Global Healthcare Fraud Detection Market 2024-2028

Global Healthcare Fraud Detection Market 2024-2028


Healthcare Fraud Detection Market 2024-2028

The healthcare fraud detection market is forecasted to grow by USD 914.3 mn during 2023-2028, accelerating at a CAGR of 11% during the forecast period. The report on the healthcare fraud detection market provides a holistic analysis, market size and forecast, trends, growth drivers, and challenges, as well as vendor analysis covering around 25 vendors.

The report offers an up-to-date analysis regarding the current market scenario, the latest trends and drivers, and the overall market environment. The market is driven by increased number of patients seeking health insurance, increasing cases of healthcare fraud, and rise in number of health care bpo and fraud identity management software.

Technavio's healthcare fraud detection market is segmented as below:

By Type
  • Descriptive analytics
  • Predictive analytics
  • Prescriptive analytics
By Geographical Landscape
  • North America
  • Asia
  • Europe
  • Rest of World (ROW)
This study identifies the emergence of social media and its impact on healthcare industry as one of the prime reasons driving the healthcare fraud detection market growth during the next few years. Also, increasing favorable government initiatives and increase in cloud-based solutions for fraud detection will lead to sizable demand in the market.

The report on the healthcare fraud detection market covers the following areas:
  • Healthcare Fraud Detection Market sizing
  • Healthcare Fraud Detection Market forecast
  • Healthcare Fraud Detection Market industry analysis
The robust vendor analysis is designed to help clients improve their market position, and in line with this, this report provides a detailed analysis of several leading healthcare fraud detection market vendors that include CGI Inc., Change Healthcare Inc., Codoxo, Conduent Inc., Cotiviti Inc., ExlService Holdings Inc., Fair Isaac Corp., FraudLens, H2O.ai Inc., HCL Technologies Ltd., Healthcare Fraud Shield, International Business Machines Corp., Northrop Grumman Corp., OSP, Qlarant Quality Solutions Inc., RELX Plc, SAS Institute Inc., Thomson Reuters Corp., Optum Inc., and Wipro Ltd.. Also, the healthcare fraud detection market analysis report includes information on upcoming trends and challenges that will influence market growth. This is to help companies strategize and leverage all forthcoming growth opportunities.

The study was conducted using an objective combination of primary and secondary information including inputs from key participants in the industry. The report contains a comprehensive market and vendor landscape in addition to an analysis of the key vendors.

The publisher presents a detailed picture of the market by the way of study, synthesis, and summation of data from multiple sources by an analysis of key parameters such as profit, pricing, competition, and promotions. It presents various market facets by identifying the key industry influencers. The data presented is comprehensive, reliable, and a result of extensive primary and secondary research. The market research reports provide a complete competitive landscape and an in-depth vendor selection methodology and analysis using qualitative and quantitative research to forecast accurate market growth.


