Chronic Care Management Statistics – Benefits, Adoption Status, Barriers, Services

Chronic care management statistics: These stats provide valuable insights into the prevalence of chronic diseases, the impact they have on individuals and healthcare systems, as well as the benefits and challenges associated with managing chronic conditions effectively. These statistics help policymakers, healthcare providers, and researchers understand the scope and magnitude of the problem and develop strategies for effective chronic care management.

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• Approximately 60% of adults in the United States have at least one chronic disease, while 40% have multiple chronic conditions.
• Chronic diseases account for approximately 75% of healthcare expenditures in the United States.
• The estimated global economic burden of chronic diseases is projected to reach $47 trillion by 2030.
• People with chronic condition accounts for 81% of hospital admissions, 91% of all prescriptions filled, and 76% of all physician visits in the United States.
• Chronic diseases are the leading cause of death worldwide, responsible for approximately 70% of all deaths.
• Depression is more prevalent among individuals with chronic conditions, with estimates suggesting that 20-25% of people with chronic diseases experience depression.
• Implementing chronic care management programs can lead to a 25% reduction in hospitalization, a 35% reduction in emergency department visits, and a 45% decrease in mortality rates.
• Telehealth utilization increased significantly during the COVID-19 pandemic, with a 154% increase in telehealth visits in the United States in March 2020 compared to the previous year.

(Source: CDC, World Economic Forum, WHO, Centers for Medicare and Medicaid Services)

What is CCM?

Chronic Care Management (CCM) refers to the ongoing care and support provided to individuals who have chronic conditions or long-term illnesses. CCM aims to improve the overall quality of life for individuals with chronic conditions by implementing a comprehensive and coordinated approach to their healthcare.

Global Prevalence of Chronic Diseases Statistics

• Chronic disease accounted for approximately 71% of all deaths worldwide.
• NCDs, including cardiovascular diseases, cancer, chronic respiratory diseases, and diabetes, are responsible for 41 million deaths each year, equivalent to 71% of all deaths globally.
• NCDs are the leading cause of death and disability worldwide, disproportionately affecting low- and middle-income countries.
• CVDs are the leading cause of death globally, with an estimated 9.6 million deaths in 2018.
• The global cancer burden is projected to reach 29.5 million new cancer cases per year by 2040.
• Chronic respiratory diseases, including chronic obstructive pulmonary disease (COPD) and asthma, affect more than 1 billion people globally.
• COPD is responsible for 3.17 million deaths per year, accounting for 5% of all deaths worldwide.
• Approximately 422 million adults have diabetes worldwide.
• Diabetes caused 1.6 million deaths in 2019, with high blood glucose contributing to an additional 2.2 million deaths.

(Source: WHO)

Prevalence of Chronic Diseases by Disease Category

 Cardiovascular Diseases

• Globally cardiovascular diseases are the leading cause of death.
• Approximately 17.9 million deaths occur each year due to cardiovascular diseases.
• In the United States, about 655,000 Americans die from heart disease each year, accounting for 1 in every 4 deaths.
• In 2019, CVDs were responsible for approximately 17.9 million deaths, accounting for 32% of all global deaths.
• Around 85% of all CVD deaths are due to heart attacks and strokes.
• High blood pressure is a significant risk factor for CVDs. Globally, around 1.13 billion people have hypertension.
• In the United States, the total costs of CVDs and strokes are estimated to exceed $500 billion annually.
• In the United States, approximately 6.2 million adults have heart failure.
• Worldwide, there were an estimated 3.29 million deaths due to ischemic stroke in 2019.
• Cardiovascular disease (CVD) remains the leading cause of death in the United States, accounting for 928,741 deaths in the year 2020.

(Source: WHO, Statista, American Heart Association)

Diabetes

• The global prevalence of diabetes among adults has risen from 4.7% in 1980 to 8.5% in 2021.
• In 2021, an estimated 463 million adults (20-79 years) were living with diabetes worldwide.
• In the United States, approximately 34.2 million people, or 10.5% of the population, have diabetes.
• It is estimated that by 2045, the number of adults living with diabetes globally will rise to 643 million.
• The western Pacific region has the highest number of adults with diabetes, accounting for about 39% of global cases.
• 6 million people aged 18 years or older have prediabetes (38% of the adult US population).
• The projected number of diabetes is expected to reach 783 million by 2045.
• China is the top country with the highest prevalence of diabetes worldwide, with around 141 million people suffering from diabetes. By 2045 it is estimated that the number will grow to around 174 million people with diabetes.

