Healthcare Fraud Detection market Trends, Emerging Growth, Competitor Analysis And Industry Overview
Market Insights:
Market Research
Future (MRFR) has revealed in its latest report that the global healthcare
fraud detection market is set to thrive saliently at 30% CAGR during the
forecast period 2017 to 2023. The increasing count of cases related to medical
scams, false insurance claims, exploitation of medical funds, etc. has
necessitated the adoption of healthcare fraud detection technology, and the trend is anticipated to continue across
the review period.
With the
developments in the healthcare sector,
the number of frauds has been on the rise, which includes drug frauds, medical insurance frauds, and medicine
frauds. The growth of healthcare fraud detection market is expected to
accelerate considering the increasing number of scams.
The embracement
of fraud analytics ensures optimum utilization of medical funds by minimizing
embezzlement of funds and subsidies. Thus, the healthcare
fraud detection market is likely to proliferate
rapidly over the next couple of years.
Some of the
factors responsible for holding the market growth through the review period are
lack of skilled personnel, reluctance in the adoption
of the technology, etc.
Competitive Dashboard:
Some of the key players profiled by MRFR in its report
are SAS, Conduent, Optum, Pondera, IBM, and Wipro among
others. The strategies devised by the players for garnering share and control
over the market include acquisitions & developments, strategic alliances,
technological developments, product portfolio expansion, innovation, etc.
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Market Segmentation:
By components, the healthcare fraud detection market is segmented into software and services. Among these, the services
segment is likely to register a relatively higher CAGR during the projection
period.
By kinds, the global healthcare fraud detection market has been segmented into predictive analytics,
descriptive analytics, and prescriptive analytics. The prescriptive analytics segment is expected to show the steepest
rise in the growth while descriptive
analytics segment is estimated to be the primary revenue generator in the
market.
By delivery
models, the healthcare fraud detection market is segmented into on-demand, and on-premise.
Among these, the on-demand segment is expected to demonstrate a relatively
higher growth rate.
By end-users, the global healthcare fraud detection market has been segmented into employers,
regulatory/public agencies, private insurance payers, third-party services, payment integrity, insurance claim reviews,
and identity & case management.
Regional Analysis:
By region, the
global healthcare fraud detection market has been
segmented into Americas, Asia Pacific, Europe, and the Middle East &
Africa. Americas currently accounts for the largest
share of the global market and is expected to retain its dominance over the
forecast period. Europe is likely to hold the second spot in the global healthcare fraud detection market. The
growth of the market is attributable to technological developments,
accessibility to products & services, etc. Asia
Pacific is expected to remain a highly lucrative market throughout the
assessment period.
Industry News:
In July 2018,
Zelis Healthcare, a market-leading healthcare technology company, announced the
launch of fully-integrated Zelis Intelligent Claims Routing Platform that
leverages Microsoft Azure Artificial Intelligence. Zelis will help in
minimizing the complexity that occurs due
to errors, waste, fraud, and abuse.
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