
The global Medical Payment Fraud Detection market size was valued at US$ 1232.6 million in 2023. With growing demand in downstream market, the Medical Payment Fraud Detection is forecast to a readjusted size of US$ 2893.9 million by 2030 with a CAGR of 13.0% during review period.
The research report highlights the growth potential of the global Medical Payment Fraud Detection market. Medical Payment Fraud Detection are expected to show stable growth in the future market. However, product differentiation, reducing costs, and supply chain optimization remain crucial for the widespread adoption of Medical Payment Fraud Detection. Market players need to invest in research and development, forge strategic partnerships, and align their offerings with evolving consumer preferences to capitalize on the immense opportunities presented by the Medical Payment Fraud Detection market.
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.
Key Features:
The report on Medical Payment Fraud Detection market reflects various aspects and provide valuable insights into the industry.
Market Size and Growth: The research report provide an overview of the current size and growth of the Medical Payment Fraud Detection market. It may include historical data, market segmentation by Type (e.g., On-premise, Cloud-based), and regional breakdowns.
Market Drivers and Challenges: The report can identify and analyse the factors driving the growth of the Medical Payment Fraud Detection market, such as government regulations, environmental concerns, technological advancements, and changing consumer preferences. It can also highlight the challenges faced by the industry, including infrastructure limitations, range anxiety, and high upfront costs.
Competitive Landscape: The research report provides analysis of the competitive landscape within the Medical Payment Fraud Detection market. It includes profiles of key players, their market share, strategies, and product offerings. The report can also highlight emerging players and their potential impact on the market.
Technological Developments: The research report can delve into the latest technological developments in the Medical Payment Fraud Detection industry. This include advancements in Medical Payment Fraud Detection technology, Medical Payment Fraud Detection new entrants, Medical Payment Fraud Detection new investment, and other innovations that are shaping the future of Medical Payment Fraud Detection.
Downstream Procumbent Preference: The report can shed light on customer procumbent behaviour and adoption trends in the Medical Payment Fraud Detection market. It includes factors influencing customer ' purchasing decisions, preferences for Medical Payment Fraud Detection product.
Government Policies and Incentives: The research report analyse the impact of government policies and incentives on the Medical Payment Fraud Detection market. This may include an assessment of regulatory frameworks, subsidies, tax incentives, and other measures aimed at promoting Medical Payment Fraud Detection market. The report also evaluates the effectiveness of these policies in driving market growth.
Environmental Impact and Sustainability: The research report assess the environmental impact and sustainability aspects of the Medical Payment Fraud Detection market.
Market Forecasts and Future Outlook: Based on the analysis conducted, the research report provide market forecasts and outlook for the Medical Payment Fraud Detection industry. This includes projections of market size, growth rates, regional trends, and predictions on technological advancements and policy developments.
Recommendations and Opportunities: The report conclude with recommendations for industry stakeholders, policymakers, and investors. It highlights potential opportunities for market players to capitalize on emerging trends, overcome challenges, and contribute to the growth and development of the Medical Payment Fraud Detection market.
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.
Segmentation by type
On-premise
Cloud-based
Segmentation by application
Private Insurance Payers
Public/Government Agencies
Third-Party Service Providers
This report also splits the market by region:
Americas
United States
Canada
Mexico
Brazil
APAC
China
Japan
Korea
Southeast Asia
India
Australia
Europe
Germany
France
UK
Italy
Russia
Middle East & Africa
Egypt
South Africa
Israel
Turkey
GCC Countries
The below companies that are profiled have been selected based on inputs gathered from primary experts and analyzing the company's coverage, product portfolio, its market penetration.
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
Please Note - This is an on demand report and will be delivered in 2 business days (48 hours) post payment.
