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Global Healthcare Fraud Detection Market Research Report 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 was valued at US$ 847.9 million in 2023 and is anticipated to reach US$ 2521.5 million by 2030, witnessing a CAGR of 16.3% during the forecast period 2024-2030.
According to our research, 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.
This report aims to provide a comprehensive presentation of the global market for Healthcare Fraud Detection, with both quantitative and qualitative analysis, to help readers develop business/growth strategies, assess the market competitive situation, analyze their position in the current marketplace, and make informed business decisions regarding Healthcare Fraud Detection.
Report Scope
The Healthcare Fraud Detection market size, estimations, and forecasts are provided in terms of revenue ($ millions), considering 2023 as the base year, with history and forecast data for the period from 2019 to 2030. This report segments the global Healthcare Fraud Detection market comprehensively. Regional market sizes, concerning products by Type, by Application, and by players, are also provided.
For a more in-depth understanding of the market, the report provides profiles of the competitive landscape, key competitors, and their respective market ranks. The report also discusses technological trends and new product developments.
The report will help the Healthcare Fraud Detection companies, new entrants, and industry chain related companies in this market with information on the revenues, sales volume, and average price for the overall market and the sub-segments across the different segments, by company, by Type, by Application, and by regions.
Market Segmentation
By Company
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)
Segment by Type
Service
Software
Segment by Application
Government Agency
Insurance Company
Other
By Region
North America
United States
Canada
Europe
Germany
France
UK
Italy
Russia
Nordic Countries
Rest of Europe
Asia-Pacific
China
Japan
South Korea
Southeast Asia
India
Australia
Rest of Asia
Latin America
Mexico
Brazil
Rest of Latin America
Middle East & Africa
Turkey
Saudi Arabia
UAE
Rest of MEA
Chapter Outline
Chapter 1: Introduces the report scope of the report, executive summary of different market segments (by Type, by Application, etc), including the market size of each market segment, future development potential, and so on. 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 2: Introduces executive summary of global market size, regional market size, 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 3: Detailed analysis of Healthcare Fraud Detection companies’ competitive landscape, revenue market share, latest development plan, merger, and acquisition information, etc.
Chapter 4: 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 5: 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 6, 7, 8, 9, 10: North America, Europe, Asia Pacific, Latin America, Middle East and Africa segment by country. It provides a quantitative analysis of the market size and development potential of each region and its main countries and introduces the market development, future development prospects, market space, and capacity of each country in the world.
Chapter 11: Provides profiles of key players, introducing the basic situation of the main companies in the market in detail, including product sales, revenue, price, gross margin, product introduction, recent development, etc.
Chapter 12: The main points and conclusions of the report.
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 was valued at US$ 847.9 million in 2023 and is anticipated to reach US$ 2521.5 million by 2030, witnessing a CAGR of 16.3% during the forecast period 2024-2030.
According to our research, 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.
This report aims to provide a comprehensive presentation of the global market for Healthcare Fraud Detection, with both quantitative and qualitative analysis, to help readers develop business/growth strategies, assess the market competitive situation, analyze their position in the current marketplace, and make informed business decisions regarding Healthcare Fraud Detection.
Report Scope
The Healthcare Fraud Detection market size, estimations, and forecasts are provided in terms of revenue ($ millions), considering 2023 as the base year, with history and forecast data for the period from 2019 to 2030. This report segments the global Healthcare Fraud Detection market comprehensively. Regional market sizes, concerning products by Type, by Application, and by players, are also provided.
For a more in-depth understanding of the market, the report provides profiles of the competitive landscape, key competitors, and their respective market ranks. The report also discusses technological trends and new product developments.
The report will help the Healthcare Fraud Detection companies, new entrants, and industry chain related companies in this market with information on the revenues, sales volume, and average price for the overall market and the sub-segments across the different segments, by company, by Type, by Application, and by regions.
