한글목차

의료 부정 적발 동향과 예측

세계의 의료 부정 적발 시장 규모는 2024년부터 2030년까지 CAGR 26.5%로 성장하여 2030년까지 약 87억 달러에 달할 것으로 예측됩니다. 이 시장의 주요 성장 촉진요인은 헬스케어 비용 급등, 건강보험을 선택하는 환자 증가, 헬스케어 업계의 부정행위 증가입니다. 세계의 의료 부정 적발 시장의 미래는 보험금 청구와 지불 정합성 시장 개정의 기회에 의해 유망해 보입니다.

의료 부정 적발 시장 인사이트

Lucintel의 예측에 따르면, 기술적 분석이 널리 채택되고 사용하기 쉽기 때문에 예측기간 중에도 최대 부문으로 유지될 것으로 생각됩니다.

이 시장에서는 의료 보험의 의료 사기 사례가 발견됨에 따라 보험금 청구 검토가 계속해서 큰 비중을 차지할 것입니다.

북미는 새로운 분석 방법이나 소프트웨어의 급속한 활용과 이 지역의 헬스케어 분석 서비스에 대한 지출 증가에 의해 예측기간 중에도 최대 지역으로 남을 것입니다.

자주 묻는 질문

Q1. 시장 규모는?

A1. 세계의 의료 부정 적발 시장은 2030년까지 약 87억 달러에 달할 것으로 예상됩니다.

Q2. 시장 성장 예측은?

A2. 세계의 의료 부정 적발 시장은 2024년부터 2030년까지 CAGR 26.5%로 성장할 전망입니다.

Q3. 시장의 성장에 영향을 미치는 주요 성장 촉진요인은?

A3. 이 시장의 주요 성장 촉진요인은 헬스케어 비용 급등, 건강보험을 선택하는 환자 증가, 헬스케어 업계의 사기 사건 증가입니다.

Q4. 시장의 주요 부문은?

A4. 의료 부정 적발 시장의 미래는 보험금 청구 및 지불 무결성 시장 개정의 기회에 의해 유망해 보입니다.

Q5. 시장의 주요 기업은?

A5. 의료 부정 적발의 주요 기업은 다음과 같습니다.

• CGI
• DXC Technology Company
• International Business Machines
• Mckesson
• ExlService Holdings

Q6. 향후 최대가 되는 시장 부문은?

A6. Lucintel은 기술적 분석이 널리 채택되고 사용하기 쉽기 때문에 예측기간 중에도 최대 부문으로 유지될 것으로 예측하고 있습니다.

Q7. 시장에서 향후 5년간 최대가 될 것으로 예상되는 지역은?

A7. 북미는 참신한 분석 방법이나 소프트웨어의 급속한 활용과 이 지역의 헬스케어 분석 서비스에 대한 지출 증가에 의해 예측기간 중에도 최대 지역으로 남을 것으로 예측하고 있습니다.

Q8. 보고서 커스터마이징이 가능?

A8. 네, Lucintel은 추가 비용 없이 10%의 커스터마이징을 제공합니다.

목차

제1장 주요 요약

제2장 세계의 의료 부정 적발 시장 : 시장 역학

• 서론, 배경, 분류
• 공급망
• 업계 성장 촉진요인과 과제

제3장 시장 동향과 예측 분석 : 2018-2030년

• 거시경제 동향(2018-2023년)과 예측(2024-2030년)
• 세계의 의료 부정 적발 시장 동향(2018-2023년)과 예측(2024-2030년)
• 세계의 의료 부정 적발 시장 : 유형별
  • 기술적 분석
  • 예측 분석
  • 처방적 분석
• 세계의 의료 부정 적발 시장 : 용도별
  • 보험금 청구 심사
  • 지불 정합성
• 세계의 의료 부정 적발 시장 : 최종 용도별
  • 민간 보험 지불자
  • 정부기관
  • 기타

제4장 시장 동향과 예측 분석 : 지역별(2018-2030년)

• 세계의 의료 부정 적발 시장 : 지역별
• 북미
• 유럽
• 아시아태평양
• 기타 지역

제5장 경쟁 분석

• 제품 포트폴리오 분석
• 운영상 통합
• Porter's Five Forces 분석

제6장 성장 기회와 전략 분석

• 성장 기회 분석
  • 유형별
  • 용도별
  • 최종 용도별
  • 지역별
• 세계의 의료 부정 적발 시장의 최신 동향
• 전략적 분석
  • 신제품 개발
  • 세계의 의료 부정 적발 시장 능력 확대
  • 세계의 의료 부정 적발 시장 합병, 인수, 합작투자
  • 인증과 라이선싱

제7장 유력 기업의 기업 개요

• CGI
• DXC Technology Company
• International Business Machines
• Mckesson
• ExlService Holdings

영문목차

Healthcare Fraud Detection Trends and Forecast

The future of the global healthcare fraud detection market looks promising with opportunities in the review of insurance claim and payment integrity markets. The global healthcare fraud detection market is expected to reach an estimated $8.7 billion by 2030 with a CAGR of 26.5% from 2024 to 2030. The major drivers for this market are escalating healthcare costs, increase in the count of patients choosing health insurance, and rising incidents of fraud in the healthcare industry.

