Case by case: Falling unemployment and beneficial healthcare reform will boost demand

Over the past five years, the Medical Case Management Services industry has achieved steady growth as a result of expanded usage for primary medical care and workers' compensation claims. Throughout the period, the industry has benefited from improving corporate profit and US employment, which has increased the number of workers' compensation claims. The role of case management services has also shifted and expanded, managing more injuries in office and retail settings and fewer in traditional manufacturing settings, focusing on medical cost containment, utilizing nurse case managers and entering patient-centered medical homes and accountable care organizations...purchase to read more.

Industry Statistics & Market Size
Annual Growth 12-17
Forecast Growth 17-22
Market Share of Companies

Industry Threats & Opportunities

  • Industry growth will be supported by continued improvement in US employment levels
  • Healthcare reform has positively impacted the industry
  • The rising number of insured as a result of the PPACA is expected to raise industry demand
  • 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. Exi...purchase to read more.

    Additional Insights for the Medical Case Management Services Industry

    IBISWorld identifies 250 Key Success Factors for a business.The most important for the Medical Case Management Services Industry are

  • Having a good reputation
  • Proximity to key markets
  • Must comply with government regulations
  • IBISWorld analysts also discuss how external factors such as Demand from workers' compensation and other insurance funds and Federal funding for Medicare and Medicaid in the Medical Case Management Services industry impact industry performance..

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    What's in this report

    What is the Medical Case Management Services Industry?

    This industry includes companies that plan and coordinate healthcare services appropriate for medical rehabilitation. These services include care assessment and recommending treatment plans to ensure that appropriate medical care is provided to disabled, ill or injured individuals.

    Industry Products
  • Utilization management
  • Vocational rehabilitation
  • Catastrophic case management
  • Industry Activities
  • Catastrophic case management
  • Utilization management
  • Vocational rehabilitation
  • Table of Contents

    Industry Definition
    Main Activities
    Similar Industries
    Additional Resources
    Industry Statistics Snapshot
    Industry Structure
    Executive Summary
    Executive Summary
    Key External Drivers
  • Demand from workers' compensation and other insurance funds
  • Federal funding for Medicare and Medicaid
  • National unemployment rate
  • Demand from hospitals
  • Demand from primary care doctors

  • Current Performance
  • Expanding role
  • Regulation changes
  • Trading places: M&A activity
  • Chart: Revenue Growth

  • Industry Outlook
  • Healthcare reform brings opportunities for the industry
  • Declining unemployment benefits the industry
  • Rising industry employment
  • Technological change
  • Table: Medical Case Management Services Industry Revenue Outlook

  • Industry Life Cycle
  • Life cycle reasons
  • Chart: Benchmarking - Medical Case Management Services Industry Lifecycle vs The Economy

  • Supply Chains
    Key Buying Industries
  • Mining
  • Construction
  • Manufacturing
  • Third-Party Administrators & Insurance Claims Adjusters
  • Workers' Compensation & Other Insurance Funds
  • Hospitals

  • Key Selling Industries
  • Healthcare and Social Assistance
  • Internet Service Providers
  • VoIP
  • Wired Telecommunications Carriers

  • Products & Services
  • Utilization management
  • Vocational rehabilitation
  • Catastrophic case management
  • Chart: Medical Case Management Services Industry Products and Services Segmentation

  • Demand Determinants
    Major Markets
  • Government agencies
  • Third-party administrators
  • Insurance companies
  • Employers
  • Chart: Major Market Segmentation for the Medical Case Management Services Industry

  • International Trade
    Business Locations
    Chart: Business Locations by State
    Market Share Concentration
    Key Success Factors
    Cost Structure Benchmarks
    ProfitLabor and capitalPurchases
  • Chart: Cost Structure Benchmarking – Sector vs Medical Case Management Services

  • Basis of Competition
  • Internal competition
  • External competition

  • Barriers to Entry
  • Table: Barrier to Entry Checklist for the Medical Case Management Services Industry

  • Industry Globalization
    Genex Services,
  • Table: Genex Services - financial performance

  • Capital Intensity
  • Chart: Level of Capital Intensity for the Medical Case Management Services Industry
  • Chart: Tools of the Trade: Growth Strategies for Success

  • Technology & Systems
    Revenue Volatility
  • Chart: Volatility vs Industry Growth

  • Regulation & Policy
    Industry Assistance
    Table: Industry Data for the Medical Case Management Services Industry
  • Industry Revenue (2008-2022)
  • Industry Gross Product (2008-2022)
  • Establishments (2008-2022)
  • Businesses (2008-2022)
  • Employment (2008-2022)
  • Wages (2008-2022)
  • Federal funding for Medicare and Medicaid (2008-2022)

  • Table: Annual Percentage Change for Key Industry Data
    Table: Key Ratios for Industry Key Data
    Third-Party Administrators (Tpas)
  • Organizations that investigate, appraise and settle insurance claims or certain aspects of employee benefit plans for a separate entity.
  • Voice Over Internet Protocol
  • Abbreviated as VoIP, a technology that converts voice signals into digital data transmitted using the internet.
  • Workers' Compensation Claims
  • Payments required by law to be made to an employee who is injured or disabled in connection with work.
  • What Our Customers Say

    Why buy this report?

    IBISWorld’s Industry Market Report on Medical Case Management Services is a comprehensive guide to market size and growth prospects. Ensure due diligence in your research with our strategic analysis of the factors influencing companies, including new product developments; economic, lifestyle and demographic influences; distribution and supply chain factors; and pricing issues.

    IBISWorld industry market research reports enable you to:
    • Find out about key industry trends
    • Identify threats and opportunities
    • Inform your decisions for marketing, strategy and planning
    • Quickly build competitive intelligence
    This report on Medical Case Management Services:
    • Provides Market Size information to assist with planning and strategic decisions.
    • Includes the necessary information to perform SWOT, PEST and STEER analysis.
    • Helps you understand market dynamics to give you a deeper understanding of industry competition and the supply chain.
    • Analyses key performance and operational metrics so that you can benchmark against your own business, that of your customers’ businesses, or your competitors’ businesses.
    The Medical Case Management Services market research report includes:
    • Historical data and analysis for the key drivers of this industry
    • A five-year forecast of the market and noted trends
    • Detailed research and segmentation for the main products and markets
    • An assessment of the competitive landscape and market shares for major companies
    • And of course, much more

    IBISWorld reports on thousands of industries around the world. Our clients rely on our information and data to stay up-to-date on industry trends across all industries. With this IBISWorld Industry Research Report on Medical Case Management Services, you can expect thoroughly researched, reliable and current information that will help you to make faster, better business decisions.

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