Care Management Solutions Market

Care Management Solutions Market by Component (Software and Services), Delivery Mode (On-Premise and Cloud-Based), End User (Payers, Providers), Application (Disease Management, Case Management, Utilization Management) - Global Forecast to 2023

Report Code: HIT 2715 Sep, 2018, by marketsandmarkets.com

[164 Pages Report] The global care management market was valued at USD 7.99 billion in 2017 and is projected to reach USD 19.28 billion by 2023, at a CAGR of 16.1% during the forecast period. Base year considered for the report is 2017 and the forecast period is 2018–2023.

Objectives of the Study:

  • To define, describe, segment, and forecast the care management solutions market by component, delivery mode, end user, application, and region
  • To provide detailed information about factors influencing market growth (drivers, restraints, opportunities, and challenges)
  • To analyze micromarkets with respect to individual growth trends, prospects, and contributions to the overall market
  • To analyze market opportunities for stakeholders and provide details of the competitive landscape for key players
  • To forecast the size of the market segments with respect to North America, Europe, Asia Pacific, and the Rest of the World (RoW)
  • To strategically analyze the market structure and profile the key players of the global care management solutions market and comprehensively analyze their core competencies
  • To track and analyze competitive developments such as agreements, collaborations, and partnerships; product deployments; product launches, enhancements, and integrations; acquisitions; and expansions in the care management solutions market

Research Methodology

Top-down and bottom-up approaches were used to validate the size of the global care management solutions market and estimate the size of other dependent submarkets. Various secondary sources such as associations like the American Case Management Association (ACMA), American Association of Healthcare Administrative Management (AAHAM), Commission for Case Manager Certification (CCMC), American Association of Managed Care Nurses (AAMCN), Case Management Society of Australia and New Zealand (CMSA), Institute for Health Technology Transformation (iHT2), Healthcare Information and Management Systems Society (HIMSS), directories, industry journals, databases, and annual reports of the companies have been used to identify and collect information useful for the study of this market. Primary sources such as experts from both supply and demand sides have been interviewed to obtain and validate information as well as to assess the dynamics of this market. The breakdown of profiles of primaries is shown in the figure below:

Care Management Solutions Market

To know about the assumptions considered for the study, download the pdf brochure

The major players in the care management solutions market include EXL Service Holdings, Inc. (US), Casenet, LLC (US), Medecision Inc. (US), ZeOmega Inc. (US), Cognizant Technology Solutions (US), Cerner Corporation (US), Allscripts Healthcare Solutions, Inc. (US), and TCS Healthcare Technologies (US).

Target Audience:

  • Healthcare insurance companies/payers
  • Healthcare IT service providers
  • Healthcare institutions/providers (hospitals, medical groups, physician practices, diagnostic centers, pharmacies, ambulatory centers, and outpatient clinics)
  • Venture capitalists
  • Healthcare BPO vendors
  • Healthcare KPO vendors
  • Government bodies
  • Corporate entities
  • Accountable care organizations

Scope of the Report:

The research report categorizes the healthcare claims management market into the following segments and subsegments:

Care Management Solutions Market, by Component

  • Software
  • Services

Care Management Solutions Market, by Delivery Mode

  • On-premise
  • Cloud-based

Care Management Solutions Market, by End User

  • Payers
  • Providers
  • Other End Users

Care Management Solutions Market, by Application

  • Disease Management
  • Case Management
  • Utilization Management
  • Other Applications

Care Management Solutions Market, by Region

  • North America
    • US
    • Canada
  • Europe
    • UK
    • Germany
    • France
    • Italy
    • Spain
    • Rest of Europe (RoE)
  • Asia Pacific
    • Japan
    • China
    • India
    • RoAPAC
  • RoW

Available Customizations

With the given market data, MarketsandMarkets offers customizations as per the company’s specific needs. The following customization options are available for the report:

Portfolio Analysis

  • Product Matrix, which gives a detailed comparison of the product portfolio of each company (Top 3 companies)

Company Information

  • Detailed analysis and profiling of additional market players (Up to 5)

The global care management solutions market is projected to reach USD 19.28 billion by 2023 from USD 9.15 billion in 2018, at a CAGR of 16.1% during the forecast period. The key factors driving the growth of this market are the implementation of initiatives to shift the burden of risk from healthcare payers to providers, government initiatives and regulations promoting patient-centric care, initiatives to promote healthcare IT, rising geriatric population, and need to reduce healthcare costs are driving the growth of the care management solutions market.