A more than 150-page report is developed to help in your business decisions.

Healthcare Fraud Detection by Segment

The study includes a forecast for the global healthcare fraud detection by type, application, end use, and region.

Healthcare Fraud Detection Market by Type [Shipment Analysis by Value from 2018 to 2030]:

• Descriptive Analytics
• Predictive Analytics
• Prescriptive Analytics

Healthcare Fraud Detection Market by Application [Shipment Analysis by Value from 2018 to 2030]:

• Review of Insurance Claims
• Payment Integrity

Healthcare Fraud Detection Market by End Use [Shipment Analysis by Value from 2018 to 2030]:

• Private Insurance Payers
• Government Agencies
• Others

Healthcare Fraud Detection Market by Region [Shipment Analysis by Value from 2018 to 2030]:

• North America
• Europe
• Asia Pacific
• The Rest of the World

List of Healthcare Fraud Detection Companies

Companies in the market compete on the basis of product quality offered. Major players in this market focus on expanding their manufacturing facilities, R&D investments, infrastructural development, and leverage integration opportunities across the value chain. With these strategies healthcare fraud detection companies cater increasing demand, ensure competitive effectiveness, develop innovative products & technologies, reduce production costs, and expand their customer base. Some of the healthcare fraud detection companies profiled in this report include-

• CGI
• DXC Technology Company
• International Business Machines
• Mckesson
• ExlService Holdings

Healthcare Fraud Detection Market Insights

Lucintel forecasts that descriptive analytic will remain the largest segment over the forecast period due to its widespread adoption and ease of use.

Within this market, insurance claim review will remain the larger segment due to instances of medical fraud are detected within healthcare insurance.

North America will remain the largest region over the forecast period due to rapid utilization of novel analytical methods and software and increasing spending on healthcare analytics services in the region.

Features of the Global Healthcare Fraud Detection Market

Market Size Estimates: Healthcare fraud detection market size estimation in terms of value ($B).

Trend and Forecast Analysis: Market trends (2018 to 2023) and forecast (2024 to 2030) by various segments and regions.

Segmentation Analysis: Healthcare fraud detection market size by type, application, end use, and region in terms of value ($B).

Regional Analysis: Healthcare fraud detection market breakdown by North America, Europe, Asia Pacific, and Rest of the World.

Growth Opportunities: Analysis of growth opportunities in different types, applications, end uses, and regions for the healthcare fraud detection market.

Strategic Analysis: This includes M&A, new product development, and competitive landscape of the healthcare fraud detection market.

Analysis of competitive intensity of the industry based on Porter's Five Forces model.

FAQ

Q1. What is the healthcare fraud detection market size?

Answer: The global healthcare fraud detection market is expected to reach an estimated $8.7 billion by 2030.

Q2. What is the growth forecast for healthcare fraud detection market?

Answer: The global healthcare fraud detection market is expected to grow with a CAGR of 26.5% from 2024 to 2030.

Q3. What are the major drivers influencing the growth of the healthcare fraud detection market?

Answer: The major drivers for this market are escalating healthcare costs, increase in the count of patients choosing health insurance, and rising incidents of fraud in the healthcare industry.

Q4. What are the major segments for healthcare fraud detection market?

Answer: The future of the healthcare fraud detection market looks promising with opportunities in the review of insurance claim and payment integrity markets.

Q5. Who are the key healthcare fraud detection market companies?

Answer: Some of the key healthcare fraud detection companies are as follows.

• CGI
• DXC Technology Company
• International Business Machines
• Mckesson
• ExlService Holdings

Q6. Which healthcare fraud detection market segment will be the largest in future?

Answer: Lucintel forecasts that descriptive analytic will remain the largest segment over the forecast period due to its widespread adoption and ease of use.

Q7. In healthcare fraud detection market, which region is expected to be the largest in next 5 years?

Answer: North America will remain the largest region over the forecast period due to rapid utilization of novel analytical methods and software and increasing spending on healthcare analytics services in the region.

Q.8 Do we receive customization in this report?

Answer: Yes, Lucintel provides 10% customization without any additional cost.

