Medical Case Management Market Research Report – Global Forecast till 2027

Medical Case Management Market Research Report: by Mode Type (Web-based Case Management, Telephonic Case Management, Field Case Management, Bilingual Field Case Management), Case Type (Chronic Pain Case Management), End User - Forecast Till 2027

ID: MRFR/HC/5698-HCR | February 2021 | Region: Global | 90 pages

Medical Case Management Market Scenario:


Medical case management market is expected to register a healthy CAGR over the forecast period. The medical case management market held a market value of USD 4,379.3 million in 2017 and is projected to grow at a CAGR of 4.3% during the forecast period. Medical case management (MCM) is a collaborative process that enables recommended treatment plans to assure appropriate medical care is provided to disabled, ill or injured individuals. These services are provided under the direction of, or by referral from a clinical provider and comprise client-centered services that implement the clinical treatment plan, including linking clients with healthcare, psychosocial, and other services. Factors attributed for the market growth are the presence of government initiatives & regulations to promote patient-centric care, increasing initiatives to shift the burden of risk from healthcare payers to providers, rising need to curb healthcare costs, growing need for improved quality of care, and budding healthcare IT sector. In contrast, lack of awareness and the scarcity of medical case management professionals in developing countries are anticipated to limit the adoption of MCM services over the forecast period.


Segmentation:


The Medical case management market has been segmented into mode type, case type, and end user.


By mode type, the market has been segmented into web-based case management, telephonic case management, field case management, bilingual field case management, and others. The telephonic case management service segment is likely to spearhead the market over the forecast period as the service is quick and has comparatively higher utilization. Additionally, this service offers intangible advantages, removes geographic limitations, and decreases down time & costs during the claim handling.


On the basis of case type, the market has been divided into chronic pain case management, catastrophic case management, independent medical examinations, short-term disability, long-term disability, and others.


Based on end user, the market has been categorized into hospitals, home care settings, and others.


The Medical case management market has been segmented by region into the Americas, Europe, Asia-Pacific, and the Middle East & Africa. The market in the Americas has further been segmented into North America and South America, with the North American market divided into the US and Canada.


The European medical case management market has been segmented into Western Europe and Eastern Europe. The Western Europe market has further been classified as Germany, France, the UK, Italy, Spain, and the rest of Western Europe.


The Medical Case Management Market in Asia-Pacific has been segmented into Japan, China, India, South Korea, Australia, and the rest of Asia-Pacific. The market in the Middle East & Africa has been segmented into the Middle East and Africa.


Regional Market Summary:


Global Medical Case Management Market Share (%), by Region, 2017


Medical Case Management


Source: White Papers, Company Presentations, Annual Reports


Geographically, in 2017, the Americas led the medical case management market due to the presence of medical case management providers, changing lifestyle coupled with rising prevalence of chronic diseases, increasing expenditure on healthcare, and adoption of medical case management in the US and Canada. In addition, the presence of associations, namely, the American Case Management Association (ACMA), Commission for Case Manager Certification (CCMC), American Association of Healthcare Administrative Management (AAHAM), and Healthcare Information and Management Systems Society (HIMSS) are assisting in the regional market growth.


Europe would be the second leader in terms of value over the forecast period owing to substantial adoption of health insurance policies in European countries, namely, Germany, France, Italy, Spain, and UK. The governments of Germany, the UK, France, Italy, and Spain have taken initiatives to promote care coordination & quality of healthcare, and reforms to curtail healthcare costs by integrating HCIT solutions into healthcare, which is contributing to the market growth.


The market in Asia-Pacific would witness the fastest growth during the forecast period attributed to growing geriatric population coupled with rising prevalence of chronic diseases, booming medical tourism in emerging economies of the region. AIA Singapore Private Limited, a Singaporean life insurance plans and financial solutions provider, pioneered personal medical case management services through a partnership with Medix Medical Services Asia Ltd. in Singapore.


