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Medical Case Management Services Market – Insights

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

Medical Case Management Services  | Coherent Market Insights

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.

Medical Case Management Services  | Coherent Market Insights

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).

Medical case management services provide assistance in coordinating medical care procedures for patient undergoing treatment. These services help in the evaluation of medical condition, and help in development and implementation of treatment plan for patient. Medical case management services help in reducing billing errors and facilitate prompt payment to providers. Increasing prevalence of chronic diseases and injuries is expected to propel growth of the global medical case management services market over the forecast period.

Key features of the study:

  • This report provides in-depth analysis of the Medical Case Management Services market  and provides market size (US$ million) and compound annual growth rate (CAGR %) for the forecast period (2019–2027), considering 2018 as the base year
  • It elucidates potential revenue opportunities across different segments and explains attractive investment proposition matrices for this market
  • This study also provides key insights about market drivers, restraints, opportunities, new product launches or approval, market trends,  regional outlook, and competitive strategy adopted by key players
  • It profiles key players in the global Medical Case Management Services market  based on the following parameters – company overview, financial performance, product portfolio, market presence, distribution strategies, key developments, strategies, and future plans
  • Key companies covered as a part of this study 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.
  • Insights from this report would allow marketers and the management authorities of the companies to make informed decisions regarding their future product launches, technology up-gradation, market expansion, and marketing tactics
  • The global Medical Case Management Services market report caters to various stakeholders in this industry including investors, suppliers, product manufacturers, distributors, new entrants, and financial analysts
  • Stakeholders would have ease in decision-making through various strategy matrices used in analyzing the global Medical Case Management Services market

Detailed Segmentation:

  • Medical Case Management Services Market, By Mode of Service:
    • Web Based Case Management Service
    • Telephonic Case Management Service
    • Field Case Management Service
    • Bilingual Field Case Management Service
    • Other Services
  • Medical Case Management Services Market, By Severity of Case:
    • Catastrophic Case Management
    • Chronic Pain Case Management
    • Independent Medical Examinations
    • Long Term Disability
    • Short Term Disability
  • Medical Case Management Services Market, By End User:
    • Hospitals
    • Home Care Settings
  • Medical Case Management Services Market, By Region:
    • North America
      • By Product Type:
        • Web Based Case Management Service
        • Telephonic Case Management Service
        • Field Case Management Service
        • Bilingual Field Case Management Service
        • Other Services
      • By Severity of Case Sever
        • Catastrophic Case Management
        • Chronic Pain Case Management
        • Independent Medical Examinations
        • Long Term Disability
        • Short Term Disability
      • By End User:
        • Hospitals
        • Home Care Settings
      • By Country:
        • U.S.
        • Canada
    • Latin America
      • By Product Type:
        • Web Based Case Management Service
        • Telephonic Case Management Service
        • Field Case Management Service
        • Bilingual Field Case Management Service
        • Other Services
      • By Severity of Case Sever
        • Catastrophic Case Management
        • Chronic Pain Case Management
        • Independent Medical Examinations
        • Long Term Disability
        • Short Term Disability
      • By End User:
        • Hospitals
        • Home Care Settings
      • By Country:
        • Brazil
        • Mexico
        • Argentina
        • Rest of Latin America
    • Europe
      • By Product Type:
        • Web Based Case Management Service
        • Telephonic Case Management Service
        • Field Case Management Service
        • Bilingual Field Case Management Service
        • Other Services
      • By Severity of Case Sever
        • Catastrophic Case Management
        • Chronic Pain Case Management
        • Independent Medical Examinations
        • Long Term Disability
        • Short Term Disability
      • By End User:
        • Hospitals
        • Home Care Settings
      • By Country:
        • Germany
        • U.K.
        • France
        • Italy
        • Spain
        • Russia
        • Rest of Europe
    • Asia Pacific
      • By Product Type:
        • Web Based Case Management Service
        • Telephonic Case Management Service
        • Field Case Management Service
        • Bilingual Field Case Management Service
        • Other Services
      • By Severity of Case Sever
        • Catastrophic Case Management
        • Chronic Pain Case Management
        • Independent Medical Examinations
        • Long Term Disability
        • Short Term Disability
      • By End User:
        • Hospitals
        • Home Care Settings
      • By Country:
        • China
        • India
        • Japan
        • Australia
        • South Korea
        • ASEAN
        • Rest of Asia Pacific
    • Middle East
      • By Product Type:
        • Web Based Case Management Service
        • Telephonic Case Management Service
        • Field Case Management Service
        • Bilingual Field Case Management Service
        • Other Services
      • By Severity of Case Sever
        • Catastrophic Case Management
        • Chronic Pain Case Management
        • Independent Medical Examinations
        • Long Term Disability
        • Short Term Disability
      • By End User:
        • Hospitals
        • Home Care Settings
      • By Country:
        • GCC
        • Israel
        • Rest of Middle East
    • Africa
      • By Product Type:
        • Web Based Case Management Service
        • Telephonic Case Management Service
        • Field Case Management Service
        • Bilingual Field Case Management Service
        • Other Services
      • By Severity of Case Sever
        • Catastrophic Case Management
        • Chronic Pain Case Management
        • Independent Medical Examinations
        • Long Term Disability
        • Short Term Disability
      • By End User:
        • Hospitals
        • Home Care Settings
      • By Country:
        • South Africa
        • Central Africa
        • North Africa
  • Company Profiles
    • GENEX Services LLC. *
      • Company Overview
      • Product Portfolio
      • Key Highlights
      • Financial Overview
      • Strategies
    • 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.
    • Medical Case Management Group