The report describes and studies the global care management market by component, delivery mode, end user, application, and region. It provides detailed information regarding the major factors influencing the growth of this market

On the basis of application, the global care management solutions market is segmented into disease management, case management, utilization management, and other applications. The disease management solutions segment is expected to register the highest CAGR during the forecast period. The high growth in this segment can be attributed to the ability of these solutions to reduce the cost of care with the help of protocol management and prevent episodes of ill health through comprehensive health management.

Based on delivery mode, the care management solutions market is segmented into on-premise and cloud-based delivery modes. The cloud-based segment is expected to grow at the highest CAGR during the forecast period. The high growth of this segment can be attributed to the advantages provided by the cloud-based solutions such as, low installation and maintenance costs, unlimited storage of information, easy access to information from any place, and reduced spam & web threats.

Care Management Solutions Market

The geographic segments in this report include North America, Europe, Asia, and the Rest of the World. Of these, the North American market is expected to account for the largest share of the market in 2018. The large share of North America can be attributed to the shift of the risk burden from healthcare payers to providers; patient-centric mandates; and the need to improve quality of care and curb healthcare costs in Canada. Additionally, several major global players are based in the US, which has made the country a center for innovation in the care management solutions market.

Europe is expected to grow at the highest CAGR during the forecast period (2018–2023). The efforts made by the governments of European nations such as the UK, Germany, France, Italy, and Spain to promote care coordination and quality of healthcare and reforms to curb healthcare costs by integrating HCIT solutions into healthcare are driving the growth in the forecast period.

However, the lack of interoperability, the high cost of deployment, and the increased instances of data breaches are some of the factors restraining the overall growth of this market.

EXL Service Holdings, Inc. (US), Casenet, LLC (US), Medecision Inc. (US), ZeOmega Inc. (US), Cognizant Technology Solutions (US), Cerner Corporation (US), Allscripts Healthcare Solutions, Inc. (US), and TCS Healthcare Technologies (US), are the key players in the care management solutions market. Other players involved in this market are Koninklijke Philips N.V. (Netherlands), IBM Corporation (US), Health Catalyst Inc. (US), Harmony Information Systems, Inc. (US), Salesforce.com, Inc. (US), i2i Systems, Inc. (US), Pegasystems Inc. (US), and Epic Corporation Inc. (US).

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Table of Contents

1 Introduction (Page No. - 16)
    1.1 Objectives of the Study
    1.2 Market Definition
    1.3 Market Scope
           1.3.1 Markets Covered
           1.3.2 Years Considered for the Study
    1.4 Currency
    1.5 Limitations
    1.6 Stakeholders

2 Research Methodology (Page No. - 19)
    2.1 Research Data
           2.1.1 Secondary Data
                    2.1.1.1 Secondary Sources
           2.1.2 Primary Data
                    2.1.2.1 Sampling Frame: Primary Research
                    2.1.2.2 Key Data From Primary Sources
                    2.1.2.3 Breakdown of Primaries
                    2.1.2.4 Key Industry Insights
    2.2 Market Size Estimation
    2.3 Market Breakdown and Data Triangulation
    2.4 Assumptions for the Study

3 Executive Summary (Page No. - 29)

4 Premium Insights (Page No. - 32)
    4.1 Care Management Solutions: Market Overview
    4.2 Care Management Solutions Market, By End User (2018)
    4.3 Care Management Solutions Market, By Application, 2018 vs 2023
    4.4 Geographical Snapshot of the Care Management Solutions Market