(Source: International Diabetes Federation, American Diabetes Association, CDC, Statista)

Respiratory Diseases

• Chronic obstructive pulmonary disease (COPD) affects more than 251 million people globally.
• Asthma affects around 339 million people worldwide.
• In the United States, around 16 million adults have been diagnosed with COPD, and over 25 million adults have asthma.
• COPD is responsible for approximately 3.17 million deaths worldwide each year.
• Influenza affects 5-15% of the global population each year, resulting in 3-5 million severe cases and 290,000-650,000 respiratory-related deaths.
• The global asthma therapy market generated USD 24.8 billion in 2022.

(Source: CDC, WHO, Statista)

Cancer

• Cancer is a major chronic disease, and its prevalence varies depending on the type.
• In 2020, there were an estimated 19.3 million new cancer cases and 10 million cancer-related deaths worldwide.
• Common types of cancer include lung, breast, colorectal, prostate, and stomach cancer.
• In the United States, an estimated 1.9 million new cancer cases were diagnosed in 2020, with around 608,570 cancer-related deaths.
• Lung cancer is the leading cause of cancer-related deaths globally.
• In 2020, there were an estimated 2.2 million new cases and 1.8 million deaths from lung cancer worldwide.
• Breast cancer is the most common cancer among women. In 2020, there were an estimated 2.3 million new cases of breast cancer globally.
• In 2020, there were approximately 1.9 million new cases of colorectal cancer worldwide.
• In 2020, there were an estimated 1.4 million new cases of prostate cancer globally.

(Source: American Cancer Society, IARC)

Mental Health Disorders

• Around 20% of the world’s children and adolescents have a mental health condition.
• Suicide is the leading cause of death among individuals aged 15-29 years.
• About 1 in 5 peoples have post-conflict mental health conditions.
• The global median of government health expenditure that goes to mental health is less than 2%.
• The two most common health conditions are depression and anxiety.
• The cost of the global economy is USD 1 trillion each year.

(Source: WHO)

Chronic Care Management Statistics – Benefits

• According to a study published in the Journal of General Internal Medicine, CCM programs resulted in a 15% reduction in hospitalization and emergency department visits.
• The Centers for Medicine and Medicaid Services (CMS) reported that CCM services resulted in an estimated annual net saving of $74 per patient per month among Medicare beneficiaries.
• According to a study published in the Journal of Medical Economics CCM reduced healthcare costs by 20% over two years.
• According to a study published in JAMA, CCM improved the medication adherence rate by 8.3% for patients with chronic conditions.
• According to a study published in Health Affairs, comprehensive chronic care management programs can lead to an average annual savings of $1,560 per patient.
• According to the CMS, CCM services have the potential to save up to $300 billion annually in healthcare costs in the United States.

Current Adoption Status of CCM Programs

• As of 2020, approximately 92% of healthcare organizations in the United States reported having some form of CCM program in place.
• The adoption of CCM programs has been steadily increasing over the years, with a 15% growth rate from 2015 to 2029.
• The CMS reported that as of 2021, more than 1.2 million Medicare beneficiaries were enrolled in CCM services.
• According to a survey conducted by American Medical Association (AMA) in 2020, approximately 49% of participating physicians reported offering CCM services to their patients.
• The Journal of the American Board of Family Medicine reported that among Medicare beneficiaries with multiple chronic conditions, only 1.8% were enrolled in CCM programs, highlighting the need for greater patient enrolment.

(Source: Medical Economics, Journal of the American Board of Family Medicine)

Chronic Care Management Statistics – Barriers of CCM Programs

• As of 2021, only about 40% of eligible Medicare patients were enrolled in CCM services due to reimbursement challenges.
• The adoption of CCM programs has been steadily increasing over the years, with a 15% growth rate from 2015 to 2019.
• A survey of primary care practices found that 37% identified care coordination as a barrier to successful CCM implementation.
• Engaging patients actively in their care can be challenging and may act as a barrier to successful CCM implementation. A study found that 38% of primary care practices identified patient engagement as a barrier.

(Source: HIMSS, Annals of Family Medicine)

Chronic Care Management Statistics – Services 

• Approximately 75% of healthcare organizations in the United States have adopted some form of chronic care management services.
• A study published in the American Journal of Managed Care found that the adoption of chronic care management services increased by 31% from 2015 to 2018.
• CCM services resulted in a 5% reduction in healthcare costs for Medicare beneficiaries.
• As of 2021, CMS reimburses eligible providers approximately $43 per month per qualified patient for providing at least 20 minutes of non-face-to-face care management services.

