全球医疗诈欺检测市场：趋势、预测与竞争分析（~2030 年）

医疗保健诈欺检测趋势和预测

到 2030 年，全球医疗诈欺侦测市场规模预计将达到 87 亿美元，2024 年至 2030 年复合年增长率为 26.5%。该市场的主要驱动因素是医疗保健成本上升、选择医疗保险的患者数量增加以及医疗保健行业诈欺增加。由于保险申请和支付诚信市场改革的机会，全球医疗诈欺侦测市场的未来前景看好。

医疗诈欺检测市场洞察

Lucintel 预测，由于说明分析的广泛采用和易用性，在预测期内仍将是最大的细分市场。

随着健康保险中医疗诈骗案例的发现，保险申请审查将继续占据市场的很大一部分。

由于新分析技术和软体的快速采用以及该地区医疗分析服务支出的增加，北美在预测期内将继续成为最大的地区。

常问问题

Q1.市场规模有多大？

A1. 到 2030 年，全球医疗诈欺侦测市场预计将达到 87 亿美元。

Q2.市场成长预测如何？

A2. 从 2024 年到 2030 年，全球医疗诈欺侦测市场预计将以 26.5% 的复合年增长率成长。

Q3.影响市场成长的主要驱动因素有哪些？

A3. 该市场的主要驱动因素是医疗保健成本上升、选择医疗保险的患者数量增加以及医疗保健行业诈骗发生率增加。

Q4.市场的主要细分市场是什么？

A4. 由于重塑申请和支付完整性市场的机会，医疗保健诈欺检测市场的未来看起来充满希望。

Q5.市场上主要企业有哪些？

A5. 参与医疗诈欺侦测的主要企业如下。

• CGI
• DXC Technology Company
• International Business Machines
• Mckesson
• ExlService Holdings

Q6.未来最大的细分市场是什么？

A6.Lucintel 预计，由于说明分析的广泛采用和易用性，在预测期内仍将是最大的细分市场。

Q7. 未来五年预计哪个地区将成为最大的市场？

A7. 我们预计，由于新型分析技术和软体的快速采用，以及该地区医疗保健分析服务支出的增加，北美在预测期内仍将是最大的地区。

Q8. 可以客製化报告吗？

A8. 是的，Lucintel 提供 10% 的客製化服务，无需额外付费。

目录

第一章执行摘要

第二章全球医疗诈欺侦测市场：市场动态

• 简介、背景、分类
• 供应链
• 产业驱动因素与挑战

第三章 2018-2030年市场趋势与预测分析

• 宏观经济趋势（2018-2023）与预测（2024-2030）
• 全球医疗诈欺检测市场趋势（2018-2023）与预测（2024-2030）
• 全球医疗诈欺侦测市场：按类型
  • 说明分析
  • 预测分析
  • 指示性分析
• 全球医疗诈欺侦测市场：按应用分类
  • 保险申请审查
  • 付款诚信
• 全球医疗诈欺侦测市场：依最终用途分类
  • 私人保险付款人
  • 政府机关
  • 其他的

第四章市场趋势与预测分析：按地区（2018-2030）

• 全球医疗诈欺侦测市场：按地区
• 北美洲
• 欧洲
• 亚太地区
• 其他地区

第五章 竞争分析

• 产品系列分析
• 营运整合
• 波特五力分析

第六章 成长机会与策略分析

• 成长机会分析
  • 按类型
  • 按用途
  • 按最终用途
  • 按地区
• 全球医疗诈欺检测市场的新兴趋势
• 战略分析
  • 新产品开发
  • 扩大全球医疗诈欺侦测市场的能力
  • 全球医疗诈欺侦测市场的合併、收购和合资企业
  • 认证和许可

第七章主要企业概况

• CGI
• DXC Technology Company
• International Business Machines
• Mckesson
• ExlService Holdings

Healthcare Fraud Detection Trends and Forecast

The future of the global healthcare fraud detection market looks promising with opportunities in the review of insurance claim and payment integrity markets. The global healthcare fraud detection market is expected to reach an estimated $8.7 billion by 2030 with a CAGR of 26.5% from 2024 to 2030. The major drivers for this market are escalating healthcare costs, increase in the count of patients choosing health insurance, and rising incidents of fraud in the healthcare industry.

A more than 150-page report is developed to help in your business decisions.

