全球醫療詐欺檢測市場：趨勢、預測與競爭分析（~2030 年）

醫療保健詐欺檢測趨勢和預測

到 2030 年，全球醫療詐欺偵測市場規模預計將達到 87 億美元，2024 年至 2030 年年複合成長率為 26.5%。該市場的主要促進因素是醫療保健成本上升、選擇醫療保險的患者數量增加以及醫療保健行業詐欺增加。由於保險申請和支付誠信市場改革的機遇，全球醫療詐欺偵測市場的未來前景看好。

醫療詐欺檢測市場洞察

Lucintel 預測，由於說明分析的廣泛採用和易用性，在預測期內仍將是最大的細分市場。

隨著健康保險中醫療詐騙案例的發現，保險申請審查將繼續佔據市場的很大一部分。

由於新分析技術和軟體的快速採用以及該地區醫療分析服務支出的增加，北美在預測期內將繼續成為最大的地區。

常問問題

Q1.市場規模有多大？

A1. 到 2030 年，全球醫療詐欺偵測市場預計將達到 87 億美元。

Q2.市場成長預測如何？

A2. 從 2024 年到 2030 年，全球醫療詐欺偵測市場預計將以 26.5% 的年複合成長率成長。

Q3.影響市場成長的主要促進因素有哪些？

A3. 該市場的主要促進因素是醫療保健成本上升、選擇醫療保險的患者數量增加以及醫療保健行業詐騙發生率增加。

Q4.市場的主要細分市場是什麼？

A4. 由於重塑申請和支付完整性市場的機會，醫療保健詐欺檢測市場的未來看起來充滿希望。

Q5.市場上主要企業有哪些？

A5. 參與醫療詐欺偵測的主要企業如下。

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

Q6.未來最大的細分市場是什麼？

A6.Lucintel 預計，由於說明分析的廣泛採用和易用性，在預測期內仍將是最大的細分市場。

Q7. 未來五年預計哪個地區將成為最大的市場？

A7. 我們預計，由於新型分析技術和軟體的快速採用，以及該地區醫療保健分析服務支出的增加，北美在預測期內仍將是最大的地區。

Q8. 可以客製化報告嗎？

A8. 是的，Lucintel 提供 10% 的客製化服務，無需額外付費。

目錄

第1章執行摘要

第2章全球醫療詐欺偵測市場：市場動態

• 簡介、背景、分類
• 供應鏈
• 產業促進因素與挑戰

第3章 2018-2030年市場趨勢與預測分析

• 宏觀經濟趨勢（2018-2023）與預測（2024-2030）
• 全球醫療詐欺檢測市場趨勢（2018-2023）與預測（2024-2030）
• 全球醫療詐欺偵測市場：按類型
  • 說明分析
  • 預測分析
  • 指示性分析
• 全球醫療詐欺偵測市場：按應用分類
  • 保險申請審查
  • 付款誠信
• 全球醫療詐欺偵測市場：依最終用途分類
  • 私人保險付款人
  • 政府機關
  • 其他

第4章市場趨勢與預測分析：按地區（2018-2030）

• 全球醫療詐欺偵測市場：按地區
• 北美洲
• 歐洲
• 亞太地區
• 其他地區

第5章 競爭分析

• 產品系列分析
• 營運整合
• 波特五力分析

第6章 成長機會與策略分析

• 成長機會分析
  • 按類型
  • 按用途
  • 按最終用途
  • 按地區
• 全球醫療詐欺檢測市場的新興趨勢
• 戰略分析
  • 新產品開發
  • 擴大全球醫療詐欺偵測市場的能力
  • 全球醫療詐欺偵測市場的合併、收購和合資企業
  • 認證和許可

第7章主要企業概況

• 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