1 Executive Summary
1.1 Market overview
Executive Summary - Chart on Market Overview
Executive Summary - Data Table on Market Overview
Executive Summary - Chart on Global Market Characteristics
Executive Summary - Chart on Market By Geographical Landscape
Executive Summary - Chart on Market Segmentation by Type
Executive Summary - Chart on Incremental Growth
Executive Summary - Data Table on Incremental Growth
Executive Summary - Chart on Company Market Positioning
2 Market Landscape
2.1 Market ecosystem
Parent Market
Data Table on - Parent Market
2.2 Market characteristics
Market characteristics analysis
2.3 Value chain analysis
Value Chain Analysis
3 Market Sizing
3.1 Market definition
Offerings of companies included in the market definition
3.2 Market segment analysis
Market segments
3.3 Market size 2023
3.4 Market outlook: Forecast for 2023-2028
Chart on Global - Market size and forecast 2023-2028 ($ million)
Data Table on Global - Market size and forecast 2023-2028 ($ million)
Chart on Global Market: Year-over-year growth 2023-2028 (%)
Data Table on Global Market: Year-over-year growth 2023-2028 (%)
4 Historic Market Size
4.1 Global Healthcare Fraud Detection Market 2018 - 2022
Historic Market Size - Data Table on Global Healthcare Fraud Detection Market 2018 - 2022 ($ million)
4.2 Type segment analysis 2018 - 2022
Historic Market Size - Type Segment 2018 - 2022 ($ million)
4.3 Geography segment analysis 2018 - 2022
Historic Market Size - Geography Segment 2018 - 2022 ($ million)
4.4 Country segment analysis 2018 - 2022
Historic Market Size - Country Segment 2018 - 2022 ($ million)
5 Five Forces Analysis
5.1 Five forces summary
Five forces analysis - Comparison between 2023 and 2028
5.2 Bargaining power of buyers
Bargaining power of buyers - Impact of key factors 2023 and 2028
5.3 Bargaining power of suppliers
Bargaining power of suppliers - Impact of key factors in 2023 and 2028
5.4 Threat of new entrants
Threat of new entrants - Impact of key factors in 2023 and 2028
5.5 Threat of substitutes
Threat of substitutes - Impact of key factors in 2023 and 2028
5.6 Threat of rivalry
Threat of rivalry - Impact of key factors in 2023 and 2028
5.7 Market condition
Chart on Market condition - Five forces 2023 and 2028
6 Market Segmentation by Type
6.1 Market segments
Chart on Type - Market share 2023-2028 (%)
Data Table on Type - Market share 2023-2028 (%)
6.2 Comparison by Type
Chart on Comparison by Type
Data Table on Comparison by Type
6.3 Descriptive analytics - Market size and forecast 2023-2028
Chart on Descriptive analytics - Market size and forecast 2023-2028 ($ million)
Data Table on Descriptive analytics - Market size and forecast 2023-2028 ($ million)
Chart on Descriptive analytics - Year-over-year growth 2023-2028 (%)
Data Table on Descriptive analytics - Year-over-year growth 2023-2028 (%)
6.4 Predictive analytics - Market size and forecast 2023-2028
Chart on Predictive analytics - Market size and forecast 2023-2028 ($ million)
Data Table on Predictive analytics - Market size and forecast 2023-2028 ($ million)
Chart on Predictive analytics - Year-over-year growth 2023-2028 (%)
Data Table on Predictive analytics - Year-over-year growth 2023-2028 (%)
6.5 Prescriptive analytics - Market size and forecast 2023-2028
Chart on Prescriptive analytics - Market size and forecast 2023-2028 ($ million)
Data Table on Prescriptive analytics - Market size and forecast 2023-2028 ($ million)
Chart on Prescriptive analytics - Year-over-year growth 2023-2028 (%)
Data Table on Prescriptive analytics - Year-over-year growth 2023-2028 (%)
6.6 Market opportunity by Type
Market opportunity by Type ($ million)
Data Table on Market opportunity by Type ($ million)
7 Customer Landscape
7.1 Customer landscape overview
Analysis of price sensitivity, lifecycle, customer purchase basket, adoption rates, and purchase criteria
