医疗保健案例管理市场规模、份额和成长分析（按服务、案例类型、最终用户和地区划分）—2026-2033年产业预测

全球医疗保健案例管理市场规模预计在 2024 年达到 57.5 亿美元，从 2025 年的 60.2 亿美元增长到 2033 年的 86.2 亿美元，在预测期（2026-2033 年）内复合年增长率为 4.6%。

在先进数位化解决方案的推动下，医疗保健产业正经历显着的成长和转型。这些解决方案能够改善患者照护、提升员工满意度，并实现更快更精准的诊断。这些进步使得对患者疾病、伤残或残疾復健情况的持续监测成为可能，从而提升了医疗保健管理的效率。患者能够更好地选择合适的治疗方案和就医地点。医疗个案管理已成为一项关键流程，它涵盖了由专职个案工作者和倡导者对医疗干预措施进行评估、推荐、规划、组织和实施等各个环节。这种方法确保了有效的復健和治疗，有助于提高医疗保健的疗效并降低成本。它包括严格的医疗监测、建构整合的医疗体係以及提供个人化的医疗保健服务。

全球医疗个案管理市场驱动因素

慢性疼痛及其相关的短期和长期残疾以及严重损伤的日益普遍，使得有效的患者和护理管理策略变得特别迫切。慢性疼痛不仅影响身体健康，还与多种心理问题相关，导致医疗保健成本增加和生产力下降。相当一部分人群饱受慢性疼痛的折磨，这种疼痛往往会限制行动能力，影响日常生活，并导致阿片类药物成瘾、焦虑和生活品质下降等问题。应对这些挑战促使人们对医疗个案管理服务的需求不断增长，以促进患者康復并解决慢性疼痛管理的复杂性。

全球医疗个案管理市场面临的限制因素

全球医疗个案管理市场面临严峻挑战，因为必须遵守处理敏感医疗资讯的严格隐私法规。保护患者资料是重中之重，任何疏忽都可能造成严重后果。因此，各机构必须实施强而有力的法规，防止资讯外洩和未授权存取。这些高级安全要求增加了医疗资讯系统开发和运作的难度，并可能阻碍市场成长和创新。随着合规要求的不断演变，医疗案例管理领域的营运商必须持续调整，才能有效应对这些复杂的挑战。

全球医疗个案管理市场趋势

全球医疗案例管理市场正经历显着成长，这主要得益于医疗保健产业数位化进程的加速。远端医疗、电子病历和人工智慧设备等先进技术解决方案的日益普及，提高了患者照护效率和诊断准确性。这种数位化转型也有助于降低营运成本，并提升营运流程的最佳化弹性。个案管理软体等技术正在重新定义病患与医疗服务提供者之间的互动方式，并简化相关人员之间的资料共用。因此，这些创新技术的整合正在改变治疗方案的决策流程，从而推动全球对医疗个案管理服务的整体需求激增。

目录

介绍

• 调查目标
• 调查范围
• 定义

调查方法

• 资讯收集
• 二手资料和一手资料方法
• 市场规模预测
• 市场假设与限制

执行摘要

• 全球市场展望
• 供需趋势分析
• 细分市场机会分析

市场动态与展望

• 市场规模
• 市场动态
  • 驱动因素和机会
  • 限制与挑战
• 波特分析

关键市场考察

• 关键成功因素
• 竞争程度
• 关键投资机会
• 市场生态系统
• 市场吸引力指数（2025）
• PESTEL 分析
• 总体经济指标
• 价值链分析
• 定价分析
• 案例研究分析

全球医疗个案管理市场规模（依服务类型划分）及复合年增长率（2026-2033 年）

• 网路为基础的案例管理
• 电话案例管理
• 本地个案管理
• 双语现场个案管理

全球医疗个案管理市场规模（依病例类型划分）及复合年增长率（2026-2033 年）

• 慢性疼痛病例管理
• 危重病例管理
• 独立医疗评估
• 短期残疾
• 长期残疾
• 其他的

全球医疗个案管理市场规模（依最终用户划分）及复合年增长率（2026-2033 年）

• 医疗个案管理服务提供者
• 医疗保险公司
• 医疗保健IT服务供应商
• 医疗业务流程外包/知识流程外包供应商
• 公司
• 医疗机构
• 创业投资
• 政府机构
• 责任医疗组织

全球医疗个案管理市场规模及复合年增长率（2026-2033）

• 北美洲
  • 美国
  • 加拿大
• 欧洲
  • 德国
  • 西班牙
  • 法国
  • 英国
  • 义大利
  • 其他欧洲地区
• 亚太地区
  • 中国
  • 印度
  • 日本
  • 韩国
  • 亚太其他地区
• 拉丁美洲
  • 巴西
  • 其他拉丁美洲地区
• 中东和非洲
  • 海湾合作委员会国家
  • 南非
  • 其他中东和非洲地区