5 Market Overview (Page No. - 36)
    5.1 Introduction
    5.2 Market Dynamics
           5.2.1 Drivers
                    5.2.1.1 Implementation of Initiatives to Shift the Burden of Risk From Healthcare Payers to Providers
                    5.2.1.2 Government Initiatives & Regulations Promoting Patient-Centric Care
                    5.2.1.3 Initiatives to Promote Healthcare IT
                    5.2.1.4 Rising Geriatric Population
                    5.2.1.5 Need to Reduce Healthcare Costs
           5.2.2 Restraints
                    5.2.2.1 Lack of Skilled Professionals
           5.2.3 Opportunities
                    5.2.3.1 Emerging Markets
                    5.2.3.2 Technological Advancements in Healthcare IT Solutions
           5.2.4 Challenges
                    5.2.4.1 Lack of Interoperability
                    5.2.4.2 High Cost of Deployment
                    5.2.4.3 Data Breaches and Loss of Confidentiality

6 Care Management Solutions Market, By Component (Page No. - 43)
    6.1 Introduction
    6.2 Software
    6.3 Services

7 Care Management Solutions Market, By Delivery Mode (Page No. - 47)
    7.1 Introduction
    7.2 On-Premise Solutions
    7.3 Cloud-Based Solutions

8 Care Management Solutions Market, By End User (Page No. - 51)
    8.1 Introduction
    8.2 Healthcare Payers
    8.3 Healthcare Providers
    8.4 Other End Users

9 Care Management Solutions Market, By Application (Page No. - 56)
    9.1 Introduction
    9.2 Disease Management
    9.3 Case Management
    9.4 Utilization Management
    9.5 Other Applications

10 Care Management Solutions Market, By Region (Page No. - 64)
     10.1 Introduction
     10.2 North America
             10.2.1 US
             10.2.2 Canada
     10.3 Europe
             10.3.1 UK
             10.3.2 Germany
             10.3.3 France
             10.3.4 Italy
             10.3.5 Spain
             10.3.6 Rest of Europe
     10.4 Asia Pacific (APAC)
             10.4.1 Japan
             10.4.2 China
             10.4.3 India
             10.4.4 Rest of Asia Pacific (RoAPAC)
     10.5 Rest of the World (RoW)

11 Competitive Landscape (Page No. - 115)
     11.1 Overview
     11.2 Competitive Scenario
             11.2.1 Product Launches and Enhancements
             11.2.2 Agreements, Partnerships, and Collaborations
             11.2.3 Acquisitions
             11.2.4 Expansions
     11.3 Care Management Solutions Adoption Assessment

12 Company Profiles (Page No. - 119)
(Introduction, Products & Services, Strategy, & Analyst Insights, Developments, MnM View)*
     12.1 Exlservice Holdings, Inc.
     12.2 Casenet, LLC
     12.3 Medecision, Inc.
     12.4 Zeomega Inc.
     12.5 Cognizant Technology Solutions
     12.6 Cerner Corporation
     12.7 Allscripts Healthcare Solutions
     12.8 Koninklijke Philips N.V.
     12.9 IBM Corporation
     12.10 TCS Healthcare Technologies
     12.11 Health Catalyst, LLC
     12.12 Harmony Information Systems, Inc. (A Part of Mediware Information Systems, Inc.)
     12.13 Salesforce.Com, Inc.
     12.14 I2i Population Health
     12.15 Pegasystems Inc.
     12.16 Epic Systems

*Details on Marketsandmarkets View, Introduction, Product & Services, Strategy, & Analyst Insights, New Developments Might Not Be Captured in Case of Unlisted Companies.

13 Appendix (Page No. - 157)
     13.1 Discussion Guide
     13.1 Knowledge Store: Marketsandmarkets’ Subscription Portal
     13.2 Available Customizations
     13.3 Related Reports
     13.4 Author Details


List of Tables (111 Tables)