8 Geographic Landscape
8.1 Geographic segmentation
Chart on Market share By Geographical Landscape 2023-2028 (%)
Data Table on Market share By Geographical Landscape 2023-2028 (%)
8.2 Geographic comparison
Chart on Geographic comparison
Data Table on Geographic comparison
8.3 North America - Market size and forecast 2023-2028
Chart on North America - Market size and forecast 2023-2028 ($ million)
Data Table on North America - Market size and forecast 2023-2028 ($ million)
Chart on North America - Year-over-year growth 2023-2028 (%)
Data Table on North America - Year-over-year growth 2023-2028 (%)
8.4 Asia - Market size and forecast 2023-2028
Chart on Asia - Market size and forecast 2023-2028 ($ million)
Data Table on Asia - Market size and forecast 2023-2028 ($ million)
Chart on Asia - Year-over-year growth 2023-2028 (%)
Data Table on Asia - Year-over-year growth 2023-2028 (%)
8.5 Europe - Market size and forecast 2023-2028
Chart on Europe - Market size and forecast 2023-2028 ($ million)
Data Table on Europe - Market size and forecast 2023-2028 ($ million)
Chart on Europe - Year-over-year growth 2023-2028 (%)
Data Table on Europe - Year-over-year growth 2023-2028 (%)
8.6 Rest of World (ROW) - Market size and forecast 2023-2028
Chart on Rest of World (ROW) - Market size and forecast 2023-2028 ($ million)
Data Table on Rest of World (ROW) - Market size and forecast 2023-2028 ($ million)
Chart on Rest of World (ROW) - Year-over-year growth 2023-2028 (%)
Data Table on Rest of World (ROW) - Year-over-year growth 2023-2028 (%)
8.7 US - Market size and forecast 2023-2028
Chart on US - Market size and forecast 2023-2028 ($ million)
Data Table on US - Market size and forecast 2023-2028 ($ million)
Chart on US - Year-over-year growth 2023-2028 (%)
Data Table on US - Year-over-year growth 2023-2028 (%)
8.8 Canada - Market size and forecast 2023-2028
Chart on Canada - Market size and forecast 2023-2028 ($ million)
Data Table on Canada - Market size and forecast 2023-2028 ($ million)
Chart on Canada - Year-over-year growth 2023-2028 (%)
Data Table on Canada - Year-over-year growth 2023-2028 (%)
8.9 China - Market size and forecast 2023-2028
Chart on China - Market size and forecast 2023-2028 ($ million)
Data Table on China - Market size and forecast 2023-2028 ($ million)
Chart on China - Year-over-year growth 2023-2028 (%)
Data Table on China - Year-over-year growth 2023-2028 (%)
8.10 Germany - Market size and forecast 2023-2028
Chart on Germany - Market size and forecast 2023-2028 ($ million)
Data Table on Germany - Market size and forecast 2023-2028 ($ million)
Chart on Germany - Year-over-year growth 2023-2028 (%)
Data Table on Germany - Year-over-year growth 2023-2028 (%)
8.11 India - Market size and forecast 2023-2028
Chart on India - Market size and forecast 2023-2028 ($ million)
Data Table on India - Market size and forecast 2023-2028 ($ million)
Chart on India - Year-over-year growth 2023-2028 (%)
Data Table on India - Year-over-year growth 2023-2028 (%)
8.12 Market opportunity By Geographical Landscape
Market opportunity By Geographical Landscape ($ million)
Data Tables on Market opportunity By Geographical Landscape ($ million)
9 Drivers, Challenges, and Opportunity/Restraints
9.1 Market drivers
9.2 Market challenges
9.3 Impact of drivers and challenges
Impact of drivers and challenges in 2023 and 2028
9.4 Market opportunities/restraints
10 Competitive Landscape
10.1 Overview
10.2 Competitive Landscape
Overview on criticality of inputs and factors of differentiation
10.3 Landscape disruption
Overview on factors of disruption
10.4 Industry risks
Impact of key risks on business
11 Competitive Analysis
11.1 Companies profiled
Companies covered
11.2 Market positioning of companies
Matrix on companies position and classification
11.3 CGI Inc.
CGI Inc. - Overview
CGI Inc. - Business segments
CGI Inc. - Key news
