Healthcare Fraud Detection Market- Size, Share, Growth, Global Industry Trends, Scope, COVID-19 Impact, and Forecasts (2022 - 2030)
Market Insights:
Market Research
Future (MRFR) has revealed in its latest report that the global Healthcare
Fraud Detection market is set to thrive saliently at 30% CAGR during
the forecast period 2022 to 2030. The increasing count of causes related to
medical scams, false insurance claims, exploitation of medical funds, etc. has
necessitated the adoption of healthcare fraud detection technology, and the trend is anticipated to continue across
the review period.
With the
developments in the healthcare sector,
the number of frauds has been on the rise, which includes drug frauds, medical
insurance frauds, and medicine frauds. The growth of healthcare fraud
detection market is expected to accelerate considering the increasing number of
scams.
The embracement
of fraud analytics ensures optimum utilization of medical funds by minimizing
embezzlement of funds and subsidies. Thus, the Healthcare Fraud Detection
market Outlook is likely to proliferate
rapidly over the next couple of years.
Some of the
factors responsible for holding the market growth through the review period are
lack of skilled personnel, reluctance in the adoption
of the technology, etc.
Competitive Dashboard:
Some of the key players profiled by MRFR in Healthcare Fraud Detection Market are SAS, Conduent, Optum, Pondera, IBM, and Wipro among others. The
strategies devised by the players for garnering share and control over the
market include acquisitions & developments, strategic alliances,
technological developments, product portfolio expansion, innovation, etc.
Market Segmentation:
·
By components, the healthcare fraud detection market is segmented into software and services. Among these, the services
segment is likely to register a relatively higher CAGR during the projection
period.
·
By kinds, the global healthcare fraud detection market has been segmented into predictive analytics,
descriptive analytics, and prescriptive analytics. The prescriptive analytics segment is expected to show the steepest
rise in the growth while descriptive
analytics segment is estimated to be the primary revenue generator in the
market.
·
By delivery models, the healthcare fraud detection market is segmented into on-demand, and on-premise. Among these, the
on-demand segment is expected to demonstrate a relatively higher growth rate.
·
By end-users, the global healthcare fraud detection market has been segmented into employers,
regulatory/public agencies, private insurance payers, third-party services, payment integrity, insurance claim reviews,
and identity & case management.
Regional Analysis:
By region, the
global healthcare fraud detection market has been
segmented into Americas, Asia Pacific, Europe, and the Middle East &
Africa. Americas currently accounts for the largest
share of the global market and is expected to retain its dominance over the
forecast period. Europe is likely to hold the second spot in the global healthcare fraud detection market. The
growth of the market is attributable to technological developments,
accessibility to products & services, etc. Asia
Pacific is expected to remain a highly lucrative market throughout the
assessment period.
Industry News:
·
In July 2018, Zelis Healthcare,
a market-leading healthcare technology company, announced the launch of fully
integrated Zelis Intelligent Claims Routing Platform that leverages Microsoft
Azure Artificial Intelligence. Zelis will help in minimizing the complexity that occurs due to errors, waste,
fraud, and abuse.
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