Medical Case Management Market Growth Driven by Rising Chronic Disease Burden

Medical Case Management Market Size and Forecast 2025 to 2034

The global medical case management market size accounted for USD 5.73 billion in 2024 and is predicted to increase from USD 5.99 billion in 2025 to approximately USD 8.95 billion by 2034, expanding at a CAGR of 4.56% from 2025 to 2034. The demand for medical case management services has increased, driven by increased chronic disease prevalence, boosting the growth of the global medical case management market. Additionally, the rising need for personalized patient care is fostering the market growth.

Medical Case Management Market Key Takeaways

• In terms of revenue, the global medical case management market was valued at USD 5.73 billion in 2024.
• It is projected to reach USD 8.95 billion by 2034.
• The market is expected to grow at a CAGR of 4.56% from 2025 to 2034.
• North America dominated the global medical case management market with the largest revenue share of 46% in 2024.
• Asia Pacific is expected to grow at the highest CAGR from 2025 to 2034.
• By mode of service, the telephonic case management segment held the major market share in 2024.
• By severity of case, the long-term disability segment captured the biggest market share in 2024.
• By severity of case, the chronic pain segment will grow at the fastest CAGR between 2025 and 2034.
• By end-user, the hospitals segment accounted the for significant market share in 2024.
• By end-user, the home care settings segment will grow at the highest CAGR between 2025 and 2034.

Impact of AI on the Medical Case Management Market

Artificial intelligence is becoming a transformative tool in medical case management services, enabling the detection of high-risk patients, development of strategies, optimizing treatment plans, and anticipate complications. The growing adoption of digital health technologies in the healthcare sector enables integration of AI to enhance the efficiency of patient care services, as well as collaborations among healthcare providers and patients.

AI is being utilized for administrative tasks, streamline workflows, and to enhance efficiency. The ongoing focus on personalized care planning is driving case managers use AI tools to create treatment plans according to patient requirement. Moreover, the growing pressure on healthcare providers is making AI a significant tool for medical case managers.

In March 2025, A global leader in health technology, Royal Philips, expanded its partnership with Ibex Medical Analytics and a newly released Philips Intelliste Pathology Solutions (PIPS) for enhancing AI-enabled digital pathology adoptions. The partnership demonstrates the rapidly growing pressure on pathologists driven by the global shortage of pathologists and rising cancer patient numbers. The strategy aims to improve diagnostic workflows for physicians and clinicians and provide access to better patient care.

(Source: https://www.usa.philips.com)

U.S. Medical Case Management Market Size and Growth 2025 to 2034

The U.S. medical case management market size was exhibited at USD 1.85 billion in 2024 and is projected to be worth around USD 2.93 billion by 2034, growing at a CAGR of 4.71% from 2025 to 2034.

North America Medical Case Management Market

North America dominates the global medical case management market due to factors like high prevalence of chronic diseases and rising adoption of digital health technologies in regions healthcare sector. Well-established healthcare expenditure in North America enables access to efficient case management services. The increasing prevalence of diseases and growing healthcare costs are driving the adoption of comprehensive case management services. Additionally, government initiatives and support for promoting healthcare access and adoption of case management contribute to market growth.

U.S. Medical Case Management Market Trends

The U.S. is a major player in the regional market, driven by the country's strong focus on advancing healthcare quality and efficiency. Healthcare organizations are focusing on digital transformation to enhance value-based patient care, driving the need for comprehensive care management solutions. Additionally, government policies and regulations are promoting healthcare access and case management services.

• In January 2025, the American Case Management Association (ACMA) celebrated its 25 years of dedicated services to the case management and transitions of care community. ACMA brings above 1,800 people together for three days of education, networking, and a special concert at the Grand Ole Opry.

(Source: https://www.globenewswire.com)

Asia Pacific Medical Case Management Market Trends

Asia Pacific is the fastest-growing region in the global market, growth driven by rising prevalence of chronic diseases, ageing population, increased healthcare spending, adoption of digital health technologies, and government initiatives. Asia has witnessed rapid growth in chronic disease prevalence, including diabetes, cardiovascular diseases, and cancer. The growing geriatric population base and focus of the healthcare sector, and adoption of daily health, electronic health record, and case management software to enhance efficiency and patient outcomes have driven the search toward medical case management solutions. Additionally, government investment and policies for promoting healthcare access and medical tourism contribute to market growth.