This report answers following 11 key questions:

• Q.1. What are some of the most promising, high-growth opportunities for the healthcare fraud detection market by type (descriptive analytics, predictive analytics, and prescriptive analytics), application (review of insurance claims and payment integrity), end use (private insurance payers, government agencies, and others), and region (North America, Europe, Asia Pacific, and the Rest of the World)?
• Q.2. Which segments will grow at a faster pace and why?
• Q.3. Which region will grow at a faster pace and why?
• Q.4. What are the key factors affecting market dynamics? What are the key challenges and business risks in this market?
• Q.5. What are the business risks and competitive threats in this market?
• Q.6. What are the emerging trends in this market and the reasons behind them?
• Q.7. What are some of the changing demands of customers in the market?
• Q.8. What are the new developments in the market? Which companies are leading these developments?
• Q.9. Who are the major players in this market? What strategic initiatives are key players pursuing for business growth?
• Q.10. What are some of the competing products in this market and how big of a threat do they pose for loss of market share by material or product substitution?
• Q.11. What M&A activity has occurred in the last 5 years and what has its impact been on the industry?

Table of Contents

1. Executive Summary

2. Global Healthcare Fraud Detection Market : Market Dynamics

• 2.1: Introduction, Background, and Classifications
• 2.2: Supply Chain
• 2.3: Industry Drivers and Challenges

3. Market Trends and Forecast Analysis from 2018 to 2030

• 3.1. Macroeconomic Trends (2018-2023) and Forecast (2024-2030)
• 3.2. Global Healthcare Fraud Detection Market Trends (2018-2023) and Forecast (2024-2030)
• 3.3: Global Healthcare Fraud Detection Market by Type
  • 3.3.1: Descriptive Analytics
  • 3.3.2: Predictive Analytics
  • 3.3.3: Prescriptive Analytics
• 3.4: Global Healthcare Fraud Detection Market by Application
  • 3.4.1: Review of Insurance Claims
  • 3.4.2: Payment Integrity
• 3.5: Global Healthcare Fraud Detection Market by End Use
  • 3.5.1: Private Insurance Payers
  • 3.5.2: Government Agencies
  • 3.5.3: Others

4. Market Trends and Forecast Analysis by Region from 2018 to 2030

• 4.1: Global Healthcare Fraud Detection Market by Region
• 4.2: North American Healthcare Fraud Detection Market
  • 4.2.2: North American Healthcare Fraud Detection Market by Application: Review of Insurance Claims and Payment Integrity
• 4.3: European Healthcare Fraud Detection Market
  • 4.3.1: European Healthcare Fraud Detection Market by Type: Descriptive Analytics, Predictive Analytics, and Prescriptive Analytics
  • 4.3.2: European Healthcare Fraud Detection Market by Application: Review of Insurance Claims and Payment Integrity
• 4.4: APAC Healthcare Fraud Detection Market
  • 4.4.1: APAC Healthcare Fraud Detection Market by Type: Descriptive Analytics, Predictive Analytics, and Prescriptive Analytics
  • 4.4.2: APAC Healthcare Fraud Detection Market by Application: Review of Insurance Claims and Payment Integrity
• 4.5: ROW Healthcare Fraud Detection Market
  • 4.5.1: ROW Healthcare Fraud Detection Market by Type: Descriptive Analytics, Predictive Analytics, and Prescriptive Analytics
  • 4.5.2: ROW Healthcare Fraud Detection Market by Application: Review of Insurance Claims and Payment Integrity

5. Competitor Analysis

• 5.1: Product Portfolio Analysis
• 5.2: Operational Integration
• 5.3: Porter's Five Forces Analysis

6. Growth Opportunities and Strategic Analysis

• 6.1: Growth Opportunity Analysis
  • 6.1.1: Growth Opportunities for the Global Healthcare Fraud Detection Market by Type
  • 6.1.2: Growth Opportunities for the Global Healthcare Fraud Detection Market by Application
  • 6.1.3: Growth Opportunities for the Global Healthcare Fraud Detection Market by End Use
  • 6.1.4: Growth Opportunities for the Global Healthcare Fraud Detection Market by Region
• 6.2: Emerging Trends in the Global Healthcare Fraud Detection Market
• 6.3: Strategic Analysis
  • 6.3.1: New Product Development
  • 6.3.2: Capacity Expansion of the Global Healthcare Fraud Detection Market
  • 6.3.3: Mergers, Acquisitions, and Joint Ventures in the Global Healthcare Fraud Detection Market
  • 6.3.4: Certification and Licensing

7. Company Profiles of Leading Players

• 7.1: CGI
• 7.2: DXC Technology Company
• 7.3: International Business Machines
• 7.4: Mckesson
• 7.5: ExlService Holdings