North America Medical Case Management Market

The medical case management market in North America is expected to grow from US$ 1,348.70 million in 2021 to US$ 1,760.46 million by 2028; it is estimated to grow at a CAGR of 3.9% from 2021 to 2028.

There has been a perpetual increase in the prevalence of chronic pain, long-term and short-term disability, and catastrophic cases. To treat these cases and improve the recovery rates of the patients, it has become essential to maintain efficient medical care management. Moreover, chronic pain is connected to various physical and mental conditions and contributes to high health care costs and low productivity. A few studies estimate that the prevalence of chronic pain ranges from 11% to 40%. Chronic pain has been linked to restrictions in mobility and daily activities, dependence on opioids, anxiety and depression, poor-perceived health, and reduced life quality. According to the Centers for Disease Control and Prevention (CDC), in 2019, the prevalence of chronic pain was 20.4%, and the prevalence of high-impact chronic pain was 7.4% (or 36.4% of adults with chronic pain). The prevalence of chronic pain was high among women (21.7%), non-Hispanic white adults (23.6%), and those aged 65 and above (30.8%). High-impact chronic pain was highest among women (8.5%) and those aged 65 and above (11.8%). Chronic pain is one of the most common conditions for which adults seek medical care. Therefore, a significantly large pool of chronic pain patients and a consistent increase in prevalence of chronic pain propel the demand for medical case management services.

Chronic diseases, such as cardiovascular disease, diabetes, stroke, and obesity, are among the leading causes of death worldwide; these diseases hold the largest share of any country's healthcare cost. According to the CDC, 37.3 million people are affected by diabetes, which is the major cause of lower-limb amputation and kidney failure in the US. The report estimates that over 2 million people are diagnosed with diabetes annually in the US. Moreover, as per the American College of Cardiology Foundation, in 2018, Coronary heart disease (CHD) (43.8%) is the leading cause of death attributable to cardiovascular disease (CVD) in the US, followed by stroke (16.8%), high blood pressure (9.4%), heart failure (HF) (9.0%), and other CVDs (17.9%). Further, over 130 million adults in the US population (45.1%) are projected to have some form of CVD, and total costs of CVD are expected to reach $1.1 trillion by 2035. The prevalence of stroke in adults is 2.7% in the US. The impact of hypertension management on stroke risk is evident with the greater risk reduction among those with more intense treatment. Moreover, the rising geriatric population and related chronic disorders create the need for medical case management services. Hence, the rising incidence of cardiovascular diseases and increasing prevalence of obesity across the region raise the demand for medical case management services, which drives the growth of the North America medical case management market.

With new features and technologies, vendors can attract new customers and expand their footprints in emerging markets. This factor is likely to drive the North America medical case management market at a notable CAGR during the forecast period.

North America Medical Case Management Market Revenue and Forecast to 2028 (US$ Million)

North America Medical Case Management Market Segmentation

The North America medical case management market is segmented into mode of service, severity of case, end user, and country. Based on mode of service, the market is segmented into web-based case management, telephonic case management, field case management, and bilingual case management. Further, the telephonic case management segment held the largest share of the market in 2021. Based on severity of case, the market is segmented into catastrophic cases, chronic pain, independent medical examinations, long-term disability, and short-term disability. Further, the long-term disability segment held the largest share of the market in 2021. Based on end user, the medical case management market is bifurcated into hospitals and home care settings. Further, the hospitals segment held a larger share of the market in 2021, and it is expected to register a higher CAGR during the forecast period. Based on country, the North America medical case management market is segmented into the US, Canada, and Mexico. The US held the largest market share in 2021.

Axiom Medical Consulting, LLC.; EagleOne Case Management; EK Health Services Inc; Genex Services, LLC.; GMMI, Inc.; Medical Case Management Group; MMRO INC.; PayerFusion Holdings LLC.; Sierra Nevada Administrators; and TRIUNE Health Group are among the leading companies in the North America medical case management market.

North America Medical Case Management Market Strategic Insights

North America Medical Case Management Market Segmentation Analysis

North America Medical Case Management Market Report Highlights

North America Medical Case Management Report Scope

North America Medical Case Management Market Country and Regional Insights