China & India Medical Case Management Market Trends

China is a major player in the regional market, contributing to growth due to increased government investments in the healthcare sector and initiatives to promote the use of digital health technologies. Additionally, robust biotechnology and pharmaceutical sectors and ongoing innovations are contributing to the market growth.

India is the fastest-growing country in the regional market, driven by the expanding healthcare sector, the existence of a large professional pool, government investments in care management services, and the presence of key market vendors. The Indian healthcare delivery industry is conducted in two components, including public and private. Public healthcare systems focus on offering basic healthcare facilities in rural areas, and the private sector offers secondary, tertiary, and quaternary care services in metro, tier-I, and tier-II cities.

The initiatives to advance rural healthcare workforces and provide cutting-edge medical care are gaining traction in the country. The government investments and support for the healthcare sector are fostering the country's medical case management services and solutions.

• In FY 2024, the Indian healthcare workforce increased by 6 million. The sector is expected to witness sustainable growth by 2030.
• In February 2025, the government of India invested Rs. 99,858 crores for the healthcare sector in the Union Budget 2025-26. The allocation is aiming to enhance development, maintenance, and the country's healthcare system.
• In January 2025, more than 73 crore accounts of Ayushman Bharat Health were created, and the health professionals registered is more than 5 lakhs.

(Source: https://www.ibef.org)

Europe Medical Case Management Market Trends

Europe is playing a significant role in the global market, driven by rising population, prevalence of chronic diseases, and going focus on advancing medical technologies. Europe has witnessed a need for more efficient and cost-effective healthcare solutions. The growing trend of value-based healthcare models and digital tools to enhance patient outcomes is contributing to regional market growth. The demand for medical case management software is high in Europe. 

Germany is playing a major role in the regional market, driven by the pharmaceutical industry and the well-developed healthcare sector of the country. The advanced healthcare infrastructure for children enables high adoption of digital health technologies, including telemedicine and electronic health records (EHRs). Government funding for healthcare, like the European Investment Bank’s loan to CompuGroup Medical, encourages innovations in digital health tools, contributing to the market growth.

Market Overview  

The medical case management market refers to the coordinated approaches to patient care to enhance outcomes, reduce healthcare costs, and improve patient experiences. The rapid prevalence of chronic disease, aging population, and growing adoption of digital health technology are contributing to the growth and adoption of medical case management services. The growing adoption of digital health technologies like telehealth, telemedicine, case management software, and electronic health records (EHRs) is enhancing the efficiency of service delivery.

The government initiatives in promoting the adoption of digital technologies are focusing on advancing case management solutions. Additionally, regulatory focus on value-based, patient-centric care, and personalized medicine is focusing need for effective and efficient services like medical case management services for coordinated and tailored treatment plans and strategies to reduce the cost. Moreover, the government efforts in enhancing healthcare access to rural areas also contribute to increasing the adoption of medical case management services in emerging countries.

Initiatives by the Case Management Society of America (CMSA) in Empowering the Medical Case Management Industry

• In February 2025, the Case Management Society of America (CMSA) offered a significant opportunity for professional development, collaboration, and networking. CMSA focuses on transforming education and empowering case managers
• In March 2025, CMSA implemented the Rural Special Interest Group (RSIG) to help case managers connect with rural communities. The strategy enables rural case managers to collaborate, share strategies, and access tailored resources according to their needs. 
• In 2025, CMSA set a mission to enhance education by renowned Integrated Case Management (ICM) Training, which was held in April 2025. The program enables case managers to have deep skills, confidence, and enhance results for the clients.
  (Source: https://cmsatoday.com)

What are the Major Growth Factors of the Medical Care Management Market?

• Increased Prevalence of Chronic Disease: The rising turbulence of chronic diseases like diabetes, heart disease, arthritis, and cancer has increased the need for complex care coordination, driving a shift from medical case management services.
• Rising Awareness: Both healthcare professionals and consumers are becoming aware of the importance of medical case management services to reduce hospital costs and enhance patient outcomes, contributing to the increased adoption of the solutions.
• Growing Focus on Value-based Care: The emphasis on value-based patient care rather than volume of services has increased. Healthcare providers are focusing on providing value care to enhance patient outcomes, making medical care management a crucial tool.
• Growing Geriatric Population: The growing geriatric population and incidence of chronic disease and age-related health issues have increased demand for medical case management services.
• Government Initiatives: The government investments and policies to enhance healthcare access and medical tourism are the emerging medical care management sector.

