
- Exhibit: Chart on Market share 2021-2027 (%)
- Exhibit: Market size and forecast 2021-2027 ($ million)
- Rest of Europe
- Exhibit: Chart on Market share 2021-2027 (%)
- Exhibit: Market size and forecast 2021-2027 ($ million)
- Asia Pacific
- Chart on Market share by country 2021-2027 (%)
- Data Table on Market share by country 2021-2027(%)
- China
- Exhibit: Chart on Market share 2021-2027 (%)
- Exhibit: Market size and forecast 2021-2027 ($ million)
- India
- Exhibit: Chart on Market share 2021-2027 (%)
- Exhibit: Market size and forecast 2021-2027 ($ million)
- Japan
- Exhibit: Chart on Market share 2021-2027 (%)
- Exhibit: Market size and forecast 2021-2027 ($ million)
- South Korea
- Exhibit: Chart on Market share 2021-2027 (%)
- Exhibit: Market size and forecast 2021-2027 ($ million)
- Rest of Asia Pacific
- Exhibit: Chart on Market share 2021-2027 (%)
- Exhibit: Market size and forecast 2021-2027 ($ million)
- Latin America
- Chart on Market share by country 2021-2027 (%)
- Data Table on Market share by country 2021-2027(%)
- Brazil
- Exhibit: Chart on Market share 2021-2027 (%)
- Exhibit: Market size and forecast 2021-2027 ($ million)
- Rest of South America
- Exhibit: Chart on Market share 2021-2027 (%)
- Exhibit: Market size and forecast 2021-2027 ($ million)
- Middle East & Africa (MEA)
- Chart on Market share by country 2021-2027 (%)
- Data Table on Market share by country 2021-2027(%)
- GCC Countries
- Exhibit: Chart on Market share 2021-2027 (%)
- Exhibit: Market size and forecast 2021-2027 ($ million)
- South Africa
- Exhibit: Chart on Market share 2021-2027 (%)
- Exhibit: Market size and forecast 2021-2027 ($ million)
- Rest of MEA
- Exhibit: Chart on Market share 2021-2027 (%)
- Exhibit: Market size and forecast 2021-2027 ($ million)
KEY COMPANY PROFILES
- Competitive Landscape
- Total number of companies covered
- Exhibit: companies covered in the report, 2021
- Top companies market positioning
- Exhibit: company positioning matrix, 2021
- Top companies market Share
- Exhibit: Pie chart analysis on company market share, 2021(%)
- Total number of companies covered
Methodology
For the Medical Case Management Market, our research methodology involved a mixture of primary and secondary data sources. Key steps involved in the research process are listed below:
1. Information Procurement: This stage involved the procurement of Market data or related information via primary and secondary sources. The various secondary sources used included various company websites, annual reports, trade databases, and paid databases such as Hoover's, Bloomberg Business, Factiva, and Avention. Our team did 45 primary interactions Globally which included several stakeholders such as manufacturers, customers, key opinion leaders, etc. Overall, information procurement was one of the most extensive stages in our research process.
2. Information Analysis: This step involved triangulation of data through bottom-up and top-down approaches to estimate and validate the total size and future estimate of the Medical Case Management Market.
3. Report Formulation: The final step entailed the placement of data points in appropriate Market spaces in an attempt to deduce viable conclusions.
4. Validation & Publishing: Validation is the most important step in the process. Validation & re-validation via an intricately designed process helped us finalize data points to be used for final calculations. The final Market estimates and forecasts were then aligned and sent to our panel of industry experts for validation of data. Once the validation was done the report was sent to our Quality Assurance team to ensure adherence to style guides, consistency & design.
Analyst Support
Customization Options
With the given market data, our dedicated team of analysts can offer you the following customization options are available for the Medical Case Management Market:
Product Analysis: Product matrix, which offers a detailed comparison of the product portfolio of companies.
Regional Analysis: Further analysis of the Medical Case Management Market for additional countries.
Competitive Analysis: Detailed analysis and profiling of additional Market players & comparative analysis of competitive products.
Go to Market Strategy: Find the high-growth channels to invest your marketing efforts and increase your customer base.
Innovation Mapping: Identify racial solutions and innovation, connected to deep ecosystems of innovators, start-ups, academics, and strategic partners.
Category Intelligence: Customized intelligence that is relevant to their supply Markets will enable them to make smarter sourcing decisions and improve their category management.
Public Company Transcript Analysis: To improve the investment performance by generating new alpha and making better-informed decisions.
Social Media Listening: To analyze the conversations and trends happening not just around your brand, but around your industry as a whole, and use those insights to make better Marketing decisions.
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