PUBLISHER: The Business Research Company | PRODUCT CODE: 1810947
PUBLISHER: The Business Research Company | PRODUCT CODE: 1810947
Medical case management is a cooperative and organized approach that includes planning, coordinating, monitoring, and assessing medical care to address the unique health requirements of individuals. Its goal is to achieve the best possible health outcomes by ensuring appropriate, timely, and cost-efficient healthcare interventions.
The primary forms of medical case management include web-based case management, telephonic case management, field case management, and bilingual field case management. Web-based case management involves digital platforms that enable case managers to coordinate, monitor, and record patient care online. It is utilized for chronic pain case management, catastrophic case management, independent medical examinations, short-term disability, long-term disability, and more by various end-users such as hospitals, home care facilities, and others.
Note that the outlook for this market is being affected by rapid changes in trade relations and tariffs globally. The report will be updated prior to delivery to reflect the latest status, including revised forecasts and quantified impact analysis. The report's Recommendations and Conclusions sections will be updated to give strategies for entities dealing with the fast-moving international environment.
The sudden escalation of U.S. tariffs and the consequent trade frictions in spring 2025 are severely impacting the healthcare sector, particularly in the supply of critical medical devices, diagnostic equipment, and pharmaceuticals. Hospitals and healthcare providers are facing higher costs for imported surgical instruments, imaging equipment, and consumables such as syringes and catheters, many of which have limited domestic alternatives. These increased costs are straining healthcare budgets, leading some providers to delay equipment upgrades or pass on expenses to patients. Additionally, tariffs on raw materials and components are disrupting the production of essential drugs and devices, causing supply chain bottlenecks. In response, the industry is diversifying sourcing strategies, boosting local manufacturing where possible, and advocating for tariff exemptions on life-saving medical products.
The medical case management market research report is one of a series of new reports from The Business Research Company that provides medical case management market statistics, including medical case management industry global market size, regional shares, competitors with a medical case management market share, detailed medical case management market segments, market trends and opportunities, and any further data you may need to thrive in the medical case management industry. This medical case management market research report delivers a complete perspective of everything you need, with an in-depth analysis of the current and future scenario of the industry.
The medical case management market size has grown strongly in recent years. It will grow from $5.24 billion in 2024 to $5.56 billion in 2025 at a compound annual growth rate (CAGR) of 6.2%. The growth during the historic period can be attributed to increasing cancer incidence rates, higher occurrences of post-operative complications, rising birth rates necessitating neonatal case management, longer life expectancy, and an increase in multi-morbidity cases among aging populations.
The medical case management market size is expected to see strong growth in the next few years. It will grow to $6.99 billion in 2029 at a compound annual growth rate (CAGR) of 5.9%. The growth projected for the forecast period can be attributed to the expanding geriatric population, a rise in chronic diseases, increasing prevalence of obesity, higher rates of disability and injury-related cases, and a surge in mental health disorders. Key trends during this period include the integration of telehealth and remote case management, the use of AI and machine learning in care coordination, the adoption of electronic health records, the development of mobile apps for care tracking, and the utilization of wearable health monitoring devices.
The increasing obese population is expected to drive the growth of the medical case management market in the coming years. This population consists of individuals with excessive body fat, typically defined by a body mass index (BMI) of 30 or higher. The rise in obesity is largely due to greater consumption of high-calorie, processed foods, which lead to excessive energy intake and gradual weight gain. Medical case management is essential for this group because they often suffer from multiple chronic conditions, such as diabetes and hypertension, which require continuous monitoring and coordinated treatment plans. For example, a report from the World Obesity Federation, a UK-based non-profit, published in March 2023, estimated that obesity would affect 1.25 billion people worldwide by 2025, representing 17% of the global population. This number is projected to increase to 1.91 billion, or 24%, by 2035. Consequently, the growth of the obese population is fueling the expansion of the medical case management market.
