ヘルスケア不正検知の世界市場：動向、予測、競合分析（～2030年）

ヘルスケア不正検知の動向と予測

世界のヘルスケア不正検知の市場規模は、2024～2030年にかけてCAGR 26.5%で成長し、2030年までに推定87億米ドルに達すると予測されています。この市場の主な促進要因は、ヘルスケアコストの高騰、健康保険を選択する患者の増加、ヘルスケア業界における不正行為の増加です。世界のヘルスケア不正検知市場の将来は、保険金請求と支払いの整合性市場の見直しにおける機会によって有望視されています。

ヘルスケア不正検知市場の洞察

Lucintelの予測では、記述式分析が広く採用され、使いやすいことから、予測期間中も最大セグメントであり続けると思われます。

同市場では、医療保険における医療詐欺の事例が検出されるため、保険金請求のレビューが引き続き大きなセグメントを占めるでしょう。

北米は、新しい分析手法やソフトウェアの急速な活用と、同地域におけるヘルスケア分析サービスへの支出の増加により、予測期間中も最大地域であり続けるでしょう。

よくある質問

Q1.市場規模は？

A1.世界のヘルスケア不正検知市場は、2030年までに推定87億米ドルに達すると予想されています。

Q2.市場の成長予測は？

A2.世界のヘルスケア不正検知市場は、2024～2030年にかけてCAGR 26.5%で成長する見込みです。

Q3.市場の成長に影響を与える主な促進要因は？

A3.この市場の主な促進要因は、ヘルスケアコストの高騰、健康保険を選択する患者の増加、ヘルスケア業界における詐欺事件の増加です。

Q4.市場の主要セグメントは？

A4.ヘルスケア不正検知市場の将来は、保険金請求および支払インテグリティ市場の見直しにおける機会によって有望視されています。

Q5.市場の主要企業は？

A5.ヘルスケア不正検知の主要企業は以下の通りです。

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

Q6.今後、最大となる市場セグメントは？

A6.Lucintelは、記述式分析が広く採用され、使いやすいことから、予測期間中も最大のセグメントであり続けると予測しています。

Q7.市場において、今後5年間に最大になると予想される地域は？

A7.北米は、斬新な分析手法やソフトウェアの急速な活用と、同地域におけるヘルスケア分析サービスへの支出の増加により、予測期間中も最大地域であり続けると予測しています。

Q8.レポートのカスタマイズは可能？

A8.はい、Lucintelは追加費用なしで10%のカスタマイズを提供します。

目次

第1章 エグゼクティブサマリー

第2章 世界のヘルスケア不正検知市場：市場力学

• イントロダクション、背景、分類
• サプライチェーン
• 業界の促進要因と課題

第3章 市場動向と予測分析：2018～2030年

• マクロ経済動向（2018～2023年）と予測（2024～2030年）
• 世界のヘルスケア不正検知市場の動向（2018～2023年）と予測（2024～2030年）
• 世界のヘルスケア不正検知市場：タイプ別
  • 記述的分析
  • 予測分析
  • 処方的分析
• 世界のヘルスケア不正検知市場：用途別
  • 保険金請求の審査
  • 支払いの整合性
• 世界のヘルスケア不正検知市場：最終用途別
  • 民間保険支払者
  • 政府機関
  • その他

第4章 市場動向と予測分析：地域別（2018～2030年）

• 世界のヘルスケア不正検知市場：地域別
• 北米
• 欧州
• アジア太平洋
• その他の地域

第5章 競合の分析

• 製品ポートフォリオ分析
• 運用上の統合
• ポーターのファイブフォース分析

第6章 成長機会と戦略分析

• 成長機会分析
  • タイプ別
  • 用途別
  • 最終用途別
  • 地域別
• 世界のヘルスケア不正検知市場における新たな動向
• 戦略的分析
  • 新製品の開発
  • 世界のヘルスケア不正検知市場の能力拡大
  • 世界のヘルスケア不正検知市場における合併、買収、合弁事業
  • 認証とライセンシング

第7章 有力企業の企業プロファイル

• 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