1 Scope of the Report
1.1 Market Introduction
1.2 Years Considered
1.3 Research Objectives
1.4 Market Research Methodology
1.5 Research Process and Data Source
1.6 Economic Indicators
1.7 Currency Considered
1.8 Market Estimation Caveats
2 Executive Summary
2.1 World Market Overview
2.1.1 Global Medical Payment Fraud Detection Market Size 2019-2030
2.1.2 Medical Payment Fraud Detection Market Size CAGR by Region 2019 VS 2023 VS 2030
2.2 Medical Payment Fraud Detection Segment by Type
2.2.1 On-premise
2.2.2 Cloud-based
2.3 Medical Payment Fraud Detection Market Size by Type
2.3.1 Medical Payment Fraud Detection Market Size CAGR by Type (2019 VS 2023 VS 2030)
2.3.2 Global Medical Payment Fraud Detection Market Size Market Share by Type (2019-2024)
2.4 Medical Payment Fraud Detection Segment by Application
2.4.1 Private Insurance Payers
2.4.2 Public/Government Agencies
2.4.3 Third-Party Service Providers
2.5 Medical Payment Fraud Detection Market Size by Application
2.5.1 Medical Payment Fraud Detection Market Size CAGR by Application (2019 VS 2023 VS 2030)
2.5.2 Global Medical Payment Fraud Detection Market Size Market Share by Application (2019-2024)
3 Medical Payment Fraud Detection Market Size by Player
3.1 Medical Payment Fraud Detection Market Size Market Share by Players
3.1.1 Global Medical Payment Fraud Detection Revenue by Players (2019-2024)
3.1.2 Global Medical Payment Fraud Detection Revenue Market Share by Players (2019-2024)
3.2 Global Medical Payment Fraud Detection Key Players Head office and Products Offered
3.3 Market Concentration Rate Analysis
3.3.1 Competition Landscape Analysis
3.3.2 Concentration Ratio (CR3, CR5 and CR10) & (2022-2024)
3.4 New Products and Potential Entrants
3.5 Mergers & Acquisitions, Expansion
4 Medical Payment Fraud Detection by Regions
4.1 Medical Payment Fraud Detection Market Size by Regions (2019-2024)
4.2 Americas Medical Payment Fraud Detection Market Size Growth (2019-2024)
4.3 APAC Medical Payment Fraud Detection Market Size Growth (2019-2024)
4.4 Europe Medical Payment Fraud Detection Market Size Growth (2019-2024)
4.5 Middle East & Africa Medical Payment Fraud Detection Market Size Growth (2019-2024)
5 Americas
5.1 Americas Medical Payment Fraud Detection Market Size by Country (2019-2024)
5.2 Americas Medical Payment Fraud Detection Market Size by Type (2019-2024)
5.3 Americas Medical Payment Fraud Detection Market Size by Application (2019-2024)
5.4 United States
5.5 Canada
5.6 Mexico
5.7 Brazil
6 APAC
6.1 APAC Medical Payment Fraud Detection Market Size by Region (2019-2024)
6.2 APAC Medical Payment Fraud Detection Market Size by Type (2019-2024)
6.3 APAC Medical Payment Fraud Detection Market Size by Application (2019-2024)
6.4 China
6.5 Japan
6.6 Korea
6.7 Southeast Asia
6.8 India
6.9 Australia
7 Europe
7.1 Europe Medical Payment Fraud Detection by Country (2019-2024)
7.2 Europe Medical Payment Fraud Detection Market Size by Type (2019-2024)
7.3 Europe Medical Payment Fraud Detection Market Size by Application (2019-2024)
7.4 Germany
7.5 France
7.6 UK
7.7 Italy
7.8 Russia
8 Middle East & Africa
8.1 Middle East & Africa Medical Payment Fraud Detection by Region (2019-2024)
8.2 Middle East & Africa Medical Payment Fraud Detection Market Size by Type (2019-2024)
8.3 Middle East & Africa Medical Payment Fraud Detection Market Size by Application (2019-2024)
8.4 Egypt
8.5 South Africa
8.6 Israel
8.7 Turkey
8.8 GCC Countries
9 Market Drivers, Challenges and Trends
9.1 Market Drivers & Growth Opportunities
9.2 Market Challenges & Risks
9.3 Industry Trends
10 Global Medical Payment Fraud Detection Market Forecast
10.1 Global Medical Payment Fraud Detection Forecast by Regions (2025-2030)
10.1.1 Global Medical Payment Fraud Detection Forecast by Regions (2025-2030)
10.1.2 Americas Medical Payment Fraud Detection Forecast
10.1.3 APAC Medical Payment Fraud Detection Forecast
10.1.4 Europe Medical Payment Fraud Detection Forecast
10.1.5 Middle East & Africa Medical Payment Fraud Detection Forecast
10.2 Americas Medical Payment Fraud Detection Forecast by Country (2025-2030)
10.2.1 United States Medical Payment Fraud Detection Market Forecast
10.2.2 Canada Medical Payment Fraud Detection Market Forecast
10.2.3 Mexico Medical Payment Fraud Detection Market Forecast
10.2.4 Brazil Medical Payment Fraud Detection Market Forecast
10.3 APAC Medical Payment Fraud Detection Forecast by Region (2025-2030)
10.3.1 China Medical Payment Fraud Detection Market Forecast
10.3.2 Japan Medical Payment Fraud Detection Market Forecast
10.3.3 Korea Medical Payment Fraud Detection Market Forecast
10.3.4 Southeast Asia Medical Payment Fraud Detection Market Forecast
10.3.5 India Medical Payment Fraud Detection Market Forecast