Leading companies in the medical case management market are concentrating on developing innovative solutions like AI-driven care management tools to improve operational efficiency. These AI-powered solutions use artificial intelligence to analyze patient data, identify potential health risks, and assist in designing and managing personalized care plans. For instance, in September 2024, Innovaccer Inc., a healthcare technology firm based in the US, introduced the Care Management Copilot. This platform integrates Innovaccer's healthcare AI model, Sara, to reduce documentation burdens and enable care managers to engage with 30-40% more patients. It offers AI-generated patient summaries aligned with care protocols, identifies critical issues, and provides snapshots of previous interactions to facilitate patient engagement. The system also supports real-time documentation by capturing conversations, auto-filling care plans and assessments, and offering suggestions based on protocols. Additionally, it seamlessly integrates with major electronic health record (EHR) systems, eliminating redundant data entry and ensuring all team members have access to up-to-date patient information.
In April 2025, HCML, a UK-based provider of rehabilitation and case management services, acquired Independent Living Solutions for an undisclosed sum. This acquisition allows HCML to merge Independent Living Solutions' team of 40 specialist case managers with its own resources, thereby enhancing the delivery of client-centered care. The move is anticipated to improve personalized rehabilitation services and outcomes for clients and their families. Independent Living Solutions is a UK-based company specializing in medical case management services.
Major players in the medical case management market are McKesson Corporation, Cigna Group, Optum Inc., Aetna Inc., Medtronic Plc., CorVel Corporation, Genex Services LLC, EK Health Services Inc., AXIOM MEDICAL CONSULTING LLC , Coventry Health Care, TRIUNE Health Group , EagleOne Case Management Solutions Inc., The Alaris Group Inc., Healthcare Solutions Inc., PayerFusion Holdings LLC, GMMI Inc., Sierra Nevada Administrators , Medical Case Management Group , Anthem Inc., Managed Medical Review Organization Inc.
North America was the largest region in the medical case management market in 2024. Asia-Pacific is expected to be the fastest-growing region in the forecast period. The regions covered in medical case management report are Asia-Pacific, Western Europe, Eastern Europe, North America, South America, Middle East and Africa.
The countries covered in the medical case management market report are Australia, Brazil, China, France, Germany, India, Indonesia, Japan, Russia, South Korea, UK, USA, Canada, Italy, Spain.
The medical case management market consists of revenues earned by entities by providing services such as care planning, medical appointment scheduling, rehabilitation management, and medication management. The market value includes the value of related goods sold by the service provider or included within the service offering. The medical case management market also includes sales of patient monitoring devices, health literacy tools, and medication adherence tools. Values in this market are 'factory gate' values, that is the value of goods sold by the manufacturers or creators of the goods, whether to other entities (including downstream manufacturers, wholesalers, distributors and retailers) or directly to end customers. The value of goods in this market includes related services sold by the creators of the goods.
The market value is defined as the revenues that enterprises gain from the sale of goods and/or services within the specified market and geography through sales, grants, or donations in terms of the currency (in USD, unless otherwise specified).
The revenues for a specified geography are consumption values that are revenues generated by organizations in the specified geography within the market, irrespective of where they are produced. It does not include revenues from resales along the supply chain, either further along the supply chain or as part of other products.
Medical Case Management Global Market Report 2025 from The Business Research Company provides strategists, marketers and senior management with the critical information they need to assess the market.
This report focuses on medical case management market which is experiencing strong growth. The report gives a guide to the trends which will be shaping the market over the next ten years and beyond.
Where is the largest and fastest growing market for medical case management ? How does the market relate to the overall economy, demography and other similar markets? What forces will shape the market going forward, including technological disruption, regulatory shifts, and changing consumer preferences? The medical case management market global report from the Business Research Company answers all these questions and many more.
The report covers market characteristics, size and growth, segmentation, regional and country breakdowns, competitive landscape, market shares, trends and strategies for this market. It traces the market's historic and forecast market growth by geography.
The forecasts are made after considering the major factors currently impacting the market. These include the technological advancements such as AI and automation, Russia-Ukraine war, trade tariffs (government-imposed import/export duties), elevated inflation and interest rates.