Global US Complex & Chronic Condition Management Market Size By Disease Type (Cardiovascular Diseases, Oncology, Musculoskeletal, Women’s Health/Fertility/Maternity), By Service (Consulting Service, Implementation Service, Education Service), By Geographic Scope And Forecast

US Complex & Chronic Condition Management Market Size And Forecast

US Complex & Chronic Condition Management Market size was valued at USD 2.76 Billion in 2021 and is projected to reach USD 11.22 Billion by 2030, growing at a CAGR of 17.12 % from 2023 to 2030.

The US Complex & Chronic Condition Management Market is gaining pace due to the rise in digitalization and the use of smartphones and personal computers. The US Complex & Chronic Condition Management report provides a holistic evaluation of the market. The report offers a comprehensive analysis of key segments, trends, drivers, restraints, competitive landscape, and factors that are playing a substantial role in the market.

US Complex & Chronic Condition Management Market Definition

Complex & Chronic Condition Management refers to the medical care and support provided to individuals with multiple and long-term health conditions that require ongoing management and treatment. These conditions may contain chronic diseases such as chronic obstructive pulmonary disease, heart disease, diabetes, and cancer, as well as mental health conditions like depression and anxiety. Chronic care management (CCM) services are typically non-face-to-face services delivered to Medicare beneficiaries with multiple chronic conditions expected to last around 12 months or until the patient’s demise.

The CCM Centers for Medicare & Medicaid Services recognizes that these services are critical components of primary care that encourage better health and reduce overall healthcare costs. The purpose of Complex & Chronic Condition Management is to enhance the quality of life for individuals with these conditions by addressing their medical, psychological, and social needs. This often involves a multidisciplinary approach, with healthcare providers from different specialties working together to provide coordinated and comprehensive care.

Treatment may include medication management, lifestyle modifications, counseling and therapy, and monitoring and managing symptoms. Patients may also receive support with activities of daily living, such as managing medications, coordinating medical appointments, and accessing community resources. Effective Complex & Chronic Condition Management can help individuals with these conditions to better manage their symptoms, avoid complications, and maintain their independence and quality of life.

US Complex & Chronic Condition Management Market Overview

The chronic condition means patients living with chronic diseases for years, and the affected cells progress over time. Chronic diseases are the main income contributors to the healthcare sector. Complex & Chronic Condition Management is a program that helps patients and healthcare professionals improve healthcare services and the patient’s quality of life. Chronic Condition Management services provide support to patients with different medical benefits. The expansion of digital technologies has encouraged the development of the telehealth industry. The rapid adoption of telehealth services among healthcare professionals and customers is the preliminary driver of the US Complex & Chronic Condition Management Market.

Almost half of the US population suffers from at least one chronic disease. The major chronic diseases in the US are cardiovascular diseases, COPD, cancer, diabetes, and musculoskeletal disorders. These chronic diseases are the significant causes of death in the US. The rising prevalence of various chronic diseases associated with the increasing healthcare expenditure is estimated to produce the demand for innovative and advanced Complex & Chronic Condition Management services. The growing aging population is another major factor influencing market growth. The aging population in the US is rapidly growing. Moreover, older adults are more prone to chronic diseases and tend to spend more on their health. Therefore, the growing geriatric population, coupled with the rising healthcare expenditure, is expected to significantly foster market growth during the forecast period.

Besides, technological advancements are also creating opportunities for the market to grow. Advances in healthcare technology, such as electronic health records (EHRs), telehealth, and mobile health (mHealth) apps, are making it easier to manage Complex and chronic conditions remotely. In addition, the focus on value-based care is also driving the market. The shift towards value-based care is creating opportunities for providers of Complex & Chronic Condition Management services to demonstrate the value of their services in enhancing patient outcomes and reducing healthcare costs. However, lack of reimbursement and cost concerns are expected to hinder the market. Insurance companies only reimburse a few Complex & Chronic Condition Management services, which can limit access to these services for patients. Also, Complex and regular condition management services can be expensive, restricting access for patients who need help to afford them.

US Complex & Chronic Condition Management Market Segmentation Analysis

The US Complex & Chronic Condition Management Market is Segmented on the Basis of Disease Type, Service, And Geography.