Healthcare Fraud Detection by Segment

The study includes a forecast for the global healthcare fraud detection by type, application, end use, and region.

Healthcare Fraud Detection Market by Type [Shipment Analysis by Value from 2018 to 2030]:

• Descriptive Analytics
• Predictive Analytics
• Prescriptive Analytics

Healthcare Fraud Detection Market by Application [Shipment Analysis by Value from 2018 to 2030]:

• Review of Insurance Claims
• Payment Integrity

Healthcare Fraud Detection Market by End Use [Shipment Analysis by Value from 2018 to 2030]:

• Private Insurance Payers
• Government Agencies
• Others

Healthcare Fraud Detection Market by Region [Shipment Analysis by Value from 2018 to 2030]:

• North America
• Europe
• Asia Pacific
• The Rest of the World

List of Healthcare Fraud Detection Companies

Companies in the market compete on the basis of product quality offered. Major players in this market focus on expanding their manufacturing facilities, R&D investments, infrastructural development, and leverage integration opportunities across the value chain. With these strategies healthcare fraud detection companies cater increasing demand, ensure competitive effectiveness, develop innovative products & technologies, reduce production costs, and expand their customer base. Some of the healthcare fraud detection companies profiled in this report include-

• CGI
• DXC Technology Company
• International Business Machines
• Mckesson
• ExlService Holdings

Healthcare Fraud Detection Market Insights

Lucintel forecasts that descriptive analytic will remain the largest segment over the forecast period due to its widespread adoption and ease of use.

Within this market, insurance claim review will remain the larger segment due to instances of medical fraud are detected within healthcare insurance.

North America will remain the largest region over the forecast period due to rapid utilization of novel analytical methods and software and increasing spending on healthcare analytics services in the region.

Features of the Global Healthcare Fraud Detection Market

Market Size Estimates: Healthcare fraud detection market size estimation in terms of value ($B).

Trend and Forecast Analysis: Market trends (2018 to 2023) and forecast (2024 to 2030) by various segments and regions.

Segmentation Analysis: Healthcare fraud detection market size by type, application, end use, and region in terms of value ($B).

Regional Analysis: Healthcare fraud detection market breakdown by North America, Europe, Asia Pacific, and Rest of the World.

Growth Opportunities: Analysis of growth opportunities in different types, applications, end uses, and regions for the healthcare fraud detection market.

Strategic Analysis: This includes M&A, new product development, and competitive landscape of the healthcare fraud detection market.

Analysis of competitive intensity of the industry based on Porter's Five Forces model.

FAQ

Q1. What is the healthcare fraud detection market size?

Answer: The global healthcare fraud detection market is expected to reach an estimated $8.7 billion by 2030.

Q2. What is the growth forecast for healthcare fraud detection market?

Answer: The global healthcare fraud detection market is expected to grow with a CAGR of 26.5% from 2024 to 2030.

Q3. What are the major drivers influencing the growth of the healthcare fraud detection market?

Answer: The major drivers for this market are escalating healthcare costs, increase in the count of patients choosing health insurance, and rising incidents of fraud in the healthcare industry.

Q4. What are the major segments for healthcare fraud detection market?

Answer: The future of the healthcare fraud detection market looks promising with opportunities in the review of insurance claim and payment integrity markets.

Q5. Who are the key healthcare fraud detection market companies?

Answer: Some of the key healthcare fraud detection companies are as follows.

• CGI
• DXC Technology Company
• International Business Machines
• Mckesson
• ExlService Holdings

Q6. Which healthcare fraud detection market segment will be the largest in future?

Answer: Lucintel forecasts that descriptive analytic will remain the largest segment over the forecast period due to its widespread adoption and ease of use.

Q7. In healthcare fraud detection market, which region is expected to be the largest in next 5 years?

Answer: North America will remain the largest region over the forecast period due to rapid utilization of novel analytical methods and software and increasing spending on healthcare analytics services in the region.

Q.8 Do we receive customization in this report?

Answer: Yes, Lucintel provides 10% customization without any additional cost.

