Medical Case Management Market Analysis

Global Medical Case Management Market Overview

Medical Case Management Market Size was valued at USD 5.2 billion in 2022 and is projected to grow from USD 5.43 Billion in 2023 to USD 9.19 billion by 2032, exhibiting a compound annual growth rate (CAGR) of 4.5% during the forecast period (2023 - 2032). Increased adoption of advanced technology in hospitals and other healthcare settings and growing focus on digitalization and optimization processes are some of the market drivers.Source: Secondary Research, Primary Research, MRFR Database and Analyst Review

The healthcare industry is advancing and innovating significantly. By incorporating cutting-edge digital solutions, healthcare firms can significantly improve patient care, increase staff happiness, and enable better and quicker diagnosis. It involves the control of diseases and ongoing evaluation of progress or recovery from illness, trauma, or disability. This offers efficient mechanisms for managing medical care. A patient, for instance, may select from a range of therapy modules that offer suitable medical treatment and amenities. Medical case management is a comprehensive process that involves evaluating, suggesting, planning, coordinating, and putting into practice various healthcare services through case executives or patient advocates to ensure the best possible rehabilitation and treatment and quality and cost-effective outcomes. Medical case management calls for medical examination, establishing and implementing a care structure, coordinating healthcare services, and delivering tailored health services.

It also calls for tracking individual progress and promoting inexpensive care. Medical case management aims to assess the patient's health and the procedure's value to the patient. In hospitals and home care settings, medical case management services are provided via the Internet, the telephone, and person-to-person interactions. Catastrophic to temporary disability and private medical examinations are some of the cases these services address. Businesses typically forge relationships and collaborations with hospitals, specialist clinics, and other healthcare institutions on the one end and with hiring managers, organizations, meetings, and individuals to form a chain. The medical case management market is growing, but inadequate teamwork, security issues, and privacy worries impede factors. The medical case management market study also analyzes opportunities and anticipated trends that may impact market expansion. Adopting digital transformation can allow healthcare businesses to streamline operational procedures while reducing expenses.

Medical Case Management Market Trends

• Growing digitalization for optimizing various processes in the medical sector to propel market growth

The healthcare sector is experiencing significant advancement and innovation thanks to digital transformation. Healthcare organizations can greatly enhance patient care, improve staff satisfaction, and enable better and quicker diagnoses by implementing cutting-edge tech solutions. Healthcare organizations that adopt digital transformation can also gain the agility needed to optimize operational processes while cutting costs. Digitalization in the healthcare sector is exemplified by technological developments like electronic health records, online scheduling, telemedicine, SaMD (Software as a Medical Device), case management software, and AI-powered medical devices. These technologies fundamentally alter how patients interact with medical professionals, how data is shared among suppliers, and how decisions regarding their treatment options are made. Thus, this factor is driving the market CAGR for medical case management.

Growing demand for case management owing to the advantages offered is also among the key market drivers. Case (Care) Management is a more important and challenging task in hospitals. A large portion of the reimbursement paperwork, length of stay, carer cooperation, and other significant tasks related to inpatient processes fall under the purview of case management. A successful case management program yields enormous advantages. Re-admission rates drop, length of stay is cut, patient satisfaction rises, unnecessary resource use is reduced, and revenue is increased as a result. In a project, the case managers were able to pinpoint opportunities to decrease LOS by 2.62 days, accurately place 45 percent of observation patients in an inpatient or routine post-op settings, reduce readmissions by 5 percent, and generate a total of USD 70 million in additional revenues for the four hospitals over the course of three years for a net outlay of USD 2 million. Prior to the study, there was an 85% patient satisfaction rate with the current discharge procedure. Currently, there are over 63,030 clinical case managers working in the US. Thus, it is anticipated that this aspect will accelerate Medical Case Management market revenue globally..

Figure 1: Heathcare spending rate worldwideSource: Secondary Research, Primary Research, MRFR Database and Analyst Review

Moreover, growing healthcare spending to meet the increasing need in the healthcare sector is surging global market growth. The government and private institutes and companies are spending on development.

