Global Healthcare Fraud Detection Market

Global Healthcare Fraud Detection Market Research Report 2021

Global Healthcare Fraud Detection Market

Global Healthcare Fraud Detection Market Research Report 2021

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As per the study the Healthcare Fraud Detection Market was valued USD xxxx unit in 2020 and is expected to reach USD xxxx Unit by the year 2025, growing at a CAGR of xx% globally.

Global Healthcare Fraud Detection Market Overview:

Global Healthcare Fraud Detection Market Report 2020 comes with the extensive industry analysis of development components, patterns, flows and sizes. The report also calculates present and past market values to forecast potential market management through the forecast period between 2020-2025.This research study of Healthcare Fraud Detection involved the extensive usage of both primary and secondary data sources. This includes the study of various parameters affecting the industry, including the government policy, market environment, competitive landscape, historical data, present trends in the market, technological innovation, upcoming technologies and the technical progress in related industry.

Impact of COVID-19 on Healthcare Fraud Detection Market

Since the COVID-19 virus outbreak in December 2019, the disease has spread to almost every country around the globe with the World Health Organization declaring it a public health emergency. The global impacts of the coronavirus disease 2019 (COVID-19) are already starting to be felt, and will significantly affected the Healthcare Fraud Detection market in 2020.

Global Healthcare Fraud Detection Market Segmentation

By Type, Healthcare Fraud Detection market has been segmented into:

Service

Software

By Application, Healthcare Fraud Detection market has been segmented into:

Insurance Claim

Prepay

Post Payment

Regional Analysis:

North America (U.S., Canada, Mexico)

Europe (Germany, U.K., France, Italy, Russia, Spain etc.)

Asia-Pacific (China, India, Japan, Southeast Asia etc.)

South America (Brazil, Argentina etc.)

Middle East & Africa (Saudi Arabia, South Africa etc.)

Top Key Players Covered in Healthcare Fraud Detection market are:

IBM (US)

Optum (US)

SAS (US)

McKesson (US)

SCIO (US)

Verscend (US)

Wipro (India)

Conduent (US)

HCL (India)

CGI (Canada)

DXC (US)

Northrop Grumman (US)

LexisNexis (US)

Pondera (US)