The medical case management market in the Middle East & Africa would register the modest market growth rate from 2018 to 2023. Majority of the regional market is anticipated to be governed by the Middle East region due to increasing healthcare sector reforms, rising investments in medical case management sector. In December 2017, the Dubai Health Authority (DHA) set up a citywide emergency and crisis management nerve center and signed a memorandum of understanding (MOU) with Avanza Solutions to implement the project. Avanza’s Smart City Medical Management Platform called Acuity (a smart application) is helping DHA in the field of emergency medical case management.


Market of Medical Case Management, by Mode Type:



  • Web-based Case Management

  • Telephonic Case Management

  • Field Case Management

  • Bilingual Field Case Management

  • Others


Market of Medical Case Management, by Case Type:



  • Chronic Pain Case Management

  • Catastrophic Case Management

  • Independent Medical Examinations

  • Short-term Disability

  • Long-term Disability

  • Others


Market of Medical Case Management, by End User:



  • Hospitals

  • Home Care Settings

  • Others


Market of Medical Case Management, by Region:



  • Americas


    • North America


      • US

      • Canada


    • South America


  • Europe


    • Western Europe


      • Germany

      • France

      • Italy

      • Spain

      • UK

      • Rest of Western Europe


    • Eastern Europe


  • Asia-Pacific


    • Japan

    • China

    • India

    • Australia

    • South Korea

    • Rest of Asia-Pacific


  • The Middle East & Africa


    • Middle East

    • Africa



Market of Medical Case Management, by Key Players:



  • Genex Services, LLC

  • EK Health, Inc.

  • EagleOne Case Management Solutions, Inc.

  • Europ Assistance - Global Corporate Solutions

  • Axiom Medical Consulting, LLC

  • Medical Case Management Group

  • Managed Medical Review Organization, Inc.

  • CompAlliance

  • Prime Health Services, Inc.

  • Sierra Nevada Administrators

  • GMMI, Inc.

  • Global Excel Management Inc.


Intended Audience:



  • Medical case management providers

  • Healthcare insurance companies/payers

  • Healthcare IT service providers

  • Healthcare institutions/providers

  • Venture capitalists

  • Healthcare BPO & KPO vendors

  • Government bodies

  • Corporate entities

  • Accountable care organizations



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Frequently Asked Questions (FAQ) :


In 2017, the medical case management market valuation was USD 4379.3 million.

The projected valuation of the medical case management market is 4.3% during the forecast period of 2018 to 2023.

Lack of proper professionals needed to drive the medical case management market ahead can prevent the growth.

The telephonic case management segment to lead the market.

The Americas would lead the medical case management market.

Table of Contents:


Chapter 1. Report Prologue

Chapter 2. Market Introduction

2.1. Definition

2.2. Scope of the Study

2.2.1. Research Objective

2.2.2. Assumptions

2.2.3. Limitations

Chapter 3. Research Methodology

3.1. Introduction

3.2. Primary Research

3.3. Secondary Research

3.4. Market Size Estimation

Chapter 4. Market Dynamics

4.1. Drivers

4.2. Restraints

4.3. Opportunities

4.4. Challenges

4.5. Macroeconomic Indicators

4.6. Detection Technique Trends & Assessment

Chapter 5. Market Factor Analysis

5.1. Porter’s Five Forces Analysis

5.1.1. Bargaining Power of Suppliers

5.1.2. Bargaining Power of Buyers

5.1.3. Threat of New Entrants

5.1.4. Threat of Substitutes

5.1.5. Intensity of Rivalry

5.2. Value Chain Analysis

5.3. Investment Feasibility Analysis

5.4. Pricing Analysis

Chapter 6. Global Medical Case Management Market, by Mode Type

6.1. Introduction

6.2. Web-based Case Management

Market Estimates & Forecast, by Region, 2020-2027

Market Estimates & Forecast, by Country, 2020-2027

6.3. Telephonic Case Management

Market Estimates & Forecast, by Region, 2020-2027

Market Estimates & Forecast, by Country, 2020-2027

6.4. Field Case Management

Market Estimates & Forecast, by Region, 2020-2027

Market Estimates & Forecast, by Country, 2020-2027

6.5. Bilingual Field Case Management

Market Estimates & Forecast, by Region, 2020-2027

Market Estimates & Forecast, by Country, 2020-2027

6.6. Others

Market Estimates & Forecast, by Region, 2020-2027

Market Estimates & Forecast, by Country, 2020-2027

Chapter 7. Global Medical Case Management Market, by Case Type

7.1. Introduction

7.2. Chronic Pain Case Management

Market Estimates & Forecast, by Region, 2020-2027

Market Estimates & Forecast, by Country, 2020-2027

7.3. Catastrophic Case Management

Market Estimates & Forecast, by Region, 2020-2027

Market Estimates & Forecast, by Country, 2020-2027

7.4. Independent Medical Examinations

Market Estimates & Forecast, by Region, 2020-2027

Market Estimates & Forecast, by Country, 2020-2027

7.5. Short-term Disability

Market Estimates & Forecast, by Region, 2020-2027

Market Estimates & Forecast, by Country, 2020-2027

7.6. Long-term Disability

Market Estimates & Forecast, by Region, 2020-2027

Market Estimates & Forecast, by Country, 2020-2027

7.7. Others

Market Estimates & Forecast, by Region, 2020-2027

Market Estimates & Forecast, by Country, 2020-2027

Chapter 8. Global Medical Case Management Market, by End User

8.1. Hospitals

Market Estimates & Forecast, by Region, 2020-2027

Market Estimates & Forecast, by Country, 2020-2027

8.2. Home Care Settings

Market Estimates & Forecast, by Region, 2020-2027

Market Estimates & Forecast, by Country, 2020-2027

8.3. Others

Market Estimates & Forecast, by Region, 2020-2027

Market Estimates & Forecast, by Country, 2020-2027

Chapter 9. Global Medical Case Management Market, by Region

9.1. Introduction

9.2. Americas

9.2.1. North America

9.2.1.1. US

9.2.1.2. Canada

9.2.2. South America

9.3. Europe

9.3.1. Western Europe

9.3.1.1. Germany

9.3.1.2. France

9.3.1.3. Italy

9.3.1.4. Spain

9.3.1.5. UK

9.3.1.6. Rest of Western Europe

9.3.2. Eastern Europe

9.4. Asia-Pacific

9.4.1. Japan

9.4.2. China

9.4.3. India

9.4.4. Australia

9.4.5. South Korea

9.4.6. Rest of Asia-Pacific

9.5. Middle East & Africa

9.5.1. Middle East

9.5.2. Africa

Chapter 10. Company Landscape

10.1. Introduction

10.2. Market Share Analysis

10.3. Key Developments & Strategies

Chapter 11. Company Profiles

11.1. Genex Services, LLC

11.1.1. Company Overview

11.1.2. Product Overview

11.1.3. Financials Overview

11.1.4. Key Developments

11.1.5. SWOT Analysis

11.1.6. Key Strategies

11.2. EK Health, Inc.

11.2.1. Company Overview

11.2.2. Product Overview

11.2.3. Financials Overview

11.2.4. Key Developments

11.2.5. SWOT Analysis

11.2.6. Key Strategies

11.3. EagleOne Case Management Solutions, Inc.

11.3.1. Company Overview

11.3.2. Product Overview

11.3.3. Financials Overview

11.3.4. Key Developments

11.3.5. SWOT Analysis

11.3.6. Key Strategies

11.4. Europ Assistance - Global Corporate Solutions

11.4.1. Company Overview

11.4.2. Product Overview

11.4.3. Financials Overview

11.4.4. Key Developments

