Product Code: IRTNTR71895
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.
Market Scope |
Base Year | 2024 |
End Year | 2028 |
Series Year | 2024-2028 |
Growth Momentum | Accelerate |
YOY 2024 | 9.7% |
CAGR | 11% |
Incremental Value | $914.3 mn |
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.
Table of Contents
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
3 Market Sizing
- 3.1 Market definition
- Offerings of companies included in the market definition
- 3.2 Market segment analysis
- 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
- 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
- 12.5 Data procurement
- 12.6 Data validation
- 12.7 Validation techniques employed for market sizing
- Validation techniques employed for market sizing
- 12.8 Data synthesis
- 12.9 360 degree market analysis
- 360 degree market analysis
- 12.10 List of abbreviations