竞争资讯

• 前五大公司对比
• 主要企业的市场定位（2025 年）
• 主要市场参与者所采取的策略
• 近期市场趋势
• 公司市占率分析（2025 年）
• 主要企业公司简介
  • 公司详情
  • 产品系列分析
  • 依业务板块进行公司股票分析
  • 2023-2025年营收年比比较

主要企业简介

• EagleOne Case Management Solutions Inc.（US）
• EK Health Services Inc.（US）
• McKesson Corporation（US）
• Case Management Solutions（US）
• Europ Assistance-Global Corporate Solutions（France）
• CorVel Corporation（US）
• Axiom Medical Consulting LLC（US）
• Managed Medical Review Organization Inc.（US）
• Advanced Medical Management Inc.（US）
• Medical Case Management Group（US）
• Sierra Nevada Administrators（US）
• Optum（US）
• Paradigm Management Services（US）
• The ALARIS Group Inc.（US）

结论与建议

Global Medical Case Management Market size was valued at USD 5.75 Billion in 2024 and is poised to grow from USD 6.02 Billion in 2025 to USD 8.62 Billion by 2033, growing at a CAGR of 4.6% during the forecast period (2026-2033).

The healthcare sector is experiencing significant growth and transformation, driven by advanced digital solutions that enhance patient care and employee satisfaction while facilitating quicker and more precise diagnoses. This progress enables continuous monitoring of patients' recovery from illnesses, injuries, or disabilities, resulting in more efficient medical management practices. Patients benefit from the ability to select appropriate therapeutic options and care locations. Medical case management emerges as a crucial process, encompassing assessment, recommendation, planning, organization, and implementation of healthcare interventions through dedicated caseworkers or advocates. This method ensures effective rehabilitation and treatment, contributing to improved and cost-effective health outcomes. It involves rigorous medical research, the establishment of cohesive care systems, and the delivery of tailored healthcare services.

Top-down and bottom-up approaches were used to estimate and validate the size of the Global Medical Case Management market and to estimate the size of various other dependent submarkets. The research methodology used to estimate the market size includes the following details: The key players in the market were identified through secondary research, and their market shares in the respective regions were determined through primary and secondary research. This entire procedure includes the study of the annual and financial reports of the top market players and extensive interviews for key insights from industry leaders such as CEOs, VPs, directors, and marketing executives. All percentage shares split, and breakdowns were determined using secondary sources and verified through Primary sources. All possible parameters that affect the markets covered in this research study have been accounted for, viewed in extensive detail, verified through primary research, and analyzed to get the final quantitative and qualitative data.

Global Medical Case Management Market Segments Analysis

Global Medical Case Management Market is segmented by Service, Case Type, End Users and region. Based on Service, the market is segmented into Web-based Case Management, Telephonic Case Management, Field Case Management and Bilingual Field Case Management. Based on Case Type, the market is segmented into Chronic Pain Case Management, Catastrophic Case Management, Independent Medical Examinations, Short-Term Disability, Long-Term Disability and Others. Based on End Users, the market is segmented into Medical Case Management Providers, Healthcare Insurance Companies, Healthcare It Service Providers, Healthcare BPO & KPO Vendors, Corporate Entities, Healthcare Institutions, Venture Capitalists, Government Bodies and Accountable Care Organizations. Based on region, the market is segmented into North America, Europe, Asia Pacific, Latin America and Middle East & Africa.

Driver of the Global Medical Case Management Market

The rising prevalence of chronic pain, along with both short- and long-term disabilities and catastrophic incidents, has created a pressing need for effective patient and care management strategies. Chronic pain not only impacts physical health but also associates with various psychological conditions, leading to heightened healthcare expenses and decreased productivity. It has been observed that a significant portion of the population experiences chronic pain, which often restricts mobility and affects daily activities, contributing to issues such as opioid dependence, anxiety, and reduced quality of life. In response to these challenges, there is a growing demand for medical case management services to enhance patient recovery and address the complexities of chronic pain management.

Restraints in the Global Medical Case Management Market

The Global Medical Case Management market faces significant challenges due to the necessity of adhering to stringent privacy regulations governing sensitive medical information. Compliance with laws designed to protect patient data is paramount, as failure to do so can result in severe consequences. Consequently, organizations must implement robust security measures to safeguard this information from breaches and unauthorized access. This requirement for enhanced security can complicate the development and operation of medical information systems, potentially hindering market growth and innovation. As compliance demands evolve, entities in the medical case management space must continually adapt to navigate these complexities effectively.

Market Trends of the Global Medical Case Management Market

The Global Medical Case Management market is experiencing significant growth driven by the accelerating digitalization of healthcare. As organizations increasingly adopt advanced technological solutions-such as telemedicine, electronic health records, and AI-driven devices-they enhance patient care efficiency and accuracy in diagnosis. This digital transformation fosters agility in optimizing business processes while also reducing operational costs. Technologies like case management software are redefining patient-provider interactions and streamlining data sharing among healthcare stakeholders. Consequently, the integration of these innovations is reshaping decision-making processes regarding treatment options and contributing to the overall surge in demand for medical case management services globally.