Table 1 Care Management Solutions Market, By Component, 2016–2023 (USD Million)
Table 2 Care Management Software Market, By Region, 2016–2023 (USD Million)
Table 3 Care Management Services Market, By Region, 2016–2023 (USD Million)
Table 4 Care Management Solutions Market, By Delivery Mode, 2016–2023 (USD Million)
Table 5 On-Premise Care Management Solutions Market, By Region, 2016 – 2023 (USD Million)
Table 6 Cloud-Based Care Management Solutions Market, By Region, 2016–2023 (USD Million)
Table 7 Care Management Solutions Market, By End User, 2016–2023 (USD Million)
Table 8 Care Management Solutions Market for Healthcare Payers, By Region, 2016–2023 (USD Million)
Table 9 Care Management Solutions Market for Healthcare Providers, By Region, 2016–2023 (USD Million)
Table 10 Care Management Solutions Market for Other End Users, By Region, 2016–2023 (USD Million)
Table 11 Care Management Solutions Market, By Application, 2016–2023 (USD Million)
Table 12 Disease Management Solutions Market, By Region, 2016–2023 (USD Million)
Table 13 Disease Management Solutions Market, By Type, 2016–2023 (USD Million)
Table 14 Cancer Management Solutions Market, By Region, 2016–2023 (USD Million)
Table 15 Copd Management Solutions Market, By Region, 2016–2023 (USD Million)
Table 16 Diabetes Management Solutions Market, By Region, 2016–2023 (USD Million)
Table 17 Cardiovascular Disease Management Solutions Market, By Region, 2016–2023 (USD Million)
Table 18 Other Disease Management Solutions Market, By Region, 2016–2023 (USD Million)
Table 19 Case Management Solutions Market, By Region, 2016–2023 (USD Million)
Table 20 Utilization Management Solutions Market, By Region, 2016–2023 (USD Million)
Table 21 Care Management Solutions Market for Other Applications, By Region, 2016–2023 (USD Million)
Table 22 Care Management Solutions Market, By Region, 2016–2023 (USD Million)
Table 23 North America: Care Management Solutions Market, By Country, 2016–2023 (USD Million)
Table 24 North America: Care Management Solutions Market, By Component, 2016–2023 (USD Million)
Table 25 North America: Care Management Solutions Market, By Delivery Mode, 2016–2023 (USD Million)
Table 26 North America: Care Management Solutions Market, By End User, 2016–2023 (USD Million)
Table 27 North America: Care Management Solutions Market, By Application, 2016–2023 (USD Million)
Table 28 North America: Disease Management Solutions Market, By Type, 2016–2023 (USD Million)
Table 29 US: Care Management Solutions Market, By Component, 2016–2023 (USD Million)
Table 30 US: Care Management Solutions Market, By Delivery Mode, 2016–2023 (USD Million)
Table 31 US: Care Management Solutions Market, By End User, 2016–2023 (USD Million)
Table 32 US: Care Management Solutions Market, By Payer Type, 2016-2023 (USD Million)
Table 33 US: Care Management Solutions Market, By Application, 2016–2023 (USD Million)
Table 34 US: Disease Management Solutions Market, By Type, 2016–2023 (USD Million)
Table 35 Canada: Care Management Solutions Market, By Component, 2016–2023 (USD Million)
Table 36 Canada: Care Management Solutions Market, By Delivery Mode, 2016–2023 (USD Million)
Table 37 Canada: Care Management Solutions Market, By End User, 2016–2023 (USD Million)
Table 38 Canada: Care Management Solutions Market, By Application, 2016–2023 (USD Million)
Table 39 Canada: Disease Management Solutions Market, By Type, 2016–2023 (USD Million)
Table 40 Europe: Care Management Solutions Market, By Country, 2016–2023 (USD Million)
Table 41 Europe: Care Management Solutions Market, By Component, 2016–2023 (USD Million)
Table 42 Europe: Care Management Solutions Market, By Delivery Mode, 2016–2023 (USD Million)
Table 43 Europe: Care Management Solutions Market, By End User, 2016–2023 (USD Million)
Table 44 Europe: Care Management Solutions Market, By Application, 2016–2023 (USD Million)
Table 45 Europe: Disease Management Solutions Market, By Type, 2016–2023 (USD Million)
Table 46 UK: Care Management Solutions Market, By Component, 2016–2023 (USD Million)
Table 47 UK: Care Management Solutions Market, By Delivery Mode, 2016–2023 (USD Million)
Table 48 UK: Care Management Solutions Market, By End User, 2016–2023 (USD Million)
Table 49 UK: Care Management Solutions Market, By Application, 2016–2023 (USD Million)
Table 50 UK: Disease Management Solutions Market, By Type, 2016–2023 (USD Million)
Table 51 Germany: Care Management Solutions Market, By Component, 2016–2023 (USD Million)
Table 52 Germany: Care Management Solutions Market, By Delivery Mode, 2016–2023 (USD Million)
Table 53 Germany: Care Management Solutions Market, By End User, 2016–2023 (USD Million)
Table 54 Germany: Care Management Solutions Market, By Application, 2016–2023 (USD Million)
Table 55 Germany: Disease Management Solutions Market, By Type, 2016–2023 (USD Million)
