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市場調査レポート
商品コード
1762886

ヘルスケア不正検知の世界市場 2025～2029年

Global Healthcare Fraud Detection Market 2025-2029

出版日
発行
TechNavio
ページ情報
英文 214 Pages
納期
即納可能 即納可能とは
カスタマイズ可能
価格
価格表記: USDを日本円(税抜)に換算
本日の銀行送金レート: 1USD=147.66円
ヘルスケア不正検知の世界市場 2025～2029年
出版日: 2025年06月26日
発行: TechNavio
ページ情報: 英文 214 Pages
納期: 即納可能 即納可能とは
GIIご利用のメリット
  • 全表示
  • 概要
  • 図表
  • 目次
概要

ヘルスケア不正検知市場は2024～2029年に10億9,210万米ドル、予測期間中のCAGRは11.8%で成長すると予測されます。当レポートでは、ヘルスケア不正検知市場の全体的な分析、市場規模・予測、動向、成長促進要因、課題、約25のベンダーを網羅したベンダー分析などを掲載しています。

現在の市場シナリオ、最新動向と促進要因、市場環境全体に関する最新分析を提供しています。市場は、健康保険を求める患者の増加、ヘルスケア不正事例の増加、ヘルスケアbpoおよび不正ID管理ソフトウェア数の増加が牽引しています。

市場範囲
基準年 2025年
終了年 2029年
予測期間 2025～2029年
成長モメンタム 加速
前年比 10.3%
CAGR 11.8%
増分額 10億9,210万米ドル

本調査は、業界の主要参加者からのインプットを含め、一次情報と二次情報を客観的に組み合わせて実施しました。レポートには、主要企業の分析に加え、包括的な市場規模データ、地域別分析によるセグメント、ベンダー情勢が含まれています。レポートには過去データと予測データがあります。

本調査では、今後数年間のヘルスケア不正検知市場の成長を促進する主な要因の1つとして、ソーシャルメディアの出現とヘルスケア業界への影響を挙げています。また、有利な政府のイニシアチブの増加や、不正検出のためのクラウドベースのソリューションの増加は、市場の大きな需要につながります。

目次

第1章 エグゼクティブサマリー

  • 市場概要

第2章 Technavio分析

  • 価格・ライフサイクル・顧客購入バスケット・採用率・購入基準の分析
  • インプットの重要性と差別化の要因
  • 混乱の要因
  • 促進要因と課題の影響

第3章 市場情勢

  • 市場エコシステム
  • 市場の特徴
  • バリューチェーン分析

第4章 市場規模

  • 市場の定義
  • 市場セグメント分析
  • 市場規模 2024年
  • 市場の見通し 2024～2029年

第5章 市場規模実績

  • ヘルスケア不正検知の世界市場 2019～2023年
  • タイプ別セグメント分析 2019～2023年
  • エンドユーザー別セグメント分析 2019～2023年
  • 配信方法別セグメント分析 2019～2023年
  • 地域別セグメント分析 2019～2023年
  • 国別セグメント分析 2019～2023年

第6章 定性分析

  • AIの影響：ヘルスケア不正検知の世界市場

第7章 ファイブフォース分析

  • ファイブフォースの要約
  • 買い手の交渉力
  • 供給企業の交渉力
  • 新規参入業者の脅威
  • 代替品の脅威
  • 競争の脅威
  • 市況

第8章 市場セグメンテーション：タイプ別

  • 市場セグメント
  • 比較：タイプ別
  • 記述的分析：市場規模と予測 2024～2029年
  • 予測分析：市場規模と予測 2024～2029年
  • 処方的分析：市場規模と予測 2024～2029年
  • 市場機会：タイプ別

第9章 市場セグメンテーション：エンドユーザー別

  • 市場セグメント
  • 比較：エンドユーザー別
  • 民間保険支払者：市場規模と予測 2024～2029年
  • サードパーティ管理者（TPA）：市場規模と予測 2024～2029年
  • 政府機関：市場規模と予測 2024～2029年
  • 病院およびヘルスケア提供者：市場規模と予測 2024～2029年
  • 市場機会：エンドユーザー別

第10章 市場セグメンテーション：配送方法別

  • 市場セグメント
  • 比較：配送方法別
  • クラウドベース：市場規模と予測 2024～2029年
  • オンプレミス：市場規模と予測 2024～2029年
  • 市場機会：配送方法別

第11章 顧客情勢

  • 顧客情勢の概要

第12章 地域別情勢

  • 地域別セグメンテーション
  • 地域別比較
  • 北米：市場規模と予測 2024～2029年
  • アジア：市場規模と予測 2024～2029年
  • 欧州：市場規模と予測 2024～2029年
  • 世界のその他の地域：市場規模と予測 2024～2029年
  • 米国：市場規模と予測 2024～2029年
  • カナダ：市場規模と予測 2024～2029年
  • 中国：市場規模と予測 2024～2029年
  • メキシコ：市場規模と予測 2024～2029年
  • ドイツ：市場規模と予測 2024～2029年
  • インド：市場規模と予測 2024～2029年
  • 英国：市場規模と予測 2024～2029年
  • ブラジル：市場規模と予測 2024～2029年
  • 日本：市場規模と予測 2024～2029年
  • フランス：市場規模と予測 2024～2029年
  • 市場機会：地域情勢別

第13章 促進要因・課題・機会・抑制要因

  • 市場促進要因
  • 市場の課題
  • 促進要因と課題の影響
  • 市場の機会・抑制要因

第14章 競合情勢

  • 概要
  • 競合情勢
  • 混乱の状況
  • 業界のリスク

第15章 競合分析

  • 企業プロファイル
  • 企業ランキング指数
  • 企業の市場ポジショニング
  • CGI Inc.
  • Change Healthcare Inc.
  • Conduent Inc.
  • Cotiviti Inc.
  • ExlService Holdings Inc.
  • Fair Isaac Corp.
  • H2O.ai Inc.
  • HCL Technologies Ltd.
  • Healthcare Fraud Shield
  • International Business Machines Corp.
  • Optum Inc.
  • Qlarant Quality Solutions Inc.
  • SAS Institute Inc.
  • Thomson Reuters Corp.
  • Wipro Ltd.

