The global Medical Payment Fraud Detection market size was valued at USD 1296.5 million in 2023 and is forecast to a readjusted size of USD 2859.4 million by 2030 with a CAGR of 12.0% during review period.
Medical fraud is increasingly apperceived as one of the social concerns. Healthcare fraud varies, but generally, it involves filing dishonest health claims for profit.
According to our research, the global market for medical devices is estimated at US$ 603 billion in the year 2023, and will be growing at a CAGR of 5% during next six years. The global healthcare spending contributes to occupy 10% of the global GDP and is continuously rising in recent years due to the increasing health needs of the aging population, the growing prevalence of chronic and infectious diseases and the expansion of emerging markets. The medical devices market plays a significant role in the healthcare industry. The market is driven by several factors, including the increasing demand for advanced healthcare services globally, advancements in medical technology, growing geriatric population, rising healthcare expenditure, and increasing awareness about early disease diagnosis and treatment.
The report includes an overview of the development of the Medical Payment Fraud Detection industry chain, the market status of Private Insurance Payers (On-premise, Cloud-based), Public/Government Agencies (On-premise, Cloud-based), and key enterprises in developed and developing market, and analysed the cutting-edge technology, patent, hot applications and market trends of Medical Payment Fraud Detection.
Regionally, the report analyzes the Medical Payment Fraud Detection markets in key regions. North America and Europe are experiencing steady growth, driven by government initiatives and increasing consumer awareness. Asia-Pacific, particularly China, leads the global Medical Payment Fraud Detection market, with robust domestic demand, supportive policies, and a strong manufacturing base.
Key Features:
The report presents comprehensive understanding of the Medical Payment Fraud Detection market. It provides a holistic view of the industry, as well as detailed insights into individual components and stakeholders. The report analysis market dynamics, trends, challenges, and opportunities within the Medical Payment Fraud Detection industry.
The report involves analyzing the market at a macro level:
Market Sizing and Segmentation: Report collect data on the overall market size, including the revenue generated, and market share of different by Type (e.g., On-premise, Cloud-based).
Industry Analysis: Report analyse the broader industry trends, such as government policies and regulations, technological advancements, consumer preferences, and market dynamics. This analysis helps in understanding the key drivers and challenges influencing the Medical Payment Fraud Detection market.
Regional Analysis: The report involves examining the Medical Payment Fraud Detection market at a regional or national level. Report analyses regional factors such as government incentives, infrastructure development, economic conditions, and consumer behaviour to identify variations and opportunities within different markets.
Market Projections: Report covers the gathered data and analysis to make future projections and forecasts for the Medical Payment Fraud Detection market. This may include estimating market growth rates, predicting market demand, and identifying emerging trends.
The report also involves a more granular approach to Medical Payment Fraud Detection:
Company Analysis: Report covers individual Medical Payment Fraud Detection players, suppliers, and other relevant industry players. This analysis includes studying their financial performance, market positioning, product portfolios, partnerships, and strategies.
Consumer Analysis: Report covers data on consumer behaviour, preferences, and attitudes towards Medical Payment Fraud Detection This may involve surveys, interviews, and analysis of consumer reviews and feedback from different by Application (Private Insurance Payers, Public/Government Agencies).
Technology Analysis: Report covers specific technologies relevant to Medical Payment Fraud Detection. It assesses the current state, advancements, and potential future developments in Medical Payment Fraud Detection areas.
Competitive Landscape: By analyzing individual companies, suppliers, and consumers, the report present insights into the competitive landscape of the Medical Payment Fraud Detection market. This analysis helps understand market share, competitive advantages, and potential areas for differentiation among industry players.
Market Validation: The report involves validating findings and projections through primary research, such as surveys, interviews, and focus groups.
Market Segmentation
Medical Payment Fraud Detection market is split by Type and by Application. For the period 2019-2030, the growth among segments provides accurate calculations and forecasts for consumption value by Type, and by Application in terms of value.
Market segment by Type
On-premise
Cloud-based
Market segment by Application
Private Insurance Payers
Public/Government Agencies
Third-Party Service Providers
Market segment by players, this report covers
LexisNexis Risk Solutions
International Business Machines Corporation
Optuminsight
OSP Labs
DXC Technology Company
Unitedhealth Group
SAS Institute
Fair Isaac Corporation
EXL Service Holdings, Inc.
