Care Management Solutions Market

Market Definition

Care management solutions involve integrated platforms and services aimed at coordinating patient care, enhancing chronic disease management, and streamlining communication among healthcare teams. These solutions enable providers to deliver personalized care plans, monitor patient outcomes, and reduce hospital readmissions.

They are utilized in care coordination, population health initiatives, and value-based care models to improve efficiency and patient engagement. The report provides a comprehensive analysis of key drivers, emerging trends, and the competitive landscape expected to influence the market over the forecast period.

Care Management Solutions Market Overview

The global care management solutions market size was valued at USD 14.32 billion in 2024 and is projected to grow from USD 16.15 billion in 2025 to USD 41.22 billion by 2032, exhibiting a CAGR of 14.32% during the forecast period. 

Market growth is fueled by a shift toward value-based care models focused on outcomes and cost efficiency. Additionally, the integration of AI-enabled predictive analytics and remote monitoring technologies is enabling earlier interventions and proactive care, creating a strong demand for these solutions across healthcare systems.

Major companies operating in the care management solutions industry are Epic Systems Corporation, Oracle, Veradigm LLC, Cognizant, ExlService Holdings, Inc., Zyter, Inc., Medecision, ZeOmega, Koninklijke Philips N.V., IBM, Optum, Inc., NXGN Management, LLC., CareCloud, Inc., Greenway Health, LLC, and Convey Health Solutions.

The market is growing rapidly as chronic disease management becomes a top priority for global healthcare systems. Rising prevalence of chronic diseases such as diabetes, cardiovascular disorders, and cancer is boosting the demand for care management solutions.

• In April 2025, the International Diabetes Federation reported that approximately 589 million adults aged 20–79 years were living with diabetes globally, representing 11.1% of the adult population. Over 40% of these individuals are unaware of their condition. The number is projected to rise to 853 million by 2050, marking a 46% increase.

Care management platforms are enabling real-time tracking of patient health data and ensuring timely interventions to prevent complications. Healthcare systems are increasingly adopting these tools to reduce hospital readmissions and improve patient outcomes.

Key Highlights

1. The care management solutions industry size was valued at USD 14.32 billion in 2024.
2. The market is projected to grow at a CAGR of 14.32% from 2025 to 2032.
3. Asia Pacific held a market share of 36.54% in 2024, with a valuation of USD 5.23 billion.
4. The software segment garnered USD 7.78 billion in revenue in 2024.
5. The cloud-based segment is expected to reach USD 24.96 billion by 2032.
6. The disease management segment secured the largest revenue share of 45.67% in 2024.
7. The healthcare providers segment is set to grow at a CAGR of 15.51% over the forecast period.
8. North America is anticipated to grow at a CAGR of 14.41% through the projection period.

Market Driver

Notable Shift toward Value-Based Care Models

Rising shift from fee-for-service models to value-based care across healthcare systems is propelling the growth of the care management solutions market. With a focus on patient outcomes over service volume, healthcare providers are adopting tools that support proactive and coordinated care delivery. 

Care management platforms enable risk stratification, patient engagement, and chronic disease monitoring, which are essential for achieving performance-based reimbursement. Payers and providers are increasingly focusing on preventive care and population health strategies, relying on data-driven planning. Ensuring accountability for patient outcomes is prompting organizations to invest in scalable care management technologies.

• In January 2025, the Centers for Medicare & Medicaid Services (CMS) reported that 53.4% of traditional Medicare beneficiaries were engaged in accountable care relationships with providers. This represents a 4.3% increase compared to January 2024 and signifies that over 14.8 million people are now part of these relationships. This progress marks a significant step toward CMS’s objective of transitioning all traditional Medicare beneficiaries into accountable care relationships by 2030.

Market Challenge

High Implementation and Maintenance Costs

A key challenge limiting the expansion of the care management solutions market is managing the high costs involved in deploying and maintaining these solutions. Upfront expenses for software licensing, IT infrastructure, customization, and user training are placing significant financial pressure on healthcare providers. These costs are particularly burdensome for smaller organizations with limited budgets and technical capacity.

To address this challenge, market players are introducing scalable cloud-based models, flexible pricing structures, and modular platforms that reduce upfront investment. Companies are also offering ongoing support and streamlined onboarding to enhance accessibility and cost-efficiency.

Market Trend

Rising Integration of AI‑Enabled Predictive Analytics & Remote Monitoring

A key trend influencing the care management solutions market is the integration of artificial intelligence-enabled predictive analytics and remote patient monitoring technologies. Healthcare providers are leveraging machine learning algorithms and Internet of Things (IoT) devices to collect and analyze real-time patient data, enabling early intervention for high-risk individuals. 

Predictive models support better decision-making by revealing patterns missed by traditional methods, while remote monitoring improves care continuity and reduces hospital readmissions.

• In November 2024, Biofourmis launched a home-based hospital care service at Lee Health, integrating its AI-driven remote patient monitoring platform into clinical practice. Wearable sensors capture multi-parameter physiological data, which is analyzed by machine learning models to detect early signs of deterioration. The system reduced heart failure readmissions by 27%, demonstrating an improvement in clinical outcomes and the growing adoption of AI-enabled predictive analytics in remote monitoring.

