Healthcare Fraud Detection Market : Global Industry Analysis and Forecast (2022-2029)


Healthcare Fraud Detection Market size is expected to reach US$ 7.74 Bn. by year 2029 at a CAGR of 25.5% during the forecast period.

The report includes the analysis of impact of COVID-19 lock-down on the revenue of market leaders, followers, and disrupters. Since lock down was implemented differently in different regions and countries, impact of same is also different by regions and segments. The report has covered the current short term and long term impact on the market, same will help decision makers to prepare the outline for short term and long term strategies for companies by region.

Healthcare Fraud Detection Market

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Global Healthcare Fraud Detection Market is segmented by type, delivery mode, component, application, end user, and geography. Software segment is expected to register the highest growth in the forecast period. An increasing need for fraud analytics services and the introduction of technologically advanced healthcare fraud detection software will fuel the software segment growth.

Delivery mode segment is classified as the cloud-based solution and on-premises solution. On-Premises sub-segment is estimated to hold the largest market share in the forecast period. On-Premises requires lack of upfront capital investments for hardware, also provides higher flexibility, and the pay-as-you-go pricing of this model will result in increasing share of on-Premises market. The market on the basis of geography is segmented by North America, Europe, Asia-Pacific, Middle East & Africa, and Latin America.

Growing pressure of fraud, waste, and abuse on healthcare spending is trending the overall Global Healthcare Fraud Detection market. Reluctance to adopt healthcare fraud analytics in developing countries may hamper market growth. North America is going to emerge as one of the higher growth regions in the forecast period followed by Europe and APAC. Increasing cases of healthcare fraud, favorable government initiatives to combat healthcare fraud will fuel the Healthcare Fraud Detection Market in the North America region.

Healthcare Fraud Detection Market, Research Methodology:

Bloomberg, Hoovers, and Factiva are some of the sites that are being referred to gain insights about Global Healthcare Fraud Detection Market. Experts from top manufacturing companies along with other stakeholders have been considered. This is done to validate and collect critical information for evaluating trends related to this market during the forecast period. Top-down and bottom-up approaches have been used to estimate the global and regional size of this market. Data triangulation techniques along with other comparative analysis are also used to calculate the exact size of the Global Healthcare Fraud Detection Market globally.

Healthcare Fraud Detection Market, Key Highlights:

• Global Healthcare Fraud Detection Market analysis and forecast, in terms of value.

• Comprehensive study and analysis of market drivers, restraints and opportunities influencing the growth of the Global Healthcare Fraud Detection Market

• Global Healthcare Fraud Detection Market segmentation on the basis of type, source, end-user, and region (country-wise) has been provided.

• Global Healthcare Fraud Detection Market strategic analysis with respect to individual growth trends, future prospects along with the contribution of various sub-market stakeholders have been considered under the scope of study.

• Global Healthcare Fraud Detection Market analysis and forecast for five major regions namely North America, Europe, Asia Pacific, the Middle East & Africa (MEA) and Latin America along with country-wise segmentation.

• Profiles of key industry players, their strategic perspective, market positioning and analysis of core competencies are further profiled.

• Competitive developments, investments, strategic expansion and competitive landscape of the key players operating in the Global Healthcare Fraud Detection Market are also profiled.

Healthcare Fraud Detection Market, Key Target Audience:

• Venture Capitalists, Private Equity Firms, And Startup Companies
• Healthcare IT firms
• Business research and consulting firms
• Healthcare fraud detection service providers
• Healthcare payers
• Healthcare analytics vendors
• Government Bodies And Healthcare Associations/Institutions

Healthcare Fraud Detection Market Scope : Inquire before buying

Research report categorizes the Global Healthcare Fraud Detection Market based on type, delivery mode, component, application, end user, and geography (region wise). Market size by value is estimated and forecasted with the revenues of leading companies operating in the Global Healthcare Fraud Detection Market with key developments in companies and market trends.

