Healthcare Fraud Detection Trends and Forecast
The future of the global healthcare fraud detection market looks promising with opportunities in the review of insurance claim and payment integrity markets. The global healthcare fraud detection market is expected to reach an estimated $8.7 billion by 2030 with a CAGR of 26.5% from 2024 to 2030. The major drivers for this market are escalating healthcare costs, increase in the count of patients choosing health insurance, and rising incidents of fraud in the healthcare industry.Healthcare Fraud Detection by Segment
The study includes a forecast for the global healthcare fraud detection by type, application, end use, and region.Healthcare Fraud Detection Market by Type [Shipment Analysis by Value from 2018 to 2030]
- Descriptive Analytics
- Predictive Analytics
- Prescriptive Analytics
Healthcare Fraud Detection Market by Application [Shipment Analysis by Value from 2018 to 2030]
- Review of Insurance Claims
- Payment Integrity
Healthcare Fraud Detection Market by End Use [Shipment Analysis by Value from 2018 to 2030]
- Private Insurance Payers
- Government Agencies
- Others
Healthcare Fraud Detection Market by Region [Shipment Analysis by Value from 2018 to 2030]
- North America
- Europe
- Asia Pacific
- The Rest of the World
List of Healthcare Fraud Detection Companies
Companies in the market compete on the basis of product quality offered. Major players in this market focus on expanding their manufacturing facilities, R&D investments, infrastructural development, and leverage integration opportunities across the value chain. With these strategies healthcare fraud detection companies cater increasing demand, ensure competitive effectiveness, develop innovative products & technologies, reduce production costs, and expand their customer base. Some of the healthcare fraud detection companies profiled in this report include-- CGI
- DXC Technology Company
- International Business Machines
- Mckesson
- ExlService Holdings
Healthcare Fraud Detection Market Insights
The publisher forecasts that descriptive analytic will remain the largest segment over the forecast period due to its widespread adoption and ease of use.Within this market, insurance claim review will remain the larger segment due to instances of medical fraud are detected within healthcare insurance.
North America will remain the largest region over the forecast period due to rapid utilization of novel analytical methods and software and increasing spending on healthcare analytics services in the region.
Features of the Global Healthcare Fraud Detection Market
- Market Size Estimates: Healthcare fraud detection market size estimation in terms of value ($B).
- Trend and Forecast Analysis: Market trends (2018 to 2023) and forecast (2024 to 2030) by various segments and regions.
- Segmentation Analysis: Healthcare fraud detection market size by type, application, end use, and region in terms of value ($B).
- Regional Analysis: Healthcare fraud detection market breakdown by North America, Europe, Asia Pacific, and Rest of the World.
- Growth Opportunities: Analysis of growth opportunities in different types, applications, end uses, and regions for the healthcare fraud detection market.
- Strategic Analysis: This includes M&A, new product development, and competitive landscape of the healthcare fraud detection market.
- Analysis of competitive intensity of the industry based on Porter’s Five Forces model.
FAQ
Q1. What is the healthcare fraud detection market size?Answer: The global healthcare fraud detection market is expected to reach an estimated $8.7 billion by 2030.
Q2. What is the growth forecast for healthcare fraud detection market?
Answer: The global healthcare fraud detection market is expected to grow with a CAGR of 26.5% from 2024 to 2030.
Q3. What are the major drivers influencing the growth of the healthcare fraud detection market?
Answer: The major drivers for this market are escalating healthcare costs, increase in the count of patients choosing health insurance, and rising incidents of fraud in the healthcare industry.
Q4. What are the major segments for healthcare fraud detection market?
Answer: The future of the healthcare fraud detection market looks promising with opportunities in the review of insurance claim and payment integrity markets.
Q5. Who are the key healthcare fraud detection market companies?
Answer: Some of the key healthcare fraud detection companies are as follows:
- CGI
- DXC Technology Company
- International Business Machines
- Mckesson
- ExlService Holdings
Answer: The publisher forecasts that descriptive analytic will remain the largest segment over the forecast period due to its widespread adoption and ease of use.
Q7. In healthcare fraud detection market, which region is expected to be the largest in next 5 years?
Answer: North America will remain the largest region over the forecast period due to rapid utilization of novel analytical methods and software and increasing spending on healthcare analytics services in the region.
Q.8 Do we receive customization in this report?
Answer: Yes,the publisher provides 10% customization without any additional cost.
This report answers following 11 key questions:
Q.1. What are some of the most promising, high-growth opportunities for the healthcare fraud detection market by type (descriptive analytics, predictive analytics, and prescriptive analytics), application (review of insurance claims and payment integrity), end use (private insurance payers, government agencies, and others), and region (North America, Europe, Asia Pacific, and the Rest of the World)?Q.2. Which segments will grow at a faster pace and why?
Q.3. Which region will grow at a faster pace and why?
Q.4. What are the key factors affecting market dynamics? What are the key challenges and business risks in this market?
Q.5. What are the business risks and competitive threats in this market?
Q.6. What are the emerging trends in this market and the reasons behind them?
Q.7. What are some of the changing demands of customers in the market?
Q.8. What are the new developments in the market? Which companies are leading these developments?
Q.9. Who are the major players in this market? What strategic initiatives are key players pursuing for business growth?
Q.10. What are some of the competing products in this market and how big of a threat do they pose for loss of market share by material or product substitution?
Q.11. What M&A activity has occurred in the last 5 years and what has its impact been on the industry?
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Table of Contents
1. Executive Summary
2. Global Healthcare Fraud Detection Market: Market Dynamics
3. Market Trends and Forecast Analysis from 2018 to 2030
4. Market Trends and Forecast Analysis by Region from 2018 to 2030
5. Competitor Analysis
6. Growth Opportunities and Strategic Analysis
7. Company Profiles of Leading Players
Companies Mentioned
- CGI
- DXC Technology Company
- International Business Machines
- Mckesson
- ExlService Holdings
Methodology
The analyst has been in the business of market research and management consulting since 2000 and has published over 600 market intelligence reports in various markets/applications and served over 1,000 clients worldwide. Each study is a culmination of four months of full-time effort performed by the analyst team. The analysts used the following sources for the creation and completion of this valuable report:
- In-depth interviews of the major players in the market
- Detailed secondary research from competitors’ financial statements and published data
- Extensive searches of published works, market, and database information pertaining to industry news, company press releases, and customer intentions
- A compilation of the experiences, judgments, and insights of professionals, who have analyzed and tracked the market over the years.
Extensive research and interviews are conducted in the supply chain of the market to estimate market share, market size, trends, drivers, challenges and forecasts.
Thus, the analyst compiles vast amounts of data from numerous sources, validates the integrity of that data, and performs a comprehensive analysis. The analyst then organizes the data, its findings, and insights into a concise report designed to support the strategic decision-making process.
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