Global Market Study on Medical Case Management Services: Rising Demand for Medical Tourism is Expected to Boost the Growth of Medical Case Management Services


  • Published On : Nov-2015 |
  • Pages : 226 Pages |
  • Format :

This Persistence Market Research (PMR) report examines the Global Medical Case Management Services Market for the period 2015–2021. The primary objective of the report is to offer updates and information related to market opportunities in the global medical case management services market.

The global medical case management services market report deals with medical case management services, which are customized services provided by medical case managers, which in turn help patients to avoid expensive services by directing or advising them about the most cost-effective medical care providers and eliminating services that are not medically necessary. Medical case managers work diligently with patients and their family members to help in reimbursement procedures and evaluate medical records to determine medical necessity and patient’s health. The global medical case management services market is expected to expand at a CAGR of 3.0% over the forecast period (2015–2021) to account for US$ 5,155.1 Mn by 2021.

To understand and assess the opportunities in this market, the report is categorically split into four sections, namely market analysis by mode of service, the severity of the case, end user, and region. The report analyses the global medical case management services market in terms of market value (US$ Mn).

The report starts with an overview of the global medical case management services market and its services in terms of various medical cases across the globe. In the same section, PMR covers the global medical case management services market performance in terms of revenue. This section includes PMR’s analysis of key trends, drivers, and restraints from the supply and demand perspective.

The next section of the report analyzes the market on the basis of mode of service and presents the forecast in terms of value for all the years till 2021.

Mode of services covered in the report are as follows:

  • Web-based Case Management Service
  • Telephonic Case Management Service
  • Field Case Management Service
  • Bilingual Field Case Management Service
  • Other Services

The next section of the report analyzes the market on the basis of the severity of the case and presents the forecast in terms of value for the following six years.

Severity of the case covered in the report is as follows:

  • Catastrophic Case Management
  • Chronic Pain Case Management
  • Independent Medical Examinations
  • Long-term Disability
  • Short-term Disability

Post severity of the case, the following section of the report analyses the market on the basis of end users and presents the forecast in terms of value for the forecast period.

End users covered in the report are as follows:

  • Hospitals
  • Home Care Settings

The section that follows analyses the market on the basis of regions and presents the forecast in terms of value for the forecast period.

Regions covered in the report are as follows:

  • North America
  • Latin America
  • Europe
  • Asia Pacific
  • Middle East & Africa

To arrive at the market size, the report considers market value of the global medical case management services across the aforementioned geographies. The forecast presented here assesses the total revenue generated by the global medical case management services companies. When developing the market forecast, the starting point involves sizing the current market, which forms the basis for the forecast of how the market is anticipated to take shape in the near future. For this, PMR referred to several subject matter experts in the medical case management domain. Given the characteristics of the market, we triangulated the outcome based on different analysis, such as supply side, demand side, and dynamics of the market, such as regulations and government guidelines for the medical case management services market. Quantification of data has been considered along with provision of quality insights collected directly from the market through discussions with medical case managers, physicians, nurses, and subject matter experts. This is how the market analysis for the forecast period is carried out.

We have also taken into consideration the year-on-year growth based on regional growth analysis, in order to understand predictability of the market and to identify right opportunities in the global medical case management services market.

As previously highlighted, the market for global medical case management services is split into various segments on the basis of regions, mode of services, severity of case, and end user. All these segments have been analyzed in terms of Basis Point (BPS) to understand the individual segments’ relative contribution to market growth. This detailed level of information is important for identification of various key trends in the global medical case management services market.

Another key feature of this report is the analysis of the global medical case management services market, by region, which is further segmented on the basis of countries, and revenue forecast in terms of absolute dollar opportunity. Regional trends have been introspected, identified, and applied while forecasting the growth rates in the market. Additionally, the absolute dollar opportunity provided in the report is critical and is expected to help in assessing the level of opportunity that a provider can look to achieve from a sales perspective in the global medical case management services market.

PMR has developed the market attractiveness index for all four segments, namely, regional, mode of service, the severity of the case, and end user segments. This index helps in identifying the real opportunities in the market.

In the final section of the report, the global medical case management services market landscape is included to provide report audiences with a dashboard view, based on categories of providers in the global medical case management services product portfolio; their key developments and strategies have also been included wherever possible.

Medical case management services are a range of client-centered services that link clients with healthcare systems, psychosocial support, reimbursement providers, and other services. Coordination and follow-ups along with medical treatment are key components of medical case management services.

In terms of value, the global medical case management services market is estimated to expand at a CAGR of 3.0% during the forecast period. The global medical case management services market value is expected to increase to US$ 5,155.1 Mn by 2021 end.

The growth of the global medical case management services market is mainly driven by rising prevalence of geriatric population, chronic diseases, and injuries. However, lack of awareness, a high price of services, and lack of skilled professionals are factors restraining the global medical case management services market growth.

Medical case management services help to avoid expensive services by directing or advising patients regarding the most cost-effective medical care providers and eliminating services that are not medically necessary. For complex cases, medical case managers work diligently with patients, their family members, reimbursement companies, and medical care providers and evaluate medical records to determine medical necessity and patient’s health. High costs of medical case management services is a major barrier for growth of the global medical case management services market. Percentage of people having medical insurance is very less in the developing and emerging countries. Thus, they do not opt for medical case managers.

On the basis of mode of service, the market has been segmented into web-based case management service, telephonic case management service, field case management service, bilingual field case management service, and other services. The other services segment includes vocational case management, utilization review, physician advisor services, comprehensive pharmacy review, employee services, and Medicare set aside sub-segments. The telephonic case management segment is expected to account for the maximum revenue share of the global medical case management services market by 2021.

medical-case-management-services-market

On the basis of the severity of the case, the market has been segmented into catastrophic case management, chronic pain case management, independent medical examinations, short-term disability, and long-term disability. The independent medical examinations segment is expected to register the fastest CAGR over the forecast period.

On the basis of the end user, the market has been segmented into hospitals and home care settings. The hospitals segment is expected to expand at a CAGR of 3.0% over the forecast period. Medical case management services help avoid unnecessary hospital admissions, physicians visits, and medical complications by educating patients and monitoring patient health.

The global medical case management services market has been segmented into five major regions, namely North America, Latin America, Europe, Asia-Pacific, and the Middle East & Africa. In terms of value, North America is estimated to dominate the market with 70.0% share of the overall medical case management services market by 2015 end. Europe is estimated to be the fastest-growing market, registering a CAGR of 3.3%, in terms of value, over the forecast period. Currently, the telephonic case management services segment is a major contributor to the medical case management services market in Europe, North America, and parts of Asia Pacific.

Some of the key players identified in the global medical case management services market report include: GENEX Services Inc., EagleOne Case Management Solutions, Inc., EK Health Services Inc., Healthcare Solutions Inc., Europ Assistance - Global Corporate Solutions, Precyse Solutions LLC., Axiom Medical Consulting, LLC, Managed Medical Review Organization Inc., and Medical Case Management Group. These companies are focusing towards enhancing their services portfolio through the introduction of more flexible and cost-effective services to strengthen their position in the market as well to grab untapped market share.

Key market participants covered in the report:

  • GENEX Services Inc.
  • Europ Assistance - Global Corporate Solutions.
  • Medical Case Management Group.
  • EK Health Services Inc.
  • EagleOne Case Management Solutions, Inc.
  • Axiom Medical Consulting, LLC.
  • Healthcare Solutions Inc.
  • Managed Medical Review Organization Inc.
  • Precyse Solutions LLC.
  • Other.
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