May 21, 2024

Healthcare Fraud Detection Market Size to Attain USD 6.64 Bn by 2033

The global healthcare fraud detection market size was estimated to be around US$ 2.02 billion in 2023 and is projected to reach US$ 6.64  billion by 2033, indicating a CAGR of 12.65% from 2024 to 2033.

Key Points

  • By region, North America dominated the market in 2023.
  • By region, Asia Pacific is expected to grow at a significant rate during the forecast period.
  • By type, the descriptive analytics segment dominated the market in 2023.
  • By type, the predictive analytics segment is expected to grow at a notable pace during the forecast period.
  • By application, the review of the insurance claim segment dominated in 2023.
  • By application, the payment integrity segment is expected to grow at a significant rate in the market during the anticipated period.
  • By end-user, the healthcare payers segment held the largest share of the market in 2023.

Healthcare Fraud Detection Market Size 2024 to 2033

The market research report on the healthcare fraud detection market provides a comprehensive analysis of various key aspects. It includes the definition, classification, and application of healthcare fraud detection products. The report examines the development trends, competitive landscape, and industrial chain structure within the industry. Furthermore, it presents an overview of the industry, analyzes national policies and planning, and offers insights into the latest market dynamics and opportunities at a global level.

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Healthcare Fraud Detection Market Scope

Report Coverage Details
Growth Rate from 2024 to 2033 CAGR of 12.65%
Global Market Size in 2023 USD  2.02 Billion
Global Market Size by 2033 USD 6.64 Billion
U.S. Market Size in 2023 USD 550 Million
U.S. Market Size by 2033 USD 1,810 Million
Base Year 2023
Forecast Period 2024 to 2033
Segments Covered By Type, By Application, and By End-user
Regions Covered North America, Europe, Asia-Pacific, Latin America, and Middle East & Africa

Read More: Asthma Therapeutics Market Size to Hit USD 45.28 Bn by 2033

The report presents the volume and value-based market size for the base year 2023 and forecasts the market’s growth between 2023 and 2032. It estimates market numbers based on product form and application, providing size and forecast for each application segment in both global and regional markets.

Focusing on the global healthcare fraud detection market, the report highlights its status, future forecasts, growth opportunities, key market players, and key market regions such as the United States, Europe, and China. The study aims to present the development of the healthcare fraud detection market by considering factors like Year-on-Year (Y-o-Y) growth, in addition to Compound Annual Growth Rate (CAGR). This approach enables a better understanding of market certainty and the identification of lucrative opportunities.

Regarding production, the report investigates the capacity, production, value, ex-factory price, growth rate, and market share of major manufacturers, regions, and product types. On the consumption side, the report focuses on the regional consumption of healthcare fraud detection products across different countries and applications.

Buyers of the report gain access to verified market figures, including global market size in terms of revenue and volume. The report provides reliable estimations and calculations for global revenue and volume by product type from 2024 to 2033. It also includes accurate figures for production capacity and production by region during the same period.

The research includes product parameters, production processes, cost structures, and data classified by region, technology, and application. Furthermore, it conducts SWOT analysis and investment feasibility studies for new projects.

This in-depth research report offers valuable insights into the healthcare fraud detection market. It employs an objective and fair approach to analyze industry trends, supporting customer competition analysis, development planning, and investment decision-making. The project received support and assistance from technicians and marketing personnel across various links in the industry chain.

The competitive landscape section of the report provides detailed information on xx market competitors. It includes company overviews, financials, revenue generation, market potential, research and development investments, new market initiatives, global presence, production sites, production capacities, strengths and weaknesses, product launches, product range, and application dominance. However, the data points provided only focus on the companies’ activities related to the healthcare fraud detection market.

