Transitional Care Management Services Market Size, Share & Trends Analysis Report By Service (Patient TCM Services, Healthcare TCM Services, Billing TCM Services), By End-use, By Region, And Segment Forecasts, 2022 - 2030

Report Overview

The global transitional care management services market size was valued at USD 175.6 billion in 2021 and is anticipated to expand at a compound annual growth rate (CAGR) of 17.4% from 2022 to 2030. The growing burden of chronic illnesses across the globe has elevated the demand for transitional care management (TCM) services. The transitional care services offer support for the transition of the hospitalized patient to a community setting after post-facility, minimizing the risk of hospital readmission. The TCM services specifically help to improve the quality of health outcomes for patients as well as care providers. The COVID-19 pandemic has affected the market growth in the initial phase with an immediate decline in the overall transitional care visits and services. However, the post-pandemic rise was witnessed in TCM services along with demand for non-face-to-face patient TCM services. Therefore, transitional care management services are anticipated to grow at a significant pace post-pandemic. The rising geriatric population in countries such as the U.S., Italy, China, Japan, and India has contributed to the demand for transitional care management.

Although the COVID-19 pandemic affected the market with decreasing demand, the geriatric population has increased the demand for transitional care management services post-pandemic times. For instance, according to the rural health information hub, the U.S. is one of the major countries with a geriatric population and rising transitional care facilities. The country has more than 46 million older adults, which are above age 65. Between 2020 and 2030, the number of older people is projected to increase by almost 18 million. Besides, by 2050, the number is expected to grow to almost 90 million. This factor is likely to create a tremendous demand for transitional care.

The latest research indicates that transitional care management services are most likely to provide patients with an easier way to reduce the costs and readmission rate in hospitals. For instance, in March 2020, Allevant Solution announced the offering of a five-part webinar series and learning modules to help CAHs by providing transitional care. Adding to that, over 1,300 critical access hospitals in the U.S. are fully staffed facilities that helped to reduce the burden during the COVID-19 pandemic in PPS acute care hospitals.

Service Insights

In 2021, the patient TCM services segment dominated the market with a share of over 30.0% owing to the reduced costs in the months after the services are provided. For instance, PharMerica mentioned that home-based primary care has led to a 20% reduction in emergency room visits and a 50% reduction in hospital readmissions. Hence, TCM services are foreseen to reduce post-discharge complications and these are expected to drive the demand for patient TCM services over the forecast period.

The billing TCM services are anticipated to register the fastest CAGR of 18.2% from 2022 to 2030. The billing of TCM services is highly concentrated among healthcare TCM service providers. These TCM services focus on reviewing the patient’s discharge procedure and payment information, which includes the potential requirement for tests, treatment, and treatment follow-ups as needed.

End-use Insights

In 2021, the community settings segment accounted for the largest share of over 55.0%. Community settings include home, domiciliary, rest home, and assisted living. The community settings involve half of the post-discharge care interventions. These facilities offer an opportunity to improve patient care and quality of life while reducing the overall costs of hospital stay and reducing the chances of re-hospitalization. 

Community centers are considered a convenient option for patient recovery from life-threatening traumas, especially in the case of geriatric patients as they lower the risk of hospital readmission, reduce the complications related to the transfer of care, and improve overall patient satisfaction, thereby driving the segment.

Regional Insights

In 2021, North America dominated the market with a share of over 45.0%. The market in North America is highly competitive due to the key market players operating in this region. The growing burden of the geriatric population and the presence of well-developed healthcare facilities have created new growth opportunities for the TCM services market. In addition, the growing number of surgeries, injuries, and serious illnesses has contributed to the demand for after-care.

Asia Pacific is expected to expand at the fastest CAGR of 18.3% during the forecast period owing to the growing elderly population, rising number of surgeries, the burden of diseases, and the development of healthcare facilities in the region. The presence of developing countries such as China and India has led the market to new growth avenues in the future. For instance, in October 2021, HCAH (formerly Healthcare atHOME) launched a third transition care center in India. It is the first in North India. The transition care center by HCAH is likely to fill the healthcare gap between homes and tertiary care hospitals.

Key Companies & Market Share Insights

The market players are increasingly focusing on expanding the market services with new launches and expansion to strengthen their market presence. For instance, Steth IO mentioned the new Physician Fee Schedule that includes TCM codes that allow the compensation of non-face-to-face care services to patients transitioning to a community setting from an acute care setting. The two new codes to pay for those services are CPT code 99495 and CPT code 99496. Some prominent players in the global transitional care management services market include:

• Humworld Inc.

• Rijuven Corp.

• PharMerica Corporation

• CareVitality

• ACT Health Solutions

• Medsien

• Wellsky

• Nextgen Healthcare

• Prohealth Select

• Well Living Initiative (WLI)

Transitional Care Management Services Market Report Scope

Global Transitional Care Management Services Market Segmentation

This report forecasts revenue growth at the global, regional, and country levels and provides an analysis of the latest industry trends and opportunities in each of the sub-segments from 2017 to 2030. For this study, Grand View Research has segmented the global transitional care management services market report based on service, end-use, and region:

• Service Outlook (Revenue, USD Billion, 2017 - 2030)

  • Patient TCM Services

    • Interactive Contact (Direct Contact, Telephone, Electronic)

    • Face-to-face Visit 

    • Non-face-to-face (Telehealth)

  • Healthcare TCM Services

    • Physicians

    • Non-Physician Practitioners

  • Billing TCM Services

  • Documenting TCM Services

  • Others

• End-use Outlook (Revenue, USD Billion, 2017 - 2030)

  • Inpatient Settings

  • Community Settings

• Regional Outlook (Revenue, USD Billion, 2017 - 2030)

  • North America

    • U.S.

    • Canada

  • Europe

    • U.K.

    • Germany

    • France

    • Italy

    • Spain

    • Russia

  • Asia Pacific

    • Japan

    • China

    • India

    • Australia

    • South Korea

    • Singapore

  • Latin America

    • Brazil

    • Mexico

    • Argentina

    • Colombia

  • Middle East & Africa

    • South Africa

    • Saudi Arabia

    • UAE