Medical Case Management Market Segment Insights

Medical Case Management Mode Type Insights

he 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 web-based case management segment held the majority share in 2022 in the Medical Case Management Market data. Some key factors contributing to the segment's growth include the entry of healthcare providers using IT and medical management systems using web applications. The increasing adoption of cutting-edge technologies is also fueling market growth..

Figure 1: Medical Case Management Market, by Mode Type, 2022 & 2030 (USD Billion)Source: Secondary Research, Primary Research, MRFR Database and Analyst Review 

Medical Case Management Case Type Insights

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 chronic pain case management segment dominated the market growth for medical case management in 2022 and is projected to be the faster-growing segment during the forecast period, 2022-2030. The growing need for pain management software, cost-effective solution, and the best possible treatment are some key factors propelling the market growth. Increasing disposable income, a growing number of patients, and the growing adoption of advanced technologies are some of the market drivers..

Medical Case Management End Users Insights

The Medical Case Management Market data, based on end users, include hospitals, home care settings, and others. The hospital's segment dominated the Medical Case Management market revenue in 2022 and is projected to be the faster-growing segment during the forecast period, 2022-2030. Modern automated case management solutions are made to take care of the many requirements of the healthcare case management process and lessen the workload for case managers. In an effort to enhance the delivery of healthcare services for any medical practice, using software that automates case management is a positive step. For instance, the majority of automated case management tools are made to enable knowledge workers to interact with patients effortlessly across various channels

News:

With the help of a partnership with Medix, a leading provider of medical management solutions, Tata AIA Life Insurance (Tata AIA) can now provide customers with access to a local and international network of certified medical specialists for serious diseases. This service is complimentary for policyholders who have acquired qualifying life insurance products spanning term, savings, and pension plans—the list of which shall be periodically published by the insurer on its website. In addition to a network of more than 4,500 independent, top-tier medical professionals with global quality accreditation, Medix offers a team of 300 internal physicians. Through this collaboration, Indian consumers would have access to a Personal Medical Care Management service that would provide them with top-notch medical advice. Patients and their loved ones will no longer have to deal with the anxiety and fear that comes with significant medical issues. Medix will continue supporting them and working with their treating physician on ongoing therapies, side effects, issues, and inquiries.

Medical Case Management Regional Insights

By region, the study provides market insights for medical case management into North America, Europe, Asia-Pacific, and Rest of the World. The North America Medical Case Management market accounted for USD 2.4 billion in 2022, with a share of around 45.80%, and is expected to exhibit a noteworthy CAGR growth during the study period. The market is anticipated to be driven by demand for better management services from healthcare organizations and patients. Moreover, growing spending on healthcare is also propelling the growth of medical case management in this region. For instance, according to the California Health Care Foundation, in 2020, the average cost of health care per person increased to USD 12,530 from USD 11,462 in 2019. In 2020, US health spending increased by 9.7%, the most since 2002, and doubled the growth rate of 2019. Higher federal expenditures primarily caused the rise during the COVID-19 pandemic.

Further, the major countries studied in the market report for medical case management are: The U.S., Canada, Germany, France, the UK, Italy, Spain, China, Japan, India, Australia, South Korea, and Brazil.

Figure 2: MEDICAL CASE MANAGEMENT MARKET SHARE BY REGION 2022 (%)Source: Secondary Research, Primary Research, MRFR Database and Analyst Review

Europe Medical Case Management market accounts for the second-largest market share. Technological advancements and the rising demand for patient case management solutions are among the factors boosting the market growth in this region. Moreover, UK Medical Case Management market held the largest market share, and the Germany Medical Case Management market was the fastest-growing market in the region.

Asia Pacific Medical Case Management Market is expected to grow at the fastest CAGR from 2022 to 2030. It is projected that a number of factors, including rapid urbanization, an increase in medical tourism, and the adoption of cutting-edge technologies in healthcare systems. These factors are also anticipated during the projected period to boost the demand for these solutions in the market. Further, the China Medical Case Management market held the largest market share, and the India Medical Case Management market was the fastest-growing market in the region.