Healthcare Fraud Detection Market, By Delivery Mode:

• Cloud-Based Solutions
• On-Premises Solutions

Healthcare Fraud Detection Market, By Types:

• Descriptive Analytics
• Predictive Analytics
• Prescriptive Analytics

Healthcare Fraud Detection Market, By Component:

• Software
• Services

Healthcare Fraud Detection Market, By Application:

• Insurance claims review
• Payment integrity
• Other applications

Healthcare Fraud Detection Market, By End User:

• Private insurance payers
• Public/government agencies
• Employers
• Third party service providers

Healthcare Fraud Detection Market, By Region:

• North America
• Europe
• Asia Pacific
• Middle East & Africa
• Latin America

Healthcare Fraud Detection Market Key Player

• Lexinexis (A Part of Relx Group)
• Pondera Solutions
• Northrop Grumman
• DXC Technology
• CGI Group
• HCL Technologies
• Conduent
• Wipro
• Scio Health Analytics
• SAS Institute
• Fair Isaac (Fico)
• Mckesson
• Verscend Technologies
• Optum (A Part of Unitedhealth Group)
• IBM
• COTIVITI, INC.
• SCIOInspire, Corp.
• Codoxo
• HMS
• EXL Service Holdings
• Change Healthcare
• Canadian Global Information Technology Group

Frequently Asked Questions:

1. Which region has the largest share in Global Healthcare Fraud Detection Market?
Ans: North America region holds the highest share in 2021.

2. What is the growth rate of Global Healthcare Fraud Detection Market?
Ans: The Global Healthcare Fraud Detection Market is growing at a CAGR of 25.5% during forecasting period 2022-2029.

3. What is scope of the Global Healthcare Fraud Detection market report?
Ans: Global Healthcare Fraud Detection Market report helps with the PESTEL, PORTER, COVID-19 Impact analysis, Recommendations for Investors & Leaders, and market estimation of the forecast period.

4. Who are the key players in Global Healthcare Fraud Detection market?
Ans: The important key players in the Global Healthcare Fraud Detection Market are – Lexinexis (A Part of Relx Group), Pondera Solutions, Northrop Grumman, DXC Technology, CGI Group, HCL Technologies, Conduent, Wipro, Scio Health Analytics, SAS Institute, Fair Isaac (Fico), Mckesson, Verscend Technologies, Optum (A Part of Unitedhealth Group), IBM, COTIVITI, INC., SCIOInspire, Corp., Codoxo, HMS, EXL Service Holdings, Change Healthcare, and Canadian Global Information Technology Group

5. What is the study period of this market?
Ans: The Global Healthcare Fraud Detection Market is studied from 2021 to 2029. 




