United States Medical Case Management Market 2025 | Growth Drivers, Market Size & Investment Opportunities

Market Size and Growth

Medical Case Management Market reached US$ 5.28 Billion in 2024 and is expected to reach US$ 9.26 Billion by 2033, growing at a CAGR of 6.4% during the forecast period 2025-2033, according to DataM Intelligence report.

Key Development:

United States: Recent Industry Developments

✅ In September 2025, the Centers for Medicare & Medicaid Services (CMS) launched a $50 billion Rural Health Transformation Program. This initiative aims to enhance healthcare delivery in rural areas through evidence-based interventions and sustainable access models. Applications are due by November 5, 2025, with awards expected by December 31, 2025.

✅ In July 2025, Abridge, a provider of ambient listening technology for clinical documentation, raised $300 million in a Series E funding round led by Andreessen Horowitz. This investment will support the development of new products, including software to assist with medical billing.

✅ In June 2025, Medline, a leading manufacturer and distributor of medical supplies, confidentially filed for an initial public offering (IPO) in the United States. The IPO is expected to occur by the second quarter of 2025, potentially valuing the company at up to $50 billion.

Japan: Recent Industry Developments

✅ In June 2025, SoftBank Group launched a joint venture with Tempus AI to analyze personal medical data using artificial intelligence. Each party contributed 15 billion yen ($93 million) to the venture, aiming to extend Tempus's genomic testing and AI-based treatment recommendations to Japan.

✅ In May 2025, Japan's digital health landscape evolved to include expanded remote medical consultations and a proliferation of health-related mobile apps. Efforts are underway to integrate these technologies into the public health infrastructure, addressing nationwide standards for electronic medical records and privacy protection.

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Medical Case Management is a coordinated approach to healthcare that involves assessing, planning, and facilitating individualized care for patients with complex or chronic conditions. It aims to optimize treatment outcomes, improve patient quality of life, reduce healthcare costs, and ensure effective communication among healthcare providers, patients, and caregivers.

Recent Mergers and Acquisitions

United States: Recent M&A Developments

✅ In August 2025, Cardinal Health announced the acquisition of Solaris Health for $1.9 billion. This strategic move aims to enhance its specialty healthcare segment, particularly in urology services across over 750 locations in 14 states. The deal is expected to close by the end of the year.

✅ In April 2025, BayPine acquired CenExel Clinical Research for $1.5 billion. This acquisition strengthens BayPine's position in the clinical trial network sector, expanding its capabilities in medical research and case management services.

✅ In April 2025, Concentra entered into a definitive agreement to acquire Pivot Onsite Innovations for $55 million. This acquisition enhances Concentra's offerings in onsite occupational health services, aligning with the growing demand for integrated medical case management solutions.

Japan: Recent M&A Developments

✅ In March 2025, Trite acquired Medicle, a Japanese shift management app. This acquisition aims to streamline workforce management in healthcare settings, indirectly supporting medical case management through improved staffing efficiency.

✅ In March 2025, KKR and Japan Investment Corporation (JIC) took Topcon private for $2.31 billion. While primarily a medical equipment manufacturer, this move reflects the broader trend of consolidation in the healthcare sector, which may impact medical case management practices.

✅ In February 2025, Kakehashi acquired Noah Medical System for JPY 3 billion (approximately $20 million). This acquisition bolsters Kakehashi's capabilities in providing business systems for pharmacies, enhancing the integration of medical case management services.

Key Players:

-> Genex Services, LLC, 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., Medical Case Management Group CareCloud, Inc., Medworxx, and CorVel Corporation, among others.

Growth Forecast Projected:

The Global Medical Case Management Market is anticipated to rise at a considerable rate during the forecast period, between 2024 and 2031. In 2023, the market is growing at a steady rate, and with the rising adoption of strategies by key players, the market is expected to rise over the projected horizon.

Research Process:

Both primary and secondary data sources have been used in the global Medical Case Management Market research report. During the research process, a wide range of industry-affecting factors are examined, including governmental regulations, market conditions, competitive levels, historical data, market situation, technological advancements, upcoming developments, in related businesses, as well as market volatility, prospects, potential barriers, and challenges.

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Key Segments:

➥ By Mode of Service: Web-based Management Service, Telephonic Case Management Service, Field Case Management, Others
➥ By Case Type: Catastrophic Case Management, Chronic Pain Case Management, Independent Medical Examinations, Long-term Disability, Short-term Disability
➥ By End User: Hospitals, Clinics, Homecare SettingsRegional Analysis for Medical Case Management Market:

⇥ North America (U.S., Canada, Mexico)

⇥ Europe (U.K., Italy, Germany, Russia, France, Spain, The Netherlands and Rest of Europe)

⇥ Asia-Pacific (India, Japan, China, South Korea, Australia, Indonesia Rest of Asia Pacific)

⇥ South America (Colombia, Brazil, Argentina, Rest of South America)

⇥ Middle East & Africa (Saudi Arabia, U.A.E., South Africa, Rest of Middle East & Africa)

Benefits of the Report:

Chapter 1: Sets the stage by outlining the report's coverage, summarizing key market segments by region, product type, and application. Presents a snapshot of market sizes, growth potential across segments, and anticipated industry evolution both short and long term.

Chapter 2: Highlights pivotal market insights and uncovers the most significant emerging trends driving change within the industry.

Chapter 3: Offers an in-depth look at the competitive landscape among Medical Case Management producers, including revenue shares, strategic moves, and recent mergers and acquisitions.

Chapter 4: Presents comprehensive profiles of the market's key players, delving into details such as revenue, profit margins, product portfolios, and company milestones.

Chapters 5 & 6: Analyze Medical Case Management revenue at both regional and country levels, providing quantitative breakdowns of market sizes, growth opportunities, and development prospects worldwide.

Chapter 7: Focuses on different market segments by type, examining their individual sizes and potential, guiding readers toward high-impact, untapped market areas.

Chapter 8: Explores segmentation by application, evaluating industry growth potential in various downstream markets and pinpointing promising sectors for expansion.

Chapter 9: Provides a thorough review of the industry's supply chain mapping out both upstream and downstream activities.

Chapter 10: Concludes with a summary of the report's key findings and highlights the most critical takeaways for industry stakeholders.

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FAQ

What is the current size of the Medical Case Management Market?

A: In 2024, the Medical Case Management Market was valued at US$ 5.28 Billion , reflecting its strong industry presence.

Q2: How large is the Medical Case Management Market expected to be by 2033?

A: By 2033, industry forecasts suggest the Medical Case Management Market will grow to around US$ 9.26 Billion , demonstrating significant expansion.

Q3: What is the growth rate of the Medical Case Management Market?

A: The market is projected to expand at a compound annual growth rate (CAGR) of 6.4% during the forecast period from 2025 to 2033.

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