11.4.5. SWOT Analysis

11.4.6. Key Strategies

11.5. Axiom Medical Consulting, LLC

11.5.1. Company Overview

11.5.2. Product Overview

11.5.3. Financials Overview

11.5.4. Key Developments

11.5.5. SWOT Analysis

11.5.6. Key Strategies

11.6. Medical Case Management Group

11.6.1. Company Overview

11.6.2. Product Overview

11.6.3. Financials Overview

11.6.4. Key Developments

11.6.5. SWOT Analysis

11.6.6. Key Strategies

11.7. Managed Medical Review Organization, Inc.

11.7.1. Company Overview

11.7.2. Product Overview

11.7.3. Financials Overview

11.7.4. Key Developments

11.7.5. SWOT Analysis

11.7.6. Key Strategies

11.8. CompAlliance

11.8.1. Company Overview

11.8.2. Product Overview

11.8.3. Financials Overview

11.8.4. Key Developments

11.8.5. SWOT Analysis

11.8.6. Key Strategies

11.9. Prime Health Services, Inc.

11.9.1. Company Overview

11.9.2. Product Overview

11.9.3. Financials Overview

11.9.4. Key Developments

11.9.5. SWOT Analysis

11.9.6. Key Strategies

11.10. Sierra Nevada Administrators

11.10.1. Company Overview

11.10.2. Product Overview

11.10.3. Financials Overview

11.10.4. Key Developments

11.10.5. SWOT Analysis

11.10.6. Key Strategies

11.11. GMMI, Inc.

11.11.1. Company Overview

11.11.2. Product Overview

11.11.3. Financials Overview

11.11.4. Key Developments

11.11.5. SWOT Analysis

11.11.6. Key Strategies

11.12. Global Excel Management Inc.

11.12.1. Company Overview

11.12.2. Product Overview

11.12.3. Financials Overview

11.12.4. Key Developments

11.12.5. SWOT Analysis

11.12.6. Key Strategies

Chapter 12. MRFR Conclusion

12.1. Key Findings

12.1.1. From CEO’s View point

12.1.2. Unmet Needs of the Market

12.2. Key Companies to Watch

12.3. Predictions for the Medical Case Management Industry

Chapter 13. Appendix

LIST OF TABLES

Table 1. Global Medical Case Management Market Synopsis, 2020-2027

Table 2. Global Medical Case Management Market Estimates and Forecast, 2020-2027(USD Million)

Table 3. Global Medical Case Management Market, by Region, 2020-2027(USD Million)

Table 4. Global Medical Case Management Market, by Mode Type, 2020-2027(USD Million)

Table 5. Global Medical Case Management Market, by Case Type, 2020-2027(USD Million)

Table 6. Global Medical Case Management Market, by End User, 2020-2027(USD Million)

Table 7. North America: Medical Case Management Market, by Mode Type, 2020-2027(USD Million)

Table 8. North America: Medical Case Management Market, by Case Type, 2020-2027(USD Million)

Table 9. North America: Medical Case Management Market, by End User, 2020-2027(USD Million)

Table 10. US: Medical Case Management Market, by Mode Type, 2020-2027(USD Million)

Table 11. US: Medical Case Management Market, by Case Type, 2020-2027(USD Million)

Table 12. US: Medical Case Management Market, by End User, 2020-2027(USD Million)

Table 13. Canada: Medical Case Management Market, by Mode Type, 2020-2027(USD Million)

Table 14. Canada: Medical Case Management Market, by Case Type, 2020-2027(USD Million)

Table 15. Canada: Medical Case Management Market, by End User, 2020-2027(USD Million)

Table 16. South America: Medical Case Management Market, by Mode Type, 2020-2027(USD Million)

Table 17. South America: Medical Case Management Market, by Case Type, 2020-2027(USD Million)

Table 18. South America: Medical Case Management Market, by End User, 2020-2027(USD Million)

Table 19. Europe: Medical Case Management Market, by Mode Type, 2020-2027(USD Million)

Table 20. Europe: Medical Case Management Market, by Case Type, 2020-2027(USD Million)

Table 21. Europe: Medical Case Management Market, by End User, 2020-2027(USD Million)

Table 22. Western Europe: Medical Case Management Market, by Mode Type, 2020-2027(USD Million)

Table 23. Western Europe: Medical Case Management Market, by Case Type, 2020-2027(USD Million)

Table 24. Western Europe: Medical Case Management Market, by End User, 2020-2027(USD Million)

Table 25. Eastern Europe: Medical Case Management Market, by Mode Type, 2020-2027(USD Million)

Table 26. Eastern Europe: Medical Case Management Market, by Case Type, 2020-2027(USD Million)

Table 27. Eastern Europe: Medical Case Management Market, by End User, 2020-2027(USD Million)