CGI GROUP
Market segment by regions, regional analysis covers
North America (United States, Canada, and Mexico)
Europe (Germany, France, UK, Russia, Italy, and Rest of Europe)
Asia-Pacific (China, Japan, South Korea, India, Southeast Asia, Australia and Rest of Asia-Pacific)
South America (Brazil, Argentina and Rest of South America)
Middle East & Africa (Turkey, Saudi Arabia, UAE, Rest of Middle East & Africa)
The content of the study subjects, includes a total of 13 chapters:
Chapter 1, to describe Medical Payment Fraud Detection product scope, market overview, market estimation caveats and base year.
Chapter 2, to profile the top players of Medical Payment Fraud Detection, with revenue, gross margin and global market share of Medical Payment Fraud Detection from 2019 to 2024.
Chapter 3, the Medical Payment Fraud Detection competitive situation, revenue and global market share of top players are analyzed emphatically by landscape contrast.
Chapter 4 and 5, to segment the market size by Type and application, with consumption value and growth rate by Type, application, from 2019 to 2030.
Chapter 6, 7, 8, 9, and 10, to break the market size data at the country level, with revenue and market share for key countries in the world, from 2019 to 2024.and Medical Payment Fraud Detection market forecast, by regions, type and application, with consumption value, from 2025 to 2030.
Chapter 11, market dynamics, drivers, restraints, trends and Porters Five Forces analysis.
Chapter 12, the key raw materials and key suppliers, and industry chain of Medical Payment Fraud Detection.
Chapter 13, to describe Medical Payment Fraud Detection research findings and conclusion.
Please Note - This is an on demand report and will be delivered in 2 business days (48 Hours) post payment.
1 Market Overview
1.1 Product Overview and Scope of Medical Payment Fraud Detection
1.2 Market Estimation Caveats and Base Year
1.3 Classification of Medical Payment Fraud Detection by Type
1.3.1 Overview: Global Medical Payment Fraud Detection Market Size by Type: 2019 Versus 2023 Versus 2030
1.3.2 Global Medical Payment Fraud Detection Consumption Value Market Share by Type in 2023
1.3.3 On-premise
1.3.4 Cloud-based
1.4 Global Medical Payment Fraud Detection Market by Application
1.4.1 Overview: Global Medical Payment Fraud Detection Market Size by Application: 2019 Versus 2023 Versus 2030
1.4.2 Private Insurance Payers
1.4.3 Public/Government Agencies
1.4.4 Third-Party Service Providers
1.5 Global Medical Payment Fraud Detection Market Size & Forecast
1.6 Global Medical Payment Fraud Detection Market Size and Forecast by Region
1.6.1 Global Medical Payment Fraud Detection Market Size by Region: 2019 VS 2023 VS 2030
1.6.2 Global Medical Payment Fraud Detection Market Size by Region, (2019-2030)
1.6.3 North America Medical Payment Fraud Detection Market Size and Prospect (2019-2030)
1.6.4 Europe Medical Payment Fraud Detection Market Size and Prospect (2019-2030)
1.6.5 Asia-Pacific Medical Payment Fraud Detection Market Size and Prospect (2019-2030)
1.6.6 South America Medical Payment Fraud Detection Market Size and Prospect (2019-2030)
1.6.7 Middle East and Africa Medical Payment Fraud Detection Market Size and Prospect (2019-2030)
2 Company Profiles
2.1 LexisNexis Risk Solutions
2.1.1 LexisNexis Risk Solutions Details
2.1.2 LexisNexis Risk Solutions Major Business
2.1.3 LexisNexis Risk Solutions Medical Payment Fraud Detection Product and Solutions
2.1.4 LexisNexis Risk Solutions Medical Payment Fraud Detection Revenue, Gross Margin and Market Share (2019-2024)
2.1.5 LexisNexis Risk Solutions Recent Developments and Future Plans
2.2 International Business Machines Corporation
2.2.1 International Business Machines Corporation Details
2.2.2 International Business Machines Corporation Major Business
2.2.3 International Business Machines Corporation Medical Payment Fraud Detection Product and Solutions
2.2.4 International Business Machines Corporation Medical Payment Fraud Detection Revenue, Gross Margin and Market Share (2019-2024)
2.2.5 International Business Machines Corporation Recent Developments and Future Plans