Market Segmentation
By Company
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)
Segment by Type
Service
Software
Segment by Application
Government Agency
Insurance Company
Other
By Region
North America
United States
Canada
Europe
Germany
France
UK
Italy
Russia
Nordic Countries
Rest of Europe
Asia-Pacific
China
Japan
South Korea
Southeast Asia
India
Australia
Rest of Asia
Latin America
Mexico
Brazil
Rest of Latin America
Middle East & Africa
Turkey
Saudi Arabia
UAE
Rest of MEA
Chapter Outline
Chapter 1: Introduces the report scope of the report, executive summary of different market segments (by Type, by Application, etc), including the market size of each market segment, future development potential, and so on. 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 2: Introduces executive summary of global market size, regional market size, 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 3: Detailed analysis of Healthcare Fraud Detection companies’ competitive landscape, revenue market share, latest development plan, merger, and acquisition information, etc.
Chapter 4: 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 5: 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 6, 7, 8, 9, 10: North America, Europe, Asia Pacific, Latin America, Middle East and Africa segment by country. It provides a quantitative analysis of the market size and development potential of each region and its main countries and introduces the market development, future development prospects, market space, and capacity of each country in the world.
Chapter 11: Provides profiles of key players, introducing the basic situation of the main companies in the market in detail, including product sales, revenue, price, gross margin, product introduction, recent development, etc.
Chapter 12: The main points and conclusions of the report.
