Healthcare Fraud Analytics Market: A Look at the Industry's Growth Drivers and Challenges

Significant number of fraudulent actions in healthcare, increase in number of patients who require health insurance, and growing consumer preference for telemedicine consultations are key factors driving market revenue growth

A novel report on global Healthcare Fraud Analytics Market is published by Emergen Research, offering current developments and emerging trends of the market. The report offers a comprehensive overview of the market along with details about market size, market share, revenue growth, and top companies. The report covers all crucial and essential information related to global Healthcare Fraud Analytics Market to help readers, investors, clients to gain a thorough understanding of the market and invest accordingly. Various advanced statistical tools such as SWOT analysis or Porter’s Five Forces are used in the report.

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The global healthcare fraud analytics market size was USD 1.53 Billion in 2021 and is expected to register a revenue CAGR of 26.7% during the forecast period. Growing consumer preference for telemedicine consultations, increase in number of patients who require health insurance, better investment returns, and surge in proportion of pharmacy claims and medical insurance-related frauds are major factors driving market revenue growth.

In addition, significant number of fraud incidences related to health insurance claims around the world is another factor driving revenue growth of the market during the forecast period. Fraud, which is by its very nature covert and difficult to catch, is also more likely to occur in healthcare and medical insurance industries. According to European Healthcare Fraud and Corruption Network, percentage of healthcare fraud has been discovered, which is increasing annually. As a result, emerging field of healthcare management, which is accelerating growth of this industry, is preventive big data analytics for reducing healthcare fraud.

Competitive Landscape:

Furthermore, the report includes an in-depth analysis of the competitive landscape. The segment covers a comprehensive overview of the company profiles along with product profiles, production capacities, products/services, pricing analysis, profit margins, and manufacturing process developments. The report also covers strategic business measures undertaken by the companies to gain substantial market share. The report provides insightful information about recent mergers and acquisitions, product launches, collaborations, joint ventures, partnerships, agreements, and government deals.

Some key players operating in the Healthcare Fraud Analytics Market are:

ExlService Holdings, Inc.,

IBM Corporation,

Wipro Limited,

ClarisHealth,

DXC Technology Co.,

COTIVITI, INC.,

CGI Inc.,

H2O.ai., and

Brighterion, Inc.

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Market Dynamics:

The report offers insightful information about the market dynamics of the Healthcare Fraud Analytics market. It offers SWOT analysis, PESTEL analysis, and Porter’s Five Forces analysis to present a better understanding of the Healthcare Fraud Analytics market, competitive landscape, factors affecting it, and to predict the growth of the industry. It also offers the impact of various market factors along with the effects of the regulatory framework on the growth of the Healthcare Fraud Analytics market.

Emergen Research has segmented the global healthcare fraud analytics market based on deployment type, application, solution, and region:

  • Deployment Type Outlook (Revenue, USD Million; 2019–2030)

    • Cloud-based
    • On premise
  • Application Outlook (Revenue, USD Million; 2019–2030)

    • Insurance claim
    • Payment integrity
    • Others
  • Solution Outlook (Revenue, USD Million; 2019–2030)

    • Prescriptive analytics
    • Descriptive analytics
    • Predictive analytics

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Key Questions Answered in the Report:

What will be the estimated growth rate of the Healthcare Fraud Analytics market by 2030?

Who are the prominent distributors, vendors, and manufacturers of the market?

What are the driving and restraining factors of the growth of the Healthcare Fraud Analytics market throughout the forecast period?

What are the current and future market trends of the Healthcare Fraud Analytics market?

What are the sales and price analysis of the product by types, applications, and regions?

What are the expected opportunities for the companies and new entrants in the coming years?

Regional Landscape section of the Healthcare Fraud Analytics report offers deeper insights into the regulatory framework, current and emerging market trends, production and consumption patterns, supply and demand dynamics, import/export, and presence of major players in each region.

The various regions analyzed in the report include:

North America (U.S., Canada)

Europe (U.K., Italy, Germany, France, Rest of EU)

Asia Pacific (India, Japan, China, South Korea, Australia, Rest of APAC)

Latin America (Chile, Brazil, Argentina, Rest of Latin America)

Middle East Africa (Saudi Arabia, U.A.E., South Africa, Rest of MEA)

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