1. EXECUTIVE SUMMARY
2. RESEARCH METHODOLOGY
2.1. Market Definition
2.2. Market Scope
2.3. Data Sources
3. MARKET DYNAMICS
3.1. Market Drivers
3.2. Market Restraints
3.3. Market Opportunities
4. END-USER OVERVIEW
4.1. Value Chain Analysis
4.2. Key Trends
5. GLOBAL HEALTHCARE FRAUD DETECTION MARKET, BY DELIVERY MODE (2021-2029)
5.1. Introduction
5.2. Cloud-Based Solutions
5.2.1. Cloud-Based Solutions Market Overview
5.2.2. Cloud-Based Solutions Market Size & Forecast
5.3. On-Premises Solutions
5.3.1. On-Premises Solutions Market Overview
5.3.2. On-Premises Solutions Market Size & Forecast
6. GLOBAL HEALTHCARE FRAUD DETECTION MARKET, BY TYPES (2021-2029)
6.1. Introduction
6.2. Descriptive Analytics
6.2.1. Descriptive Analytics Market Overview
6.2.2. Descriptive Analytics Market Size & Forecast
6.3. Predictive Analytics
6.3.1. Predictive Analytics Market Overview
6.3.2. Predictive Analytics Market Size & Forecast
6.4. Prescriptive Analytics
6.4.1. Prescriptive Analytics Market Overview
6.4.2. Prescriptive Analytics Market Size & Forecast
7. GLOBAL HEALTHCARE FRAUD DETECTION MARKET, BY COMPONENT (2021-2029)
7.1. Introduction
7.2. Software
7.2.1. Software Market Overview
7.2.2. Software Market Size & Forecast
7.3. Services
7.3.1. Services Market Overview
7.3.2. Services Market Size & Forecast
8. GLOBAL HEALTHCARE FRAUD DETECTION MARKET, BY APPLICATION (2021-2029)
8.1. Introduction
8.2. Insurance claims review
8.2.1. Insurance claims review Market Overview
8.2.2. Insurance claims review Market Size & Forecast
8.3. Payment integrity
8.3.1. Payment integrity Market Overview
8.3.2. Payment integrity Market Size & Forecast
8.4. Other applications
8.4.1. Other applications Market Overview
8.4.2. Other applications Market Size & Forecast
9. GLOBAL HEALTHCARE FRAUD DETECTION MARKET, BY END USER (2021-2029)
9.1. Introduction
9.2. Private insurance payers
9.2.1. Private insurance payers Market Overview
9.2.2. Private insurance payers Market Size & Forecast
9.3. Public/government agencies
9.3.1. Public/government agencies Market Overview
9.3.2. Public/government agencies Market Size & Forecast
9.4. Employers
9.4.1. Employers Market Overview
9.4.2. Employers Market Size & Forecast
9.5. Third party service providers
9.5.1. Third party service providers Market Overview
9.5.2. Third party service providers Market Size & Forecast
10. GLOBAL HEALTHCARE FRAUD DETECTION MARKET, BY GEOGRAPHY (2021-2029)
10.1. North America Healthcare Fraud Detection Market
10.1.1. North America Healthcare Fraud Detection Market, By Type
10.1.2. North America Healthcare Fraud Detection Market, By Delivery Mode
10.1.3. North America Healthcare Fraud Detection Market, By Component
10.1.4. North America Healthcare Fraud Detection Market, By Application
10.1.5. North America Healthcare Fraud Detection Market, By End User
10.1.6. North America Healthcare Fraud Detection Market, by Region
10.1.6.1. U.S. Healthcare Fraud Detection Market
10.1.6.2. Canada Healthcare Fraud Detection Market
10.1.6.3. Mexico Healthcare Fraud Detection Market
10.2. Europe Healthcare Fraud Detection Market
10.2.1. Europe Healthcare Fraud Detection Market, By Type
10.2.2. Europe Healthcare Fraud Detection Market, By Delivery Mode
10.2.3. Europe Healthcare Fraud Detection Market, By Component
10.2.4. Europe Healthcare Fraud Detection Market, By Application
10.2.5. Europe Healthcare Fraud Detection Market, By End User
10.2.6. Europe Healthcare Fraud Detection Market, by Region
10.2.6.1. France Healthcare Fraud Detection Market
10.2.6.2. Germany Healthcare Fraud Detection Market
10.2.6.3. U.K. Healthcare Fraud Detection Market
10.2.6.4. Italy Healthcare Fraud Detection Market
10.2.6.5. Spain Healthcare Fraud Detection Market
10.2.6.6. Rest of Europe Healthcare Fraud Detection Market
10.3. Asia Pacific Healthcare Fraud Detection Market
10.3.1. Asia-Pacific Healthcare Fraud Detection Market, By Type
10.3.2. Asia-Pacific Healthcare Fraud Detection Market, By Delivery Mode
10.3.3. Asia-Pacific Healthcare Fraud Detection Market, By Component
10.3.4. Asia-Pacific Healthcare Fraud Detection Market, By Application
10.3.5. Asia-Pacific Healthcare Fraud Detection Market, By End User
10.3.6. Asia-Pacific Healthcare Fraud Detection Market, by Region
