Healthcare Fraud Analytics Market - Global Industry Analysis, Size, Share, Growth, Trends, and Forecast 2021 - 2031

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Healthcare Fraud Analytics Market - Global Industry Analysis, Size, Share, Growth, Trends, and Forecast 2021 - 2031

Status : November, 2022 | Healthcare IT

Report Digest


Healthcare Fraud Analytics Market: Snapshot

Healthcare fraud detection helps in identifying issues related to the claims such as errors in submission of forms, repetition of claims, duplicate claims, and others. The rising cases of fraud claims across the globe are a matter of great concern which need to be addressed in an efficient way. The fraud detection solution enables the audit and accounting of the analytical data in the healthcare sector. The preference for healthcare fraud analytics solutions owing to their proficiency is likely to create promising growth opportunities for the healthcare fraud analytics market across the globe during the forecast period of 2021-2031.

The healthcare fraud analytics market can be segmented into prescriptive analytics, descriptive analytics, and predictive analytics based on the types of solutions. The delivery models can be classified into cloud-based and on-premise. Based on application, the market can be bifurcated into pharmacy billing issues, payment integrity, insurance claim review, and others. Further, the end-users can be private insurance payers, public and government agencies, third-party service providers, and employers.

The experienced research team at TMR Research has curated this all-important report which throws light on the growth trajectory of the healthcare fraud analytics market. The various aspects such as emerging trends, latest development, competitive scenario, revenue generation, and regional perspective. The deep insights regarding the market help the stakeholders to plan strategies to expand the market reach and make appropriate investments. Furthermore, the impact of the COVID-19 pandemic on the market growth is also included in this report.

Healthcare Fraud Analytics Market: Drivers and opportunities

The conventional methods required a lot of scrutiny and efforts to track the fraud whereas the healthcare fraud analytic solutions have made the access to the required documents at ease.  These aspects may propel market growth. The global healthcare fraud detection market is anticipated to show significant growth in the near future owing to the emerging trends of implementing healthcare fraud analytics solutions in healthcare centers. Development in healthcare fraud analytics solutions and BPO outsourcing for detecting fraud in the healthcare centers.

The medical billing frauds occurring in pharmacies can be handled with ease through healthcare fraud analytics solutions. The increasing number of healthcare infrastructure and hospitals has led to increased patient admissions and the chances of fraud related to billing, policies, or others may generate good revenue for the healthcare fraud analytics market. The escalating fraudulent activities in context with the insurance and reimbursement policies may bring substantial growth to the healthcare fraud analytics market.

The popularity of social media has increased due to the healthcare communication through it. A large forum for health discussions is provided on the social platforms which enable interaction between the patients and the service providers. The huge network of healthcare professionals and patients provides substantial data which assists in improving treatment procedures and may eventually act as a revenue generator for the healthcare fraud analytics market.

Healthcare Fraud Analytics: Competitive Landscape

The leading players operating in the healthcare fraud analytics market are engaged in extensive research and development activities which may provide exponential growth to the healthcare fraud analytics market. The development of new software and technological advancements in healthcare fraud analytics solutions have created lucrative growth opportunities for the market.

The leading players functional in the market are Northrop Grumman Corporation, Multiplan, Wipro Limited, EXLService Holdings, Inc., Healthcare Fraud Shield, Pondera Solutions, Inc., Fair Isaac Corporation, and IBM Corporation.

Healthcare Fraud Analytics Market: Regional Dimensions

North America is anticipated to show significant growth in the global market owing to the rising number of people having health insurance policies in this region. Furthermore, the government initiatives to control fraud in the healthcare sector may generate promising growth in the healthcare fraud analytics market.

The reports at TMR Research provide qualitative solutions that break the barriers of doubt or uncertainties when the stakeholders plan to expand their growth reach. The researchers compile the necessary information that enlightens the CXOs about the current growth opportunities in a specific market and enables them to make the most of the opportunities.

TMR Research is a leader in developing well-researched reports. The expertise of the researchers at TMR Research makes the report stand out from others. TMR Research reports help the stakeholders and CXOs make impactful decisions through a unique blend of innovation and analytical thinking. The use of innovation and analytical thinking while structuring a report assures complete and ideal information of the current status of the market to the stakeholders.

TMR Research has rich experience in developing state-of-the-art reports for a wide array of markets and sectors. The brilliance of the experts at TMR Research and their alacrity to conduct thorough research and create phenomenal reports makes TMR Research better than others.

5-Point Growth Formula

The 5-point growth formula developed by TMR Research provides an insight to the stakeholders and CXOs about the current situation in the market. The growth formula makes the report a perfect companion for the stakeholders and CXOs.

The 5-point growth formula includes the following points:

  • Current and Future Threats
  • Accurate Trend Analysis
  • Regional Assessment
  • Industrial Analogy
  • COVID-19 Impact

Current and Future Threats

Along with studying the opportunities necessary for growth, threats are also an important aspect to look upon for the companies and stakeholders in a specific sector. TMR Research studies every negative aspect that will hinder the growth of a specific area of business and includes it in the report. The stakeholders and CXOs will have the benefit of assessing the threat and take the necessary steps to prevent the hindrance caused due to the threats.

Accurate Trend Analysis

Keeping up with the latest trends is crucial in any business or sector. While stakeholders are aware of the trends that are on the surface, TMR Researchers find trends that are deeply entrenched in the particular market or sector. The reports are constantly updated with the latest trends so that the stakeholders and CXOs can derive benefits from the trends and generate good revenues.

Regional Assessment

Demography forms an important part of the growth pattern of all the markets. Diving deep into the demographics enables maximum output from specific areas. The TMR Research team assesses every region and picks out the vital points that have a large impact on the growth of a market.

Industrial Analogy

The analysts at TMR Research conduct an all-round analysis on the competitive landscape of the market. The observations recorded by the analysts are added to the reports so that every stakeholder gets a glimpse of the competitive scenario and frame their business plans according to the situation.

COVID-19 Impact

The COVID-19 outbreak has changed the growth projections of numerous sectors and businesses. The analysts at TMR Research have conducted a conscientious survey on the markets after the pandemic struck. The analysts have put forth their brilliant and well-researched opinions in the report. The opinions will help the stakeholders to plan their strategy accordingly.