Market Scope

Market Dynamics

Drivers

Healthcare Cost Containment Initiative

The healthcare cost containment initiatives are the major drivers of the medical case management market. The increased prevalence of chronic diseases and rising healthcare costs require effective and efficient solutions like medical case management to reduce hospital readmissions, optimise resource utilization, and enhance patient outcomes. The medical case managers help to reduce medication errors by coordinating care and offering access. The case managers help patients to get integrated care by acting as a central point of contact for patients, providers, and settings. Case management services focus on value-based care, helping to enhance outcomes and demonstrate the value. The ability of these solutions to enhance patient care efficiency and quality of care and minimize healthcare cost fuels their adoption.

Restraint

Lack of Awareness about Services

The limited awareness about medical case management services among healthcare providers and patients hinders the adoption of these services. The awareness about medical case management, its benefits, and availability is limited in many industries, especially in developing countries. The lack of awareness hampers the active seeking of these services and minimizes the potential users of the medical case management services.

Opportunity 

Regulatory and Policy Changes

The ongoing regulatory and policy changes in the healthcare industry hold great growth opportunities for the market. The healthcare policies are increasingly shifting toward value-based care, driving the adoption of medical case management. The focus on providing efficient patient outcomes and cost-effective care is driving the need for case management healthcare providers. Additionally, government initiatives and regulatory promotions of patient-centric care, along with coordinated and personalized care, are driving growth in medical case management.

The telehealth-based chronic disease and mental health case management segment is expected to grow at a CAGR of 9.40% during the forecast period. The segment is largely emerging due to the growing geriatric population and the ease of treatment to manage health routines on an early and daily basis. It enhances patient outcomes and doubles the efficiency via virtual consultations and remote monitoring. The development of this segment has been leveraged since the COVID-19 pandemic, which specified the need for flexible healthcare availability. The mobile health (mHealth) applications and remote patient monitoring (RPM) provide regular collection of patient data, like glucose levels or blood pressure, for early detection. 

Mode of delivery Insights

The in-person segment held the largest share of 49.60% in the 2024 medical case management market. The in-person segment is an epicenter of the market, aiming at direct assessment, communication, perfect coordination in patient care, and building strong relationships for efficiency and cost-effective outcomes. The major development space to expand more by developing skills in integrated care with the help of technology for hybrid models and approach resilience mainly in chronic disease management and mapping cross-cultural healthcare systems. Social workers and nurses act as a bridge to partner with the interdisciplinary team to generate and examine patient-centered care intentions. 

The telehealth/remote/virtual segment is expected to grow at a CAGR of 10.20% during the forecast period. The remote health is emerging with the continuous need for health routines and follow-ups to the existing ones. The virtual health enhances remote access to care, building improved communication between patients and providers, and elevating administrative tasks via digital tools such as virtual hospitals and telemedicine. Telemedicine resembles telehealth in a more relatable way, fueling remote patient care. 

Case complexity/ severity Insights

The routine cases segment held the largest share of 44.10% in the 2024 medical case management market. The routine cases play a pivotal role in the global medical case management by smoothly coordinating care to avoid unnecessary hospital stays, diminish readmissions. The segment development in patient education, healthcare cost management aims at optimizing technology and embedding well-structured care models for excellent data analysis and communication, further encouraging patients with the self-management tools to enhance experience and outcomes. 
The high-complexity/catastrophic cases segment is expected to grow at a CAGR of 8.70% during the forecast period. The high-complexity/catastrophic cases need a coordinated and well-discussed approach with an ambitious case manager to address difficult healthcare requirements and serve a more effective, quality outcome and inclusivity for patients. The emerging personalized care plans and aligning coordinated services rendered for patients and continuous check on the patient’s progress via active communications with families, interdisciplinary teams, and patients enable the availability of required resources and reduce errors. 

End user Insights

The insurance companies segment held the largest share of 28.30% in the 2024 medical case management market. The insurance companies play a crucial role in the upliftment of the global medical case management. Medical insurance is essential for patients and healthcare providers to understand the nature of treatment and its costs. This understanding is crucial for escalating concerns to insurance and hospital administrators. Insurance companies act as a secondary source of information for the medical cases recorded under the insurance claim and the hospital's register. Most of the companies are in alliance with the insurance companies, including Mediclaim (especially for family members). This leads to a big boon to the insurance companies in this market. 

