The Healthcare Fraud Detection 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 Detection Market?
The market size of healthcare fraud detection has seen remarkable growth recently, expanding from $3.62 billion in 2024 to $4.67 billion in 2025. This indicates a compound annual growth rate (CAGR) of 28.9%.
What are the 2025 Market Projections: Forecasted Size & Growth Rate for the Healthcare Fraud Detection Industry?
The Healthcare Fraud Detection market is projected to reach a size of $13.77 billion by 2029, growing at a compound annual growth rate (CAGR) of 31.1%.
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What are the Key Growth Drivers Fueling the Healthcare Fraud Detection Market?
The key drivers in the healthcare fraud detection market are:
• Regulatory changes impacting the industry
• Increase in digitalization and sophistication of fraud schemes
• Increased emphasis on insurance fraud detection
• Enhancements in data security and safety
Global Market Segmentation: Identifying Major Healthcare Fraud Detection Industry Segments
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
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What are the Emerging Trends Shaping the Future of the Healthcare Fraud Detection Market?
The key trends in the healthcare fraud detection market are:
• The integration of advanced technology is a key emerging trend in the healthcare fraud detection market.
• real-time monitoring is becoming increasingly important in fraud detection.
• The use of behavioral analytics in fraud detection is also a growing trend.
• Blockchain technology is being utilized for enhanced security and patient identity verification in this sector.
Who Are the Top Competitors & Leading Players in the Healthcare Fraud Detection Market?
Major companies 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
Regional Dominance: Which Area Leads the Global Template Market?
North America was the largest region in the healthcare fraud detection market in 2024