Medical Case Management Key Market Players & Competitive Insights

Major market players are investing in R&D to expand their product lines, which will fuel the growth of the medical case management market. Participants in the market are also undertaking various strategic initiatives to expand their global footprint. Significant market developments include new product launches, mergers and acquisitions, contractual agreements, increased investments, and collaboration with other players.

One of the primary business strategies adopted by manufacturers in the global Medical Case Management industry is introducing new products in the market. In recent years, Medical Case Management industry has been adopted in many hospitals and healthcare institutes. Major players in the Medical Case Management market, such as Europ Assistance - Global Corporate Solutions, Axiom Medical Consulting, LLC, Medical Case Management Group, CompAlliance, Sierra Nevada Administrators, and Global Excel Management Inc, are collaborating with companies to develop new solutions.

Axiom Medical offers complete occupational health services to its clients. Organizations can strategically use the Axiom Medical platform for Occupational Health to manage workplace accident cases, OSHA-mandated medical programs, infectious disease control, mental and behavioral health, and other workplace health concerns. In July 2022, Axiom Medical designed the Tempo Live platform exclusively to help create and sustain resilient, safe, and healthy workplaces. Tempo Live combines real-time access to licensed medical professionals with science-based behavioral health technology for a judgment-free, safe interaction that enables staff members to name, navigate, and identify behavioral health needs whenever and wherever they arise.

CompAllianceis, a subsidiary of Cobalt Ventures, is A division of Blue Cross and Blue Shield of Kansas. Blue KC is a for-profit subsidiary of Cobalt Ventures. URAC has accredited CompAlliance for case management. In December 2019, Mitchell | Genex acquired CompAlliance, a reputable managed care service provider, including its Preferred Provider Organization (PPO), Medical Bill Review, Case Management, Utilization Review, and 24-hour Nurse Triage.

Key Companies in the Medical Case Management market includes

• Europ Assistance - Global Corporate Solutions


• Axiom Medical Consulting


• LLC


• Medical Case Management Group


• CompAlliance


• Sierra Nevada Administrators


• Global Excel Management Inc., among others

Medical Case Management Industry Developments

Janurary 2022: Ardent Health Services and Cadence have partnered to launch a remote care management programme that will enhance patient care and outcomes outside of clinics.

December 2022: Override a Virtual Chronic Pain a startup raised USD 3.5 million along with 7wireVentures and Martin Ventures, among other investors. The nation's top pain management coaching company was also acquired by Override.

August 2022: The IMA Group acquires Mollie Kallen Case Management to increase its national footprint making it their fourth acquisition of 2022.

Medical Case Management Market Segmentation

Medical Case Management Type Outlook (USD Billion, 2018-2030)

• Web-based Case Management


• Telephonic Case Management


• Field Case Management


• Bilingual Field Case Management

Medical Case Management Case Type Outlook (USD Billion, 2018-2030)

• Chronic Pain Case Management


• Catastrophic Case Management


• Independent Medical Examinations


• Short-Term Disability


• Long-Term Disability


• Others

Medical Case Management End Users Outlook (USD Billion, 2018-2030)

• Hospitals


• Home Care Settings


• Others

Medical Case Management Regional Outlook (USD Billion, 2018-2030)

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  North America

  
  
  
  
  • US
  
  
  • Canada
  
  
  
  


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  Europe

  
  
  
  
  • Germany
  
  
  • France
  
  
  • UK
  
  
  • Italy
  
  
  • Spain
  
  
  • Rest of Europe
  
  
  
  


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  Asia-Pacific

  
  
  
  
  • China
  
  
  • Japan
  
  
  • India
  
  
  • Australia
  
  
  • South Korea
  
  
  • Australia
  
  
  • Rest of Asia-Pacific
  
  
  
  


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  Rest of the World

  
  
  
  
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    Middle East

    
    
  
  
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    Africa

    
    
  
  
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    Latin America