The government agencies (Medicare/Medicaid) segment is expected to grow at a CAGR of 9.10% during the forecast period. Medicare and Medicaid, under the government agencies, are managed by the US Centers for Medicare and Medicaid Services (CMS), mainly aiming to regulate and finance healthcare for the US population. The CMS is partially involved in the global medical case management. The CMS’s dedicated work towards value-based care and efforts in developing care models are likely to attract global healthcare practices and build a model for the international system. The segment is unlocking new job opportunities for many individuals globally in the private healthcare sector. 

Application/use case Insights

The workplace injury and disability management segment held the largest share of 26.80% in the 2024 medical case management market. This segment includes popular return-to-work (RTW) programs, cutting costs for employers using cooperative disciplinary tactics and preventing long-term disability. The development into this segment largely concentrates on promoting systematic RTW systems via advanced training, bio-psycho-social frameworks, accelerating technology, and encouraging the efforts through professional certification to improve the coordination of services and contribute to the employees' health, indirectly enhancing workers' health and elevating productivity for developing a healthy workplace, reducing negative impact on the work and health. 

The chronic disease management segment is expected to grow at a CAGR of 9.50% during the forecast period. The chronic disease management aims to enhance patients' quality of life and diminish health stress via robust, inclusive, integrated care promoting patient self-management, policy support, and interdisciplinary teams. The ongoing development involves technological advancements in personalized intervention and precision care through the patient health engagement (PHE) model and AI. 

Payer type Insights

The private insurance segment held the largest share of 37.50% in the 2024 medical case management market. The private insurance under payer segment is emerging with proactive care coordination for disease management, leaving traditional reimbursement behind. With the network control, the cost management is adequately balanced and enhances patient outcomes. The development in this segment consists of the implementation of technology and data analytics for a vast population's health with the help of strategic partnerships and value-based care models to attract care delivery.

The payers actively help providers and patients to communicate seamlessly, bolstering personalized care and enabling health and wellness information to act as major connecting points in the patient care journey. 
The employer-sponsored plans segment is expected to grow at a CAGR of 8.90% during the forecast period. The employer-sponsored plans are a boon for private health insurance, delivering excellence to save talent by focusing on employees ' well-being and aligning with regulations such as the ACA. This segment in global medical case management is thriving, value-based care, and transforming the healthcare system by enabling cost management, fueling employee productivity, and increasing access to care. The segment promotes health benefits through digitally-enabled services. 

Provider type Insights

The nurse case managers segment held the largest share of 42.20% in the 2024 medical case management market. The nurse case managers act as a mediator to the patient's medical details or records further processed and cross-checked by the healthcare providers. The registered nurses are appointed to navigate critical health systems supporting patient care management. This segment includes initiating treatment plans, informing patients and families regarding required details of patients' health and prevention, and facilitating access to services. Development in this segment aims at standardizing protocols, accelerating the case manager’s front-line experience to provide details of policy, and enhancing the delivery of integrated care globally. 

The third-party case management firms segment is expected to grow at a CAGR of 9.00% during the forecast period. The segment connects patients to the required essential healthcare services, monitors patient recovery to enhance outcomes, and manages costs, also line-up treatment plans. The need for third-party case management firms has increased due to emerging healthcare complexity and costs, while firms now enable services such as resource navigation, quality of care enhancement, and patient education. 

Mode of Service Insights

What Made Telephonic Case Management the Dominant Segment in the Market?

The telephonic case management segment dominated the medical case management market with the largest share in 2024 and is expected to grow at the fastest rate during the forecast period. This is mainly due to the ability of telephonic services to enable convenient and accessible care and support for patients. Telephonic case management services can provide affordable and remote care services, making them crucial for patients seeking remote healthcare facilities. The rapid adoption of telehealth technologies in the healthcare sector is empowering the adoption of telephonic case management services. Additionally, telephonic services can reach wider patient populations who are living in remote areas and have mobility issues, making the segment dominant in the market.

Severity of Case Insights

Why Did the Long-Term Disability Segment Dominate the Medical Case Management Market in 2024?

The long-term disability segment dominated the market with a major revenue share in 2024. This is mainly due to the increased need for specialized case management services driven by the increased prevalence of chronic disease and injuries. Medical case management services enable coordinating care for long-term disabilities by ensuring receipt of required medical services, rehabilitation, dose schedules, and support. The aging population is the major adopter of medical case management services for long-term disabilities. The growing adoption of medical care management for long-term disabilities in developing countries is shaping the segment's growth.