第16章 付録

図表

Exhibits:

  • Exhibits1: Executive Summary - Chart on Market Overview
  • Exhibits2: Executive Summary - Data Table on Market Overview
  • Exhibits3: Executive Summary - Chart on Global Market Characteristics
  • Exhibits4: Executive Summary - Chart on Market By Geographical Landscape
  • Exhibits5: Executive Summary - Chart on Market Segmentation by Type
  • Exhibits6: Executive Summary - Chart on Market Segmentation by End-user
  • Exhibits7: Executive Summary - Chart on Market Segmentation by Delivery Mode
  • Exhibits8: Executive Summary - Chart on Incremental Growth
  • Exhibits9: Executive Summary - Data Table on Incremental Growth
  • Exhibits10: Executive Summary - Chart on Company Market Positioning
  • Exhibits11: Analysis of price sensitivity, lifecycle, customer purchase basket, adoption rates, and purchase criteria
  • Exhibits12: Overview on criticality of inputs and factors of differentiation
  • Exhibits13: Overview on factors of disruption
  • Exhibits14: Impact of drivers and challenges in 2024 and 2029
  • Exhibits15: Parent Market
  • Exhibits16: Data Table on - Parent Market
  • Exhibits17: Market characteristics analysis
  • Exhibits18: Value chain analysis
  • Exhibits19: Offerings of companies included in the market definition
  • Exhibits20: Market segments
  • Exhibits21: Chart on Global - Market size and forecast 2024-2029 ($ million)
  • Exhibits22: Data Table on Global - Market size and forecast 2024-2029 ($ million)
  • Exhibits23: Chart on Global Market: Year-over-year growth 2024-2029 (%)
  • Exhibits24: Data Table on Global Market: Year-over-year growth 2024-2029 (%)
  • Exhibits25: Historic Market Size - Data Table on Global Healthcare Fraud Detection Market 2019 - 2023 ($ million)
  • Exhibits26: Historic Market Size - Type Segment 2019 - 2023 ($ million)
  • Exhibits27: Historic Market Size - End-user Segment 2019 - 2023 ($ million)
  • Exhibits28: Historic Market Size - Delivery Mode Segment 2019 - 2023 ($ million)
  • Exhibits29: Historic Market Size - Geography Segment 2019 - 2023 ($ million)
  • Exhibits30: Historic Market Size - Country Segment 2019 - 2023 ($ million)
  • Exhibits31: Five forces analysis - Comparison between 2024 and 2029
  • Exhibits32: Bargaining power of buyers - Impact of key factors 2024 and 2029
  • Exhibits33: Bargaining power of suppliers - Impact of key factors in 2024 and 2029
  • Exhibits34: Threat of new entrants - Impact of key factors in 2024 and 2029
  • Exhibits35: Threat of substitutes - Impact of key factors in 2024 and 2029
  • Exhibits36: Threat of rivalry - Impact of key factors in 2024 and 2029
  • Exhibits37: Chart on Market condition - Five forces 2024 and 2029
  • Exhibits38: Chart on Type - Market share 2024-2029 (%)
  • Exhibits39: Data Table on Type - Market share 2024-2029 (%)
  • Exhibits40: Chart on Comparison by Type
  • Exhibits41: Data Table on Comparison by Type
  • Exhibits42: Chart on Descriptive analytics - Market size and forecast 2024-2029 ($ million)
  • Exhibits43: Data Table on Descriptive analytics - Market size and forecast 2024-2029 ($ million)
  • Exhibits44: Chart on Descriptive analytics - Year-over-year growth 2024-2029 (%)
  • Exhibits45: Data Table on Descriptive analytics - Year-over-year growth 2024-2029 (%)
  • Exhibits46: Chart on Predictive analytics - Market size and forecast 2024-2029 ($ million)
  • Exhibits47: Data Table on Predictive analytics - Market size and forecast 2024-2029 ($ million)
  • Exhibits48: Chart on Predictive analytics - Year-over-year growth 2024-2029 (%)
  • Exhibits49: Data Table on Predictive analytics - Year-over-year growth 2024-2029 (%)
  • Exhibits50: Chart on Prescriptive analytics - Market size and forecast 2024-2029 ($ million)
  • Exhibits51: Data Table on Prescriptive analytics - Market size and forecast 2024-2029 ($ million)
  • Exhibits52: Chart on Prescriptive analytics - Year-over-year growth 2024-2029 (%)
  • Exhibits53: Data Table on Prescriptive analytics - Year-over-year growth 2024-2029 (%)
  • Exhibits54: Market opportunity by Type ($ million)
  • Exhibits55: Data Table on Market opportunity by Type ($ million)
  • Exhibits56: Chart on End-user - Market share 2024-2029 (%)
  • Exhibits57: Data Table on End-user - Market share 2024-2029 (%)
  • Exhibits58: Chart on Comparison by End-user
  • Exhibits59: Data Table on Comparison by End-user
  • Exhibits60: Chart on Private insurance payers - Market size and forecast 2024-2029 ($ million)
  • Exhibits61: Data Table on Private insurance payers - Market size and forecast 2024-2029 ($ million)
  • Exhibits62: Chart on Private insurance payers - Year-over-year growth 2024-2029 (%)
  • Exhibits63: Data Table on Private insurance payers - Year-over-year growth 2024-2029 (%)
  • Exhibits64: Chart on Third-party administrators (TPAs) - Market size and forecast 2024-2029 ($ million)
  • Exhibits65: Data Table on Third-party administrators (TPAs) - Market size and forecast 2024-2029 ($ million)
  • Exhibits66: Chart on Third-party administrators (TPAs) - Year-over-year growth 2024-2029 (%)
  • Exhibits67: Data Table on Third-party administrators (TPAs) - Year-over-year growth 2024-2029 (%)
  • Exhibits68: Chart on Government agencies - Market size and forecast 2024-2029 ($ million)
  • Exhibits69: Data Table on Government agencies - Market size and forecast 2024-2029 ($ million)
  • Exhibits70: Chart on Government agencies - Year-over-year growth 2024-2029 (%)
