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Healthcare Fraud Detection-Global Market Insights and Sales Trends 2024
Synopsis
Factors such as the large number of fraudulent activities in healthcare; increasing number of patients seeking health insurance; the prepayment review model; growing pressure of fraud, waste, and abuse on healthcare spending; and high returns on investments are driving the growth of the healthcare fraud detection market.
The global Healthcare Fraud Detection market size is expected to reach US$ 2521.5 million by 2029, growing at a CAGR of 16.3% from 2023 to 2029. The market is mainly driven by the significant applications of Healthcare Fraud Detection in various end use industries. The expanding demands from the Government Agency, Insurance Company and Other, are propelling Healthcare Fraud Detection market. Service, one of the segments analysed in this report, is projected to record % CAGR and reach US$ million by the end of the analysis period. Growth in the Software segment is estimated at % CAGR for the next seven-year period.
The global market for medical devices is estimated at US$ 603 billion in the year 2023, and will be growing at a CAGR of 5% during next six years. The global healthcare spending contributes to occupy 10% of the global GDP and is continuously rising in recent years due to the increasing health needs of the aging population, the growing prevalence of chronic and infectious diseases and the expansion of emerging markets. The medical devices market plays a significant role in the healthcare industry. The market is driven by several factors, including the increasing demand for advanced healthcare services globally, advancements in medical technology, growing geriatric population, rising healthcare expenditure, and increasing awareness about early disease diagnosis and treatment.
Report Objectives
This report provides market insight on the different segments, by players, by Type, by Application. Market size and forecast (2018-2029) has been provided in the report. The primary objectives of this report are to provide 1) global market size and forecasts, growth rates, market dynamics, industry structure and developments, market situation, trends; 2) global market share and ranking by company; 3) comprehensive presentation of the global market for Healthcare Fraud Detection, with both quantitative and qualitative analysis through detailed segmentation; 4) detailed value chain analysis and review of growth factors essential for the existing market players and new entrants; 5) emerging opportunities in the market and the future impact of major drivers and restraints of the market.
Key Features of The Study:
This report provides in-depth analysis of the global Healthcare Fraud Detection market, and provides market size (US$ million) and CAGR for the forecast period (2023-2029), considering 2022 as the base year.
This report profiles key players in the global Healthcare Fraud Detection market based on the following parameters - company details (found date, headquarters, manufacturing bases), products portfolio, Healthcare Fraud Detection sales data, market share and ranking.
This report elucidates potential market opportunities across different segments and explains attractive investment proposition matrices for this market.
This report illustrates key insights about market drivers, restraints, opportunities, market trends, regional outlook.
Key companies of Healthcare Fraud Detection covered in this report include IBM (US), Optum (US), SAS (US), McKesson (US), SCIO (US), Verscend (US), Wipro (India), Conduent (US) and HCL (India), etc.
The global Healthcare Fraud Detection market report caters to various stakeholders in this industry including investors, suppliers, product players, distributors, new entrants, and financial analysts.
Market Segmentation
Company Profiles:
IBM (US)
Optum (US)
SAS (US)
McKesson (US)
SCIO (US)
Verscend (US)
Wipro (India)
Conduent (US)
HCL (India)
CGI (Canada)
DXC (US)
Northrop Grumman (US)
LexisNexis (US)
Pondera (US)
Global Healthcare Fraud Detection market, by region:
North America (U.S., Canada, Mexico)
Europe (Germany, France, UK, Italy, etc.)
Asia Pacific (China, Japan, South Korea, Southeast Asia, India, etc.)
South America (Brazil, etc.)
Middle East and Africa (Turkey, GCC Countries, Africa, etc.)
Global Healthcare Fraud Detection market, Segment by Type:
Service
Software
Global Healthcare Fraud Detection market, by Application
Government Agency
Insurance Company
Other
Core Chapters
Chapter One: Introduces the report scope of the report, executive summary of global and regional market size and CAGR for the history and forecast period (2018-2023, 2024-2029). It offers a high-level view of the current state of the market and its likely evolution in the short to mid-term, and long term.
Chapter Two: Provides the analysis of various market segments by Type, covering the market size and development potential of each market segment, to help readers find the blue ocean market in different market segments.
