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.

TABLE OF CONTENTS

1. Introduction
1.1 Scope of the Study
1.2 The Insight Partners Research Report Guidance
1.3 Market Segmentation
1.3.1 North America Medical Case Management Market – By Mode of Service
1.3.2 North America Medical Case Management Market – By Severity of Case
1.3.3 North America Medical Case Management Market – By End User
1.3.4 North America Medical Case Management Market – By North America
2. Key Takeaways
3. Research Methodology
3.1 Coverage
3.2 Secondary Research
3.3 Primary Research
4. Medical Case Management Market – Market Landscape
4.1 Overview
4.2 North America PEST Analysis
4.3 Experts’ Opinion
5. North America Medical Case Management Market – Key Market Dynamics
5.1 Market Drivers
5.1.1 Surging Prevalence of Chronic Diseases
5.1.2 Rising Acceptance of Technological Advancements in Medical Care Management
5.2 Market Restraints
5.2.1 Ineffective Collaboration Issues Coupled with Security and Privacy Concerns
5.3 Market Opportunities
5.3.1 Significant Demand for Software Automation and Innovative Applications
5.4 Future Trends
5.4.1 Remote Monitoring to Replace Routine Visits of Patients
6. Medical Case Management Market– North America Analysis
6.1 North America Medical Case Management Market Revenue Forecast and Analysis
7. Global Medical Case Management Market Revenue and Forecasts To 2028– by Mode of Service
7.1 Overview
7.2 North America Medical Case Management Market Share, by Mode of Service – 2021 & 2028 (%)
7.3 Telephonic Case Management
7.3.1 Overview
7.3.2 Telephonic Case Management: Medical Case Management Market – Revenue and Forecast to 2028 (US$ Million)
7.4 Field Case Management
7.4.1 Overview
7.4.2 Field Case Management: Medical Case Management Market – Revenue and Forecast to 2028 (US$ Million)
7.5 Web-based Case Management
7.5.1 Overview
7.5.2 Web-based Case Management: Medical Case Management Market – Revenue and Forecast to 2028 (US$ Million)
7.6 Bilingual Case Management
7.6.1 Overview
7.6.2 Bilingual Case Management: Medical Case Management Market – Revenue and Forecast to 2028 (US$ Million)
8. North America Medical Case Management Market Revenue and Forecasts to 2028– By Severity of Case
8.1 Overview
8.2 North America Medical Case Management Market Share, by Severity of Case – 2021 & 2028 (%)
8.3 Catastrophic Cases
8.3.1 Overview
8.3.2 Catastrophic Cases: Medical Case Management Market – Revenue and Forecast to 2028 (US$ Million)
8.4 Chronic Pain
8.4.1 Overview
8.4.2 Chronic Pain: Medical Case Management Market – Revenue and Forecast to 2028 (US$ Million)
8.5 Long-Term Disability
8.5.1 Overview
8.5.2 Long-Term Disability: Medical Case Management Market – Revenue and Forecast to 2028 (US$ Million)
8.6 Short-Term Disability
8.6.1 Overview
8.6.2 Short-Term Disability: Medical Case Management Market – Revenue and Forecast to 2028 (US$ Million)
8.7 Independent Medical Examinations
8.7.1 Overview
8.7.2 Independent Medical Examinations: Medical Case Management Market – Revenue and Forecast to 2028 (US$ Million)
9. North America Medical Case Management Market Analysis – By End User
9.1 Overview
9.2 North America Medical Case Management Market Share, by End User- 2021 & 2028 (%)
9.3 Hospitals
9.3.1 Overview
9.3.2 Hospitals: Medical Case Management Market– Revenue and Forecast to 2028 (US$ Million)
9.4 Home Care Settings
9.4.1 Overview
9.4.2 Home Care Settings: Medical Case Management Market– Revenue and Forecast to 2028 (US$ Million)
10. North America Medical Case Management Market –Country Analysis
10.1 North America: Medical Case Management Market
10.1.1 Overview
10.1.2 North America: Medical Case Management Market, by Country, 2021 & 2028 (%)
10.1.2.1 US: Medical Case Management Market – Revenue and Forecast to 2028 (US$ Million)
10.1.2.1.1 Overview
10.1.2.1.2 US: Medical Case Management Market – Revenue and Forecast to 2028 (US$ Million)
10.1.2.1.3 US Medical Case Management Market, by Mode of Service– Revenue and Forecast to 2028 (US$ Million)
10.1.2.1.4 US Medical Case Management Market, by Severity of Case – Revenue and Forecast to 2028 (US$ Million)
10.1.2.1.5 US Medical Case Management Market, by End User – Revenue and Forecast to 2028 (US$ Million)
10.1.2.2 Canada: Medical Case Management Market – Revenue and Forecast to 2028 (US$ Million)
10.1.2.2.1 Overview
10.1.2.2.2 Canada: Medical Case Management Market – Revenue and Forecast to 2028 (US$ Million)
10.1.2.2.3 Canada Medical Case Management Market, by Mode of Service– Revenue and Forecast to 2028 (US$ Million)
10.1.2.2.4 Canada Medical Case Management Market, by Severity of Case – Revenue and Forecast to 2028 (US$ Million)
10.1.2.2.5 Canada Medical Case Management Market, by End User – Revenue and Forecast to 2028 (US$ Million)
10.1.2.3 Mexico: Medical Case Management Market – Revenue and Forecast to 2028 (US$ Million)
10.1.2.3.1 Overview
10.1.2.4 Mexico: Medical Case Management Market – Revenue and Forecast to 2028 (US$ Million)
10.1.2.4.1 Mexico Medical Case Management Market, by Mode of Service– Revenue and Forecast to 2028 (US$ Million)
10.1.2.4.2 Mexico Medical Case Management Market, by Severity of Case – Revenue and Forecast to 2028 (US$ Million)
10.1.2.4.3 Mexico Medical Case Management Market, by End User – Revenue and Forecast to 2028 (US$ Million)
11. Medical Case Management Market–Industry Landscape
11.1 Overview
11.2 Growth Strategies in the Medical Case Management Market (%)
11.3 Organic Developments
11.3.1 Overview
11.4 Inorganic Developments
11.4.1 Overview
12. Company Profiles
12.1 EagleOne Case Management
12.1.1 Key Facts
12.1.2 Business Description
12.1.3 Products and Services
12.1.4 Financial Overview
12.1.5 SWOT Analysis
12.1.6 Key Developments
12.2 EK Health Services Inc.
12.2.1 Key Facts
12.2.2 Business Description
12.2.3 Products and Services
12.2.4 Financial Overview
12.2.5 SWOT Analysis
12.2.6 Key Developments
12.3 Genex Services, LLC
12.3.1 Key Facts
12.3.2 Business Description
12.3.3 Products and Services
12.3.4 Financial Overview
12.3.5 SWOT Analysis
12.3.6 Key Developments
12.4 MMRO INC.
12.4.1 Key Facts
12.4.2 Business Description
12.4.3 Products and Services
12.4.4 Financial Overview
12.4.5 SWOT Analysis
12.4.6 Key Developments
12.5 TRIUNE Health Group
12.5.1 Key Facts
12.5.2 Business Description
12.5.3 Products and Services
12.5.4 Financial Overview
12.5.5 SWOT Analysis
12.5.6 Key Developments
12.6 PayerFusion Holdings LLC
12.6.1 Key Facts
12.6.2 Business Description
12.6.3 Products and Services
12.6.4 Financial Overview
12.6.5 SWOT Analysis
12.6.6 Key Developments
12.7 Sierra Nevada Administrators
12.7.1 Key Facts
12.7.2 Business Description
12.7.3 Products and Services
12.7.4 Financial Overview
12.7.5 SWOT Analysis
12.7.6 Key Developments
12.8 GMMI, Inc.
12.8.1 Key Facts
12.8.2 Business Description
12.8.3 Products and Services
12.8.4 Financial Overview
12.8.5 SWOT Analysis
12.8.6 Key Developments
12.9 AXIOM MEDICAL CONSULTING, LLC.
12.9.1 Key Facts
12.9.2 Business Description
12.9.3 Products and Services
12.9.4 Financial Overview
12.9.5 SWOT Analysis
12.9.6 Key Developments
12.10 Medical Case Management Group
12.10.1 Key Facts
12.10.2 Business Description
12.10.3 Products and Services
12.10.4 Financial Overview
12.10.5 SWOT Analysis
12.10.6 Key Developments
13. Appendix
13.1 About The Insight Partners
13.2 Glossary of Terms