US Complex & Chronic Condition Management Market, By Disease Type

• Cardiovascular Diseases
• Oncology
• Musculoskeletal
• Women’s Health/Fertility/Maternity
• Chronic Obstructive Pulmonary Disease
• Others

Based on the Disease Type, the market is split into Cardiovascular Diseases, Oncology, Musculoskeletal, Women’s Health/Fertility/Maternity, Chronic Obstructive Pulmonary Disease, and Others. The Cardiovascular Diseases segment is expected to grow considerably over the forecast period. The increased prevalence of cardiovascular diseases in the US is the primary contributor to developing the Complex & Chronic Condition Management Market. The proliferation of digital technologies and the development of advanced software systems has enabled systematic care delivery in the US healthcare sector, which helps patients to avoid any exacerbations and complications. The Complex & Chronic Condition Management solution connects the patient’s devices, like smartphones and tablets, with the electronic health records (EHR) through an app installed in the patient’s device.

US Complex & Chronic Condition Management Market, By Service

• Consulting Service
• Implementation Service
• Education Service
• Others

Based on Services, the market is split into consulting Services, Implementation Services, Education Services, and Others. The Implementation Service segment dominated the overall industry in 2021. Telehealth service providers play a crucial role in connecting patients and care providers. The arrangements are made by the service providers when a patient requires visiting a clinic or a hospital to acquire therapies and tests. The increased prevalence of various chronic diseases that frequently requires implementation services has fostered the growth of this segment. Patients suffering from diseases such as cancer, reproductive disorder, and musculoskeletal disorders regularly need in-person care to receive various therapies and conduct tests. Therefore, the implementation services have captured a considerable market share owing to their higher revenue generation.

Key Players

The “US Complex & Chronic Condition Management Market” study report will provide valuable insight with an emphasis on the US market including some of the major players such as Optum, Inc, Cerner Corporation, McKesson Corporation, Epic Systems Corporation, Allscripts Healthcare Solutions, Inc, IBM Corporation, GE Healthcare, Koninklijke Philips N.V., Siemens Healthineers AG, Athenahealth, Inc., CVS Health Corporation, Walgreens Boots Alliance, Inc., Humana Inc., UnitedHealth Group Incorporated, and Aetna Inc other prominent players.

Our market analysis also entails a section solely dedicated to such major players wherein our analysts provide an insight into the financial statements of all the major players, along with its product benchmarking and SWOT analysis. The competitive landscape section also includes key development strategies, market share, and market ranking analysis of the above-mentioned players.

Ace Matrix Analysis

The Ace Matrix provided in the report would help to understand how the major key players involved in this industry are performing as we provide a ranking for these companies based on various factors such as service features & innovations, scalability, innovation of services, industry coverage, industry reach, and growth roadmap. Based on these factors, we rank the companies into four categories as Active, Cutting Edge, Emerging, and Innovators.

Porter’s Five Forces

The image provided would further help to get information about Porter’s five forces framework providing a blueprint for understanding the behavior of competitors and a player’s strategic positioning in the respective industry. Porter’s five forces model can be used to assess the competitive landscape in US Complex & Chronic Condition Management Market gauge the attractiveness of a certain sector, and assess investment possibilities.

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Reasons to Purchase this Report

• Qualitative and quantitative analysis of the market based on segmentation involving both economic as well as non-economic factors• Provision of market value (USD Billion) data for each segment and sub-segment• Indicates the region and segment that is expected to witness the fastest growth as well as to dominate the market• Analysis by geography highlighting the consumption of the product/service in the region as well as indicating the factors that are affecting the market within each region• Competitive landscape which incorporates the market ranking of the major players, along with new service/product launches, partnerships, business expansions, and acquisitions in the past five years of companies profiled• Extensive company profiles comprising of company overview, company insights, product benchmarking, and SWOT analysis for the major market players• The current as well as the future market outlook of the industry with respect to recent developments which involve growth opportunities and drivers as well as challenges and restraints of both emerging as well as developed regions• Includes in-depth analysis of the market of various perspectives through Porter’s five forces analysis• Provides insight into the market through Value Chain• Market dynamics scenario, along with growth opportunities of the market in the years to come• 6-month post-sales analyst support

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