Chapter Three: Provides the analysis of various market segments by Application, covering the market size and development potential of each market segment, to help readers find the blue ocean market in different downstream markets.
Chapter Four: Detailed analysis of Healthcare Fraud Detection companies’ competitive landscape, revenue, market share and ranking, latest development plan, merger, and acquisition information, etc.
Chapter Five: Provides profiles of key players, introducing the basic situation of the main companies in the market in detail, including product introduction, revenue, recent development, etc.
Chapter Six, Seven, Eight, Nine and Ten: North America, Europe, Asia Pacific, Latin America, Middle East & Africa, revenue by country.
Chapter Eleven: this section also introduces the market dynamics, latest developments of the market, the driving factors and restrictive factors of the market, the challenges and risks faced by companies in the industry, and the analysis of relevant policies in the industry.
Chapter Twelve: Research Finding/Conclusion
Factors such as the large number of fraudulent activities in healthcare; increasing number of patients seeking health insurance; the prepayment review model; growing pressure of fraud, waste, and abuse on healthcare spending; and high returns on investments are driving the growth of the healthcare fraud detection market.
The global Healthcare Fraud Detection market size is expected to reach US$ 2521.5 million by 2029, growing at a CAGR of 16.3% from 2023 to 2029. The market is mainly driven by the significant applications of Healthcare Fraud Detection in various end use industries. The expanding demands from the Government Agency, Insurance Company and Other, are propelling Healthcare Fraud Detection market. Service, one of the segments analysed in this report, is projected to record % CAGR and reach US$ million by the end of the analysis period. Growth in the Software segment is estimated at % CAGR for the next seven-year period.
The global market for medical devices is estimated at US$ 603 billion in the year 2023, and will be growing at a CAGR of 5% during next six years. The global healthcare spending contributes to occupy 10% of the global GDP and is continuously rising in recent years due to the increasing health needs of the aging population, the growing prevalence of chronic and infectious diseases and the expansion of emerging markets. The medical devices market plays a significant role in the healthcare industry. The market is driven by several factors, including the increasing demand for advanced healthcare services globally, advancements in medical technology, growing geriatric population, rising healthcare expenditure, and increasing awareness about early disease diagnosis and treatment.
Report Objectives
This report provides market insight on the different segments, by players, by Type, by Application. Market size and forecast (2018-2029) has been provided in the report. The primary objectives of this report are to provide 1) global market size and forecasts, growth rates, market dynamics, industry structure and developments, market situation, trends; 2) global market share and ranking by company; 3) comprehensive presentation of the global market for Healthcare Fraud Detection, with both quantitative and qualitative analysis through detailed segmentation; 4) detailed value chain analysis and review of growth factors essential for the existing market players and new entrants; 5) emerging opportunities in the market and the future impact of major drivers and restraints of the market.
Key Features of The Study:
This report provides in-depth analysis of the global Healthcare Fraud Detection market, and provides market size (US$ million) and CAGR for the forecast period (2023-2029), considering 2022 as the base year.
This report profiles key players in the global Healthcare Fraud Detection market based on the following parameters - company details (found date, headquarters, manufacturing bases), products portfolio, Healthcare Fraud Detection sales data, market share and ranking.
This report elucidates potential market opportunities across different segments and explains attractive investment proposition matrices for this market.
This report illustrates key insights about market drivers, restraints, opportunities, market trends, regional outlook.
Key companies of Healthcare Fraud Detection covered in this report include IBM (US), Optum (US), SAS (US), McKesson (US), SCIO (US), Verscend (US), Wipro (India), Conduent (US) and HCL (India), etc.
The global Healthcare Fraud Detection market report caters to various stakeholders in this industry including investors, suppliers, product players, distributors, new entrants, and financial analysts.
Market Segmentation
Company Profiles:
IBM (US)
Optum (US)
SAS (US)
McKesson (US)
SCIO (US)
Verscend (US)
Wipro (India)
Conduent (US)
HCL (India)
CGI (Canada)
DXC (US)
Northrop Grumman (US)
LexisNexis (US)
Pondera (US)
Global Healthcare Fraud Detection market, by region:
North America (U.S., Canada, Mexico)
Europe (Germany, France, UK, Italy, etc.)