LIST OF TABLES

Table 1.             US Medical Case Management Market, by Mode of Service – Revenue and Forecast to 2028 (US$ Million)
Table 2.             US Medical Case Management Market, by Severity of Case – Revenue and Forecast to 2028 (US$ Million)
Table 3.             US Medical Case Management Market, by End User – Revenue and Forecast to 2028 (US$ Million)
Table 4.             Canada Medical Case Management Market, by Mode of Service-Revenue and Forecast to 2028 (US$ Million)
Table 5.             Canada Medical Case Management Market, by Severity of Case -Revenue and Forecast to 2028 (US$ Million)
Table 6.             Canada Medical Case Management Market, by End User – Revenue and Forecast to 2028 (US$ Million)
Table 7.             Mexico Medical Case Management Market, by Mode of Service -Revenue and Forecast to 2028 (US$ Million)
Table 8.             Mexico Medical Case Management Market, by Severity of Case -Revenue and Forecast to 2028 (US$ Million)
Table 9.             Mexico Medical Case Management Market, by End User – Revenue and Forecast to 2028 (US$ Million)
Table 10.          Organic Developments in the Medical Case Management Market
Table 11.          Inorganic Developments in the Medical Case Management Market
Table 12.          Glossary of Terms
 

● Save and reduce time carrying out entry-level research by identifying the growth, size, leading players and segments in the North America medical case management market
● Highlights key business priorities in order to assist companies to realign their business strategies
● The key findings and recommendations highlight crucial progressive industry trends in the North America medical case management market, thereby allowing players across the value chain to develop effective long-term strategies
● Develop/modify business expansion plans by using substantial growth offering developed and emerging markets
● Scrutinize in-depth North America market trends and outlook coupled with the factors driving the medical case management market, as well as those hindering it
● Enhance the decision-making process by understanding the strategies that underpin commercial interest with respect to client products, segmentation, pricing and distribution

The List of Companies – North America Medical Case Management Market

● 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
● TRIUNE Health Group