MEDICAL CASE MANAGEMENT SERVICES MARKET ANALYSIS

Medical case management involves assessment, planning, facilitation, care coordination, evaluation, and advocacy to promote patient safety, quality of care, and cost effective outcomes.

The global medical case management services market is estimated to account for US$ 6,154.3 Mn in terms of value by the end of 2027.

Global Medical Case Management Services Market: Drivers

Increasing geriatric population is expected to boost growth of the global medical case management services market over the forecast period. For instance, according to the World Health Organization, geriatric population is expected to reach 2 billion by 2050, up from 900 million in 2015.

Increasing healthcare expenditure is also expected to propel growth of the market. For instance, according to the Centers for Medicare & Medicaid Services (CMS), health spending in the U.S. is projected to grow at an average rate of 5.5 percent per year for 2018-27 and to reach nearly US$ 6.0 trillion by 2027.

North America region held dominant position in the global medical case management services market in 2018, accounting for 69.8% share in terms of value, followed by Europe.

Figure 1. Global Medical Case Management Services Market Value (US$ Mn), by Region, 2018

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Global Medical Case Management Services Market: Restraints

Lack of awareness about medical case management services is a major factor hampering growth of the global medical case management services market. Most people do not know about these services. People in developing countries lack awareness regarding medical case management services, as companies offering such services are mainly focused on developed regions.

Moreover, lack of professional medical care managers is also expected to hinder growth of the market.

Global Medical Case Management Services Market: Opportunities

Increasing medical tourism in developing economies is expected to offer lucrative growth opportunities for players in the global medical case management services market. For instance, according to India Brand Equity Foundation’s January 2019 release, the estimated Foreign Tourist Arrivals (FTAs) in India on medical purpose during the years 2015, 2016, and 2017 were 2,33,918, 4,27,014, and 4,95,056 respectively.

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Telephonic Case Management Services segment in the global medical case management services market was valued at US$ 2,208.5 Mn in 2018 and is expected to reach US$ 2,976.9 Mn by 2027 at a CAGR of 3.3% during the forecast period.

Market Trends/Key Takeaways

Key players in the market are focused on adopting M&A strategies to expand their service portfolio. For instance, in December 2019, Genex Services, LLC acquired CompAlliance, a provider of managed care services.

Major players in the market are also focused on expanding their portfolio by offering services such as surgical cost projection, medical bill review, prescription intervention program, and public retirement systems. For instance, in October 2019, EK Health Services, Inc. started offering Vail Resorts, Inc. with medical case management, medical bill review, utilization review, Medicare set aside services, and clinical specialty services.

Global Medical Case Management Services Market: Competitive Landscape

Major players operating in the global medical case management services market include, GENEX Services LLC., EagleOne Case Management Solutions, Inc., EK Health Services Inc., Healthcare Solutions Inc., Europ Assistance - Global Corporate Solutions, Precyse Solutions LLC, Axiom Medical Consulting, LLC, Managed Medical Review Organization Inc., and Medical Case Management Group.

Global Medical Case Management Services Market: Key Developments

Major players in the market are focused on product launch to expand their product portfolio. For instance, in April 2019, Genex Services, LLC launched Unity, a sophisticated managed care platform that facilitates rapid delivery of case updates to appropriate parties.

Major players in the market are also focused on adopting partnership strategies to enhance their market share. For instance, in November 2019, EK Health Services, Inc. expanded partnership with the City and County of San Francisco (CCSF) and implement medical bill review, utilization review, and nurse case management services to the San Francisco Municipal Transportation Agency (SFMTA).