2.3 Optuminsight
2.3.1 Optuminsight Details
2.3.2 Optuminsight Major Business
2.3.3 Optuminsight Medical Payment Fraud Detection Product and Solutions
2.3.4 Optuminsight Medical Payment Fraud Detection Revenue, Gross Margin and Market Share (2019-2024)
2.3.5 Optuminsight Recent Developments and Future Plans
2.4 OSP Labs
2.4.1 OSP Labs Details
2.4.2 OSP Labs Major Business
2.4.3 OSP Labs Medical Payment Fraud Detection Product and Solutions
2.4.4 OSP Labs Medical Payment Fraud Detection Revenue, Gross Margin and Market Share (2019-2024)
2.4.5 OSP Labs Recent Developments and Future Plans
2.5 DXC Technology Company
2.5.1 DXC Technology Company Details
2.5.2 DXC Technology Company Major Business
2.5.3 DXC Technology Company Medical Payment Fraud Detection Product and Solutions
2.5.4 DXC Technology Company Medical Payment Fraud Detection Revenue, Gross Margin and Market Share (2019-2024)
2.5.5 DXC Technology Company Recent Developments and Future Plans
2.6 Unitedhealth Group
2.6.1 Unitedhealth Group Details
2.6.2 Unitedhealth Group Major Business
2.6.3 Unitedhealth Group Medical Payment Fraud Detection Product and Solutions
2.6.4 Unitedhealth Group Medical Payment Fraud Detection Revenue, Gross Margin and Market Share (2019-2024)
2.6.5 Unitedhealth Group Recent Developments and Future Plans
2.7 SAS Institute
2.7.1 SAS Institute Details
2.7.2 SAS Institute Major Business
2.7.3 SAS Institute Medical Payment Fraud Detection Product and Solutions
2.7.4 SAS Institute Medical Payment Fraud Detection Revenue, Gross Margin and Market Share (2019-2024)
2.7.5 SAS Institute Recent Developments and Future Plans
2.8 Fair Isaac Corporation
2.8.1 Fair Isaac Corporation Details
2.8.2 Fair Isaac Corporation Major Business
2.8.3 Fair Isaac Corporation Medical Payment Fraud Detection Product and Solutions
2.8.4 Fair Isaac Corporation Medical Payment Fraud Detection Revenue, Gross Margin and Market Share (2019-2024)
2.8.5 Fair Isaac Corporation Recent Developments and Future Plans
2.9 EXL Service Holdings, Inc.
2.9.1 EXL Service Holdings, Inc. Details
2.9.2 EXL Service Holdings, Inc. Major Business
2.9.3 EXL Service Holdings, Inc. Medical Payment Fraud Detection Product and Solutions
2.9.4 EXL Service Holdings, Inc. Medical Payment Fraud Detection Revenue, Gross Margin and Market Share (2019-2024)
2.9.5 EXL Service Holdings, Inc. Recent Developments and Future Plans
2.10 CGI GROUP
2.10.1 CGI GROUP Details
2.10.2 CGI GROUP Major Business
2.10.3 CGI GROUP Medical Payment Fraud Detection Product and Solutions
2.10.4 CGI GROUP Medical Payment Fraud Detection Revenue, Gross Margin and Market Share (2019-2024)
2.10.5 CGI GROUP Recent Developments and Future Plans
3 Market Competition, by Players
3.1 Global Medical Payment Fraud Detection Revenue and Share by Players (2019-2024)
3.2 Market Share Analysis (2023)
3.2.1 Market Share of Medical Payment Fraud Detection by Company Revenue
3.2.2 Top 3 Medical Payment Fraud Detection Players Market Share in 2023
3.2.3 Top 6 Medical Payment Fraud Detection Players Market Share in 2023
3.3 Medical Payment Fraud Detection Market: Overall Company Footprint Analysis
3.3.1 Medical Payment Fraud Detection Market: Region Footprint
3.3.2 Medical Payment Fraud Detection Market: Company Product Type Footprint
3.3.3 Medical Payment Fraud Detection Market: Company Product Application Footprint
3.4 New Market Entrants and Barriers to Market Entry
3.5 Mergers, Acquisition, Agreements, and Collaborations
4 Market Size Segment by Type
4.1 Global Medical Payment Fraud Detection Consumption Value and Market Share by Type (2019-2024)
4.2 Global Medical Payment Fraud Detection Market Forecast by Type (2025-2030)
5 Market Size Segment by Application
5.1 Global Medical Payment Fraud Detection Consumption Value Market Share by Application (2019-2024)
5.2 Global Medical Payment Fraud Detection Market Forecast by Application (2025-2030)
6 North America
6.1 North America Medical Payment Fraud Detection Consumption Value by Type (2019-2030)
6.2 North America Medical Payment Fraud Detection Consumption Value by Application (2019-2030)
6.3 North America Medical Payment Fraud Detection Market Size by Country
