Transitional Care Management (TCM) Services Market is Going to Boom: Strategic Insights and Growth Opportunities with Key Players; Humworld Inc., Rijuven, PharMerica, Medsien, WellSky

Transitional Care Management (TCM) Services Market Overview:

The global transitional care management (TCM) services market is projected to grow at roughly 16% over the next five years. This expansion is driven by an aging population, a rising burden of chronic diseases, supportive policy and reimbursement incentives, and a broader shift toward value-based care and population-health models. In addition, advancements in digital health and telehealth, along with mounting evidence of improved outcomes and cost savings, are further accelerating the adoption of TCM services

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Transitional care management (TCM) services encompass healthcare activities designed to support safe, coordinated, and effective transitions for patients moving from an acute care setting—such as a hospital or skilled nursing facility—back to their home or community-based care. These services include timely communication with the patient or caregiver, a thorough review of discharge instructions, medication reconciliation, scheduling and coordinating follow-up appointments, and providing in-person or face-to-face clinical contact within a specified time frame. The primary goals of TCM services are to reduce hospital readmissions, enhance health outcomes, improve patient satisfaction, and help providers deliver a high-value, continuous care experience.

Competitive Landscape Analysis

The global transitional care management (TCM) market is marked by the presence of established and emerging market players such as Humworld Inc., Rijuven Corp., PharMerica Corporation, Medsien Inc., WellSky, NextGen Healthcare, CareVitality, Genesis HealthCare, BrightStar Care, and ThoroughCare Inc.; among others. Some of the key strategies adopted by market players include new service launches, strategic partnerships and collaborations, and geographic expansion.

Policy and Payment Incentives Driving Market Growth

Policy and payment incentives—particularly Medicare’s Transitional Care Management (TCM) CPT codes 99495 and 99496—are major drivers of market expansion. These codes reimburse providers for delivering critical post-discharge services, including follow-up communication, medication reconciliation, and timely face-to-face visits. Such direct reimbursement motivates healthcare organizations to implement structured TCM programs.

In addition, Medicare’s Hospital Readmissions Reduction Program (HRRP) penalizes hospitals with excessive 30-day readmissions, further incentivizing the use of TCM to reduce costs while ensuring compliant, high-quality care. Together, these policies align financial benefits with improved patient outcomes, paving the way for broader and more rapid adoption of TCM services across diverse care settings.

Shift to Value-Based Care and Population Health Models Accelerating Market Growth

The transition to value-based care and population health models has also reshaped the TCM services market. Under value-based contracts and accountable care organizations (ACOs), providers are rewarded for reducing total costs, improving outcomes, and strengthening care coordination. TCM services directly support these goals by smoothing care transitions, preventing post-acute complications, and reducing avoidable readmissions.

Population health frameworks further amplify the importance of TCM by emphasizing proactive management of high-risk patients and timely identification of transitional care needs. Fully integrating TCM into value-based and ACO programs helps increase utilization, align financial incentives with quality performance, and leverage ambulatory care resources within broader population-management strategies—ultimately supporting more coordinated, patient-centered outcomes.

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Global Transitional Care Management (TCM) Services Market Segmentation

This report by Medi-Tech Insights provides the size of the global transitional care management (TCM) services market at the regional- and country-level from 2023 to 2030. The report further segments the market based on service type, mode of delivery, and end user.

Market Size & Forecast (2023-2030), By Service Type, USD Million

• Patient TCM Services
• Healthcare TCM Services
• Billing TCM Services
• Documenting TCM Services
• Others

Market Size & Forecast (2023-2030), By Mode of Delivery, USD Million

• In-person / Face-to-face Visits
• Telehealth / Virtual TCM
• Hybrid Models

Market Size & Forecast (2023-2030), By End User, USD Million

• Hospitals & Health Systems
• Physician Practices and Clinics
• Home Healthcare Agencies
• Others

Market Size & Forecast (2023-2030), By Region, USD Million

• North America
  • US
  • Canada
• Europe
  • UK
  • Germany
  • France
  • Italy
  • Spain
  • Rest of Europe
• Asia Pacific
  • China
  • India
  • Japan
  • Rest of Asia Pacific
• Latin America
• Middle East & Africa

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About Medi-Tech Insights;

Medi-Tech Insights is a healthcare-focused business research & insights firm. Our clients include Fortune 500 companies, blue-chip investors & hyper-growth start-ups. We have completed 100+ projects in Digital Health, Healthcare IT, Medical Technology, Medical Devices & Pharma Services in the areas of market assessments, due diligence, competitive intelligence, market sizing and forecasting, pricing analysis & go-to-market strategy. Our methodology includes rigorous secondary research combined with deep-dive interviews with industry-leading CXO, VPs, and key demand/supply side decision-makers.

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