The chronic pain segment is expected to grow at a significant CAGR in the coming years due to the increasing prevalence of chronic pain conditions. Chronic pain is complex to handle, requiring comprehensive and coordinated care. Medical case management services provide effective treatment and support to patients experiencing chronic pain conditions. The growing demand for personalized care and the need for multidisciplinary approaches are driving the need for case management in chronic pain conditions.

End-user Insights

How Does the Hospitals Segment Led the Medical Case Management Market in 2024?

The hospitals segment led the market with the largest share in 2024 due to increased admission rates, driven by increased chronic disease prevalence. The complexity of patient care has increased due to the prevalence of rare diseases and an aging population, driving the demand for essential medical case management. Medical case management provides comprehensive services to coordinate patient care, optimize resources, and manage complex diseases or conditions. The increased government initiatives to promote digital technology use in hospitals support the segment’s growth.

The home care settings segment is expected to grow at the fastest rate over the forecast period due to the rising need for remote healthcare services. The need for ongoing medical care has increased, driving emphasis on home care settings. The rising demand for cost-effective and personalized care is contributing to the increasing demand for medical case management services to provide patient-tailored treatment plans, monitoring, and enhanced outcomes. Geriatric patients are the major adopters of medical case management services.

Medical Case Management Market Companies

• EK Health Services Inc.
• EagleOne Case Management 
• MMRO INC
• Genex Services, LLC
• GMMI, Inc.
• TRIUNE Health Group 
• PayerFusion Holdings LLC
• Sierra Nevada Administrators 
• AXIOM MEDICAL CONSULTING, LLC 
• Medical Case Management Group 

Recent Developments 

• In June 2025, the World Health Organization’s regional office for the Eastern Mediterranean unveiled a novel strategy for reducing the burden of cholera across the region by 2028. This strategy is expected to reduce the root cause of cholera prevalence in the region and prevent future outbreaks of the disease.

(Source: https://www.emro.who.int)

• In June 2025, Sharecare won the 21 Digital Health Awards at the Health Information Resource Center’s Spring 2025 competition. The award has showcased companies' efforts in the best online and virtual health resources for professionals and consumers.

(Source: https://www.manilatimes.net)

• In January 2025, the micro-credential in case management and care coordination was launched by the UBC Okanagan School of Nursing. The school is now accepting applications for its professional development opportunities.

(Source: https://news.ok.ubc.ca)

Segment Covered in the Report

By Service Type

• Telephonic Case Management
• Field Case Management
• Catastrophic Case Management
• Chronic Pain Case Management
• Rehabilitation Case Management
• Long-Term Disability Case Management
• Short-Term Disability Case Management
• Life Care Planning
• Worker's Compensation Case Management
• Independent Medical Evaluations
• Other Specialized Case Management Services

By Mode of Delivery

• In-Person
• Telehealth/Remote/Virtual
• Hybrid (In-person + Remote)

By Case Complexity / Severity

• Routine Cases
• Moderate Complexity Cases
• High-Complexity/Catastrophic Cases

By End User

• Hospitals & Clinics
• Insurance Companies
• Employers (Occupational Health Programs)
• TPAs (Third Party Administrators)
• Government Agencies (e.g., Medicaid, Medicare programs)
• Legal Firms (for injury litigation and claims)
• Home Healthcare Providers
• Patients & Families (direct-to-consumer programs)

By Application / Use Case

• Workplace Injury & Disability Management
• Post-Operative Recovery
• Chronic Disease Management (e.g., diabetes, COPD)
• Mental Health & Behavioral Case Management
• Elderly & Geriatric Case Management
• Pediatric Case Management
• Rehabilitation and Physical Therapy Coordination
• Transplant Case Management
• Maternity and Neonatal Case Management
• End-of-Life/Palliative Care Planning

By Payer Type

• Private Insurance
• Public Insurance (Medicare, Medicaid)
• Self-Pay/Out-of-Pocket
• Employer-Sponsored Plans
• Legal/Workers’ Compensation Programs

By Provider Type

• Nurse Case Managers
• Social Workers
• Physician-led Teams
• Rehabilitation Specialists
• Third-Party Case Management Firms
• In-house Case Managers

By Region

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