Index1 Report Overview
1.1 Study Scope
1.2 Market Analysis by Type
1.2.1 Global Healthcare Fraud Detection Market Size Growth Rate by Type: 2019 VS 2023 VS 2030
1.2.2 Service
1.2.3 Software
1.3 Market by Application
1.3.1 Global Healthcare Fraud Detection Market Growth by Application: 2019 VS 2023 VS 2030
1.3.2 Government Agency
1.3.3 Insurance Company
1.3.4 Other
1.4 Study Objectives
1.5 Years Considered
1.6 Years Considered
2 Global Growth Trends
2.1 Global Healthcare Fraud Detection Market Perspective (2019-2030)
2.2 Healthcare Fraud Detection Growth Trends by Region
2.2.1 Global Healthcare Fraud Detection Market Size by Region: 2019 VS 2023 VS 2030
2.2.2 Healthcare Fraud Detection Historic Market Size by Region (2019-2024)
2.2.3 Healthcare Fraud Detection Forecasted Market Size by Region (2025-2030)
2.3 Healthcare Fraud Detection Market Dynamics
2.3.1 Healthcare Fraud Detection Industry Trends
2.3.2 Healthcare Fraud Detection Market Drivers
2.3.3 Healthcare Fraud Detection Market Challenges
2.3.4 Healthcare Fraud Detection Market Restraints
3 Competition Landscape by Key Players
3.1 Global Top Healthcare Fraud Detection Players by Revenue
3.1.1 Global Top Healthcare Fraud Detection Players by Revenue (2019-2024)
3.1.2 Global Healthcare Fraud Detection Revenue Market Share by Players (2019-2024)
3.2 Global Healthcare Fraud Detection Market Share by Company Type (Tier 1, Tier 2, and Tier 3)
3.3 Players Covered: Ranking by Healthcare Fraud Detection Revenue
3.4 Global Healthcare Fraud Detection Market Concentration Ratio
3.4.1 Global Healthcare Fraud Detection Market Concentration Ratio (CR5 and HHI)
3.4.2 Global Top 10 and Top 5 Companies by Healthcare Fraud Detection Revenue in 2023
3.5 Healthcare Fraud Detection Key Players Head office and Area Served
3.6 Key Players Healthcare Fraud Detection Product Solution and Service
3.7 Date of Enter into Healthcare Fraud Detection Market
3.8 Mergers & Acquisitions, Expansion Plans
4 Healthcare Fraud Detection Breakdown Data by Type
4.1 Global Healthcare Fraud Detection Historic Market Size by Type (2019-2024)
4.2 Global Healthcare Fraud Detection Forecasted Market Size by Type (2025-2030)
5 Healthcare Fraud Detection Breakdown Data by Application
5.1 Global Healthcare Fraud Detection Historic Market Size by Application (2019-2024)
5.2 Global Healthcare Fraud Detection Forecasted Market Size by Application (2025-2030)
6 North America
6.1 North America Healthcare Fraud Detection Market Size (2019-2030)
6.2 North America Healthcare Fraud Detection Market Growth Rate by Country: 2019 VS 2023 VS 2030
6.3 North America Healthcare Fraud Detection Market Size by Country (2019-2024)
6.4 North America Healthcare Fraud Detection Market Size by Country (2025-2030)
6.5 United States
6.6 Canada
7 Europe
7.1 Europe Healthcare Fraud Detection Market Size (2019-2030)
7.2 Europe Healthcare Fraud Detection Market Growth Rate by Country: 2019 VS 2023 VS 2030
7.3 Europe Healthcare Fraud Detection Market Size by Country (2019-2024)
7.4 Europe Healthcare Fraud Detection Market Size by Country (2025-2030)
7.5 Germany
7.6 France
7.7 U.K.
7.8 Italy
7.9 Russia
7.10 Nordic Countries
8 Asia-Pacific
8.1 Asia-Pacific Healthcare Fraud Detection Market Size (2019-2030)
8.2 Asia-Pacific Healthcare Fraud Detection Market Growth Rate by Region: 2019 VS 2023 VS 2030
8.3 Asia-Pacific Healthcare Fraud Detection Market Size by Region (2019-2024)
8.4 Asia-Pacific Healthcare Fraud Detection Market Size by Region (2025-2030)
8.5 China
8.6 Japan
8.7 South Korea
8.8 Southeast Asia
8.9 India
8.10 Australia
9 Latin America
9.1 Latin America Healthcare Fraud Detection Market Size (2019-2030)
9.2 Latin America Healthcare Fraud Detection Market Growth Rate by Country: 2019 VS 2023 VS 2030
9.3 Latin America Healthcare Fraud Detection Market Size by Country (2019-2024)
9.4 Latin America Healthcare Fraud Detection Market Size by Country (2025-2030)
9.5 Mexico
9.6 Brazil
10 Middle East & Africa
10.1 Middle East & Africa Healthcare Fraud Detection Market Size (2019-2030)
10.2 Middle East & Africa Healthcare Fraud Detection Market Growth Rate by Country: 2019 VS 2023 VS 2030
10.3 Middle East & Africa Healthcare Fraud Detection Market Size by Country (2019-2024)