Asia Pacific (China, Japan, South Korea, Southeast Asia, India, etc.)
South America (Brazil, etc.)
Middle East and Africa (Turkey, GCC Countries, Africa, etc.)
Global Healthcare Fraud Detection market, Segment by Type:
Service
Software
Global Healthcare Fraud Detection market, by Application
Government Agency
Insurance Company
Other
Core Chapters
Chapter One: Introduces the report scope of the report, executive summary of global and regional market size and CAGR for the history and forecast period (2018-2023, 2024-2029). It offers a high-level view of the current state of the market and its likely evolution in the short to mid-term, and long term.
Chapter Two: Provides the analysis of various market segments by Type, covering the market size and development potential of each market segment, to help readers find the blue ocean market in different market segments.
Chapter Three: Provides the analysis of various market segments by Application, covering the market size and development potential of each market segment, to help readers find the blue ocean market in different downstream markets.
Chapter Four: Detailed analysis of Healthcare Fraud Detection companies’ competitive landscape, revenue, market share and ranking, latest development plan, merger, and acquisition information, etc.
Chapter Five: Provides profiles of key players, introducing the basic situation of the main companies in the market in detail, including product introduction, revenue, recent development, etc.
Chapter Six, Seven, Eight, Nine and Ten: North America, Europe, Asia Pacific, Latin America, Middle East & Africa, revenue by country.
Chapter Eleven: this section also introduces the market dynamics, latest developments of the market, the driving factors and restrictive factors of the market, the challenges and risks faced by companies in the industry, and the analysis of relevant policies in the industry.
Chapter Twelve: Research Finding/Conclusion
Index1 Market Overview of Healthcare Fraud Detection
1.1 Healthcare Fraud Detection Market Overview
1.1.1 Healthcare Fraud Detection Product Scope
1.1.2 Healthcare Fraud Detection Market Status and Outlook
1.2 Global Healthcare Fraud Detection Market Size Overview by Region 2018 VS 2022 VS 2029
1.3 Global Healthcare Fraud Detection Market Size by Region (2018-2029)
1.4 Global Healthcare Fraud Detection Historic Market Size by Region (2018-2023)
1.5 Global Healthcare Fraud Detection Market Size Forecast by Region (2024-2029)
1.6 Key Regions, Healthcare Fraud Detection Market Size (2018-2029)
1.6.1 North America Healthcare Fraud Detection Market Size (2018-2029)
1.6.2 Europe Healthcare Fraud Detection Market Size (2018-2029)
1.6.3 Asia-Pacific Healthcare Fraud Detection Market Size (2018-2029)
1.6.4 Latin America Healthcare Fraud Detection Market Size (2018-2029)
1.6.5 Middle East & Africa Healthcare Fraud Detection Market Size (2018-2029)
2 Healthcare Fraud Detection Market by Type
2.1 Introduction
2.1.1 Service
2.1.2 Software
2.2 Global Healthcare Fraud Detection Market Size by Type: 2018 VS 2022 VS 2029
2.2.1 Global Healthcare Fraud Detection Historic Market Size by Type (2018-2023)
2.2.2 Global Healthcare Fraud Detection Forecasted Market Size by Type (2024-2029)
2.3 Key Regions Market Size by Type
2.3.1 North America Healthcare Fraud Detection Revenue Breakdown by Type (2018-2029)
2.3.2 Europe Healthcare Fraud Detection Revenue Breakdown by Type (2018-2029)
2.3.3 Asia-Pacific Healthcare Fraud Detection Revenue Breakdown by Type (2018-2029)