Table 56 France: Care Management Solutions Market, By Component, 2016–2023 (USD Million)
Table 57 France: Care Management Solutions Market, By Delivery Mode, 2016–2023 (USD Million)
Table 58 France: Care Management Solutions Market, By End User, 2016–2023 (USD Million)
Table 59 France: Care Management Solutions Market, By Application, 2016–2023 (USD Million)
Table 60 France: Disease Management Solutions Market, By Type, 2016–2023 (USD Million)
Table 61 Italy: Care Management Solutions Market, By Component, 2016–2023 (USD Million)
Table 62 Italy: Care Management Solutions Market, By Delivery Mode, 2016–2023 (USD Million)
Table 63 Italy: Care Management Solutions Market, By End User, 2016–2023 (USD Million)
Table 64 Italy: Care Management Solutions Market, By Application, 2016–2023 (USD Million)
Table 65 Italy: Disease Management Solutions Market, By Type, 2016–2023 (USD Million)
Table 66 Spain: Care Management Solutions Market, By Component, 2016–2023 (USD Million)
Table 67 Spain: Care Management Solutions Market, By Delivery Mode, 2016–2023 (USD Million)
Table 68 Spain: Care Management Solutions Market, By End User, 2016–2023 (USD Million)
Table 69 Spain: Care Management Solutions Market, By Application, 2016–2023 (USD Million)
Table 70 Spain: Disease Management Solutions Market, By Type, 2016–2023 (USD Million)
Table 71 RoE: Care Management Solutions Market, By Component, 2016–2023 (USD Million)
Table 72 RoE: Care Management Solutions Market, By Delivery Mode, 2016–2023 (USD Million)
Table 73 RoE: Care Management Solutions Market, By End User, 2016–2023 (USD Million)
Table 74 RoE: Care Management Solutions Market, By Application, 2016–2023 (USD Million)
Table 75 RoE: Disease Management Solutions Market, By Type, 2016–2023 (USD Million)
Table 76 APAC: Care Management Solutions Market, By Country, 2016–2023 (USD Million)
Table 77 APAC: Care Management Solutions Market, By Component, 2016–2023 (USD Million)
Table 78 APAC: Care Management Solutions Market, By Delivery Mode, 2016–2023 (USD Million)
Table 79 APAC: Care Management Solutions Market, By End User, 2016–2023 (USD Million)
Table 80 APAC: Care Management Solutions Market, By Application, 2016–2023 (USD Million)
Table 81 APAC: Disease Management Solutions Market, By Type, 2016–2023 (USD Million)
Table 82 Japan: Care Management Solutions Market, By Component, 2016–2023 (USD Million)
Table 83 Japan: Care Management Solutions Market, By Delivery Mode, 2016–2023 (USD Million)
Table 84 Japan: Care Management Solutions Market, By End User, 2016–2023 (USD Million)
Table 85 Japan: Care Management Solutions Market, By Application, 2016–2023 (USD Million)
Table 86 Japan: Disease Management Solutions Market, By Type, 2016–2023 (USD Million)
Table 87 China: Care Management Solutions Market, By Component, 2016–2023 (USD Million)
Table 88 China: Care Management Solutions Market, By Delivery Mode, 2016–2023 (USD Million)
Table 89 China: Care Management Solutions Market, By End User, 2016–2023 (USD Million)
Table 90 China: Care Management Solutions Market, By Application, 2016–2023 (USD Million)
Table 91 China: Disease Management Solutions Market, By Type, 2016–2023 (USD Million)
Table 92 India: Care Management Solutions Market, By Component, 2016–2023 (USD Million)
Table 93 India: Care Management Solutions Market, By Delivery Mode, 2016–2023 (USD Million)
Table 94 India: Care Management Solutions Market, By End User, 2016–2023 (USD Million)
Table 95 India: Care Management Solutions Market, By Application, 2016–2023 (USD Million)
Table 96 India: Disease Management Solutions Market, By Type, 2016–2023 (USD Million)
Table 97 RoAPAC: Care Management Solutions Market, By Component, 2016–2023 (USD Million)
Table 98 RoAPAC: Care Management Solutions Market, By Delivery Mode, 2016–2023 (USD Million)
Table 99 RoAPAC: Care Management Solutions Market, By End User, 2016–2023 (USD Million)
Table 100 RoAPAC: Care Management Solutions Market, By Application, 2016–2023 (USD Million)
Table 101 RoAPAC: Disease Management Solutions Market, By Type, 2016–2023 (USD Million)
Table 102 RoW: Care Management Solutions Market, By Component, 2016–2023 (USD Million)
Table 103 RoW: Care Management Solutions Market, By Delivery Mode, 2016–2023 (USD Million)
Table 104 RoW: Care Management Solutions Market, By End User, 2016–2023 (USD Million)
Table 105 RoW: Care Management Solutions Market, By Application, 2016–2023 (USD Million)
Table 106 RoW: Disease Management Solutions Market, By Type, 2016–2023 (USD Million)
Table 107 Product Launches and Enhancements (2014–2018)
Table 108 Agreements, Partnerships, and Collaborations (2014–2018)
Table 109 Acquisitions, 2014–2018
Table 110 Expansions (2014–2018)
Table 111 Care Management Solutions Adopted in the US (2014–2018)