Chronic Care Management Statistics – Role of Technology

• More than 80% of healthcare providers use some form of telemedicine or telehealth technology for chronic care management.
• Remote patient monitoring reduces hospital readmission by up to 50% for chronic conditions such as heart failure, diabetes, and COPD.
• Remote patient monitoring interventions can result in a 20-60% reduction in mortality rates for patients with chronic conditions.
• The adoption of wearable health technology for chronic care management has increased significantly, with over 20% of adults in the United States owning a wearable device.
• There are more than 325,000 mobile health apps available worldwide, with significant features for chronic disease management and self-care.
• AI-based proactivity has the potential to reduce hospitalization by 17% and emergency department visits by 18% for patients with chronic conditions.

(Source: Journal of Medical Internet Research, Accenture, Health Affairs)

Comparative Chronic Care Management Statistics – Top Countries

United States

The United States has been the leader in chronic care management, focusing on the management of chronic conditions such as diabetes, heart disease, and hypertension. Programs like Chronic Care Management (CCM) initiative aim to provide coordinated and continuous care for individuals with multiple chronic conditions.

• According to CDC, about 6 in 10 adults in the United States have a chronic disease, and 4 in 10 adults have two or more chronic conditions.
• About 90% of the nation’s healthcare expenditure was for people with chronic conditions.
• The Office of the National Coordinator for Health Information Technology (ONC) reports that as of 2020, approximately 86% of office-based physicians in the U.S. had adopted certified EHR systems.
• Chronic diseases, including heart disease and cancer, account for around 38% of all deaths in the United States.

(Source: CDC)

Canada

Canada has been actively working on chronic care management, emphasizing a patient-centered approach. The country has implemented strategies to improve care coordination, enhance self-management support, and promote the use of health information technology to facilitate communication and data sharing among healthcare providers.

• According to the government of Canada, about 60% of Canadians aged 20 years and older live with at least one chronic condition, such as diabetes, heart disease, cancer, or respiratory diseases.
• According to the Heart and Stroke Foundation, heart disease and stroke accounted for approximately 28% of all deaths in Canada in 2019.
• According to the Canadian Cancer Society, an estimated 225,800 new cases of cancer were diagnosed in 2020, and approximately 83,300 Canadians died from cancer that year.

Australia

Australia has been investing in chronic disease management initiatives, recognizing the need for comprehensive and integrated care for individuals with chronic conditions. The country has implemented programs such as Chronic Diseases Management (CDM) Medicare items, which provides Medicare rebates for allied health services to manage chronic conditions.

• According to the Australian Institute of Health and Welfare (AIHW), chronic disease accounts for around 90% of all deaths in the country.
• According to the AIHW, in 2017-2018, around 50% of Australians (or approximately 12 million people) had at least one chronic condition.

Chronic conditions among the population in Australia during the specified period (2020-21).

Chronic Conditions	Prevalence
Mental and behavioral conditions	20.1%
Back problems	15.7%
Arthritis	12.5%
Asthma	10.7%
Diabetes (Type 1 and Type 2)	5.3%
Heart, stroke, and vascular disease	4.0%
Osteoporosis	3.6%
Chronic Obstructive Pulmonary Disease (COPD)	1.5%
Cancer	1.6%
Kidney disease	1.1%

United Kingdom

The United Kingdom has implemented various programs and policies to address chronic care management. The National Health Service (NHS) in the UK has focused on improving care coordination, promoting self-management, and enhancing patient engagement through initiatives like care planning and telehealth services.  

• According to NHS in the UK, around 15 million people live with at least one long-term condition.
• According to British Heart Foundation, around 7.6 million people in the UK are living with heart and circulatory diseases.
• Approximately 1.2 million people are diagnosed with COPD, and around 5.4 million people are receiving treatment for asthma.
• According to Diabetes UK, around 4.9 million people have been diagnosed with diabetes, including both Type 1 and Type 2.
• Cancer is a leading cause of mortality in the UK. According to Cancer Research UK, in 2020, there were over 367,000 new cancer cases diagnosed in the country.

Netherlands

The Netherlands has a well-developed healthcare system that includes comprehensive chronic care management. The country emphasizes integrated care models, multidisciplinary collaboration, and patient empowerment. The Chronic Care Model (CCM) is widely used in the Netherlands as a framework for managing chronic conditions.

• According to National Institute for Public Health and the Environment (RIVM), around 9.9 million people in the Netherlands were living with at least one chronic disease in 2021, which accounted for approximately 58% of the total population.
• Some of the most common chronic diseases in the Netherlands include cardiovascular diseases, cancer, respiratory diseases, diabetes, and mental health conditions.

Wrap Up

Chronic care management plays a critical role in improving the quality of life for individuals with chronic conditions. Chronic care management emphasizes proactive strategies such as preventive care, self-management support, and regular monitoring to prevent complications and optimize health outcomes. By prioritizing and advancing the field of chronic care management, we can make significant strides in improving the lives of millions of individuals affected by chronic conditions.

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