1. Market Overview of Healthcare Fraud Detection

1.1 Healthcare Fraud Detection Market Overview

1.1.1 Healthcare Fraud Detection Product Scope

1.1.2 Market Status and Outlook

1.2 Healthcare Fraud Detection Market Size by Regions: 2015 VS 2021 VS 2026

1.3 Healthcare Fraud Detection Historic Market Size by Regions (2015-2020)

1.4 Healthcare Fraud Detection Forecasted Market Size by Regions (2021-2026)

1.5 Covid-19 Impact on Key Regions, Keyword Market Size YoY Growth (2015-2026)

1.5.1 North America

1.5.2 East Asia

1.5.3 Europe

1.5.4 South Asia

1.5.5 Southeast Asia

1.5.6 Middle East

1.5.7 Africa

1.5.8 Oceania

1.5.9 South America

1.5.10 Rest of the World

1.6 Coronavirus Disease 2019 (Covid-19) Impact Will Have a Severe Impact on Global Growth

1.6.1 Covid-19 Impact: Global GDP Growth, 2019, 2020 and 2021 Projections

1.6.2 Covid-19 Impact: Commodity Prices Indices

1.6.3 Covid-19 Impact: Global Major Government Policy

2. Covid-19 Impact Healthcare Fraud Detection Sales Market by Type (2015-2026)

2.1 Global Healthcare Fraud Detection Historic Market Size by Type (2015-2020)

2.2 Global Healthcare Fraud Detection Forecasted Market Size by Type (2021-2026)

2.3 Service

2.4 Software

3. Covid-19 Impact Healthcare Fraud Detection Sales Market by Application (2015-2026)

3.1 Global Healthcare Fraud Detection Historic Market Size by Application (2015-2020)

3.2 Global Healthcare Fraud Detection Forecasted Market Size by Application (2021-2026)

3.3 Insurance Claim

3.4 Prepay

3.5 Post Payment

4. Covid-19 Impact Market Competition by Manufacturers

4.1 Global Healthcare Fraud Detection Production Capacity Market Share by Manufacturers (2015-2020)

4.2 Global Healthcare Fraud Detection Revenue Market Share by Manufacturers (2015-2020)

4.3 Global Healthcare Fraud Detection Average Price by Manufacturers (2015-2020)

5. Company Profiles and Key Figures in Healthcare Fraud Detection Business

5.1 IBM (US)

5.1.1 IBM (US) Company Profile

5.1.2 IBM (US) Healthcare Fraud Detection Product Specification

5.1.3 IBM (US) Healthcare Fraud Detection Production Capacity, Revenue, Price and Gross Margin (2015-2020)

5.2 Optum (US)

5.2.1 Optum (US) Company Profile

5.2.2 Optum (US) Healthcare Fraud Detection Product Specification

5.2.3 Optum (US) Healthcare Fraud Detection Production Capacity, Revenue, Price and Gross Margin (2015-2020)

5.3 SAS (US)

5.3.1 SAS (US) Company Profile

5.3.2 SAS (US) Healthcare Fraud Detection Product Specification

5.3.3 SAS (US) Healthcare Fraud Detection Production Capacity, Revenue, Price and Gross Margin (2015-2020)

5.4 McKesson (US)

5.4.1 McKesson (US) Company Profile

5.4.2 McKesson (US) Healthcare Fraud Detection Product Specification

5.4.3 McKesson (US) Healthcare Fraud Detection Production Capacity, Revenue, Price and Gross Margin (2015-2020)

5.5 SCIO (US)

5.5.1 SCIO (US) Company Profile

5.5.2 SCIO (US) Healthcare Fraud Detection Product Specification

5.5.3 SCIO (US) Healthcare Fraud Detection Production Capacity, Revenue, Price and Gross Margin (2015-2020)

5.6 Verscend (US)

5.6.1 Verscend (US) Company Profile

5.6.2 Verscend (US) Healthcare Fraud Detection Product Specification

5.6.3 Verscend (US) Healthcare Fraud Detection Production Capacity, Revenue, Price and Gross Margin (2015-2020)

5.7 Wipro (India)

5.7.1 Wipro (India) Company Profile

5.7.2 Wipro (India) Healthcare Fraud Detection Product Specification

5.7.3 Wipro (India) Healthcare Fraud Detection Production Capacity, Revenue, Price and Gross Margin (2015-2020)

5.8 Conduent (US)

5.8.1 Conduent (US) Company Profile

5.8.2 Conduent (US) Healthcare Fraud Detection Product Specification

5.8.3 Conduent (US) Healthcare Fraud Detection Production Capacity, Revenue, Price and Gross Margin (2015-2020)

5.9 HCL (India)

5.9.1 HCL (India) Company Profile

5.9.2 HCL (India) Healthcare Fraud Detection Product Specification

5.9.3 HCL (India) Healthcare Fraud Detection Production Capacity, Revenue, Price and Gross Margin (2015-2020)

5.10 CGI (Canada)

5.10.1 CGI (Canada) Company Profile

5.10.2 CGI (Canada) Healthcare Fraud Detection Product Specification

5.10.3 CGI (Canada) Healthcare Fraud Detection Production Capacity, Revenue, Price and Gross Margin (2015-2020)

5.11 DXC (US)

5.11.1 DXC (US) Company Profile

5.11.2 DXC (US) Healthcare Fraud Detection Product Specification

5.11.3 DXC (US) Healthcare Fraud Detection Production Capacity, Revenue, Price and Gross Margin (2015-2020)

5.12 Northrop Grumman (US)

5.12.1 Northrop Grumman (US) Company Profile

5.12.2 Northrop Grumman (US) Healthcare Fraud Detection Product Specification

5.12.3 Northrop Grumman (US) Healthcare Fraud Detection Production Capacity, Revenue, Price and Gross Margin (2015-2020)

5.13 LexisNexis (US)

5.13.1 LexisNexis (US) Company Profile

5.13.2 LexisNexis (US) Healthcare Fraud Detection Product Specification

