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Healthcare Fraud Analytics Market Trends

  • Report ID: GMI11010
  • Published Date: Aug 2024
  • Report Format: PDF

Healthcare Fraud Analytics Market Trends

The market is experiencing several notable trends that are shaping its growth and development. Factors such as continuous innovations in technology, growing demand for integrated artificial intelligence in healthcare and machine learning, increased focus on real-time fraud detection, and expansion of cloud-based fraud analytics solutions, among other factors are propelling the industry growth.
 

  • Further, the demand for real-time fraud detection is on the rise as healthcare organizations seek to minimize the impact of fraudulent activities. Real-time analytics allows for immediate identification and response to suspicious activities, reducing the window of opportunity for fraud to occur. This trend is fueled by advancements in data processing technologies and the need for quicker decision-making in fraud prevention.
     
  • Moreover, cloud-based healthcare fraud analytics solutions are gaining popularity due to their scalability, flexibility, and cost-effectiveness. Cloud platforms enable organizations to access powerful analytics tools without the need for significant upfront investments in infrastructure.
     
  • Additionally, cloud solutions allow for easy integration with existing systems, making it easier for healthcare organizations to implement and update fraud detection systems. This trend is particularly important for small and medium-sized healthcare providers, thereby aforementioned factors are expected to drive the market.
     
Authors: Mariam Faizullabhoy, Gauri Wani

Frequently Asked Questions (FAQ) :

Healthcare fraud analytics industry size was worth USD 2.3 billion in 2023 and will grow at a 24.1% CAGR between 2024 and 2032 due to increasing healthcare costs and fraud incidents, which necessitate advanced fraud detection and prevention solutions.

The insurance claims review segment will achieve 24.2% CAGR through 2032, driven by its critical role in detecting and preventing fraudulent activities.

North America healthcare fraud analytics industry size was USD 883.8 million in 2023, attributed to focus on combating rising healthcare fraud and the integration of sophisticated data analytics solutions

Prominent players operating in the healthcare fraud analytics industry are Cotiviti, Inc., DXC Technology Company, EPIC, ExlService Holdings, Inc., Fair Isaac Corporation, HCL Technologies Limited, IBM Corporation, LexisNexis Risk Solutions, Optum Inc., Qlarant Commercial Solutions, Inc., SAS Institute Inc., and Wipro Limited, among others.

Healthcare Fraud Analytics Market Scope

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Premium Report Details

  • Base Year: 2023
  • Companies covered: 15
  • Tables & Figures: 181
  • Countries covered: 23
  • Pages: 100
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