  • Exhibits71: Data Table on Government agencies - Year-over-year growth 2024-2029 (%)
  • Exhibits72: Chart on Hospitals and healthcare providers - Market size and forecast 2024-2029 ($ million)
  • Exhibits73: Data Table on Hospitals and healthcare providers - Market size and forecast 2024-2029 ($ million)
  • Exhibits74: Chart on Hospitals and healthcare providers - Year-over-year growth 2024-2029 (%)
  • Exhibits75: Data Table on Hospitals and healthcare providers - Year-over-year growth 2024-2029 (%)
  • Exhibits76: Market opportunity by End-user ($ million)
  • Exhibits77: Data Table on Market opportunity by End-user ($ million)
  • Exhibits78: Chart on Delivery Mode - Market share 2024-2029 (%)
  • Exhibits79: Data Table on Delivery Mode - Market share 2024-2029 (%)
  • Exhibits80: Chart on Comparison by Delivery Mode
  • Exhibits81: Data Table on Comparison by Delivery Mode
  • Exhibits82: Chart on Cloud-based - Market size and forecast 2024-2029 ($ million)
  • Exhibits83: Data Table on Cloud-based - Market size and forecast 2024-2029 ($ million)
  • Exhibits84: Chart on Cloud-based - Year-over-year growth 2024-2029 (%)
  • Exhibits85: Data Table on Cloud-based - Year-over-year growth 2024-2029 (%)
  • Exhibits86: Chart on On-premises - Market size and forecast 2024-2029 ($ million)
  • Exhibits87: Data Table on On-premises - Market size and forecast 2024-2029 ($ million)
  • Exhibits88: Chart on On-premises - Year-over-year growth 2024-2029 (%)
  • Exhibits89: Data Table on On-premises - Year-over-year growth 2024-2029 (%)
  • Exhibits90: Market opportunity by Delivery Mode ($ million)
  • Exhibits91: Data Table on Market opportunity by Delivery Mode ($ million)
  • Exhibits92: Analysis of price sensitivity, lifecycle, customer purchase basket, adoption rates, and purchase criteria
  • Exhibits93: Chart on Market share By Geographical Landscape 2024-2029 (%)
  • Exhibits94: Data Table on Market share By Geographical Landscape 2024-2029 (%)
  • Exhibits95: Chart on Geographic comparison
  • Exhibits96: Data Table on Geographic comparison
  • Exhibits97: Chart on North America - Market size and forecast 2024-2029 ($ million)
  • Exhibits98: Data Table on North America - Market size and forecast 2024-2029 ($ million)
  • Exhibits99: Chart on North America - Year-over-year growth 2024-2029 (%)
  • Exhibits100: Data Table on North America - Year-over-year growth 2024-2029 (%)
  • Exhibits101: Chart on Asia - Market size and forecast 2024-2029 ($ million)
  • Exhibits102: Data Table on Asia - Market size and forecast 2024-2029 ($ million)
  • Exhibits103: Chart on Asia - Year-over-year growth 2024-2029 (%)
  • Exhibits104: Data Table on Asia - Year-over-year growth 2024-2029 (%)
  • Exhibits105: Chart on Europe - Market size and forecast 2024-2029 ($ million)
  • Exhibits106: Data Table on Europe - Market size and forecast 2024-2029 ($ million)
  • Exhibits107: Chart on Europe - Year-over-year growth 2024-2029 (%)
  • Exhibits108: Data Table on Europe - Year-over-year growth 2024-2029 (%)
  • Exhibits109: Chart on Rest of World (ROW) - Market size and forecast 2024-2029 ($ million)
  • Exhibits110: Data Table on Rest of World (ROW) - Market size and forecast 2024-2029 ($ million)
  • Exhibits111: Chart on Rest of World (ROW) - Year-over-year growth 2024-2029 (%)
  • Exhibits112: Data Table on Rest of World (ROW) - Year-over-year growth 2024-2029 (%)
  • Exhibits113: Chart on US - Market size and forecast 2024-2029 ($ million)
  • Exhibits114: Data Table on US - Market size and forecast 2024-2029 ($ million)
  • Exhibits115: Chart on US - Year-over-year growth 2024-2029 (%)
  • Exhibits116: Data Table on US - Year-over-year growth 2024-2029 (%)
  • Exhibits117: Chart on Canada - Market size and forecast 2024-2029 ($ million)
  • Exhibits118: Data Table on Canada - Market size and forecast 2024-2029 ($ million)
  • Exhibits119: Chart on Canada - Year-over-year growth 2024-2029 (%)
  • Exhibits120: Data Table on Canada - Year-over-year growth 2024-2029 (%)
  • Exhibits121: Chart on China - Market size and forecast 2024-2029 ($ million)
  • Exhibits122: Data Table on China - Market size and forecast 2024-2029 ($ million)
  • Exhibits123: Chart on China - Year-over-year growth 2024-2029 (%)
  • Exhibits124: Data Table on China - Year-over-year growth 2024-2029 (%)
  • Exhibits125: Chart on Mexico - Market size and forecast 2024-2029 ($ million)
  • Exhibits126: Data Table on Mexico - Market size and forecast 2024-2029 ($ million)
  • Exhibits127: Chart on Mexico - Year-over-year growth 2024-2029 (%)
  • Exhibits128: Data Table on Mexico - Year-over-year growth 2024-2029 (%)
  • Exhibits129: Chart on Germany - Market size and forecast 2024-2029 ($ million)
  • Exhibits130: Data Table on Germany - Market size and forecast 2024-2029 ($ million)
  • Exhibits131: Chart on Germany - Year-over-year growth 2024-2029 (%)
  • Exhibits132: Data Table on Germany - Year-over-year growth 2024-2029 (%)
  • Exhibits133: Chart on India - Market size and forecast 2024-2029 ($ million)
  • Exhibits134: Data Table on India - Market size and forecast 2024-2029 ($ million)
  • Exhibits135: Chart on India - Year-over-year growth 2024-2029 (%)
  • Exhibits136: Data Table on India - Year-over-year growth 2024-2029 (%)
  • Exhibits137: Chart on UK - Market size and forecast 2024-2029 ($ million)
  • Exhibits138: Data Table on UK - Market size and forecast 2024-2029 ($ million)
