Information Technology

Global Healthcare Fraud Analytics Market Outlook, Opportunities And Strategies – Includes Healthcare Fraud Analytics Market Size

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The global healthcare fraud analytics market is expected to grow $1.94 billion in 2021 to $2.43 billion in 2022 at a compound annual growth rate (CAGR) of 25.44%. The global healthcare fraud analytics market size is expected to reach $6.33 billion in 2026 at a CAGR of 27.06 %.


A large number of fraudulent activities in the healthcare sector contribute to the growth of the healthcare fraud analytics market.


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The healthcare fraud analytics market consists of sales of healthcare fraud analytics solutions and related services by entities (organizations, sole traders, and partnerships) that refer to on-premise and on-demand analytical solutions that assist in identifying issues such as duplication/repetition of claims and errors in claim healthcare operations and applications. Healthcare fraud analytics aims to help healthcare companies audit their accounts and find fraudulent activities in various transactions. It identifies frauds related to billings, claims, prepayments, postpayments, and payment integrity.


Global Healthcare Fraud Analytics Market Segments Include:
By Solution Type: Descriptive Analytics, Predictive Analytics, Prescriptive Analytics

By Delivery Model: On-Premise, On-Demand

By Application: Insurance Claims Review, Postpayment Review, Prepayment Review, Pharmacy Billing Misuse, Payment Integrity, Others

By End User: Public and Government Agencies, Private Insurance Payers, Third-Party Service Providers

By Geography: The market is segmented into North America, South America, Asia-Pacific, Eastern Europe, Western Europe, Middle East and Africa. Among these regions, North America is the largest region in the global healthcare fraud analytics market in 2021.


Adopting and developing new technologies is a key trend gaining popularity in the healthcare fraud analytics market. The major companies are focusing on launching statistical data analytics and artificial intelligence (AI)-driven products and services to strengthen their market position. These fraud detection techniques perform various statistical operations, including data mining, regression analysis, machine learning, pattern recognition, supervised learning, unsupervised learning, and others.


TBRC’s Healthcare Fraud Analytics Market Report Covers:

Major Market Players: International Business Machines Corporation (IBM), Optum, Inc., SAS Institute, Inc., Change Healthcare, EXL Service Holdings, Inc., Cotiviti, Wipro Limited, Conduent, Inc., Hindustan Computers Limited, Technologies Limited, CGI, Inc., DXC Technology Company, Northrop Grumman Corporation, LexisNexis Group, Pondera Solutions, WhiteHatAI, Healthcare Fraud Shield, FraudLens, FraudScope, HMS Holding Corp., Fair, Isaac and Company(FICO), Qlarant, Inc., Codoxo,, and OSP Labs, Sharecare, Inc.

Regions: Asia-Pacific, China, Western Europe, Eastern Europe, North America, USA, South America, Middle East and Africa.

Countries: Australia, Brazil, China, France, Germany, India, Indonesia, Japan, Russia, South Korea, UK, USA.

Time Series: Five years historic (2016-21) and ten years forecast (2022-2026-2031)


The Healthcare Fraud Analytics Global Market Report 2022 is one of a series of new reports from The Business Research Company that provides healthcare fraud analytics market overviews, analyzes and forecasts market size, share, healthcare fraud analytics market players, healthcare fraud analytics market segments and geographies, leading competitor revenues, profiles and market shares.


TBRC’s healthcare fraud analytics market report identifies top countries and segments for opportunities and strategies based on market trends and leading competitors’ approaches.


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