Prominent players in the market are expected to face tough competition from new entrants. Key players are targeting acquisitions of startup companies to maintain their dominance. The report

Reasons to Purchase this Report:

  • Comprehensive market segmentation analysis incorporating qualitative and quantitative research, considering the impact of economic and policy factors.
  • In-depth regional and country-level analysis, examining the demand and supply dynamics that influence market growth.
  • Market size in USD million and volume in million units provided for each segment and sub-segment.
  • Detailed competitive landscape, including market share of major players, recent projects, and strategies implemented over the past five years.
  • Comprehensive company profiles encompassing product offerings, key financial information, recent developments, SWOT analysis, and employed strategies by major market players.

Healthcare Fraud Detection Market Companies

  • CGI Group
  • Conduent
  • DXC Technology Company
  • EXLSERVICE Holdings Inc.
  • Fair ISAAC Corporation
  • HCL Technologies
  • International Business Machines Corporation (IBM)
  • LexisNexis
  • McKesson Corporation
  • Northrop Grumman
  • Optum
  • OSP Labs
  • SAS Institute Inc.
  • Scioinspire CORP.
  • UNITEDHEALTH Group
  • Verscend Technologies
  • WIPRO Limited

Segments Covered in the Report

By Type

  • Descriptive Analytics
  • Predictive Analytics
  • Prescriptive Analytics

By Application

  • Review of Insurance Claims
  • Payment Integrity

By End-user

  • Private Insurance Payers
  • Government Agencies

By Geography

  • North America
  • Europe
  • Asia-Pacific
  • Latin America
  • Middle East and Africa

TABLE OF CONTENT

Chapter 1. Introduction

1.1. Research Objective

1.2. Scope of the Study

1.3. Definition

Chapter 2. Research Methodology (Premium Insights)

2.1. Research Approach

2.2. Data Sources

2.3. Assumptions & Limitations

Chapter 3. Executive Summary

3.1. Market Snapshot

Chapter 4. Market Variables and Scope 

4.1. Introduction

4.2. Market Classification and Scope

4.3. Industry Value Chain Analysis

4.3.1. Raw Material Procurement Analysis

4.3.2. Sales and Distribution Channel Analysis

4.3.3. Downstream Buyer Analysis

Chapter 5. COVID 19 Impact on Healthcare Fraud Detection Market 

5.1. COVID-19 Landscape: Healthcare Fraud Detection Industry Impact

5.2. COVID 19 – Impact Assessment for the Industry

5.3. COVID 19 Impact: Global Major Government Policy

5.4. Market Trends and Opportunities in the COVID-19 Landscape

Chapter 6. Market Dynamics Analysis and Trends

6.1. Market Dynamics

6.1.1. Market Drivers

6.1.2. Market Restraints

6.1.3. Market Opportunities

6.2. Porter’s Five Forces Analysis

6.2.1. Bargaining power of suppliers

6.2.2. Bargaining power of buyers

6.2.3. Threat of substitute

6.2.4. Threat of new entrants

6.2.5. Degree of competition

Chapter 7. Competitive Landscape

7.1.1. Company Market Share/Positioning Analysis

7.1.2. Key Strategies Adopted by Players

7.1.3. Vendor Landscape

7.1.3.1. List of Suppliers

7.1.3.2. List of Buyers

Chapter 8. Global Healthcare Fraud Detection Market, By Type

8.1. Healthcare Fraud Detection Market, by Type, 2024-2033

8.1.1 Descriptive Analytics

8.1.1.1. Market Revenue and Forecast (2021-2033)

8.1.2. Predictive Analytics

8.1.2.1. Market Revenue and Forecast (2021-2033)

8.1.3. Prescriptive Analytics

8.1.3.1. Market Revenue and Forecast (2021-2033)

Chapter 9. Global Healthcare Fraud Detection Market, By Application

9.1. Healthcare Fraud Detection Market, by Application, 2024-2033

9.1.1. Review of Insurance Claims

9.1.1.1. Market Revenue and Forecast (2021-2033)

9.1.2. Payment Integrity

9.1.2.1. Market Revenue and Forecast (2021-2033)

Chapter 10. Global Healthcare Fraud Detection Market, By End-user 

10.1. Healthcare Fraud Detection Market, by End-user, 2024-2033

10.1.1. Private Insurance Payers

10.1.1.1. Market Revenue and Forecast (2021-2033)

10.1.2. Government Agencies

10.1.2.1. Market Revenue and Forecast (2021-2033)

Chapter 11. Global Healthcare Fraud Detection Market, Regional Estimates and Trend Forecast

