Medical Case Management Market Size, Share, Growth Analysis, By Mode(Web-based Case Management, Telephonic Case Management), By Case(Chronic Pain Case Management, Catastrophic Case Management), By End-user(Hospitals, Home Care Settings) - Industry Forecast 2024-2031

Medical Case Management Market size was valued at USD 5.2 Billion in 2022 and is poised to grow from USD 5.43 Billion in 2023 to USD 7.72 Billion by 2031, growing at a CAGR of 4.5% in the forecast period (2024-2031).

The competitive environment of the Medical Case Management Market is dynamic and characterized by the presence of a mix of well-established brands, emerging players, and niche producers. Innovation is a key competitive factor. Established organizations within the industry leverage techniques inclusive of product innovation, strategic partnerships, and mergers and acquisitions to strengthen their market position. Additionally, the market is witnessing elevated opposition from local and neighborhood producers supplying cost-powerful options. 'GENEX Services Inc.', 'EagleOne Case Management Solutions Inc.', 'EK Health Services Inc.', 'McKesson Corporation', 'Procura Management Inc.', 'Medecision Inc.', 'Case Management Solutions', 'Healthcare Solutions Inc.', 'Europ Assistance - Corporate Solutions', 'Precyse Solutions LLC.', 'CorVel Corporation', 'Axiom Medical Consulting LLC', 'LifePlans Inc.', 'Managed Medical Review Organization Inc.', 'Advanced Medical Management Inc.', 'Medical Case Management Group.', 'Europ Assistance - Corporate Solutions', 'CompAlliance', 'Sierra Nevada Administrators', 'Optum', 'Paradigm Management Services', 'The ALARIS Group Inc.', 'Aetna Inc.'

Rates of chronic pain, long-term and short-term disabilities, and catastrophic accidents are on the rise. Patient and care management has become essential to treating these issues and increasing patient recovery. Chronic pain is associated with many physical and psychological conditions, resulting in increased healthcare costs and loss of productivity. Several studies estimate the prevalence of chronic pain to range from 11% to 40%. Chronic pain limits mobility, interfering with daily activities; stimulate opioid dependence, anxiety and depression; Poor perceived health or decreased quality of life. According to the Centers for Disease Control and Prevention (CDC), the prevalence of chronic pain is 20.4%, and the prevalence of chronic high-impact pain is 7.4% in 2019. Chronic pain issues in women age (21.7%), non-Hispanic white adults (23.6%), and age 65 and then most commonly in older adults (30.8%). Chronic high-impact pain was more common in women (8.5%) and age 65 years and older (11.8%). This type of pain is one of the most common types of pain adults seek treatment for. Therefore, the increasing prevalence of chronic pain is driving the demand for medical case management services.

Increasing Digitalization to Develop Strategies for Efficiency in the Medical Field to Drive Market Growth: The digital revolution is bringing tremendous growth and innovation to the healthcare industry. Healthcare organizations can dramatically improve patient care, employee satisfaction, and improve diagnosis more accurately and faster by leveraging cutting-edge technological solutions. Healthcare organizations that embrace digital transformation can also gain the agility needed to optimize business processes while reducing costs. Examples of digitization in healthcare are technological developments such as electronic health records, online systems, telemedicine, SaMD (Software as a Medical Device), case management software, AI-driven medical devices etc. These technologies are changing how patients interact with them especially medical professionals interact, how data is shared among suppliers, how decisions are made about their treatment options and thus this product is driving the CAGR of the market for medical information.

The North America region in the medical case management market reached $2.4 billion by 2022, accounting for about 45.80%, and is expected to exhibit a notable CAGR growth during the forecast period owing to the demand for quality monitoring services so from healthcare organizations and patients so it is expected to drive this market. Furthermore, rising healthcare costs are also driving the growth of medical data management in this area. For example, according to the California Health Foundation, the average per capita health care costs increased to $12,530 by 2020 compared to $11,462 by 2019.