Report overview
The market growth of medical fraud analysis can be attributed to the large amount of fraudulent activity in healthcare, the increasing number of patients seeking health insurance; high return on investment; and the increasing number of fraud related to pharmacy claims. The market is segmented by solution type, delivery model, application and end user. According to the app, the market is divided into insurance claim review, pharmacy billing abuse, payment integrity and other apps. The insurance claims review segment dominates the medical fraud analysis market. With the increasing number of patients seeking health insurance, the increasing number of fraudulent claims, and the increasing popularity of advance payment review models, it is expected to drive growth in this area in the coming years.
This report contains market size and forecasts of Healthcare Fraud Analy in Global, including the following market information:
Global Healthcare Fraud Analy Market Revenue, 2017-2022, 2023-2028, ($ millions)
Global top five companies in 2021 (%)
The global Healthcare Fraud Analy market was valued at million in 2021 and is projected to reach US$ million by 2028, at a CAGR of % during the forecast period.
The U.S. Market is Estimated at $ Million in 2021, While China is Forecast to Reach $ Million by 2028.
Descriptive Analytics Segment to Reach $ Million by 2028, with a % CAGR in next six years.
The global key manufacturers of Healthcare Fraud Analy include IBM, Optum, SAS Institute, Change Healthcare, EXL Service Holdings, Cotiviti, Wipro Limited, Conduent and Pondera Solutions and etc. In 2021, the global top five players have a share approximately % in terms of revenue.
We surveyed the Healthcare Fraud Analy companies, and industry experts on this industry, involving the revenue, demand, product type, recent developments and plans, industry trends, drivers, challenges, obstacles, and potential risks.
Total Market by Segment:
Global Healthcare Fraud Analy Market, by Type, 2017-2022, 2023-2028 ($ millions)
Global Healthcare Fraud Analy Market Segment Percentages, by Type, 2021 (%)
Descriptive Analytics
Predictive Analytics
Prescriptive Analytics
Global Healthcare Fraud Analy Market, by Application, 2017-2022, 2023-2028 ($ millions)
Global Healthcare Fraud Analy Market Segment Percentages, by Application, 2021 (%)
Public and Government Agencies
Private Insurance Payers
Third-party Service Providers
Employers
Global Healthcare Fraud Analy Market, By Region and Country, 2017-2022, 2023-2028 ($ Millions)
Global Healthcare Fraud Analy Market Segment Percentages, By Region and Country, 2021 (%)
North America
US
Canada
Mexico
Europe
Germany
France
U.K.
Italy
Russia
Nordic Countries
Benelux
Rest of Europe
Asia
China
Japan
South Korea
Southeast Asia
India
Rest of Asia
South America
Brazil
Argentina
Rest of South America
Middle East & Africa
Turkey
Israel
Saudi Arabia
UAE
Rest of Middle East & Africa
Competitor Analysis
The report also provides analysis of leading market participants including:
Key companies Healthcare Fraud Analy revenues in global market, 2017-2022 (estimated), ($ millions)
Key companies Healthcare Fraud Analy revenues share in global market, 2021 (%)
Further, the report presents profiles of competitors in the market, key players include:
IBM
Optum
SAS Institute
Change Healthcare
EXL Service Holdings
Cotiviti
Wipro Limited
Conduent
Pondera Solutions
LexisNexis