  • Exhibits139: Chart on UK - Year-over-year growth 2024-2029 (%)
  • Exhibits140: Data Table on UK - Year-over-year growth 2024-2029 (%)
  • Exhibits141: Chart on Brazil - Market size and forecast 2024-2029 ($ million)
  • Exhibits142: Data Table on Brazil - Market size and forecast 2024-2029 ($ million)
  • Exhibits143: Chart on Brazil - Year-over-year growth 2024-2029 (%)
  • Exhibits144: Data Table on Brazil - Year-over-year growth 2024-2029 (%)
  • Exhibits145: Chart on Japan - Market size and forecast 2024-2029 ($ million)
  • Exhibits146: Data Table on Japan - Market size and forecast 2024-2029 ($ million)
  • Exhibits147: Chart on Japan - Year-over-year growth 2024-2029 (%)
  • Exhibits148: Data Table on Japan - Year-over-year growth 2024-2029 (%)
  • Exhibits149: Chart on France - Market size and forecast 2024-2029 ($ million)
  • Exhibits150: Data Table on France - Market size and forecast 2024-2029 ($ million)
  • Exhibits151: Chart on France - Year-over-year growth 2024-2029 (%)
  • Exhibits152: Data Table on France - Year-over-year growth 2024-2029 (%)
  • Exhibits153: Market opportunity By Geographical Landscape ($ million)
  • Exhibits154: Data Tables on Market opportunity By Geographical Landscape ($ million)
  • Exhibits155: Impact of drivers and challenges in 2024 and 2029
  • Exhibits156: Overview on criticality of inputs and factors of differentiation
  • Exhibits157: Overview on factors of disruption
  • Exhibits158: Impact of key risks on business
  • Exhibits159: Companies covered
  • Exhibits160: Company ranking index
  • Exhibits161: Matrix on companies position and classification
  • Exhibits162: CGI Inc. - Overview
  • Exhibits163: CGI Inc. - Business segments
  • Exhibits164: CGI Inc. - Key news
  • Exhibits165: CGI Inc. - Key offerings
  • Exhibits166: CGI Inc. - Segment focus
  • Exhibits167: SWOT
  • Exhibits168: Change Healthcare Inc. - Overview
  • Exhibits169: Change Healthcare Inc. - Product / Service
  • Exhibits170: Change Healthcare Inc. - Key offerings
  • Exhibits171: SWOT
  • Exhibits172: Conduent Inc. - Overview
  • Exhibits173: Conduent Inc. - Business segments
  • Exhibits174: Conduent Inc. - Key offerings
  • Exhibits175: Conduent Inc. - Segment focus
  • Exhibits176: SWOT
  • Exhibits177: Cotiviti Inc. - Overview
  • Exhibits178: Cotiviti Inc. - Product / Service
  • Exhibits179: Cotiviti Inc. - Key offerings
  • Exhibits180: SWOT
  • Exhibits181: ExlService Holdings Inc. - Overview
  • Exhibits182: ExlService Holdings Inc. - Business segments
  • Exhibits183: ExlService Holdings Inc. - Key offerings
  • Exhibits184: ExlService Holdings Inc. - Segment focus
  • Exhibits185: SWOT
  • Exhibits186: Fair Isaac Corp. - Overview
  • Exhibits187: Fair Isaac Corp. - Business segments
  • Exhibits188: Fair Isaac Corp. - Key news
  • Exhibits189: Fair Isaac Corp. - Key offerings
  • Exhibits190: Fair Isaac Corp. - Segment focus
  • Exhibits191: SWOT
  • Exhibits192: H2O.ai Inc. - Overview
  • Exhibits193: H2O.ai Inc. - Product / Service
  • Exhibits194: H2O.ai Inc. - Key offerings
  • Exhibits195: SWOT
  • Exhibits196: HCL Technologies Ltd. - Overview
  • Exhibits197: HCL Technologies Ltd. - Business segments
  • Exhibits198: HCL Technologies Ltd. - Key news
  • Exhibits199: HCL Technologies Ltd. - Key offerings
  • Exhibits200: HCL Technologies Ltd. - Segment focus
  • Exhibits201: SWOT
  • Exhibits202: Healthcare Fraud Shield - Overview
  • Exhibits203: Healthcare Fraud Shield - Product / Service
  • Exhibits204: Healthcare Fraud Shield - Key offerings
  • Exhibits205: SWOT
  • Exhibits206: International Business Machines Corp. - Overview
  • Exhibits207: International Business Machines Corp. - Business segments
  • Exhibits208: International Business Machines Corp. - Key news
  • Exhibits209: International Business Machines Corp. - Key offerings
  • Exhibits210: International Business Machines Corp. - Segment focus
  • Exhibits211: SWOT
  • Exhibits212: Optum Inc. - Overview
  • Exhibits213: Optum Inc. - Product / Service
  • Exhibits214: Optum Inc. - Key offerings
  • Exhibits215: SWOT
  • Exhibits216: Qlarant Quality Solutions Inc. - Overview
  • Exhibits217: Qlarant Quality Solutions Inc. - Product / Service
  • Exhibits218: Qlarant Quality Solutions Inc. - Key offerings
  • Exhibits219: SWOT
  • Exhibits220: SAS Institute Inc. - Overview
  • Exhibits221: SAS Institute Inc. - Product / Service
  • Exhibits222: SAS Institute Inc. - Key news
  • Exhibits223: SAS Institute Inc. - Key offerings
  • Exhibits224: SWOT
  • Exhibits225: Thomson Reuters Corp. - Overview
  • Exhibits226: Thomson Reuters Corp. - Business segments
  • Exhibits227: Thomson Reuters Corp. - Key news
  • Exhibits228: Thomson Reuters Corp. - Key offerings
  • Exhibits229: Thomson Reuters Corp. - Segment focus
  • Exhibits230: SWOT
  • Exhibits231: Wipro Ltd. - Overview
  • Exhibits232: Wipro Ltd. - Business segments
  • Exhibits233: Wipro Ltd. - Key news
  • Exhibits234: Wipro Ltd. - Key offerings
  • Exhibits235: Wipro Ltd. - Segment focus
  • Exhibits236: SWOT
  • Exhibits237: Inclusions checklist
  • Exhibits238: Exclusions checklist
  • Exhibits239: Currency conversion rates for US$
  • Exhibits240: Research methodology
  • Exhibits241: Information sources
  • Exhibits242: Data validation
  • Exhibits243: Validation techniques employed for market sizing
  • Exhibits244: Data synthesis
  • Exhibits245: 360 degree market analysis
  • Exhibits246: List of abbreviations
目次
Product Code: IRTNTR71895