11.1. North America

11.1.1. Market Revenue and Forecast, by Type (2021-2033)

11.1.2. Market Revenue and Forecast, by Application (2021-2033)

11.1.3. Market Revenue and Forecast, by End-user (2021-2033)

11.1.4. U.S.

11.1.4.1. Market Revenue and Forecast, by Type (2021-2033)

11.1.4.2. Market Revenue and Forecast, by Application (2021-2033)

11.1.4.3. Market Revenue and Forecast, by End-user (2021-2033)

11.1.5. Rest of North America

11.1.5.1. Market Revenue and Forecast, by Type (2021-2033)

11.1.5.2. Market Revenue and Forecast, by Application (2021-2033)

11.1.5.3. Market Revenue and Forecast, by End-user (2021-2033)

11.2. Europe

11.2.1. Market Revenue and Forecast, by Type (2021-2033)

11.2.2. Market Revenue and Forecast, by Application (2021-2033)

11.2.3. Market Revenue and Forecast, by End-user (2021-2033)

11.2.4. UK

11.2.4.1. Market Revenue and Forecast, by Type (2021-2033)

11.2.4.2. Market Revenue and Forecast, by Application (2021-2033)

11.2.4.3. Market Revenue and Forecast, by End-user (2021-2033)

11.2.5. Germany

11.2.5.1. Market Revenue and Forecast, by Type (2021-2033)

11.2.5.2. Market Revenue and Forecast, by Application (2021-2033)

11.2.5.3. Market Revenue and Forecast, by End-user (2021-2033)

11.2.6. France

11.2.6.1. Market Revenue and Forecast, by Type (2021-2033)

11.2.6.2. Market Revenue and Forecast, by Application (2021-2033)

11.2.6.3. Market Revenue and Forecast, by End-user (2021-2033)

11.2.7. Rest of Europe

11.2.7.1. Market Revenue and Forecast, by Type (2021-2033)

11.2.7.2. Market Revenue and Forecast, by Application (2021-2033)

11.2.7.3. Market Revenue and Forecast, by End-user (2021-2033)

11.3. APAC

11.3.1. Market Revenue and Forecast, by Type (2021-2033)

11.3.2. Market Revenue and Forecast, by Application (2021-2033)

11.3.3. Market Revenue and Forecast, by End-user (2021-2033)

11.3.4. India

11.3.4.1. Market Revenue and Forecast, by Type (2021-2033)

11.3.4.2. Market Revenue and Forecast, by Application (2021-2033)

11.3.4.3. Market Revenue and Forecast, by End-user (2021-2033)

11.3.5. China

11.3.5.1. Market Revenue and Forecast, by Type (2021-2033)

11.3.5.2. Market Revenue and Forecast, by Application (2021-2033)

11.3.5.3. Market Revenue and Forecast, by End-user (2021-2033)

11.3.6. Japan

11.3.6.1. Market Revenue and Forecast, by Type (2021-2033)

11.3.6.2. Market Revenue and Forecast, by Application (2021-2033)

11.3.6.3. Market Revenue and Forecast, by End-user (2021-2033)

11.3.7. Rest of APAC

11.3.7.1. Market Revenue and Forecast, by Type (2021-2033)

11.3.7.2. Market Revenue and Forecast, by Application (2021-2033)

11.3.7.3. Market Revenue and Forecast, by End-user (2021-2033)

11.4. MEA

11.4.1. Market Revenue and Forecast, by Type (2021-2033)

11.4.2. Market Revenue and Forecast, by Application (2021-2033)

11.4.3. Market Revenue and Forecast, by End-user (2021-2033)

11.4.4. GCC

11.4.4.1. Market Revenue and Forecast, by Type (2021-2033)

11.4.4.2. Market Revenue and Forecast, by Application (2021-2033)

11.4.4.3. Market Revenue and Forecast, by End-user (2021-2033)

11.4.5. North Africa

11.4.5.1. Market Revenue and Forecast, by Type (2021-2033)