List of Figures (27 Figures)

Figure 1 Research Methodology: Care Management Solutions Market
Figure 2 Research Design
Figure 3 Market Size Estimation Methodology: Bottom-Up Approach
Figure 4 Market Size Estimation Methodology: Top-Down Approach
Figure 5 Data Triangulation Methodology
Figure 6 Software to Dominate the Care Management Solutions Market, By Component, in 2018
Figure 7 On-Premise Solutions to Account for the Larger Market Share in 2018
Figure 8 Europe to Witness the Highest Growth in the Care Management Solutions Market During 2018–2023
Figure 9 Care Management Solutions Market to Witness A High, Double-Digit Growth Rate From 2018 to 2023
Figure 10 Healthcare Payers to Account for the Largest Market Share in 2018
Figure 11 Disease Management Solutions Will Continue to Dominate the Care Management Solutions Market in 2023
Figure 12 Europe to Witness the Highest Growth Rate During the Forecast Period
Figure 13 Care Management Solutions Market: Drivers, Restraints, Opportunities, and Challenges
Figure 14 Europe to Grow at the Highest CAGR in the Care Management Solutions Market in 2018
Figure 15 North America: Care Management Solutions Market Snapshot
Figure 16 Europe: Care Management Solutions Market Snapshot
Figure 17 Asia Pacific: Care Management Solutions Market Snapshot
Figure 18 Rest of the World: Care Management Solutions Market Snapshot
Figure 19 Key Developments in the Care Management Solutions Market Between 2014 and 2018
Figure 20 Company Snapshot: Exlservice Holdings, Inc. (2017)
Figure 21 Company Snapshot: Cognizant Technology Solutions (2017)
Figure 22 Company Snapshot: Cerner (2017)
Figure 23 Company Snapshot: Allscripts Healthcare Solutions (2017)
Figure 24 Company Snapshot: Koninklijke Philips N.V. (2017)
Figure 25 Company Snapshot: IBM Corporation (2017)
Figure 26 Company Snapshot: Salesforce.Com, Inc. (2017)
Figure 27 Company Snapshot: Pegasystems (2017)


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Report Code
HIT 2715
Published ON
Sep, 2018
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