Table 28. Asia-Pacific: Medical Case Management Market, by Mode Type, 2020-2027(USD Million)

Table 29. Asia-Pacific: Medical Case Management Market, by Case Type, 2020-2027(USD Million)

Table 30. Asia-Pacific: Medical Case Management Market, by End User, 2020-2027(USD Million)

Table 31. Middle East & Africa: Medical Case Management Market, by Mode Type, 2020-2027(USD Million)

Table 32. Middle East & Africa: Medical Case Management Market, by Case Type, 2020-2027(USD Million)

Table 33. Middle East & Africa: Medical Case Management Market, by End User, 2020-2027(USD Million)

LIST OF FIGURES

Figure 1. Research Process

Figure 2. Segmentation for Global Medical Case Management Market

Figure 3. Segmentation Market Dynamics for Global Medical Case Management Market

Figure 4. Global Medical Case Management Market Share, by Mode Type, 2020

Figure 5. Global Medical Case Management Market Share, by Case Type, 2020

Figure 6. Global Medical Case Management Market Share, by End User, 2020

Figure 7. Global Medical Case Management Market Share, by Region, 2020

Figure 8. North America: Medical Case Management Market Share, by Country, 2020

Figure 9. Europe: Medical Case Management Market Share, by Country, 2020

Figure 10. Asia-Pacific: Medical Case Management Market Share, by Country, 2020

Figure 11. Middle East & Africa: Medical Case Management Market Share, by Country, 2020

Figure 12. Global Medical Case Management Market: Company Share Analysis, 2020 (%)

Figure 13. Genex Services, LLC: Key Financials

Figure 14. Genex Services, LLC: Segmental Revenue

Figure 15. Genex Services, LLC: Geographical Revenue

Figure 16. EK Health, Inc.: Key Financials

Figure 17. EK Health, Inc.: Segmental Revenue

Figure 18. EK Health, Inc.: Geographical Revenue

Figure 19. EagleOne Case Management Solutions, Inc.: Key Financials

Figure 20. EagleOne Case Management Solutions, Inc.: Segmental Revenue

Figure 21. EagleOne Case Management Solutions, Inc.: Geographical Revenue

Figure 22. Europ Assistance - Global Corporate Solutions: Key Financials

Figure 23. Europ Assistance - Global Corporate Solutions: Segmental Revenue

Figure 24. Europ Assistance - Global Corporate Solutions: Geographical Revenue

Figure 25. Axiom Medical Consulting, LLC: Key Financials

Figure 26. Axiom Medical Consulting, LLC: Segmental Revenue

Figure 27. Axiom Medical Consulting, LLC: Geographical Revenue

Figure 28. Medical Case Management Group: Key Financials

Figure 29. Medical Case Management Group: Segmental Revenue

Figure 30. Medical Case Management Group: Geographical Revenue

Figure 31. Managed Medical Review Organization, Inc.: Key Financials

Figure 32. Managed Medical Review Organization, Inc.: Segmental Revenue

Figure 33. Managed Medical Review Organization, Inc.: Geographical Revenue

Figure 34. CompAlliance: Key Financials

Figure 35. CompAlliance: Segmental Revenue

Figure 36. CompAlliance: Geographical Revenue

Figure 37. Prime Health Services, Inc.: Key Financials

Figure 38. Prime Health Services, Inc.: Segmental Revenue

Figure 39. Prime Health Services, Inc.: Geographical Revenue

Figure 40. Sierra Nevada Administrators: Key Financials

Figure 41. Sierra Nevada Administrators: Segmental Revenue

Figure 42. Sierra Nevada Administrators: Geographical Revenue

Figure 43. GMMI, Inc.: Key Financials

Figure 44. GMMI, Inc.: Segmental Revenue

Figure 45. GMMI, Inc.: Geographical Revenue

Figure 46. Global Excel Management Inc.: Key Financials

Figure 47. Global Excel Management Inc.: Segmental Revenue

Figure 48. Global Excel Management Inc.: Geographical Revenue



This table of content is tentative and subject to change as the research progresses.

Please Note:  Financial details of company cannot be provided if the information of the company is not available in public domain and or reliable source.