11.4.5.2. Market Revenue and Forecast, by Application (2021-2033)

11.4.5.3. Market Revenue and Forecast, by End-user (2021-2033)

11.4.6. South Africa

11.4.6.1. Market Revenue and Forecast, by Type (2021-2033)

11.4.6.2. Market Revenue and Forecast, by Application (2021-2033)

11.4.6.3. Market Revenue and Forecast, by End-user (2021-2033)

11.4.7. Rest of MEA

11.4.7.1. Market Revenue and Forecast, by Type (2021-2033)

11.4.7.2. Market Revenue and Forecast, by Application (2021-2033)

11.4.7.3. Market Revenue and Forecast, by End-user (2021-2033)

11.5. Latin America

11.5.1. Market Revenue and Forecast, by Type (2021-2033)

11.5.2. Market Revenue and Forecast, by Application (2021-2033)

11.5.3. Market Revenue and Forecast, by End-user (2021-2033)

11.5.4. Brazil

11.5.4.1. Market Revenue and Forecast, by Type (2021-2033)

11.5.4.2. Market Revenue and Forecast, by Application (2021-2033)

11.5.4.3. Market Revenue and Forecast, by End-user (2021-2033)

11.5.5. Rest of LATAM

11.5.5.1. Market Revenue and Forecast, by Type (2021-2033)

11.5.5.2. Market Revenue and Forecast, by Application (2021-2033)

11.5.5.3. Market Revenue and Forecast, by End-user (2021-2033)

Chapter 12. Company Profiles

12.1. CGI Group

12.1.1. Company Overview

12.1.2. Product Offerings

12.1.3. Financial Performance

12.1.4. Recent Initiatives

12.2. Conduent

12.2.1. Company Overview

12.2.2. Product Offerings

12.2.3. Financial Performance

12.2.4. Recent Initiatives

12.3. DXC Technology Company

12.3.1. Company Overview

12.3.2. Product Offerings

12.3.3. Financial Performance

12.3.4. Recent Initiatives

12.4. EXLSERVICE Holdings Inc.

12.4.1. Company Overview

12.4.2. Product Offerings

12.4.3. Financial Performance

12.4.4. Recent Initiatives

12.5. Fair ISAAC Corporation

12.5.1. Company Overview

12.5.2. Product Offerings

12.5.3. Financial Performance

12.5.4. Recent Initiatives

12.6. HCL Technologies

12.6.1. Company Overview

12.6.2. Product Offerings

12.6.3. Financial Performance

12.6.4. Recent Initiatives

12.7. International Business Machines Corporation (IBM)

12.7.1. Company Overview

12.7.2. Product Offerings

12.7.3. Financial Performance

12.7.4. Recent Initiatives

12.8. LexisNexis

12.8.1. Company Overview

12.8.2. Product Offerings

12.8.3. Financial Performance

12.8.4. Recent Initiatives

12.9. McKesson Corporation

12.9.1. Company Overview

12.9.2. Product Offerings

12.9.3. Financial Performance

12.9.4. Recent Initiatives

12.10. Northrop Grumman

12.10.1. Company Overview

12.10.2. Product Offerings

12.10.3. Financial Performance

12.10.4. Recent Initiatives

Chapter 13. Research Methodology

13.1. Primary Research

13.2. Secondary Research

13.3. Assumptions

Chapter 14. Appendix

14.1. About Us

14.2. Glossary of Terms

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Prathamesh

I have completed my education in Bachelors in Computer Application. A focused learner having a keen interest in the field of digital marketing, SEO, SMM, and Google Analytics enthusiastic to learn new things along with building leadership skills.

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