5.13.3 LexisNexis (US) Healthcare Fraud Detection Production Capacity, Revenue, Price and Gross Margin (2015-2020)

5.14 Pondera (US)

5.14.1 Pondera (US) Company Profile

5.14.2 Pondera (US) Healthcare Fraud Detection Product Specification

5.14.3 Pondera (US) Healthcare Fraud Detection Production Capacity, Revenue, Price and Gross Margin (2015-2020)

6. North America

6.1 North America Healthcare Fraud Detection Market Size (2015-2026)

6.2 North America Healthcare Fraud Detection Key Players in North America (2015-2020)

6.3 North America Healthcare Fraud Detection Market Size by Type (2015-2020)

6.4 North America Healthcare Fraud Detection Market Size by Application (2015-2020)

7. East Asia

7.1 East Asia Healthcare Fraud Detection Market Size (2015-2026)

7.2 East Asia Healthcare Fraud Detection Key Players in North America (2015-2020)

7.3 East Asia Healthcare Fraud Detection Market Size by Type (2015-2020)

7.4 East Asia Healthcare Fraud Detection Market Size by Application (2015-2020)

8. Europe

8.1 Europe Healthcare Fraud Detection Market Size (2015-2026)

8.2 Europe Healthcare Fraud Detection Key Players in North America (2015-2020)

8.3 Europe Healthcare Fraud Detection Market Size by Type (2015-2020)

8.4 Europe Healthcare Fraud Detection Market Size by Application (2015-2020)

9. South Asia

9.1 South Asia Healthcare Fraud Detection Market Size (2015-2026)

9.2 South Asia Healthcare Fraud Detection Key Players in North America (2015-2020)

9.3 South Asia Healthcare Fraud Detection Market Size by Type (2015-2020)

9.4 South Asia Healthcare Fraud Detection Market Size by Application (2015-2020)

10. Southeast Asia

10.1 Southeast Asia Healthcare Fraud Detection Market Size (2015-2026)

10.2 Southeast Asia Healthcare Fraud Detection Key Players in North America (2015-2020)

10.3 Southeast Asia Healthcare Fraud Detection Market Size by Type (2015-2020)

10.4 Southeast Asia Healthcare Fraud Detection Market Size by Application (2015-2020)

11. Middle East

11.1 Middle East Healthcare Fraud Detection Market Size (2015-2026)

11.2 Middle East Healthcare Fraud Detection Key Players in North America (2015-2020)

11.3 Middle East Healthcare Fraud Detection Market Size by Type (2015-2020)

11.4 Middle East Healthcare Fraud Detection Market Size by Application (2015-2020)

12. Africa

12.1 Africa Healthcare Fraud Detection Market Size (2015-2026)

12.2 Africa Healthcare Fraud Detection Key Players in North America (2015-2020)

12.3 Africa Healthcare Fraud Detection Market Size by Type (2015-2020)

12.4 Africa Healthcare Fraud Detection Market Size by Application (2015-2020)

13. Oceania

13.1 Oceania Healthcare Fraud Detection Market Size (2015-2026)

13.2 Oceania Healthcare Fraud Detection Key Players in North America (2015-2020)

13.3 Oceania Healthcare Fraud Detection Market Size by Type (2015-2020)

13.4 Oceania Healthcare Fraud Detection Market Size by Application (2015-2020)

14. South America

14.1 South America Healthcare Fraud Detection Market Size (2015-2026)

14.2 South America Healthcare Fraud Detection Key Players in North America (2015-2020)

14.3 South America Healthcare Fraud Detection Market Size by Type (2015-2020)

14.4 South America Healthcare Fraud Detection Market Size by Application (2015-2020)

15. Rest of the World

15.1 Rest of the World Healthcare Fraud Detection Market Size (2015-2026)

15.2 Rest of the World Healthcare Fraud Detection Key Players in North America (2015-2020)

15.3 Rest of the World Healthcare Fraud Detection Market Size by Type (2015-2020)

15.4 Rest of the World Healthcare Fraud Detection Market Size by Application (2015-2020)

16 Healthcare Fraud Detection Market Dynamics

16.1 Covid-19 Impact Market Top Trends

16.2 Covid-19 Impact Market Drivers

16.3 Covid-19 Impact Market Challenges

16.4 Porter’s Five Forces Analysis

18 Regulatory Information

17 Analyst's Viewpoints/Conclusions

18 Appendix

18.1 Research Methodology

18.1.1 Methodology/Research Approach

18.1.2 Data Source

18.2 Disclaimer

Tables & Figures:
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Research Methodology:
This research study involved the extensive usage of both primary and secondary data sources. The research process involved the study of various factors affecting the industry, including the government policy, market environment, competitive landscape, historical data, present trends in the market, technological innovation, upcoming technologies and the technical progress in related industry, and market risks, opportunities, market barriers and challenges. The following illustrative figure shows the market research methodology applied in this report.
Healthcare Fraud Detection Market Size Estimation

To estimate market size and trends, we use a combination of top-down and bottom-up methods. This allows us to evaluate the market from various perspectives—by company, region, product type, and end users.