10.4 Middle East & Africa Healthcare Fraud Detection Market Size by Country (2025-2030)
10.5 Turkey
10.6 Saudi Arabia
10.7 UAE
11 Key Players Profiles
11.1 IBM (US)
11.1.1 IBM (US) Company Detail
11.1.2 IBM (US) Business Overview
11.1.3 IBM (US) Healthcare Fraud Detection Introduction
11.1.4 IBM (US) Revenue in Healthcare Fraud Detection Business (2019-2024)
11.1.5 IBM (US) Recent Development
11.2 Optum (US)
11.2.1 Optum (US) Company Detail
11.2.2 Optum (US) Business Overview
11.2.3 Optum (US) Healthcare Fraud Detection Introduction
11.2.4 Optum (US) Revenue in Healthcare Fraud Detection Business (2019-2024)
11.2.5 Optum (US) Recent Development
11.3 SAS (US)
11.3.1 SAS (US) Company Detail
11.3.2 SAS (US) Business Overview
11.3.3 SAS (US) Healthcare Fraud Detection Introduction
11.3.4 SAS (US) Revenue in Healthcare Fraud Detection Business (2019-2024)
11.3.5 SAS (US) Recent Development
11.4 McKesson (US)
11.4.1 McKesson (US) Company Detail
11.4.2 McKesson (US) Business Overview
11.4.3 McKesson (US) Healthcare Fraud Detection Introduction
11.4.4 McKesson (US) Revenue in Healthcare Fraud Detection Business (2019-2024)
11.4.5 McKesson (US) Recent Development
11.5 SCIO (US)
11.5.1 SCIO (US) Company Detail
11.5.2 SCIO (US) Business Overview
11.5.3 SCIO (US) Healthcare Fraud Detection Introduction
11.5.4 SCIO (US) Revenue in Healthcare Fraud Detection Business (2019-2024)
11.5.5 SCIO (US) Recent Development
11.6 Verscend (US)
11.6.1 Verscend (US) Company Detail
11.6.2 Verscend (US) Business Overview
11.6.3 Verscend (US) Healthcare Fraud Detection Introduction
11.6.4 Verscend (US) Revenue in Healthcare Fraud Detection Business (2019-2024)
11.6.5 Verscend (US) Recent Development
11.7 Wipro (India)
11.7.1 Wipro (India) Company Detail
11.7.2 Wipro (India) Business Overview
11.7.3 Wipro (India) Healthcare Fraud Detection Introduction
11.7.4 Wipro (India) Revenue in Healthcare Fraud Detection Business (2019-2024)
11.7.5 Wipro (India) Recent Development
11.8 Conduent (US)
11.8.1 Conduent (US) Company Detail
11.8.2 Conduent (US) Business Overview
11.8.3 Conduent (US) Healthcare Fraud Detection Introduction
11.8.4 Conduent (US) Revenue in Healthcare Fraud Detection Business (2019-2024)
11.8.5 Conduent (US) Recent Development
11.9 HCL (India)
11.9.1 HCL (India) Company Detail
11.9.2 HCL (India) Business Overview
11.9.3 HCL (India) Healthcare Fraud Detection Introduction
11.9.4 HCL (India) Revenue in Healthcare Fraud Detection Business (2019-2024)
11.9.5 HCL (India) Recent Development
11.10 CGI (Canada)
11.10.1 CGI (Canada) Company Detail
11.10.2 CGI (Canada) Business Overview
11.10.3 CGI (Canada) Healthcare Fraud Detection Introduction
11.10.4 CGI (Canada) Revenue in Healthcare Fraud Detection Business (2019-2024)
11.10.5 CGI (Canada) Recent Development
11.11 DXC (US)
11.11.1 DXC (US) Company Detail
11.11.2 DXC (US) Business Overview
11.11.3 DXC (US) Healthcare Fraud Detection Introduction
11.11.4 DXC (US) Revenue in Healthcare Fraud Detection Business (2019-2024)
11.11.5 DXC (US) Recent Development
11.12 Northrop Grumman (US)
11.12.1 Northrop Grumman (US) Company Detail
11.12.2 Northrop Grumman (US) Business Overview
11.12.3 Northrop Grumman (US) Healthcare Fraud Detection Introduction
11.12.4 Northrop Grumman (US) Revenue in Healthcare Fraud Detection Business (2019-2024)
11.12.5 Northrop Grumman (US) Recent Development
11.13 LexisNexis (US)
11.13.1 LexisNexis (US) Company Detail
11.13.2 LexisNexis (US) Business Overview
11.13.3 LexisNexis (US) Healthcare Fraud Detection Introduction
11.13.4 LexisNexis (US) Revenue in Healthcare Fraud Detection Business (2019-2024)
11.13.5 LexisNexis (US) Recent Development
11.14 Pondera (US)
11.14.1 Pondera (US) Company Detail
11.14.2 Pondera (US) Business Overview
11.14.3 Pondera (US) Healthcare Fraud Detection Introduction
11.14.4 Pondera (US) Revenue in Healthcare Fraud Detection Business (2019-2024)
11.14.5 Pondera (US) Recent Development
12 Analyst's Viewpoints/Conclusions
13 Appendix
13.1 Research Methodology
13.1.1 Methodology/Research Approach
13.1.2 Data Source
13.2 Disclaimer
13.3 Author Details
Published By : QY Research
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