The healthcare fraud detection market is forecasted to grow by USD 1,092.1 mn during 2024-2029, accelerating at a CAGR of 11.8% during the forecast period. The report on the healthcare fraud detection market provides a holistic analysis, market size and forecast, trends, growth drivers, and challenges, as well as vendor analysis covering around 25 vendors.

The report offers an up-to-date analysis regarding the current market scenario, the latest trends and drivers, and the overall market environment. The market is driven by increased number of patients seeking health insurance, increasing cases of healthcare fraud, and rise in number of health care bpo and fraud identity management software.

Market Scope
Base Year2025
End Year2029
Series Year2025-2029
Growth MomentumAccelerate
YOY 202510.3%
CAGR11.8%
Incremental Value$1,092.1 mn

The study was conducted using an objective combination of primary and secondary information including inputs from key participants in the industry. The report contains a comprehensive market size data, segment with regional analysis and vendor landscape in addition to an analysis of the key companies. Reports have historic and forecast data.

Technavio's healthcare fraud detection market is segmented as below:

By Type

    • Descriptive analytics
    • Predictive analytics
    • Prescriptive analytics

By End-user

    • Private insurance payers
    • Third-party administrators (TPAs)
    • Government agencies
    • Hospitals and healthcare providers

By Delivery Mode

    • Cloud-based
    • On-premises

By Geographical Landscape

    • North America
    • Asia
    • Europe
    • Rest of World (ROW)

This study identifies the emergence of social media and its impact on healthcare industry as one of the prime reasons driving the healthcare fraud detection market growth during the next few years. Also, increasing favorable government initiatives and increase in cloud-based solutions for fraud detection will lead to sizable demand in the market.

The report on the healthcare fraud detection market covers the following areas:

    • Healthcare Fraud Detection Market sizing
    • Healthcare Fraud Detection Market forecast
    • Healthcare Fraud Detection Market industry analysis

The robust vendor analysis is designed to help clients improve their market position, and in line with this, this report provides a detailed analysis of several leading healthcare fraud detection market vendors that include CGI Inc., Change Healthcare Inc., Codoxo, Conduent Inc., Cotiviti Inc., ExlService Holdings Inc., Fair Isaac Corp., FraudLens, H2O.ai Inc., HCL Technologies Ltd., Healthcare Fraud Shield, International Business Machines Corp., Optum Inc., OSP, Qlarant Quality Solutions Inc., SAS Institute Inc., Thomson Reuters Corp., and Wipro Ltd.. Also, the healthcare fraud detection market analysis report includes information on upcoming trends and challenges that will influence market growth. This is to help companies strategize and leverage all forthcoming growth opportunities.

The publisher presents a detailed picture of the market by the way of study, synthesis, and summation of data from multiple sources by an analysis of key parameters such as profit, pricing, competition, and promotions. It presents various market facets by identifying the key industry influencers. The data presented is comprehensive, reliable, and a result of extensive primary and secondary research. The market research reports provide a complete competitive landscape and an in-depth vendor selection methodology and analysis using qualitative and quantitative research to forecast accurate market growth.

Table of Contents

1 Executive Summary

  • 1.1 Market overview
    • Executive Summary - Chart on Market Overview
    • Executive Summary - Data Table on Market Overview
    • Executive Summary - Chart on Global Market Characteristics
    • Executive Summary - Chart on Market By Geographical Landscape
    • Executive Summary - Chart on Market Segmentation by Type
    • Executive Summary - Chart on Market Segmentation by End-user
    • Executive Summary - Chart on Market Segmentation by Delivery Mode
    • Executive Summary - Chart on Incremental Growth
    • Executive Summary - Data Table on Incremental Growth
    • Executive Summary - Chart on Company Market Positioning

2 Technavio Analysis

  • 2.1 Analysis of price sensitivity, lifecycle, customer purchase basket, adoption rates, and purchase criteria
    • Analysis of price sensitivity, lifecycle, customer purchase basket, adoption rates, and purchase criteria
  • 2.2 Criticality of inputs and Factors of differentiation
    • Overview on criticality of inputs and factors of differentiation
  • 2.3 Factors of disruption
    • Overview on factors of disruption
  • 2.4 Impact of drivers and challenges
    • Impact of drivers and challenges in 2024 and 2029

3 Market Landscape

  • 3.1 Market ecosystem
    • Parent Market
    • Data Table on - Parent Market
  • 3.2 Market characteristics
    • Market characteristics analysis
  • 3.3 Value chain analysis
    • Value chain analysis

4 Market Sizing

  • 4.1 Market definition
    • Offerings of companies included in the market definition
  • 4.2 Market segment analysis
    • Market segments
  • 4.3 Market size 2024
  • 4.4 Market outlook: Forecast for 2024-2029
    • Chart on Global - Market size and forecast 2024-2029 ($ million)
    • Data Table on Global - Market size and forecast 2024-2029 ($ million)
    • Chart on Global Market: Year-over-year growth 2024-2029 (%)
    • Data Table on Global Market: Year-over-year growth 2024-2029 (%)