Table of Contents

Introduction

• Objectives of the Study
• Scope of the Report
• Definitions

Research Methodology

• Information Procurement
• Secondary & Primary Data Methods
• Market Size Estimation
• Market Assumptions & Limitations

Executive Summary

• Global Market Outlook
• Supply & Demand Trend Analysis
• Segmental Opportunity Analysis

Market Dynamics & Outlook

• Market Overview
• Market Size
• Market Dynamics
  • Drivers & Opportunities
  • Restraints & Challenges
• Porters Analysis
  • Competitive rivalry
  • Threat of substitute
  • Bargaining power of buyers
  • Threat of new entrants
  • Bargaining power of suppliers

Key Market Insights

• Key Success Factors
• Degree of Competition
• Top Investment Pockets
• Market Ecosystem
• Market Attractiveness Index, 2025
• PESTEL Analysis
• Macro-Economic Indicators
• Value Chain Analysis
• Pricing Analysis
• Case Study Analysis

Global Medical Case Management Market Size by Service & CAGR (2026-2033)

• Market Overview
• Web-based Case Management
• Telephonic Case Management
• Field Case Management
• Bilingual Field Case Management

Global Medical Case Management Market Size by Case Type & CAGR (2026-2033)

• Market Overview
• Chronic Pain Case Management
• Catastrophic Case Management
• Independent Medical Examinations
• Short-Term Disability
• Long-Term Disability
• Others

Global Medical Case Management Market Size by End Users & CAGR (2026-2033)

• Market Overview
• Medical Case Management Providers
• Healthcare Insurance Companies
• Healthcare It Service Providers
• Healthcare BPO & KPO Vendors
• Corporate Entities
• Healthcare Institutions
• Venture Capitalists
• Government Bodies
• Accountable Care Organizations

Global Medical Case Management Market Size & CAGR (2026-2033)

• North America (Service, Case Type, End Users)
  • US
  • Canada
• Europe (Service, Case Type, End Users)
  • Germany
  • Spain
  • France
  • UK
  • Italy
  • Rest of Europe
• Asia Pacific (Service, Case Type, End Users)
  • China
  • India
  • Japan
  • South Korea
  • Rest of Asia-Pacific
• Latin America (Service, Case Type, End Users)
  • Brazil
  • Rest of Latin America
• Middle East & Africa (Service, Case Type, End Users)
  • GCC Countries
  • South Africa
  • Rest of Middle East & Africa

Competitive Intelligence

• Top 5 Player Comparison
• Market Positioning of Key Players, 2025
• Strategies Adopted by Key Market Players
• Recent Developments in the Market
• Company Market Share Analysis, 2025
• Company Profiles of All Key Players
  • Company Details
  • Product Portfolio Analysis
  • Company's Segmental Share Analysis
  • Revenue Y-O-Y Comparison (2023-2025)

Key Company Profiles

• EagleOne Case Management Solutions Inc. (US)
  • Company Overview
  • Business Segment Overview
  • Financial Updates
  • Key Developments
• EK Health Services Inc. (US)
  • Company Overview
  • Business Segment Overview
  • Financial Updates
  • Key Developments
• McKesson Corporation (US)
  • Company Overview
  • Business Segment Overview
  • Financial Updates
  • Key Developments
• Case Management Solutions (US)
  • Company Overview
  • Business Segment Overview
  • Financial Updates
  • Key Developments
• Europ Assistance - Global Corporate Solutions (France)
  • Company Overview
  • Business Segment Overview
  • Financial Updates
  • Key Developments
• CorVel Corporation (US)
  • Company Overview
  • Business Segment Overview
  • Financial Updates
  • Key Developments
• Axiom Medical Consulting LLC (US)
  • Company Overview
  • Business Segment Overview
  • Financial Updates
  • Key Developments
• Managed Medical Review Organization Inc. (US)
  • Company Overview
  • Business Segment Overview
  • Financial Updates
  • Key Developments
• Advanced Medical Management Inc. (US)
  • Company Overview
  • Business Segment Overview
  • Financial Updates
  • Key Developments
• Medical Case Management Group (US)
  • Company Overview
  • Business Segment Overview
  • Financial Updates
  • Key Developments
• Sierra Nevada Administrators (US)
  • Company Overview
  • Business Segment Overview
  • Financial Updates
  • Key Developments
• Optum (US)
  • Company Overview
  • Business Segment Overview
  • Financial Updates
  • Key Developments
• Paradigm Management Services (US)
  • Company Overview
  • Business Segment Overview
  • Financial Updates
  • Key Developments
• The ALARIS Group Inc. (US)
  • Company Overview
  • Business Segment Overview
  • Financial Updates
  • Key Developments

Conclusion & Recommendations