Medical case management services market

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), By Severity of Case (Catastrophic Case Management, Chronic Pain Case Management, Independent Medical Examinations, Long Term Disability, Short Term Disability), By End User (Hospitals, Home Care Settings), and by Regions (North America, Latin America, Europe, Asia Pacific, Middle East and Africa) - Size, Share, Outlook, and Opportunity Analysis, 2019 - 2027

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Jan 2020
CMI3274
190 Pages
Excel & Pdf
Healthcare IT

Summary

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

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.

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).

Table of Content

Table of Contents

Research Objectives and Assumptions

Research Objectives
Assumptions
Abbreviations

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)

Market Dynamics, Regulations, and Trends Analysis

Market Dynamics

Drivers
Restraints
Market Opportunities

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)

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)

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)

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

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

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”.

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- Frequently Asked Questions -

What are the growth estimates for medical case management services market till 2027?

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.

Which are the prominent medical case management services market players across the globe?

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.

What are the key factors hampering growth of the medical case management services market?

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.

What are the key factors driving growth of the medical case management services market?

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.

What are the medical case management services market trends?

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.

Which region held the largest market share in the medical case management services 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.