“*” marked represents similar segmentation in other categories in the respective section.

Table of Contents

  1. Research Objectives and Assumptions
    • Research Objectives
    • Assumptions
    • Abbreviations
  2. Market Purview
    • Report Description
      • Market Definition and Scope
    • Executive Summary
      • Market Snippet, By Mode of Service
      • Market Snippets, By Severity of Case
      • Market Snippets, By End User
      • Market Snippet, By Region
      • Coherent Opportunity Map (COM)
  3. Market Dynamics, Regulations, and Trends Analysis
    • Market Dynamics
      • Drivers
      • Restraints
      • Market Opportunities
    • Impact Analysis
    • Key Highlights
    • Technological Advancements
    • PEST Analysis
    • Regulatory Scenario
    • Mergers and Acquisitions
  4. Medical Case Management Services Market, By Mode of Service, 2019 – 2027, (US$ Mn)
    • Introduction
      • Market Share Analysis, 2019 and 2027 (%)
      • Y-o-Y Growth Analysis, 2017 – 2027
      • Segment Trends
    • Web Based Case Management Service
      • Introduction
      • Market Size and Forecast, and Y-o-Y Growth, 2016 – 2027, (US$ Mn)
    • Telephonic Case Management Service
      • Introduction
      • Market Size and Forecast, and Y-o-Y Growth, 2016 – 2027, (US$ Mn)
    • Field Case Management Service
      • Introduction
      • Market Size and Forecast, and Y-o-Y Growth, 2016 – 2027, (US$ Mn)
    • Bilingual Field Case Management Service
      • Introduction
      • Market Size and Forecast, and Y-o-Y Growth, 2016 – 2027, (US$ Mn)
    • Other Services
      • Introduction
      • Market Size and Forecast, and Y-o-Y Growth, 2016 – 2027, (US$ Mn)
      •  
  5. Medical Case Management Services Market, Severity of Case, 2019 – 2027, (US$ Mn)
    • Introduction
      • Market Share Analysis, 2019 and 2027 (%)
      • Y-o-Y Growth Analysis, 2017 – 2027
      • Segment Trends
    • Catastrophic Case Management
      • Introduction
      • Market Size and Forecast, and Y-o-Y Growth, 2016 – 2027, (US$ Mn)
    • Chronic Pain Case Management
      • Introduction
      • Market Size and Forecast, and Y-o-Y Growth, 2016 – 2027, (US$ Mn)
    • Independent Medical Examinations
      • Introduction
      • Market Size and Forecast, and Y-o-Y Growth, 2016 – 2027, (US$ Mn)
    • Long Term Disability
      • Introduction
      • Market Size and Forecast, and Y-o-Y Growth, 2016 – 2027, (US$ Mn)
    • Short Term Disability
      • Introduction
      • Market Size and Forecast, and Y-o-Y Growth, 2016 – 2027, (US$ Mn)
  6. Medical Case Management Services Market, By End User, 2019 – 2027, (US$ Mn)
    • Introduction
      • Market Share Analysis, 2019 and 2027 (%)
      • Y-o-Y Growth Analysis, 2017 – 2027
      • Segment Trends
    • Hospitals
      • Introduction
      • Market Size and Forecast, and Y-o-Y Growth, 2016 – 2027, (US$ Mn)
    • Home Care Settings
      • Introduction
      • Market Size and Forecast, and Y-o-Y Growth, 2016 – 2027, (US$ Mn)
  7. Medical Case Management Services Market, By Region, 2019 – 2027, (US$ Mn)
    • Introduction
      • Market Share Analysis, By Region, 2019 and 2027 (%)
      • Y-o-Y Growth Analysis, For Regions, 2017–2026
    • North America
      • Market Size and Forecast, By Mode of Service, 2016 – 2027, (US$ Mn)
      • Market Size and Forecast, Severity of Case, 2016 – 2027, (US$ Mn)
      • Market Size and Forecast, By Delivery Mode, 2016 – 2027, (US$ Mn)
      • Market Size and Forecast, By Country, 2016 – 2027, (US$ Mn)
        • U.S.
        • Canada
    • Latin America
      • Market Size and Forecast, By Mode of Service, 2016 – 2027, (US$ Mn)
      • Market Size and Forecast, Severity of Case, 2016 – 2027, (US$ Mn)
      • Market Size and Forecast, By End User, 2016 – 2027, (US$ Mn)
      • Market Size and Forecast, By Country, 2016 – 2027, (US$ Mn)
        • Brazil
        • Mexico
        • Argentina
        • Rest of Latin America
    • Europe
      • Market Size and Forecast, By Mode of Service, 2016 – 2027, (US$ Mn)
      • Market Size and Forecast, Severity of Case, 2016 – 2027, (US$ Mn)
      • Market Size and Forecast, By End User, 2016 – 2027, (US$ Mn)
