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.
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.
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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.
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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.
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