5 Historic Market Size

  • 5.1 Global Healthcare Fraud Detection Market 2019 - 2023
    • Historic Market Size - Data Table on Global Healthcare Fraud Detection Market 2019 - 2023 ($ million)
  • 5.2 Type segment analysis 2019 - 2023
    • Historic Market Size - Type Segment 2019 - 2023 ($ million)
  • 5.3 End-user segment analysis 2019 - 2023
    • Historic Market Size - End-user Segment 2019 - 2023 ($ million)
  • 5.4 Delivery Mode segment analysis 2019 - 2023
    • Historic Market Size - Delivery Mode Segment 2019 - 2023 ($ million)
  • 5.5 Geography segment analysis 2019 - 2023
    • Historic Market Size - Geography Segment 2019 - 2023 ($ million)
  • 5.6 Country segment analysis 2019 - 2023
    • Historic Market Size - Country Segment 2019 - 2023 ($ million)

6 Qualitative Analysis

  • 6.1 The AI impact on Global Healthcare Fraud Detection Market

7 Five Forces Analysis

  • 7.1 Five forces summary
    • Five forces analysis - Comparison between 2024 and 2029
  • 7.2 Bargaining power of buyers
    • Bargaining power of buyers - Impact of key factors 2024 and 2029
  • 7.3 Bargaining power of suppliers
    • Bargaining power of suppliers - Impact of key factors in 2024 and 2029
  • 7.4 Threat of new entrants
    • Threat of new entrants - Impact of key factors in 2024 and 2029
  • 7.5 Threat of substitutes
    • Threat of substitutes - Impact of key factors in 2024 and 2029
  • 7.6 Threat of rivalry
    • Threat of rivalry - Impact of key factors in 2024 and 2029
  • 7.7 Market condition
    • Chart on Market condition - Five forces 2024 and 2029

8 Market Segmentation by Type

  • 8.1 Market segments
    • Chart on Type - Market share 2024-2029 (%)
    • Data Table on Type - Market share 2024-2029 (%)
  • 8.2 Comparison by Type
    • Chart on Comparison by Type
    • Data Table on Comparison by Type
  • 8.3 Descriptive analytics - Market size and forecast 2024-2029
    • Chart on Descriptive analytics - Market size and forecast 2024-2029 ($ million)
    • Data Table on Descriptive analytics - Market size and forecast 2024-2029 ($ million)
    • Chart on Descriptive analytics - Year-over-year growth 2024-2029 (%)
    • Data Table on Descriptive analytics - Year-over-year growth 2024-2029 (%)
  • 8.4 Predictive analytics - Market size and forecast 2024-2029
    • Chart on Predictive analytics - Market size and forecast 2024-2029 ($ million)
    • Data Table on Predictive analytics - Market size and forecast 2024-2029 ($ million)
    • Chart on Predictive analytics - Year-over-year growth 2024-2029 (%)
    • Data Table on Predictive analytics - Year-over-year growth 2024-2029 (%)
  • 8.5 Prescriptive analytics - Market size and forecast 2024-2029
    • Chart on Prescriptive analytics - Market size and forecast 2024-2029 ($ million)
    • Data Table on Prescriptive analytics - Market size and forecast 2024-2029 ($ million)
    • Chart on Prescriptive analytics - Year-over-year growth 2024-2029 (%)
    • Data Table on Prescriptive analytics - Year-over-year growth 2024-2029 (%)
  • 8.6 Market opportunity by Type
    • Market opportunity by Type ($ million)
    • Data Table on Market opportunity by Type ($ million)

9 Market Segmentation by End-user

  • 9.1 Market segments
    • Chart on End-user - Market share 2024-2029 (%)
    • Data Table on End-user - Market share 2024-2029 (%)
  • 9.2 Comparison by End-user
    • Chart on Comparison by End-user
    • Data Table on Comparison by End-user
  • 9.3 Private insurance payers - Market size and forecast 2024-2029
    • Chart on Private insurance payers - Market size and forecast 2024-2029 ($ million)
    • Data Table on Private insurance payers - Market size and forecast 2024-2029 ($ million)
    • Chart on Private insurance payers - Year-over-year growth 2024-2029 (%)
    • Data Table on Private insurance payers - Year-over-year growth 2024-2029 (%)
  • 9.4 Third-party administrators (TPAs) - Market size and forecast 2024-2029
    • Chart on Third-party administrators (TPAs) - Market size and forecast 2024-2029 ($ million)
    • Data Table on Third-party administrators (TPAs) - Market size and forecast 2024-2029 ($ million)
    • Chart on Third-party administrators (TPAs) - Year-over-year growth 2024-2029 (%)
    • Data Table on Third-party administrators (TPAs) - Year-over-year growth 2024-2029 (%)
  • 9.5 Government agencies - Market size and forecast 2024-2029
    • Chart on Government agencies - Market size and forecast 2024-2029 ($ million)
    • Data Table on Government agencies - Market size and forecast 2024-2029 ($ million)
    • Chart on Government agencies - Year-over-year growth 2024-2029 (%)
    • Data Table on Government agencies - Year-over-year growth 2024-2029 (%)
  • 9.6 Hospitals and healthcare providers - Market size and forecast 2024-2029
    • Chart on Hospitals and healthcare providers - Market size and forecast 2024-2029 ($ million)
    • Data Table on Hospitals and healthcare providers - Market size and forecast 2024-2029 ($ million)
    • Chart on Hospitals and healthcare providers - Year-over-year growth 2024-2029 (%)
    • Data Table on Hospitals and healthcare providers - Year-over-year growth 2024-2029 (%)
  • 9.7 Market opportunity by End-user
    • Market opportunity by End-user ($ million)
    • Data Table on Market opportunity by End-user ($ million)

