Industry Analysis & Industry Trends
Case by case
The Medical Case Management Services industry works with insurers, employers and patients to ensure that medical care is appropriate and cost effective. Because one of the industry's largest markets is workers' compensation claims, the drastically rising unemployment rate during the recession caused a blip in otherwise-steady revenue growth during the past five years. As employment conditions improve over the coming five years and as healthcare reform increases the ranks of insured, industry demand is expected to grow.... purchase to read more
Industry Report - Starting a New Business Chapter
Overall, there are moderate barriers to entry into the Medical Case Management Services industry. Industry operators are subject to a number of federal, state and local regulations. Medical case managers must also adhere to employer policies, which govern all aspects of case management practice, including client privacy and confidentiality rights. Many states require case managers to have certification and a bachelor's or graduate degree in health, human education or education services or a related field. As a result, regulatory compliance is the most significant barrier for new industry entrants.
High competition among industry operators and from third-party administrators and large insurance companies create additional barriers to entry... purchase to read more