6.3.1 North America Medical Payment Fraud Detection Consumption Value by Country (2019-2030)
6.3.2 United States Medical Payment Fraud Detection Market Size and Forecast (2019-2030)
6.3.3 Canada Medical Payment Fraud Detection Market Size and Forecast (2019-2030)
6.3.4 Mexico Medical Payment Fraud Detection Market Size and Forecast (2019-2030)
7 Europe
7.1 Europe Medical Payment Fraud Detection Consumption Value by Type (2019-2030)
7.2 Europe Medical Payment Fraud Detection Consumption Value by Application (2019-2030)
7.3 Europe Medical Payment Fraud Detection Market Size by Country
7.3.1 Europe Medical Payment Fraud Detection Consumption Value by Country (2019-2030)
7.3.2 Germany Medical Payment Fraud Detection Market Size and Forecast (2019-2030)
7.3.3 France Medical Payment Fraud Detection Market Size and Forecast (2019-2030)
7.3.4 United Kingdom Medical Payment Fraud Detection Market Size and Forecast (2019-2030)
7.3.5 Russia Medical Payment Fraud Detection Market Size and Forecast (2019-2030)
7.3.6 Italy Medical Payment Fraud Detection Market Size and Forecast (2019-2030)
8 Asia-Pacific
8.1 Asia-Pacific Medical Payment Fraud Detection Consumption Value by Type (2019-2030)
8.2 Asia-Pacific Medical Payment Fraud Detection Consumption Value by Application (2019-2030)
8.3 Asia-Pacific Medical Payment Fraud Detection Market Size by Region
8.3.1 Asia-Pacific Medical Payment Fraud Detection Consumption Value by Region (2019-2030)
8.3.2 China Medical Payment Fraud Detection Market Size and Forecast (2019-2030)
8.3.3 Japan Medical Payment Fraud Detection Market Size and Forecast (2019-2030)
8.3.4 South Korea Medical Payment Fraud Detection Market Size and Forecast (2019-2030)
8.3.5 India Medical Payment Fraud Detection Market Size and Forecast (2019-2030)
8.3.6 Southeast Asia Medical Payment Fraud Detection Market Size and Forecast (2019-2030)
8.3.7 Australia Medical Payment Fraud Detection Market Size and Forecast (2019-2030)
9 South America
9.1 South America Medical Payment Fraud Detection Consumption Value by Type (2019-2030)
9.2 South America Medical Payment Fraud Detection Consumption Value by Application (2019-2030)
9.3 South America Medical Payment Fraud Detection Market Size by Country
9.3.1 South America Medical Payment Fraud Detection Consumption Value by Country (2019-2030)
9.3.2 Brazil Medical Payment Fraud Detection Market Size and Forecast (2019-2030)
9.3.3 Argentina Medical Payment Fraud Detection Market Size and Forecast (2019-2030)
10 Middle East & Africa
10.1 Middle East & Africa Medical Payment Fraud Detection Consumption Value by Type (2019-2030)
10.2 Middle East & Africa Medical Payment Fraud Detection Consumption Value by Application (2019-2030)
10.3 Middle East & Africa Medical Payment Fraud Detection Market Size by Country
10.3.1 Middle East & Africa Medical Payment Fraud Detection Consumption Value by Country (2019-2030)
10.3.2 Turkey Medical Payment Fraud Detection Market Size and Forecast (2019-2030)
10.3.3 Saudi Arabia Medical Payment Fraud Detection Market Size and Forecast (2019-2030)
10.3.4 UAE Medical Payment Fraud Detection Market Size and Forecast (2019-2030)
11 Market Dynamics
11.1 Medical Payment Fraud Detection Market Drivers
11.2 Medical Payment Fraud Detection Market Restraints
11.3 Medical Payment Fraud Detection Trends Analysis
11.4 Porters Five Forces Analysis
11.4.1 Threat of New Entrants
11.4.2 Bargaining Power of Suppliers
11.4.3 Bargaining Power of Buyers
11.4.4 Threat of Substitutes
11.4.5 Competitive Rivalry
12 Industry Chain Analysis
12.1 Medical Payment Fraud Detection Industry Chain
12.2 Medical Payment Fraud Detection Upstream Analysis
12.3 Medical Payment Fraud Detection Midstream Analysis
12.4 Medical Payment Fraud Detection Downstream Analysis
13 Research Findings and Conclusion
14 Appendix
14.1 Methodology
14.2 Research Process and Data Source
14.3 Disclaimer
LexisNexis Risk Solutions
International Business Machines Corporation
Optuminsight
OSP Labs
DXC Technology Company
Unitedhealth Group
SAS Institute
Fair Isaac Corporation
EXL Service Holdings, Inc.
CGI GROUP
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*If Applicable.