Our estimates are based on actual sales data, excluding any discounts. Segment breakdowns and market shares are calculated using weighted averages based on usage rates and average prices. Regional insights are determined by how widely a product or service is adopted in each area.

Key companies are identified through secondary sources like industry reports and company filings. We then verify revenue estimates and other key data points through primary research, including interviews with industry experts, company executives, and decision-makers.

We take into account all relevant factors that could influence the market and validate our findings with real-world input. Our final insights combine both qualitative and quantitative data to provide a well-rounded view. Please note, these estimates do not account for unexpected changes such as inflation, economic downturns, or policy shifts.

Data Source

Secondary Sources

This study draws on a wide range of secondary sources, including press releases, annual reports, non-profit organizations, industry associations, government agencies, and customs data. We also referred to reputable databases and directories such as Bloomberg, Wind Info, Hoovers, Factiva, Trading Economics, Statista, and others. Additional references include investor presentations, company filings (e.g., SEC), economic data, and documents from regulatory and industry bodies.

These sources were used to gather technical and market-focused insights, identify key players, analyze market segmentation and classification, and track major trends and developments across industries.

Market Size
  • Segmental value
  • Geographic Penetration
  • Product Adoption Rate for Different market
  • Journals, Websites, and Press Releases
  • Annual Reports and SEC Filings
  • Company Websites and Press Releases
  • Public and Paid Databases
  • Market Intellix Data Repository
Market Position of Top Company
  • Product Financials
  • Geographic value Mix
  • Total Company value
  • Business/Segmental value Mix
Qualitative Analysis
  • Influence Factors
  • Market Potential
  • Market Risks and Opportunities
  • Industry Trends
  • Geographical Features
  • Government Policies
  • Company Websites and Press Releases
  • Public and Paid Databases
  • Annual Reports
  • Industry Associations
  • Market Intellix Data Repository

Primary Sources

As part of our primary research, we interviewed a variety of stakeholders from both the supply and demand sides to gather valuable qualitative and quantitative insights.

On the supply side, we spoke with product manufacturers, competitors, industry experts, research institutions, distributors, traders, and raw material suppliers. On the demand side, we engaged with business leaders, marketing and sales heads, technology and innovation directors, supply chain executives, and end users across key organizations.

These conversations helped us better understand market segmentation, pricing, applications, leading players, supply chains, demand trends, industry outlook, and key market dynamics—including risks, opportunities, barriers, and strategic developments.

Key Data Information from Primary Sources

Primary Sources Parameters Key Data
Market Segments(by Application, by Type)
  • Value by Type
  • Status and Forecast
  • Value by Application
  • Value by Regions, Status and Forecast (2025-2031)
  • Value Market Share by Type
  • Value Growth Rate by Type
  • Value by Application
  • Percentage and Growth Rate by Application
  • Value Growth Rate and Market Share by Regions
  • Market Size Status and Forecast (2025-2031)
Total Market
  • Overall Size, Status and Forecast
  • Market Size Status and Forecast (2025-2031)
Frequently asked questions(FAQ's):
Who are the dominant players having a strong presence in the Healthcare Fraud Detection Market?
Some of the finest and top-notch companies pioneering the Healthcare Fraud Detection Market are IBM (US), Optum (US), SAS (US), McKesson (US), SCIO (US), Verscend (US), Wipro (India), Conduent (US), HCL (India), CGI (Canada), DXC (US), Northrop Grumman (US), LexisNexis (US), Pondera (US).
How are the major players in the Healthcare Fraud Detection Market planning to grow in the future?
A large number of Global Healthcare Fraud Detection players are focusing on individualized and innovative technologies that will provide the necessary impetus for profit and growth in the coming years.
What important business segments are segregated by application types in the latest edition of the Healthcare Fraud Detection Market?
The key business segments in the Healthcare Fraud Detection Market are segregated by applications [Insurance Claim, Prepay, Post Payment] and types [Service, Software].
What is the expected rate of growth in the Healthcare Fraud Detection Market?
From 2025 to 2030, the Healthcare Fraud Detection Market is expected to grow at a compound annual growth rate of YY%, reaching a value of USD XXX Million.
What challenges does the Healthcare Fraud Detection Market face in the future?
The convergence of various vital triggers, including a major slowdown in Western economies, and some critical points in globalization, leads to the transformation of business in the Healthcare Fraud Detection Market across the extensive corporate landscape.
What is the CAGR at which the Healthcare Fraud Detection Market can expand?
During the forecast years, the Healthcare Fraud Detection Market can thrive with a robust CAGR.