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Healthcare Fraud Detection Global Market Analysis, Trends, Growth, Research And Forecast 2033
Healthcare Fraud Detection Global Market
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According to The Business Research Company's, The healthcare fraud detection market size has grown exponentially in recent years. It will grow from $2.78 billion in 2023 to $3.6 billion in 2024 at a compound annual growth rate (CAGR) of 29.3%. The growth in the historic period can be attributed to increased cyberthreats, patient identity verification, market competition, fraudulent claim identification, increased awareness and training.
The healthcare fraud detection market size is expected to see exponential growth in the next few years. It will grow to $10.35 billion in 2028 at a compound annual growth rate (CAGR) of 30.2%. The growth in the forecast period can be attributed to regulatory changes, increasing digitalization, sophistication of fraud schemes, focus on insurance fraud, data security enhancement. Major trends in the forecast period include advanced technology integration, real-time monitoring, behavioral analytics, blockchain for security, patient identity verification.
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Market Drivers and Trends:
The increasing digital transformation in healthcare is expected to propel the growth of healthcare fraud detection market going forward. As healthcare processes become more digitized, the increased volume and complexity of electronic data, coupled with the integration of advanced technologies like artificial intelligence and machine learning, create a fertile ground for potential fraudulent activities. Digital transformation enables real-time monitoring, streamlined data sharing, and enhanced security measures, empowering fraud detection systems to identify irregularities promptly. Additionally, the adoption of electronic health records, remote healthcare services, and electronic claims processing necessitates robust fraud detection solutions to safeguard against unauthorized access and fraudulent practices. For instance, in 2021, according to HealthIT.gov, a US-based official website for health information technology, a certified EHR was adopted by virtually all non-federal acute care hospitals (96%) and nearly 4 in 5 all office-based physicians (78%) in the United States. Therefore, the increasing digital transformation in healthcare is driving the growth of healthcare fraud detection market.
Adoption of advanced analytics tools is a key trend gaining popularity in the healthcare fraud detection market. Major players are concentrating their efforts on creating innovative technologies to sustain their position in the healthcare fraud detection market. For instance, in January 2022, Premier, Inc., a US-based healthcare technology company, launched """"INSights"""" based on PINC AITM technology. Insights is a vendor-neutral analytics platform that has access to the risk-adjusted, standardised, and cleaned healthcare data from PINC AITM. Insights is designed for healthcare providers to lower the workload associated with data preparation and analytics development for quick gains in clinical, quality, and financial outcomes.
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Major Key Players of the Market:
International Business Machines Corporation, Cotiviti Inc., Fair Isaac Corporation, SAS Institute Inc., CGI Inc., DXC Technology Company, RELX Group plc, EXL Service Holdings Inc., HCL Technologies Limited, UnitedHealth Group Incorporated, Conduent Incorporated, Change Healthcare LLC, OSP Labs LLC, Codoxo Inc., Wipro Limited, Qlarant Inc., Northrop Grumman Corporation, LexisNexis Risk Solutions Group, Healthcare Fraud Shield LLC, Sharecare Inc., FraudLens Inc., HMS Holdings Corp., H2O.ai Inc., Pondera Solutions Inc., FRISS B.V., MultiPlan Corporation, FraudScope Inc., McKesson Corporation, FraudGuard LLC, FraudCracker LLC
Healthcare Fraud Detection Market 2024 Key Insights:
• The healthcare fraud detection market size is expected to see exponential growth in the next few years. It will grow to $10.35 billion in 2028 at a compound annual growth rate (CAGR) of 30.2%.
• Surging Healthcare Fraud Incidents Fuel Growth In Healthcare Fraud Detection Market
• Innovative Analytics Tools Drive Evolution In Healthcare Fraud Detection Market
• North America was the largest region in the healthcare fraud detection market in 2023
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