CGI Inc. - Key offerings
CGI Inc. - Segment focus
11.4 Conduent Inc.
Conduent Inc. - Overview
Conduent Inc. - Business segments
Conduent Inc. - Key news
Conduent Inc. - Key offerings
Conduent Inc. - Segment focus
11.5 Cotiviti Inc.
Cotiviti Inc. - Overview
Cotiviti Inc. - Product / Service
Cotiviti Inc. - Key offerings
11.6 ExlService Holdings Inc.
ExlService Holdings Inc. - Overview
ExlService Holdings Inc. - Business segments
ExlService Holdings Inc. - Key offerings
ExlService Holdings Inc. - Segment focus
11.7 HCL Technologies Ltd.
HCL Technologies Ltd. - Overview
HCL Technologies Ltd. - Business segments
HCL Technologies Ltd. - Key news
HCL Technologies Ltd. - Key offerings
HCL Technologies Ltd. - Segment focus
11.8 International Business Machines Corp.
International Business Machines Corp. - Overview
International Business Machines Corp. - Business segments
International Business Machines Corp. - Key news
International Business Machines Corp. - Key offerings
International Business Machines Corp. - Segment focus
11.9 SAS Institute Inc.
SAS Institute Inc. - Overview
SAS Institute Inc. - Product / Service
SAS Institute Inc. - Key news
SAS Institute Inc. - Key offerings
11.10 Thomson Reuters Corp.
Thomson Reuters Corp. - Overview
Thomson Reuters Corp. - Business segments
Thomson Reuters Corp. - Key news
Thomson Reuters Corp. - Key offerings
Thomson Reuters Corp. - Segment focus
11.11 Optum Inc.
Optum Inc. - Overview
Optum Inc. - Product / Service
Optum Inc. - Key news
Optum Inc. - Key offerings
11.12 Wipro Ltd.
Wipro Ltd. - Overview
Wipro Ltd. - Business segments
Wipro Ltd. - Key news
Wipro Ltd. - Key offerings
Wipro Ltd. - Segment focus
12 Appendix
12.1 Scope of the report
12.2 Inclusions and exclusions checklist
Inclusions checklist
Exclusions checklist
12.3 Currency conversion rates for US$
Currency conversion rates for US$
12.4 Research methodology
Research methodology
12.5 Data procurement
Information sources
12.6 Data validation
Data validation
12.7 Validation techniques employed for market sizing
Validation techniques employed for market sizing
12.8 Data synthesis
Data synthesis
12.9 360 degree market analysis
360 degree market analysis
12.10 List of abbreviations
List of abbreviations
Exhibits:
Exhibits1: Executive Summary - Chart on Market Overview
Exhibits2: Executive Summary - Data Table on Market Overview
Exhibits3: Executive Summary - Chart on Global Market Characteristics
Exhibits4: Executive Summary - Chart on Market By Geographical Landscape
Exhibits5: Executive Summary - Chart on Market Segmentation by Type
Exhibits6: Executive Summary - Chart on Incremental Growth
Exhibits7: Executive Summary - Data Table on Incremental Growth
Exhibits8: Executive Summary - Chart on Company Market Positioning
Exhibits9: Parent Market
Exhibits10: Data Table on - Parent Market
Exhibits11: Market characteristics analysis
Exhibits12: Value Chain Analysis
Exhibits13: Offerings of companies included in the market definition
Exhibits14: Market segments
Exhibits15: Chart on Global - Market size and forecast 2023-2028 ($ million)
Exhibits16: Data Table on Global - Market size and forecast 2023-2028 ($ million)
Exhibits17: Chart on Global Market: Year-over-year growth 2023-2028 (%)
Exhibits18: Data Table on Global Market: Year-over-year growth 2023-2028 (%)
Exhibits19: Historic Market Size - Data Table on Global Healthcare Fraud Detection Market 2018 - 2022 ($ million)
Exhibits20: Historic Market Size - Type Segment 2018 - 2022 ($ million)
Exhibits21: Historic Market Size - Geography Segment 2018 - 2022 ($ million)
Exhibits22: Historic Market Size - Country Segment 2018 - 2022 ($ million)
Exhibits23: Five forces analysis - Comparison between 2023 and 2028
Exhibits24: Bargaining power of buyers - Impact of key factors 2023 and 2028
Exhibits25: Bargaining power of suppliers - Impact of key factors in 2023 and 2028