10 Market Segmentation by Delivery Mode

  • 10.1 Market segments
    • Chart on Delivery Mode - Market share 2024-2029 (%)
    • Data Table on Delivery Mode - Market share 2024-2029 (%)
  • 10.2 Comparison by Delivery Mode
    • Chart on Comparison by Delivery Mode
    • Data Table on Comparison by Delivery Mode
  • 10.3 Cloud-based - Market size and forecast 2024-2029
    • Chart on Cloud-based - Market size and forecast 2024-2029 ($ million)
    • Data Table on Cloud-based - Market size and forecast 2024-2029 ($ million)
    • Chart on Cloud-based - Year-over-year growth 2024-2029 (%)
    • Data Table on Cloud-based - Year-over-year growth 2024-2029 (%)
  • 10.4 On-premises - Market size and forecast 2024-2029
    • Chart on On-premises - Market size and forecast 2024-2029 ($ million)
    • Data Table on On-premises - Market size and forecast 2024-2029 ($ million)
    • Chart on On-premises - Year-over-year growth 2024-2029 (%)
    • Data Table on On-premises - Year-over-year growth 2024-2029 (%)
  • 10.5 Market opportunity by Delivery Mode
    • Market opportunity by Delivery Mode ($ million)
    • Data Table on Market opportunity by Delivery Mode ($ million)

11 Customer Landscape

  • 11.1 Customer landscape overview
    • Analysis of price sensitivity, lifecycle, customer purchase basket, adoption rates, and purchase criteria

12 Geographic Landscape

  • 12.1 Geographic segmentation
    • Chart on Market share By Geographical Landscape 2024-2029 (%)
    • Data Table on Market share By Geographical Landscape 2024-2029 (%)
  • 12.2 Geographic comparison
    • Chart on Geographic comparison
    • Data Table on Geographic comparison
  • 12.3 North America - Market size and forecast 2024-2029
    • Chart on North America - Market size and forecast 2024-2029 ($ million)
    • Data Table on North America - Market size and forecast 2024-2029 ($ million)
    • Chart on North America - Year-over-year growth 2024-2029 (%)
    • Data Table on North America - Year-over-year growth 2024-2029 (%)
  • 12.4 Asia - Market size and forecast 2024-2029
    • Chart on Asia - Market size and forecast 2024-2029 ($ million)
    • Data Table on Asia - Market size and forecast 2024-2029 ($ million)
    • Chart on Asia - Year-over-year growth 2024-2029 (%)
    • Data Table on Asia - Year-over-year growth 2024-2029 (%)
  • 12.5 Europe - Market size and forecast 2024-2029
    • Chart on Europe - Market size and forecast 2024-2029 ($ million)
    • Data Table on Europe - Market size and forecast 2024-2029 ($ million)
    • Chart on Europe - Year-over-year growth 2024-2029 (%)
    • Data Table on Europe - Year-over-year growth 2024-2029 (%)
  • 12.6 Rest of World (ROW) - Market size and forecast 2024-2029
    • Chart on Rest of World (ROW) - Market size and forecast 2024-2029 ($ million)
    • Data Table on Rest of World (ROW) - Market size and forecast 2024-2029 ($ million)
    • Chart on Rest of World (ROW) - Year-over-year growth 2024-2029 (%)
    • Data Table on Rest of World (ROW) - Year-over-year growth 2024-2029 (%)
  • 12.7 US - Market size and forecast 2024-2029
    • Chart on US - Market size and forecast 2024-2029 ($ million)
    • Data Table on US - Market size and forecast 2024-2029 ($ million)
    • Chart on US - Year-over-year growth 2024-2029 (%)
    • Data Table on US - Year-over-year growth 2024-2029 (%)
  • 12.8 Canada - Market size and forecast 2024-2029
    • Chart on Canada - Market size and forecast 2024-2029 ($ million)
    • Data Table on Canada - Market size and forecast 2024-2029 ($ million)
    • Chart on Canada - Year-over-year growth 2024-2029 (%)
    • Data Table on Canada - Year-over-year growth 2024-2029 (%)
  • 12.9 China - Market size and forecast 2024-2029
    • Chart on China - Market size and forecast 2024-2029 ($ million)
    • Data Table on China - Market size and forecast 2024-2029 ($ million)
    • Chart on China - Year-over-year growth 2024-2029 (%)
    • Data Table on China - Year-over-year growth 2024-2029 (%)
  • 12.10 Mexico - Market size and forecast 2024-2029
    • Chart on Mexico - Market size and forecast 2024-2029 ($ million)
    • Data Table on Mexico - Market size and forecast 2024-2029 ($ million)
    • Chart on Mexico - Year-over-year growth 2024-2029 (%)
    • Data Table on Mexico - Year-over-year growth 2024-2029 (%)
  • 12.11 Germany - Market size and forecast 2024-2029
    • Chart on Germany - Market size and forecast 2024-2029 ($ million)
    • Data Table on Germany - Market size and forecast 2024-2029 ($ million)
    • Chart on Germany - Year-over-year growth 2024-2029 (%)
    • Data Table on Germany - Year-over-year growth 2024-2029 (%)
  • 12.12 India - Market size and forecast 2024-2029
    • Chart on India - Market size and forecast 2024-2029 ($ million)
    • Data Table on India - Market size and forecast 2024-2029 ($ million)
    • Chart on India - Year-over-year growth 2024-2029 (%)
    • Data Table on India - Year-over-year growth 2024-2029 (%)
  • 12.13 UK - Market size and forecast 2024-2029
    • Chart on UK - Market size and forecast 2024-2029 ($ million)
    • Data Table on UK - Market size and forecast 2024-2029 ($ million)
    • Chart on UK - Year-over-year growth 2024-2029 (%)
    • Data Table on UK - Year-over-year growth 2024-2029 (%)
  • 12.14 Brazil - Market size and forecast 2024-2029
    • Chart on Brazil - Market size and forecast 2024-2029 ($ million)
    • Data Table on Brazil - Market size and forecast 2024-2029 ($ million)
    • Chart on Brazil - Year-over-year growth 2024-2029 (%)
    • Data Table on Brazil - Year-over-year growth 2024-2029 (%)
  • 12.15 Japan - Market size and forecast 2024-2029
    • Chart on Japan - Market size and forecast 2024-2029 ($ million)
    • Data Table on Japan - Market size and forecast 2024-2029 ($ million)
    • Chart on Japan - Year-over-year growth 2024-2029 (%)
    • Data Table on Japan - Year-over-year growth 2024-2029 (%)
  • 12.16 France - Market size and forecast 2024-2029
    • Chart on France - Market size and forecast 2024-2029 ($ million)
    • Data Table on France - Market size and forecast 2024-2029 ($ million)
    • Chart on France - Year-over-year growth 2024-2029 (%)
    • Data Table on France - Year-over-year growth 2024-2029 (%)
  • 12.17 Market opportunity By Geographical Landscape
    • Market opportunity By Geographical Landscape ($ million)
    • Data Tables on Market opportunity By Geographical Landscape ($ million)

