2025 Market Reports Update: Market Size Forecasts to 2034, Key Trends, Leading Players, and Top Regions – Get Ahead of the Competition Today!

How Are Key Drivers in the Industry Acting as Catalysts for the Growth of theHealthcare Fraud Detection Market?

The increase in deceptive practices in the healthcare sector is projected to fuel the growth of the healthcare fraud detection market. These fraudulent practices involve deliberate falsification of patient records and insurance documentation to acquire an unjust or illegal advantage or to deprive someone of their lawful entitlement. For example, in 2022, as per a report by a UK-based financial entity, there were 207,372 instances of APP fraud with total losses amounting to £485.2 million, reflecting a downturn of 17 percent in comparison to the previous year, 2021. Consequently, the escalating occurrences of fraud in the healthcare sector are anticipated to stimulate the expansion of the healthcare fraud detection market.

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#What Growth Opportunities Will Drive the Healthcare Fraud Detection Market’s CAGR Through 2034?

The market size for healthcare fraud detection has seen significant expansion in the past few years. A surge from $3.62 billion in 2024 up to $4.67 billion in 2025 is predicted, marking a healthy compound annual growth rate (CAGR) of 28.9%. The remarkable growth during the historical phase can be credited to factors such as rising cyber threats, patient identity verification, competitive market conditions, detection of fraudulent claims, and enhanced awareness and training.

Expectations are for the healthcare fraud detection market to experience substantial expansion in the upcoming years, with projections revealing the market could reach a worth of $13.77 billion by 2029, boasting a compound annual growth rate (CAGR) of 31.1%. Regulatory modifications, the continued rise of digitalization, enhancements to data security, and a greater emphasis on insurance fraud due to the increasing complexity of fraud schemes are thought to be the drivers of this growth in the forecast period. Future market trends are likely to include the incorporation of advanced technologies, the implementation of real-time monitoring, the application of behavioral analytics, the use of blockchain for enhanced security, and improvements in patient identity verification processes.

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What Are the Current Market Growth and Trends in theHealthcare Fraud Detection Market That Industry Players Should Watch?

The increasing utilization of advanced analytics tools is a significant trend that is becoming popular in the healthcare fraud detection market. Leading competitors are focusing on developing innovative technologies to maintain their standing in the healthcare fraud detection market. For example, in January 2022, Premier, Inc., an American healthcare technology firm, introduced INSights, powered by PINC AITM technology. INSights is an impartial analytics platform that can access risk-adjusted, standardized, and purified healthcare data from PINC AITM. It has been configured to help healthcare providers reduce the burden pertaining to data preparation and analytics creation for expedited improvements in clinical, quality, and financial outcomes.

What Are the Major Market Players Making an Impact on theHealthcare Fraud Detection Market Growth?

Major companies operating in the healthcare fraud detection market are International Business Machines Corporation, Cotiviti Inc., Fair Isaac Corporation, SAS Institute Inc., CGI Inc., DXC Technology Company, RELX Group PLC, EXL Service Holdings Inc., HCL Technologies Limited, UnitedHealth Group Incorporated, Conduent Incorporated, Change Healthcare LLC, OSP Labs LLC, Codoxo Inc., Wipro Limited, Qlarant Inc., Northrop Grumman Corporation, LexisNexis Risk Solutions Group, Healthcare Fraud Shield LLC, Sharecare Inc., FraudLens Inc., HMS Holdings Corp., H2O.ai Inc., Pondera Solutions Inc., FRISS B.V., MultiPlan Corporation, FraudScope Inc., McKesson Corporation, FraudGuard LLC, FraudCracker LLC

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How Are the Key Segments of the Healthcare Fraud Detection Market Driving Opportunities and Innovations?

The healthcare fraud detection market covered in this report is segmented –

1) By Type: Descriptive Analytics, Predictive Analytics, Prescriptive Analytics

2) By Model: On-Premise Delivery, On-Demand Delivery

3) By Component: Services, Software

4) By Application: Insurance Claims Review, Payment Integrity

5) By End User: Healthcare Payers, Government Agencies, Other End-Users

Subsegments:

1) By Descriptive Analytics: Data Mining, Reporting Tools, Historical Data Analysis

2) By Predictive Analytics: Risk Scoring Models, Machine Learning Algorithms, Trend Analysis

3) By Prescriptive Analytics: Decision Support Systems, Optimization Algorithms, Scenario Analysis And Simulations

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https://www.thebusinessresearchcompany.com/customise?id=8191&type=smpGlobal Healthcare Fraud Detection Market, Global Healthcare Fraud Detection Market Report, Global Healthcare Fraud Detection Market Trends, Global Healthcare Fraud Detection Market Size

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