2.3.4 Latin America Healthcare Fraud Detection Revenue Breakdown by Type (2018-2029)
2.3.5 Middle East and Africa Healthcare Fraud Detection Revenue Breakdown by Type (2018-2029)
3 Healthcare Fraud Detection Market Overview by Application
3.1 Introduction
3.1.1 Government Agency
3.1.2 Insurance Company
3.1.3 Other
3.2 Global Healthcare Fraud Detection Market Size by Application: 2018 VS 2022 VS 2029
3.2.1 Global Healthcare Fraud Detection Historic Market Size by Application (2018-2023)
3.2.2 Global Healthcare Fraud Detection Forecasted Market Size by Application (2024-2029)
3.3 Key Regions Market Size by Application
3.3.1 North America Healthcare Fraud Detection Revenue Breakdown by Application (2018-2029)
3.3.2 Europe Healthcare Fraud Detection Revenue Breakdown by Application (2018-2029)
3.3.3 Asia-Pacific Healthcare Fraud Detection Revenue Breakdown by Application (2018-2029)
3.3.4 Latin America Healthcare Fraud Detection Revenue Breakdown by Application (2018-2029)
3.3.5 Middle East and Africa Healthcare Fraud Detection Revenue Breakdown by Application (2018-2029)
4 Healthcare Fraud Detection Competition Analysis by Players
4.1 Global Healthcare Fraud Detection Market Size by Players (2018-2023)
4.2 Global Top Players by Company Type (Tier 1, Tier 2 and Tier 3) & (based on the Revenue in Healthcare Fraud Detection as of 2022)
4.3 Date of Key Players Enter into Healthcare Fraud Detection Market
4.4 Global Top Players Healthcare Fraud Detection Headquarters and Area Served
4.5 Key Players Healthcare Fraud Detection Product Solution and Service
4.6 Competitive Status
4.6.1 Healthcare Fraud Detection Market Concentration Rate
4.6.2 Mergers & Acquisitions, Expansion Plans
5 Company (Top Players) Profiles
5.1 IBM (US)
5.1.1 IBM (US) Profile
5.1.2 IBM (US) Main Business
5.1.3 IBM (US) Healthcare Fraud Detection Products, Services and Solutions
5.1.4 IBM (US) Healthcare Fraud Detection Revenue (US$ Million) & (2018-2023)
5.1.5 IBM (US) Recent Developments
5.2 Optum (US)
5.2.1 Optum (US) Profile
5.2.2 Optum (US) Main Business
5.2.3 Optum (US) Healthcare Fraud Detection Products, Services and Solutions
5.2.4 Optum (US) Healthcare Fraud Detection Revenue (US$ Million) & (2018-2023)
5.2.5 Optum (US) Recent Developments
5.3 SAS (US)
5.3.1 SAS (US) Profile
5.3.2 SAS (US) Main Business
5.3.3 SAS (US) Healthcare Fraud Detection Products, Services and Solutions
5.3.4 SAS (US) Healthcare Fraud Detection Revenue (US$ Million) & (2018-2023)
5.3.5 McKesson (US) Recent Developments
5.4 McKesson (US)
5.4.1 McKesson (US) Profile
5.4.2 McKesson (US) Main Business
5.4.3 McKesson (US) Healthcare Fraud Detection Products, Services and Solutions
5.4.4 McKesson (US) Healthcare Fraud Detection Revenue (US$ Million) & (2018-2023)
5.4.5 McKesson (US) Recent Developments
5.5 SCIO (US)
5.5.1 SCIO (US) Profile
5.5.2 SCIO (US) Main Business
5.5.3 SCIO (US) Healthcare Fraud Detection Products, Services and Solutions
5.5.4 SCIO (US) Healthcare Fraud Detection Revenue (US$ Million) & (2018-2023)
5.5.5 SCIO (US) Recent Developments
5.6 Verscend (US)
5.6.1 Verscend (US) Profile
5.6.2 Verscend (US) Main Business
5.6.3 Verscend (US) Healthcare Fraud Detection Products, Services and Solutions
5.6.4 Verscend (US) Healthcare Fraud Detection Revenue (US$ Million) & (2018-2023)
5.6.5 Verscend (US) Recent Developments
5.7 Wipro (India)
5.7.1 Wipro (India) Profile
5.7.2 Wipro (India) Main Business
5.7.3 Wipro (India) Healthcare Fraud Detection Products, Services and Solutions
5.7.4 Wipro (India) Healthcare Fraud Detection Revenue (US$ Million) & (2018-2023)
