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Healthcare Fraud Analytics Market 2025: Detailed Insights into Market Size and Future Growth

27 May, 2025

The Healthcare Fraud Analytics Market Overview 2025 report reveals that the market size has grown significantly over the past few years, with projections indicating further expansion.

What are the Historical Growth Trends in the Healthcare Fraud Analytics Market?

The Healthcare Fraud Analytics Global Market Report 2024 shows that the market has seen exponential growth recently. From 2024 to 2025, the market size increased from $3.73 billion to $4.67 billion. This represents a compound annual growth rate (CAGR) of 25.4%.

What are the 2025 Market Projections: Forecasted Size & Growth Rate for the Healthcare Fraud Analytics Industry?

The market size of the healthcare fraud analytics is projected to escalate significantly in the coming years, reaching $12.38 billion in 2029. This growth corresponds to a compound annual growth rate (CAGR) of 27.6%.

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What are the Key Growth Drivers Fueling the Healthcare Fraud Analytics Market?

The key drivers in the healthcare fraud analytics market are:

• Rising sophistication of healthcare fraud schemes
• Incorporation of predictive analytics in fraud detection
• Evolution of regulatory frameworks around healthcare fraud
• Impact of global pandemic enhancing the need for patient identity verification

Global Market Segmentation: Identifying Major Healthcare Fraud Analytics Industry Segments

The healthcare fraud analytics market covered in this report is segmented –
1) By Solution Type: Descriptive Analytics, Predictive Analytics, Prescriptive Analytics
2) By Delivery Model: On-Premise, On-Demand
3) By Application: Insurance Claims Review, Postpayment Review, Prepayment Review, Pharmacy Billing Misuse, Payment Integrity, Other Applications

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What are the Emerging Trends Shaping the Future of the Healthcare Fraud Analytics Market?

The key trends in the space launch services market are:

• The adoption of cloud-based analytics is a major trend shaping the future of this market.
• User-friendly interfaces are increasingly becoming popular.
• Automation in fraud investigations is a key development.
• There is a growing trend towards real-time fraud detection and behavioral analytics.

Who Are the Top Competitors & Leading Players in the Healthcare Fraud Analytics Market?

Major companies in the healthcare fraud analytics market are:

• International Business Machines Corporation
• Optum Inc.
• Statistical Analysis Software Institute Inc.
• Change Healthcare
• EXL Service Holdings Inc.
• Cotiviti Inc.
• DXC Technology Company
• Wipro Limited
• Conduent Incorporated
• HCL Technologies Limited
• Qlarant Inc.
• LEXIS
•NEXIS Group
• Healthcare Fraud Shield
• FraudLens Inc.
• HMS Holding Corp.
• Codoxo
• H20. ai
• Pondera Solutions Inc.
• Friss International B. V.
• MultiPlan Inc.
• FraudScope
• Osp Labs Private Limited
• Fair Isaac Corporation
• Relx Group PLC

Regional Dominance: Which Area Leads the Global Healthcare Fraud Analytics Market?

North America was the largest region in the healthcare fraud analytics market in 2024

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