This report answers following 11 key questions:

• Q.1. What are some of the most promising, high-growth opportunities for the healthcare fraud detection market by type (descriptive analytics, predictive analytics, and prescriptive analytics), application (review of insurance claims and payment integrity), end use (private insurance payers, government agencies, and others), and region (North America, Europe, Asia Pacific, and the Rest of the World)?
• Q.2. Which segments will grow at a faster pace and why?
• Q.3. Which region will grow at a faster pace and why?
• Q.4. What are the key factors affecting market dynamics? What are the key challenges and business risks in this market?
• Q.5. What are the business risks and competitive threats in this market?
• Q.6. What are the emerging trends in this market and the reasons behind them?
• Q.7. What are some of the changing demands of customers in the market?
• Q.8. What are the new developments in the market? Which companies are leading these developments?
• Q.9. Who are the major players in this market? What strategic initiatives are key players pursuing for business growth?
• Q.10. What are some of the competing products in this market and how big of a threat do they pose for loss of market share by material or product substitution?
• Q.11. What M&A activity has occurred in the last 5 years and what has its impact been on the industry?

Table of Contents

1. Executive Summary

2. Global Healthcare Fraud Detection Market : Market Dynamics

• 2.1: Introduction, Background, and Classifications
• 2.2: Supply Chain
• 2.3: Industry Drivers and Challenges

3. Market Trends and Forecast Analysis from 2018 to 2030

• 3.1. Macroeconomic Trends (2018-2023) and Forecast (2024-2030)
• 3.2. Global Healthcare Fraud Detection Market Trends (2018-2023) and Forecast (2024-2030)
• 3.3: Global Healthcare Fraud Detection Market by Type
  • 3.3.1: Descriptive Analytics
  • 3.3.2: Predictive Analytics
  • 3.3.3: Prescriptive Analytics
• 3.4: Global Healthcare Fraud Detection Market by Application
  • 3.4.1: Review of Insurance Claims
  • 3.4.2: Payment Integrity
• 3.5: Global Healthcare Fraud Detection Market by End Use
  • 3.5.1: Private Insurance Payers
  • 3.5.2: Government Agencies
  • 3.5.3: Others

4. Market Trends and Forecast Analysis by Region from 2018 to 2030

• 4.1: Global Healthcare Fraud Detection Market by Region
• 4.2: North American Healthcare Fraud Detection Market
  • 4.2.2: North American Healthcare Fraud Detection Market by Application: Review of Insurance Claims and Payment Integrity
• 4.3: European Healthcare Fraud Detection Market
  • 4.3.1: European Healthcare Fraud Detection Market by Type: Descriptive Analytics, Predictive Analytics, and Prescriptive Analytics
  • 4.3.2: European Healthcare Fraud Detection Market by Application: Review of Insurance Claims and Payment Integrity
• 4.4: APAC Healthcare Fraud Detection Market
  • 4.4.1: APAC Healthcare Fraud Detection Market by Type: Descriptive Analytics, Predictive Analytics, and Prescriptive Analytics
  • 4.4.2: APAC Healthcare Fraud Detection Market by Application: Review of Insurance Claims and Payment Integrity
• 4.5: ROW Healthcare Fraud Detection Market
  • 4.5.1: ROW Healthcare Fraud Detection Market by Type: Descriptive Analytics, Predictive Analytics, and Prescriptive Analytics
  • 4.5.2: ROW Healthcare Fraud Detection Market by Application: Review of Insurance Claims and Payment Integrity

5. Competitor Analysis

• 5.1: Product Portfolio Analysis
• 5.2: Operational Integration
• 5.3: Porter's Five Forces Analysis

6. Growth Opportunities and Strategic Analysis

• 6.1: Growth Opportunity Analysis
  • 6.1.1: Growth Opportunities for the Global Healthcare Fraud Detection Market by Type
  • 6.1.2: Growth Opportunities for the Global Healthcare Fraud Detection Market by Application
  • 6.1.3: Growth Opportunities for the Global Healthcare Fraud Detection Market by End Use
  • 6.1.4: Growth Opportunities for the Global Healthcare Fraud Detection Market by Region
• 6.2: Emerging Trends in the Global Healthcare Fraud Detection Market
• 6.3: Strategic Analysis
  • 6.3.1: New Product Development
  • 6.3.2: Capacity Expansion of the Global Healthcare Fraud Detection Market
  • 6.3.3: Mergers, Acquisitions, and Joint Ventures in the Global Healthcare Fraud Detection Market
  • 6.3.4: Certification and Licensing

7. Company Profiles of Leading Players

• 7.1: CGI
• 7.2: DXC Technology Company
• 7.3: International Business Machines
• 7.4: Mckesson
• 7.5: ExlService Holdings