Exhibits26: Threat of new entrants - Impact of key factors in 2023 and 2028
Exhibits27: Threat of substitutes - Impact of key factors in 2023 and 2028
Exhibits28: Threat of rivalry - Impact of key factors in 2023 and 2028
Exhibits29: Chart on Market condition - Five forces 2023 and 2028
Exhibits30: Chart on Type - Market share 2023-2028 (%)
Exhibits31: Data Table on Type - Market share 2023-2028 (%)
Exhibits32: Chart on Comparison by Type
Exhibits33: Data Table on Comparison by Type
Exhibits34: Chart on Descriptive analytics - Market size and forecast 2023-2028 ($ million)
Exhibits35: Data Table on Descriptive analytics - Market size and forecast 2023-2028 ($ million)
Exhibits36: Chart on Descriptive analytics - Year-over-year growth 2023-2028 (%)
Exhibits37: Data Table on Descriptive analytics - Year-over-year growth 2023-2028 (%)
Exhibits38: Chart on Predictive analytics - Market size and forecast 2023-2028 ($ million)
Exhibits39: Data Table on Predictive analytics - Market size and forecast 2023-2028 ($ million)
Exhibits40: Chart on Predictive analytics - Year-over-year growth 2023-2028 (%)
Exhibits41: Data Table on Predictive analytics - Year-over-year growth 2023-2028 (%)
Exhibits42: Chart on Prescriptive analytics - Market size and forecast 2023-2028 ($ million)
Exhibits43: Data Table on Prescriptive analytics - Market size and forecast 2023-2028 ($ million)
Exhibits44: Chart on Prescriptive analytics - Year-over-year growth 2023-2028 (%)
Exhibits45: Data Table on Prescriptive analytics - Year-over-year growth 2023-2028 (%)
Exhibits46: Market opportunity by Type ($ million)
Exhibits47: Data Table on Market opportunity by Type ($ million)
Exhibits48: Analysis of price sensitivity, lifecycle, customer purchase basket, adoption rates, and purchase criteria
Exhibits49: Chart on Market share By Geographical Landscape 2023-2028 (%)
Exhibits50: Data Table on Market share By Geographical Landscape 2023-2028 (%)
Exhibits51: Chart on Geographic comparison
Exhibits52: Data Table on Geographic comparison
Exhibits53: Chart on North America - Market size and forecast 2023-2028 ($ million)
Exhibits54: Data Table on North America - Market size and forecast 2023-2028 ($ million)
Exhibits55: Chart on North America - Year-over-year growth 2023-2028 (%)
Exhibits56: Data Table on North America - Year-over-year growth 2023-2028 (%)
Exhibits57: Chart on Asia - Market size and forecast 2023-2028 ($ million)
Exhibits58: Data Table on Asia - Market size and forecast 2023-2028 ($ million)
Exhibits59: Chart on Asia - Year-over-year growth 2023-2028 (%)
Exhibits60: Data Table on Asia - Year-over-year growth 2023-2028 (%)
Exhibits61: Chart on Europe - Market size and forecast 2023-2028 ($ million)
Exhibits62: Data Table on Europe - Market size and forecast 2023-2028 ($ million)
Exhibits63: Chart on Europe - Year-over-year growth 2023-2028 (%)
Exhibits64: Data Table on Europe - Year-over-year growth 2023-2028 (%)
Exhibits65: Chart on Rest of World (ROW) - Market size and forecast 2023-2028 ($ million)
Exhibits66: Data Table on Rest of World (ROW) - Market size and forecast 2023-2028 ($ million)
Exhibits67: Chart on Rest of World (ROW) - Year-over-year growth 2023-2028 (%)
Exhibits68: Data Table on Rest of World (ROW) - Year-over-year growth 2023-2028 (%)
Exhibits69: Chart on US - Market size and forecast 2023-2028 ($ million)
Exhibits70: Data Table on US - Market size and forecast 2023-2028 ($ million)
Exhibits71: Chart on US - Year-over-year growth 2023-2028 (%)
Exhibits72: Data Table on US - Year-over-year growth 2023-2028 (%)
Exhibits73: Chart on Canada - Market size and forecast 2023-2028 ($ million)
Exhibits74: Data Table on Canada - Market size and forecast 2023-2028 ($ million)
Exhibits75: Chart on Canada - Year-over-year growth 2023-2028 (%)
Exhibits76: Data Table on Canada - Year-over-year growth 2023-2028 (%)