Care Management Solutions Market Report Snapshot

Market Segmentation

• By Component (Software and Services): The software segment earned USD 7.78 billion in 2024, mainly due to its critical role in enabling real-time care coordination, data integration, and decision support.
• By Deployment Mode (Cloud-based and On-premises): The cloud-based segment held a share of 54.32% in 2024, owing to its scalability, lower upfront costs, and ability to support real-time data access and integration across diverse care settings.
• By Application (Disease Management, Care Management, Utilization Management, and Others): The disease management segment is projected to reach USD 20.12 billion by 2032, propelled by the rising prevalence of chronic conditions and the growing need for cost-effective, long-term care coordination that improves patient outcomes and reduces hospital readmissions.
• By End User (Healthcare Providers, Healthcare Payers, and Others): The healthcare providers segment is set to grow at a robust CAGR of 15.51% through the forecast period, largely attributed to their growing need to improve care coordination, manage chronic conditions more effectively, and meet performance benchmarks under value-based reimbursement models.

Care Management Solutions Market Regional Analysis

Based on region, the market has been classified into North America, Europe, Asia Pacific, Middle East & Africa, and South America.

The Asia Pacific care management solutions market share stood at 36.54% in 2024,valued at USD 5.23 billion. This dominance is attributed to rising investments in digital health infrastructure. 

Governments and private sectors are upgrading healthcare IT systems, setting up cloud-based data centers, and expanding broadband connectivity in hospitals and clinics. These improvements are promoting the adoption of care management platforms that rely on real-time data sharing, remote access, and analytics.

• In May 2025, ekincare received a strategic investment from MSD IDEA Studio Asia Pacific, the innovation arm of MSD’s Global Health Innovation Fund. The investment will enable the company to expand its cashless outpatient (OPD) network and enhance AI-driven analytics capabilities for preventive care and chronic disease management.

The North America care management solutions industry is estimated to grow at a robust CAGR of 14.41% over the forecast period. This growth is stimulated by the high concentration of Integrated Delivery Networks , large health systems encompassing hospitals, clinics, labs, and insurance services under a unified structure. 

• As of April 2024, Definitive Healthcare reported over 1,100 active Integrated Delivery Networks in the U.S. These systems require seamless care coordination and data exchange across multiple care settings. 

Care management solutions are being implemented to unify patient records, streamline communication among care teams, and support comprehensive care plans across the system.

Regulatory Frameworks

• In the U.S., care management solutions are governed by the Health Insurance Portability and Accountability Act (HIPAA) and the Health Information Technology for Economic and Clinical Health (HITECH) Act, which mandate the secure handling of patient data. The 21st Century Cures Act promotes interoperability by prohibiting information blocking.
• The European Union enforces the General Data Protection Regulation (GDPR), which sets strict rules for handling personal health information, including consent, purpose limitation, and data minimization. Developers of care management software that influence clinical decisions must comply with the Medical Device Regulation (MDR) or In Vitro Diagnostic Regulation (IVDR). These rules require CE (Conformité Européenne) marking, cybersecurity controls, and risk assessments to ensure safety and effectiveness across healthcare systems in Europe.
• In China, the Cybersecurity Law and the Personal Information Protection Law (PIPL) categorize health data as sensitive information, requiring user consent, data minimization, and mandatory data localization. Care management solutions must store health data on domestic servers and undergo periodic security assessments. The National Health Commission and the Cyberspace Administration of China jointly supervise healthcare-related data practices, while stringent rules around cross-border data transfers further impact digital health operations.
• Japan regulates care management solutions through the Act on the Protection of Personal Information (APPI), which mandates clear patient consent and secure handling of health data. The Ministry of Health, Labour and Welfare (MHLW) oversees compliance with care coordination policies within its integrated community-based care system. Digital tools offering medical support must also meet licensing, data retention, and audit requirements.

Competitive Landscape

Major players in the care management solutions industry are adopting strategies such as investing in research and development, integrating advanced technologies such as AI, and launching innovative care management tools to improve workflow efficiency and patient engagement. These efforts are helping organizations enhance the effectiveness of their care delivery models.

• In September 2024, Innovaccer Inc. launched its Care Management Copilot. The solution integrates Innovaccer’s healthcare-specific AI model, Sara, into its care management platform to reduce documentation workload, saving care managers over ten hours per week and allowing them to engage 30 to 40 percent more patients.

List of Key Companies in Care Management Solutions Market:

• Epic Systems Corporation
• Oracle
• Veradigm LLC
• Cognizant
• ExlService Holdings, Inc.
• Zyter, Inc.
• Medecision
• ZeOmega
• Koninklijke Philips N.V.
• IBM
• Optum, Inc.
• NXGN Management, LLC.
• CareCloud, Inc.
• Greenway Health, LLC
• Convey Health Solutions

Recent Developments (Partnerships/Product Launch)

• In April 2024, Quantum Health introduced Premier Oncology, its comprehensive care management solution designed specifically for employers and members dealing with cancer. This program offers enhanced support for patients, caregivers, and families by integrating value-based Centers of Excellence (COEs), which connect members with a curated network of leading cancer and surgical care providers. Utilizing prospective episodic bundles, it aims to ensure access to high-quality oncology care and expert support.
• In March 2024, Inova Health System partnered with ChartSpan, a provider of Chronic Care Management (CCM) solutions, to strengthen the delivery of chronic care services across Northern Virginia and Washington, DC. This partnership combines ChartSpan’s specialized CCM expertise with Inova’s healthcare infrastructure to offer a more personalized and coordinated approach to chronic condition management in the region.