Healthcare Fraud Detection Market 2021
The global healthcare fraud detection market is projected to expand significantly at an astonishing 26.7% CAGR over the estimated years (2018-2023). Healthcare fraud takes places when a healthcare provider or an insured person offers misleading or false information to health insurance companies with an intention to have it paid to another party, individual, healthcare provider or policy holder for unauthorized benefits. Health care fraud comprise of medical fraud, drug fraud and health insurance fraud. Some common examples of such fraud include misrepresenting dates, duration, description of services and frequency, submitting claims for services that is not provided, numerous claims filed for same patients by different providers, data falsification by physicians. Healthcare fraud detection will help to prevent healthcare fraud, abuse and waste.
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Major Key Players:
DXC Technology Company
UNITEDHEALTH group
SAS Institute Inc.
WIPRO LIMITED
EXLSERVICE Holdings Inc.
International Business Machines Corporation (IBM)
COTIVITI INC.
McKesson Corporation
CGI INC
FAIR ISAAC Corporation and LEXISNEXIS
Segment Analysis
Market Research Future report offers an all-inclusive segmental analysis of the healthcare fraud detection market on the basis of component, end-user, delivery model, application and type.
Based on component, it is segmented into software and services. Of these, services will dominate the market over the estimated years.
Based on end-users, the healthcare fraud detection market is segmented into private insurance payers, employers, government agencies and others.
Based on delivery model, it is segmented into on-premise and on-demand delivery models. Of these, on-demand will dominate the market.
Based on application, the healthcare fraud detection market is segmented into insurance claims review and payment integrity. The insurance claims review is again segmented into post and prepayment review. Of these, insurance claims review will dominate the market.
Based on type, it is segmented into prescriptive analytics, descriptive analytics and predictive analytics. Of these, descriptive analytics will lead the healthcare fraud detection market over the estimated years.
Regional Analysis
Lower awareness level regarding healthcare fraud may hinder the market growth. The market research report suggests that could be supported by a huge patient pool opting for health care insurance as well as the growing number of healthcare BPO during the forecast period. The Healthcare Fraud Detection Market is set to register growth at a high CAGR owing to these key factors. The market is spread across North America, Europe, Asia-Pacific, and other parts of the world. The Global Research Report reveals that APAC, North America, and Europe regional markets will dominate the global market for Healthcare Fraud Detection during the forecast period 2016 to 2024. As per market analysts, the market is set to witness tremendous growth across software, private insurance payers, and cloud-based segments in North America which covers markets across the United States, Canada, Mexico and several other regional markets. Companies active in the healthcare fraud detection market are also analyzed and studied in the Market Research Report.
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