10.3.6 Australia Medical Payment Fraud Detection Market Forecast
10.4 Europe Medical Payment Fraud Detection Forecast by Country (2025-2030)
10.4.1 Germany Medical Payment Fraud Detection Market Forecast
10.4.2 France Medical Payment Fraud Detection Market Forecast
10.4.3 UK Medical Payment Fraud Detection Market Forecast
10.4.4 Italy Medical Payment Fraud Detection Market Forecast
10.4.5 Russia Medical Payment Fraud Detection Market Forecast
10.5 Middle East & Africa Medical Payment Fraud Detection Forecast by Region (2025-2030)
10.5.1 Egypt Medical Payment Fraud Detection Market Forecast
10.5.2 South Africa Medical Payment Fraud Detection Market Forecast
10.5.3 Israel Medical Payment Fraud Detection Market Forecast
10.5.4 Turkey Medical Payment Fraud Detection Market Forecast
10.5.5 GCC Countries Medical Payment Fraud Detection Market Forecast
10.6 Global Medical Payment Fraud Detection Forecast by Type (2025-2030)
10.7 Global Medical Payment Fraud Detection Forecast by Application (2025-2030)
11 Key Players Analysis
11.1 LexisNexis Risk Solutions
11.1.1 LexisNexis Risk Solutions Company Information
11.1.2 LexisNexis Risk Solutions Medical Payment Fraud Detection Product Offered
11.1.3 LexisNexis Risk Solutions Medical Payment Fraud Detection Revenue, Gross Margin and Market Share (2019-2024)
11.1.4 LexisNexis Risk Solutions Main Business Overview
11.1.5 LexisNexis Risk Solutions Latest Developments
11.2 International Business Machines Corporation
11.2.1 International Business Machines Corporation Company Information
11.2.2 International Business Machines Corporation Medical Payment Fraud Detection Product Offered
11.2.3 International Business Machines Corporation Medical Payment Fraud Detection Revenue, Gross Margin and Market Share (2019-2024)
11.2.4 International Business Machines Corporation Main Business Overview
11.2.5 International Business Machines Corporation Latest Developments
11.3 Optuminsight
11.3.1 Optuminsight Company Information
11.3.2 Optuminsight Medical Payment Fraud Detection Product Offered
11.3.3 Optuminsight Medical Payment Fraud Detection Revenue, Gross Margin and Market Share (2019-2024)
11.3.4 Optuminsight Main Business Overview
11.3.5 Optuminsight Latest Developments
11.4 OSP Labs
11.4.1 OSP Labs Company Information
11.4.2 OSP Labs Medical Payment Fraud Detection Product Offered
11.4.3 OSP Labs Medical Payment Fraud Detection Revenue, Gross Margin and Market Share (2019-2024)
11.4.4 OSP Labs Main Business Overview
11.4.5 OSP Labs Latest Developments
11.5 DXC Technology Company
11.5.1 DXC Technology Company Company Information
11.5.2 DXC Technology Company Medical Payment Fraud Detection Product Offered
11.5.3 DXC Technology Company Medical Payment Fraud Detection Revenue, Gross Margin and Market Share (2019-2024)
11.5.4 DXC Technology Company Main Business Overview
11.5.5 DXC Technology Company Latest Developments
11.6 Unitedhealth Group
11.6.1 Unitedhealth Group Company Information
11.6.2 Unitedhealth Group Medical Payment Fraud Detection Product Offered
11.6.3 Unitedhealth Group Medical Payment Fraud Detection Revenue, Gross Margin and Market Share (2019-2024)
11.6.4 Unitedhealth Group Main Business Overview
11.6.5 Unitedhealth Group Latest Developments
11.7 SAS Institute
11.7.1 SAS Institute Company Information
11.7.2 SAS Institute Medical Payment Fraud Detection Product Offered
11.7.3 SAS Institute Medical Payment Fraud Detection Revenue, Gross Margin and Market Share (2019-2024)
11.7.4 SAS Institute Main Business Overview
11.7.5 SAS Institute Latest Developments
11.8 Fair Isaac Corporation
11.8.1 Fair Isaac Corporation Company Information
11.8.2 Fair Isaac Corporation Medical Payment Fraud Detection Product Offered
11.8.3 Fair Isaac Corporation Medical Payment Fraud Detection Revenue, Gross Margin and Market Share (2019-2024)
11.8.4 Fair Isaac Corporation Main Business Overview
11.8.5 Fair Isaac Corporation Latest Developments
11.9 EXL Service Holdings, Inc.
11.9.1 EXL Service Holdings, Inc. Company Information
11.9.2 EXL Service Holdings, Inc. Medical Payment Fraud Detection Product Offered
11.9.3 EXL Service Holdings, Inc. Medical Payment Fraud Detection Revenue, Gross Margin and Market Share (2019-2024)
11.9.4 EXL Service Holdings, Inc. Main Business Overview
11.9.5 EXL Service Holdings, Inc. Latest Developments
11.10 CGI GROUP
11.10.1 CGI GROUP Company Information
11.10.2 CGI GROUP Medical Payment Fraud Detection Product Offered
11.10.3 CGI GROUP Medical Payment Fraud Detection Revenue, Gross Margin and Market Share (2019-2024)
11.10.4 CGI GROUP Main Business Overview
11.10.5 CGI GROUP Latest Developments
12 Research Findings and Conclusion
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*If Applicable.