10.3.6.1. China Healthcare Fraud Detection Market
10.3.6.2. Japan Healthcare Fraud Detection Market
10.3.6.3. India Healthcare Fraud Detection Market
10.3.6.4. South Korea Healthcare Fraud Detection Market
10.3.6.5. Rest of Asia Pacific Healthcare Fraud Detection Market
10.4. Middle East & Africa Healthcare Fraud Detection Market
10.4.1. Middle East & Africa Healthcare Fraud Detection Market, By Type
10.4.2. Middle East & Africa Healthcare Fraud Detection Market, By Delivery Mode
10.4.3. Middle East & Africa Healthcare Fraud Detection Market, By Component
10.4.4. Middle East & Africa Healthcare Fraud Detection Market, By Application
10.4.5. Middle East & Africa Healthcare Fraud Detection Market, By End User
10.4.6. Middle East & Africa Healthcare Fraud Detection Market, by Region
10.4.6.1. South Africa Healthcare Fraud Detection Market
10.4.6.2. Rest of Middle East and Africa Healthcare Fraud Detection Market
10.5. Latin America Healthcare Fraud Detection Market
10.5.1. Latin America Healthcare Fraud Detection Market, By Type
10.5.2. Latin America Healthcare Fraud Detection Market, By Delivery Mode
10.5.3. Latin America Healthcare Fraud Detection Market, By Component
10.5.4. Latin America Healthcare Fraud Detection Market, By Application
10.5.5. Latin America Healthcare Fraud Detection Market, By End User
10.5.6. Latin America Healthcare Fraud Detection Market, by Region
10.5.6.1. Brazil Healthcare Fraud Detection Market
10.5.6.2. Rest of Latin America Healthcare Fraud Detection Market
11. MARKET COMPETITION ANALYSIS
11.1 Market Share/Positioning Analysis
11.2 Key Innovators
11.3 Company Profiles
11.3.1 Lexinexis (A Part of Relx Group)
11.3.1.1 Overview
11.3.1.2 Products/ End-User
11.3.1.3 Strategy
11.3.1.4 Key Developments
11.3.2 Pondera Solutions
11.3.2.1 Overview
11.3.2.2 Products/ End-User
11.3.2.3 Strategy
11.3.2.4 Key Developments
11.3.3 Northrop Grumman
11.3.3.1 Overview
11.3.3.2 Products/ End-User
11.3.3.3 Strategy
11.3.3.4 Key Developments
11.3.4 DXC Technology
11.3.4.1 Overview
11.3.4.2 Products/ End-User
11.3.4.3 Strategy
11.3.4.4 Key Developments
11.3.5 CGI Group
11.3.5.1 Overview
11.3.5.2 Products/ End-User
11.3.5.3 Strategy
11.3.5.4 Key Developments
11.3.6 HCL Technologies
11.3.6.1 Overview
11.3.6.2 Products/ End-User
11.3.6.3 Strategy
11.3.6.4 Key Developments
11.3.7 Conduent
11.3.7.1 Overview
11.3.7.2 Products/ End-User
11.3.7.3 Strategy
11.3.7.4 Key Developments
11.3.8 Wipro
11.3.8.1 Overview
11.3.8.2 Products/ End-User
11.3.8.3 Strategy
11.3.8.4 Key Developments
11.3.9 Scio Health Analytics
11.3.9.1 Overview
11.3.9.2 Products/ End-User
11.3.9.3 Strategy
11.3.9.4 Key Developments
11.3.10 SAS Institute
11.3.10.1 Overview
11.3.10.2 Products/ End-User
11.3.10.3 Strategy
11.3.10.4 Key Development
11.3.11 Fair Isaac (Fico)
11.3.11.1 Overview
11.3.11.2 Products/ End-User
11.3.11.3 Strategy
11.3.11.4 Key Development
11.3.12 Mckesson
11.3.12.1 Overview
11.3.12.2 Products/ End-User
11.3.12.3 Strategy
11.3.12.4 Key Development
11.3.13 Verscend Technologies
11.3.13.1 Overview
11.3.13.2 Products/ End-User
11.3.13.3 Strategy
11.3.13.4 Key Development
11.3.14 Optum (A Part of Unitedhealth Group)
11.3.14.1 Overview
11.3.14.2 Products/ End-User
11.3.14.3 Strategy
11.3.14.4 Key Development
11.3.15 IBM
11.3.15.1 Overview
11.3.15.2 Products/ End-User
11.3.15.3 Strategy
11.3.15.4 Key Development
11.3.16 COTIVITI, INC.
11.3.16.1 Overview
11.3.16.2 Products/ End-User
11.3.16.3 Strategy
11.3.16.4 Key Development
11.3.17 SCIOInspire, Corp.
11.3.17.1 Overview
11.3.17.2 Products/ End-User
11.3.17.3 Strategy
11.3.17.4 Key Development
11.3.18 Codoxo
11.3.18.1 Overview
11.3.18.2 Products/ End-User
11.3.18.3 Strategy
11.3.18.4 Key Development
11.3.19 HMS
11.3.19.1 Overview
11.3.19.2 Products/ End-User
11.3.19.3 Strategy
11.3.19.4 Key Development
11.3.20 EXL Service Holdings
11.3.20.1 Overview
11.3.20.2 Products/ End-User
11.3.20.3 Strategy
11.3.20.4 Key Development
11.3.21 Change Healthcare
11.3.21.1 Overview
11.3.21.2 Products/ End-User
11.3.21.3 Strategy
11.3.21.4 Key Development
11.3.22 Canadian Global Information Technology Group
11.3.22.1 Overview
11.3.22.2 Products/ End-User
11.3.22.3 Strategy
11.3.22.4 Key Development
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