Exhibits77: Chart on China - Market size and forecast 2023-2028 ($ million)
Exhibits78: Data Table on China - Market size and forecast 2023-2028 ($ million)
Exhibits79: Chart on China - Year-over-year growth 2023-2028 (%)
Exhibits80: Data Table on China - Year-over-year growth 2023-2028 (%)
Exhibits81: Chart on Germany - Market size and forecast 2023-2028 ($ million)
Exhibits82: Data Table on Germany - Market size and forecast 2023-2028 ($ million)
Exhibits83: Chart on Germany - Year-over-year growth 2023-2028 (%)
Exhibits84: Data Table on Germany - Year-over-year growth 2023-2028 (%)
Exhibits85: Chart on India - Market size and forecast 2023-2028 ($ million)
Exhibits86: Data Table on India - Market size and forecast 2023-2028 ($ million)
Exhibits87: Chart on India - Year-over-year growth 2023-2028 (%)
Exhibits88: Data Table on India - Year-over-year growth 2023-2028 (%)
Exhibits89: Market opportunity By Geographical Landscape ($ million)
Exhibits90: Data Tables on Market opportunity By Geographical Landscape ($ million)
Exhibits91: Impact of drivers and challenges in 2023 and 2028
Exhibits92: Overview on criticality of inputs and factors of differentiation
Exhibits93: Overview on factors of disruption
Exhibits94: Impact of key risks on business
Exhibits95: Companies covered
Exhibits96: Matrix on companies position and classification
Exhibits97: CGI Inc. - Overview
Exhibits98: CGI Inc. - Business segments
Exhibits99: CGI Inc. - Key news
Exhibits100: CGI Inc. - Key offerings
Exhibits101: CGI Inc. - Segment focus
Exhibits102: Conduent Inc. - Overview
Exhibits103: Conduent Inc. - Business segments
Exhibits104: Conduent Inc. - Key news
Exhibits105: Conduent Inc. - Key offerings
Exhibits106: Conduent Inc. - Segment focus
Exhibits107: Cotiviti Inc. - Overview
Exhibits108: Cotiviti Inc. - Product / Service
Exhibits109: Cotiviti Inc. - Key offerings
Exhibits110: ExlService Holdings Inc. - Overview
Exhibits111: ExlService Holdings Inc. - Business segments
Exhibits112: ExlService Holdings Inc. - Key offerings
Exhibits113: ExlService Holdings Inc. - Segment focus
Exhibits114: HCL Technologies Ltd. - Overview
Exhibits115: HCL Technologies Ltd. - Business segments
Exhibits116: HCL Technologies Ltd. - Key news
Exhibits117: HCL Technologies Ltd. - Key offerings
Exhibits118: HCL Technologies Ltd. - Segment focus
Exhibits119: International Business Machines Corp. - Overview
Exhibits120: International Business Machines Corp. - Business segments
Exhibits121: International Business Machines Corp. - Key news
Exhibits122: International Business Machines Corp. - Key offerings
Exhibits123: International Business Machines Corp. - Segment focus
Exhibits124: SAS Institute Inc. - Overview
Exhibits125: SAS Institute Inc. - Product / Service
Exhibits126: SAS Institute Inc. - Key news
Exhibits127: SAS Institute Inc. - Key offerings
Exhibits128: Thomson Reuters Corp. - Overview
Exhibits129: Thomson Reuters Corp. - Business segments
Exhibits130: Thomson Reuters Corp. - Key news
Exhibits131: Thomson Reuters Corp. - Key offerings
Exhibits132: Thomson Reuters Corp. - Segment focus
Exhibits133: Optum Inc. - Overview
Exhibits134: Optum Inc. - Product / Service
Exhibits135: Optum Inc. - Key news
Exhibits136: Optum Inc. - Key offerings
Exhibits137: Wipro Ltd. - Overview
Exhibits138: Wipro Ltd. - Business segments
Exhibits139: Wipro Ltd. - Key news
Exhibits140: Wipro Ltd. - Key offerings
Exhibits141: Wipro Ltd. - Segment focus
Exhibits142: Inclusions checklist
Exhibits143: Exclusions checklist
Exhibits144: Currency conversion rates for US$
Exhibits145: Research methodology
Exhibits146: Information sources
Exhibits147: Data validation
Exhibits148: Validation techniques employed for market sizing
Exhibits149: Data synthesis
Exhibits150: 360 degree market analysis
Exhibits151: List of abbreviations

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