Healthcare Fraud Analytics Market is expected to reach US$ 8,707.73 million by 2027

Insurance Claims Review Segment by Application Is Expected to Grow at A Fast Pace Over the Forecast Period

According to The Insight Partners market research study of ‘Healthcare fraud analytics Market to 2027 – Global Analysis and Forecasts by Solution, Mode of Delivery, Application and End User.’ The global healthcare fraud analytics market is expected to reach US$ 8,707.73 Mn in 2027 from US$ 1,331.09 Mn in 2019. The market is estimated to grow with a CAGR of 27.0% from 2020-2027. The report provides trends prevailing in the global Healthcare fraud analytics Market and the factors driving market along with those that act as hindrances.
 

The global healthcare fraud analytics Market, based on the application, is segmented into insurance claims review, pharmacy billing misuse, payment integrity, and other applications. The insurance claims review segment held the largest share of the market in 2019. The same segment is estimated to register the highest CAGR in the market during the forecast period owing to increasing number of health insurance frauds. In the year 2018, DFS’s Insurance Frauds Bureau, headquartered in New York City, reported 16,184 suspected healthcare insurance frauds which included 14,459 no-fault reports, 1,562 accident and health insurance reports, and 163 disability insurance reports. Furthermore, based on mode of delivery, the market is segmented into on-premise delivery models, and on-demand delivery models. The application segment is segmented into insurance claims review, pharmacy billing misuse, payment integrity, and other applications. The end user segment is segmented into government agencies, private insurance payers, third-party service providers, and employers.

Global Healthcare Fraud Analytics Market, By Regions, 2018 (%)

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Healthcare Fraud Analytics Market Size, Share & Trends by 2027

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Healthcare Fraud Analytics Market to 2027 - Global Analysis and Forecasts by Solution ( Predictive Analytics, Descriptive Analytics, Prescriptive Analytics ); Mode of Delivery ( On-Demand Delivery Models, On- Demand Delivery Models ); Application ( Insurance Claims Review, Pharmacy Billing Misuse, Payment Integrity, Medical Identity Theft, Other Applications ); End User ( Government Agencies, Private Insurance Payers, Third-party Service Providers, Employers ) and Geography.

The healthcare fraud analytics Market for is expected to grow, owing to factors such as rising number of healthcare fraudulent cases across the globe and growing health insurance industry are expected to boost the market growth over the years. Moreover, growing hospital industry is likely to have a positive impact on the growth of the market in coming years.
 

Leading companies operating in the healthcare fraud analytics market are Conduent Inc., DXC Technology, Scioinspire, Corp., FICO, Optum, Inc., SAS Institute, Pondera Solutions, Lexisnexis Risk Solutions, Whitehatai, and Cotiviti, Inc. among others. 

The report segments global healthcare fraud analytics market as follows:

Global Healthcare Fraud Analytics Market – By Solution

• Predictive Analytics
• Descriptive Analytics
• Prescriptive Analytics

Global Healthcare Fraud Analytics Market – By Mode of Delivery

• On-Premise Delivery Models
• Cloud Based Delivery Models

Global Healthcare Fraud Analytics Market – By Application

• Insurance Claims Review
• Pharmacy Billing Misuse
• Payment Integrity
• Identity Theft
• Other Applications

Global Healthcare fraud analytics Market – By Geography

• North America
  • US
  • Canada
  • Mexico
• Europe
  • France
  • Germany
  • U.K
  • Spain
  • Italy
• Asia Pacific (APAC)
  • China
  • India
  • Japan
  • Australia
  • South Korea
• Middle East & Africa (MEA)
  • Saudi Arabia
  • U.A.E
  • South Africa
• South & Central America (SCAM)
  • Brazil
  • Argentina

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