Healthcare Fraud Detection Market Overview

The healthcare fraud detection market is anticipated to grow by US$3,787.68 Million by 2024 rapidly growing at a CAGR of 28.83% during the forecast period. The global healthcare fraud detection market is driven by expanding patient populations opting for healthcare insurance. 

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These factors have helped shape the healthcare fraud detection market and are expected to boost the growth. Companies in the healthcare fraud detection market could also face challenges such as low awareness level in emerging countries and lack of skilled human resources. The details covered in the healthcare fraud detection market report cover all the aspects of the industry. Healthcare fraud detection market analysts have also shared growth projections in the report and have suggested healthcare fraud detection market players to plan growth strategies accordingly.

Healthcare Fraud Detection Market Segmentation

The global healthcare fraud detection market has been segmented based on type, application, component, end-users, and delivery model. On the basis of type, the market for healthcare fraud detection is segmented based on descriptive analytics, predictive analytics, and prescriptive analytics. Additionally, the market on the basis of components, is segmented into services and software. The global market for healthcare fraud detection is also covered based on the end-users segment which is further split into private insurance payers, public/government agencies, and third party service providers. On the basis of delivery model, the market for healthcare fraud detection is segmented based on on-premise and cloud-based. Additionally, the market on the basis of XXX, is segmented into insurance claims review and payment integrity.

Factors like surge in suspicious cases in the healthcare sector and growing demand to track healthcare fraud and abuse support the healthcare fraud detection market growth. The performance of the healthcare fraud detection market has also been studied for the past and current years. Additionally, the healthcare fraud detection market report provides analysis of these segments. The healthcare fraud detection market segmental analysis provided in the report offers major details about the healthcare fraud detection market performance and future.

Healthcare Fraud Detection Market Regional Overview

Companies in the healthcare fraud prevention Market are spread across the world. The healthcare fraud detection market report provides major information about regional markets of North America, Europe, Asia-Pacific (APAC), and the rest of the world. The North American healthcare fraud detection market has many companies across the United States, Canada, and Mexico. Europe has companies in the healthcare fraud detection market across Germany, France, Spain, Italy, and the United Kingdom. A detailed analysis of the healthcare fraud detection market across India, China, and Japan in the Asia-Pacific region is also presented in the report. The healthcare fraud detection market of the Middle East, Africa, and other regions has also been studied by analysts. The regional analysis of the healthcare fraud detection market can be found in the market research report.

Healthcare Fraud Detection Market Competitive Landscape

The healthcare fraud detection market is supported by the growing number of healthcare BPO and arrival of software tools to curb fraud activities. The population growth around the world and increasing demand of healthcare fraud detection market based services and products also support the market growth. However, the healthcare fraud detection market growth can be affected due to reluctance for change. The report covers all such details which will help companies in the healthcare fraud detection market to strengthen their business plan and improve their product portfolio. The healthcare fraud detection market research report also provides company profiles of major companies. The company profiles of many organizations operating in the healthcare fraud detection market report highlights crucial details like company size, revenue growth, and details of mergers and acquisitions taking place in the healthcare fraud detection market. New companies and established businesses can plan their strategies based on this data provided in the healthcare fraud detection market research report.

Industry News

Equifax has entered into a contract for $640 million to acquire artificial intelligence powered fraud detection and data security solutions company Kount. The teams of Kount might become part of the business division of Equifax's United States Knowledge Solutions (USIS) but will still be centered in Boise, Idaho, per an update shared by the company.

1 EXECUTIVE SUMMARY

1.1 GLOBAL HEALTHCARE FRAUD DETECTION MARKET, BY TYPE 19

1.2 GLOBAL HEALTHCARE FRAUD DETECTION MARKET, BY COMPONENT 20

1.3 GLOBAL HEALTHCARE FRAUD DETECTION MARKET, BY DELIVERY MODEL 21

1.4 GLOBAL HEALTHCARE FRAUD DETECTION MARKET, BY APPLICATION 22

1.5 GLOBAL HEALTHCARE FRAUD DETECTION MARKET, BY END USER 23

2 MARKET INTRODUCTION

2.1 DEFINITION 24

2.2 SCOPE OF THE STUDY 24

2.3 RESEARCH OBJECTIVE 24

2.4 MARKET STRUCTURE 25

3 RESEARCH METHODOLOGY

3.1 RESEARCH PROCESS 26

3.2 PRIMARY RESEARCH 27

3.3 SECONDARY RESEARCH 28

3.4 MARKET SIZE ESTIMATION 29

3.5 FORECAST MODEL 30

4 MARKET DYNAMICS

4.1 INTRODUCTION 31

4.2 DRIVERS 32

4.2.1 INCREASE IN THE NUMBER OF FRAUDULENT ACTIVITIES IN HEALTHCARE 32

4.2.2 THE RISING NUMBER OF PATIENTS OPTING FOR HEALTH INSURANCE 32

4.2.3 THE ESCALATION IN HEALTHCARE EXPENDITURE 32

4.3 RESTRAINTS 33

4.3.1 UNWILLINGNESS TO ADOPT HEALTHCARE FRAUD ANALYTICS IN DEVELOPING REGIONS 33

4.4 OPPORTUNITIES 33

4.4.1 AI IN HEALTHCARE FRAUD DETECTION 33

5 MARKET FACTOR ANALYSIS

5.1 VALUE CHAIN ANALYSIS 34

5.1.1 INPUTS 34

5.1.2 SOFTWARE DEVELOPMENT PROCESSES 35

5.1.3 OUTPUT 35

5.1.4 MARKETING AND DISTRIBUTION 35

5.2 PORTER’S FIVE FORCES MODEL 35

5.2.1 BARGAINING POWER OF SUPPLIERS 36

5.2.2 BARGAINING POWER OF BUYERS 36

5.2.3 THE THREAT OF NEW ENTRANTS 36

5.2.4 THREAT OF SUBSTITUTES 37

5.2.5 INTENSITY OF RIVALRY 37

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