5.7.5 Wipro (India) Recent Developments
5.8 Conduent (US)
5.8.1 Conduent (US) Profile
5.8.2 Conduent (US) Main Business
5.8.3 Conduent (US) Healthcare Fraud Detection Products, Services and Solutions
5.8.4 Conduent (US) Healthcare Fraud Detection Revenue (US$ Million) & (2018-2023)
5.8.5 Conduent (US) Recent Developments
5.9 HCL (India)
5.9.1 HCL (India) Profile
5.9.2 HCL (India) Main Business
5.9.3 HCL (India) Healthcare Fraud Detection Products, Services and Solutions
5.9.4 HCL (India) Healthcare Fraud Detection Revenue (US$ Million) & (2018-2023)
5.9.5 HCL (India) Recent Developments
5.10 CGI (Canada)
5.10.1 CGI (Canada) Profile
5.10.2 CGI (Canada) Main Business
5.10.3 CGI (Canada) Healthcare Fraud Detection Products, Services and Solutions
5.10.4 CGI (Canada) Healthcare Fraud Detection Revenue (US$ Million) & (2018-2023)
5.10.5 CGI (Canada) Recent Developments
5.11 DXC (US)
5.11.1 DXC (US) Profile
5.11.2 DXC (US) Main Business
5.11.3 DXC (US) Healthcare Fraud Detection Products, Services and Solutions
5.11.4 DXC (US) Healthcare Fraud Detection Revenue (US$ Million) & (2018-2023)
5.11.5 DXC (US) Recent Developments
5.12 Northrop Grumman (US)
5.12.1 Northrop Grumman (US) Profile
5.12.2 Northrop Grumman (US) Main Business
5.12.3 Northrop Grumman (US) Healthcare Fraud Detection Products, Services and Solutions
5.12.4 Northrop Grumman (US) Healthcare Fraud Detection Revenue (US$ Million) & (2018-2023)
5.12.5 Northrop Grumman (US) Recent Developments
5.13 LexisNexis (US)
5.13.1 LexisNexis (US) Profile
5.13.2 LexisNexis (US) Main Business
5.13.3 LexisNexis (US) Healthcare Fraud Detection Products, Services and Solutions
5.13.4 LexisNexis (US) Healthcare Fraud Detection Revenue (US$ Million) & (2018-2023)
5.13.5 LexisNexis (US) Recent Developments
5.14 Pondera (US)
5.14.1 Pondera (US) Profile
5.14.2 Pondera (US) Main Business
5.14.3 Pondera (US) Healthcare Fraud Detection Products, Services and Solutions
5.14.4 Pondera (US) Healthcare Fraud Detection Revenue (US$ Million) & (2018-2023)
5.14.5 Pondera (US) Recent Developments
6 North America
6.1 North America Healthcare Fraud Detection Market Size by Country (2018-2029)
6.2 U.S.
6.3 Canada
7 Europe
7.1 Europe Healthcare Fraud Detection Market Size by Country (2018-2029)
7.2 Germany
7.3 France
7.4 U.K.
7.5 Italy
7.6 Russia
7.7 Nordic Countries
7.8 Rest of Europe
8 Asia-Pacific
8.1 Asia-Pacific Healthcare Fraud Detection Market Size by Region (2018-2029)
8.2 China
8.3 Japan
8.4 South Korea
8.5 Southeast Asia
8.6 India
8.7 Australia
8.8 Rest of Asia-Pacific
9 Latin America
9.1 Latin America Healthcare Fraud Detection Market Size by Country (2018-2029)
9.2 Mexico
9.3 Brazil
9.4 Rest of Latin America
10 Middle East & Africa
10.1 Middle East & Africa Healthcare Fraud Detection Market Size by Country (2018-2029)
10.2 Turkey
10.3 Saudi Arabia
10.4 UAE
10.5 Rest of Middle East & Africa
11 Healthcare Fraud Detection Market Dynamics
11.1 Healthcare Fraud Detection Industry Trends
11.2 Healthcare Fraud Detection Market Drivers
11.3 Healthcare Fraud Detection Market Challenges
11.4 Healthcare Fraud Detection Market Restraints
12 Research Finding /Conclusion
13 Methodology and Data Source
13.1 Methodology/Research Approach
13.1.1 Research Programs/Design
13.1.2 Market Size Estimation
13.1.3 Market Breakdown and Data Triangulation
13.2 Data Source
13.2.1 Secondary Sources
13.2.2 Primary Sources
13.3 Disclaimer
13.4 Author List
Published By : QY Research
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