Medical Case Management Market Research Report – Global Forecast till 2030

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 2030

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 4.50% during the forecast 2020-2030. 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.


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 4.50% during the forecast period of 2020 to 2030.

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.