      • Market Size and Forecast, By Country, 2016 – 2027, (US$ Mn)
        • Germany
        • U.K.
        • France
        • Italy
        • Spain
        • Russia
        • Rest of Europe
    • Asia Pacific
      • Market Size and Forecast, By Mode of Service, 2016 – 2027, (US$ Mn)
      • Market Size and Forecast, Severity of Case, 2016 – 2027, (US$ Mn)
      • Market Size and Forecast, By End User, 2016 – 2027, (US$ Mn)
      • Market Size and Forecast, By Country, 2016 – 2027, (US$ Mn)
        • China
        • India
        • Japan
        • Australia
        • South Korea
        • ASEAN
        • Rest of APAC
    • Middle East
      • Market Size and Forecast, By Mode of Service, 2016 – 2027, (US$ Mn)
      • Market Size and Forecast, Severity of Case, 2016 – 2027, (US$ Mn)
      • Market Size and Forecast, By End User, 2016 – 2027, (US$ Mn)
      • Market Size and Forecast, By Country, 2016 – 2027, (US$ Mn)
        • GCC
        • Israel
        • Rest of Middle East
    • Africa
      • Market Size and Forecast, By Mode of Service, 2016 – 2027, (US$ Mn)
      • Market Size and Forecast, Severity of Case, 2016 – 2027, (US$ Mn)
      • Market Size and Forecast, By End User, 2016 – 2027, (US$ Mn)
      • Market Size and Forecast, By Country, 2016 – 2027, (US$ Mn)
        • South Africa
        • Central Africa
        • North Africa
  8. Competitive Landscape
    • Company Profiles
      • GENEX Services LLC.
        • Company Overview
        • Product Portfolio
        • Financial Overview
        • Key Highlights
        • Market Strategies
      • EagleOne Case Management Solutions, Inc.
        • Company Overview
        • Product Portfolio
        • Financial Overview
        • Key Highlights
        • Market Strategies
      • EK Health Services Inc.
        • Company Overview
        • Product Portfolio
        • Financial Overview
        • Key Highlights
        • Market Strategies
      • Healthcare Solutions Inc.
        • Company Overview
        • Product Portfolio
        • Financial Overview
        • Key Highlights
        • Market Strategies
      • Europ Assistance - Global Corporate Solutions
        • Company Overview
        • Product Portfolio
        • Financial Overview
        • Key Highlights
        • Market Strategies
      • Precyse Solutions LLC
        • Company Overview
        • Product Portfolio
        • Financial Overview
        • Key Highlights
        • Market Strategies
      • Axiom Medical Consulting, LLC
        • Company Overview
        • Product Portfolio
        • Financial Overview
        • Key Highlights
        • Market Strategies
      • Managed Medical Review Organization Inc.
        • Company Overview
        • Product Portfolio
        • Financial Overview
        • Key Highlights
        • Market Strategies
      • Medical Case Management Group
        • Company Overview
        • Product Portfolio
        • Financial Overview
        • Key Highlights
        • Market Strategies
  9. Section
    • References
    • Research Methodology
    • About us and Sales Contact

*Browse 34 market data tables and 28 figures on “Medical Case Management Services Market - Global forecast to 2027”.

Frequently Asked Questions

The global medical case management services market is estimated to reach US$ 6,154.3 Mn, in terms of value by the end of 2027.
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.
Lack of awareness about medical case management services, coupled with lack of professional medical care managers are some of the major factors that are expected to hamper growth of the market over the forecast period.
Increasing geriatric population and rising healthcare expenditure are some of the major factors that are expected to propel growth of the market over the forecast period.
The increasing mergers and acquisitions by market players to expand their service portfolio is one of the major trends that has been observed in the market.
Among regions, North America held a dominant position in the global medical case management services market in 2018, accounting for 69.8% share in terms of value, followed by Europe.
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