13 Drivers, Challenges, and Opportunity/Restraints

  • 13.1 Market drivers
  • 13.2 Market challenges
  • 13.3 Impact of drivers and challenges
    • Impact of drivers and challenges in 2024 and 2029
  • 13.4 Market opportunities/restraints

14 Competitive Landscape

  • 14.1 Overview
  • 14.2 Competitive Landscape
    • Overview on criticality of inputs and factors of differentiation
  • 14.3 Landscape disruption
    • Overview on factors of disruption
  • 14.4 Industry risks
    • Impact of key risks on business

15 Competitive Analysis

  • 15.1 Companies profiled
    • Companies covered
  • 15.2 Company ranking index
    • Company ranking index
  • 15.3 Market positioning of companies
    • Matrix on companies position and classification
  • 15.4 CGI Inc.
    • CGI Inc. - Overview
    • CGI Inc. - Business segments
    • CGI Inc. - Key news
    • CGI Inc. - Key offerings
    • CGI Inc. - Segment focus
    • SWOT
  • 15.5 Change Healthcare Inc.
    • Change Healthcare Inc. - Overview
    • Change Healthcare Inc. - Product / Service
    • Change Healthcare Inc. - Key offerings
    • SWOT
  • 15.6 Conduent Inc.
    • Conduent Inc. - Overview
    • Conduent Inc. - Business segments
    • Conduent Inc. - Key offerings
    • Conduent Inc. - Segment focus
    • SWOT
  • 15.7 Cotiviti Inc.
    • Cotiviti Inc. - Overview
    • Cotiviti Inc. - Product / Service
    • Cotiviti Inc. - Key offerings
    • SWOT
  • 15.8 ExlService Holdings Inc.
    • ExlService Holdings Inc. - Overview
    • ExlService Holdings Inc. - Business segments
    • ExlService Holdings Inc. - Key offerings
    • ExlService Holdings Inc. - Segment focus
    • SWOT
  • 15.9 Fair Isaac Corp.
    • Fair Isaac Corp. - Overview
    • Fair Isaac Corp. - Business segments
    • Fair Isaac Corp. - Key news
    • Fair Isaac Corp. - Key offerings
    • Fair Isaac Corp. - Segment focus
    • SWOT
  • 15.10 H2O.ai Inc.
    • H2O.ai Inc. - Overview
    • H2O.ai Inc. - Product / Service
    • H2O.ai Inc. - Key offerings
    • SWOT
  • 15.11 HCL Technologies Ltd.
    • HCL Technologies Ltd. - Overview
    • HCL Technologies Ltd. - Business segments
    • HCL Technologies Ltd. - Key news
    • HCL Technologies Ltd. - Key offerings
    • HCL Technologies Ltd. - Segment focus
    • SWOT
  • 15.12 Healthcare Fraud Shield
    • Healthcare Fraud Shield - Overview
    • Healthcare Fraud Shield - Product / Service
    • Healthcare Fraud Shield - Key offerings
    • SWOT
  • 15.13 International Business Machines Corp.
    • International Business Machines Corp. - Overview
    • International Business Machines Corp. - Business segments
    • International Business Machines Corp. - Key news
    • International Business Machines Corp. - Key offerings
    • International Business Machines Corp. - Segment focus
    • SWOT
  • 15.14 Optum Inc.
    • Optum Inc. - Overview
    • Optum Inc. - Product / Service
    • Optum Inc. - Key offerings
    • SWOT
  • 15.15 Qlarant Quality Solutions Inc.
    • Qlarant Quality Solutions Inc. - Overview
    • Qlarant Quality Solutions Inc. - Product / Service
    • Qlarant Quality Solutions Inc. - Key offerings
    • SWOT
  • 15.16 SAS Institute Inc.
    • SAS Institute Inc. - Overview
    • SAS Institute Inc. - Product / Service
    • SAS Institute Inc. - Key news
    • SAS Institute Inc. - Key offerings
    • SWOT
  • 15.17 Thomson Reuters Corp.
    • Thomson Reuters Corp. - Overview
    • Thomson Reuters Corp. - Business segments
    • Thomson Reuters Corp. - Key news
    • Thomson Reuters Corp. - Key offerings
    • Thomson Reuters Corp. - Segment focus
    • SWOT
  • 15.18 Wipro Ltd.
    • Wipro Ltd. - Overview
    • Wipro Ltd. - Business segments
    • Wipro Ltd. - Key news
    • Wipro Ltd. - Key offerings
    • Wipro Ltd. - Segment focus
    • SWOT

16 Appendix

  • 16.1 Scope of the report
  • 16.2 Inclusions and exclusions checklist
    • Inclusions checklist
    • Exclusions checklist
  • 16.3 Currency conversion rates for US$
    • Currency conversion rates for US$
  • 16.4 Research methodology
    • Research methodology
  • 16.5 Data procurement
    • Information sources
  • 16.6 Data validation
    • Data validation
  • 16.7 Validation techniques employed for market sizing
    • Validation techniques employed for market sizing
  • 16.8 Data synthesis
    • Data synthesis
  • 16.9 360 degree market analysis
    • 360 degree market analysis
  • 16.10 List of abbreviations
    • List of abbreviations