Summary

Report Scope
This short report provides an overview of the global healthcare fraud detection market and analyzes market trends. The report includes global revenue ($ billion) for base year data 2024, estimated data for 2025, and forecast data from 2026 to 2030. The market is segmented based on components into software and services, and then by deployment mode into on-premises and cloud-based. The regions covered in this study include North America, Europe, the Asia-Pacific region, and the rest of the World.
The report focuses on the significant trends, challenges, and technological advances that alter the market and vendor landscape. The report concludes with an analysis of the competitive landscape of prominent companies in the global healthcare fraud detection market. It also has a dedicated section of company profiles that covers details such as overview, product portfolio, and strategic developments of key companies.
Report Includes
- An analysis of the current and future outlook for global healthcare fraud detection market
- Analyses of the global market trends, with historic revenue from 2022-2025, and projections of compound annual growth rates (CAGRs) through 2030
- Estimates of the current market size and revenue prospects for global market, accompanied by a market share analysis by component, deployment type, and region
- Facts and figures pertaining to market dynamics, technology-driven solutions, new developments, regulations, prospects and the impact of macroeconomic variables
- Insights derived from Porter’s Five Forces model, as well as global supply chain analyses
- Analysis of the industry structure, including companies’ market shares and rankings, product mappings, strategic initiatives, M&A activity and a venture funding outlook
- Review of the products and technologies used by leading and emerging market players
- Company profiles of the leading global players

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Table of Contents

Table of Contents
Chapter 1 Executive Summary
Market Outlook
Scope of Report
Market Summary
Market Growth Factors
Emerging Technologies
Segmental Analysis
Regional Analysis
Conclusion
Chapter 2 Market Overview
Market Definition
Technology Background
Porter’s Five Forces Analysis
Potential of New Entrants: Moderate
Bargaining Power of Suppliers: Low to Moderate
Bargaining Power of Buyers: High
Threat of Substitute: Low
Industry Competition: High
Impact of U.S. Tariff Laws on the Global Healthcare Fraud Detection Market
Chapter 3 Market Dynamics
Market Dynamics
Market Drivers
Rising Incidence of Healthcare Fraud Cases
Advances in Analytics and AI Technologies
Market Restraints
Data Privacy and Security Concerns
Integration with Legacy Healthcare Systems
Market Opportunities
Expansion of Cloud-Based and AI-Driven Solutions
Increasing Adoption in Emerging Healthcare Markets
Chapter 4 Emerging Technologies and Developments
Overview
Blockchain-Based Claims Validation
Advanced AI with Hybrid Learning Models
Chapter 5 Market Segmentation Analysis
Segmentation Breakdown
Market Breakdown by Component
Key Takeaways
Software
Services
Market Breakdown by Deployment Mode
Key Takeaways
Cloud-Based
On-Premises
Geographic Breakdown
Market Breakdown by Region
Key Takeaways
North America
Europe
Asia-Pacific
Rest of the World
Chapter 6 Competitive Intelligence
Key Takeaways
Key Companies in the Global Healthcare Fraud Detection Market
Strategic Analysis
Partnership
Strategic Initiatives
Product Launches
Chapter 7 Appendix
Methodology
Abbreviations
Company Profiles
CONDUENT INC.
DXC TECHNOLOGY CO.
EXPERIAN INFORMATION SOLUTIONS INC.
FICO
HCL TECHNOLOGIES LTD.
IBM CORP.
MCKESSON CORP.
OPTUM INC.
SAS INSTITUTE INC.
WIPRO

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List of Tables/Graphs

List of Tables
Summary Table : Global Market for Healthcare Fraud Detection, by Component, Through 2030
Table 1 : Global Market for Healthcare Fraud Detection, by Component, Through 2030
Table 2 : Global Market for Healthcare Fraud Detection, by Deployment Mode, Through 2030
Table 3 : Global Market for Healthcare Fraud Detection, by Region, Through 2030
Table 4 : North American Market for Healthcare Fraud Detection, by Component, Through 2030
Table 5 : North American Market for Healthcare Fraud Detection, by Deployment Mode, Through 2030
Table 6 : European Market for Healthcare Fraud Detection, by Component, Through 2030
Table 7 : European Market for Healthcare Fraud Detection, by Deployment Mode, Through 2030
Table 8 : Asia-Pacific Market for Healthcare Fraud Detection, by Component, Through 2030
Table 9 : Asia-Pacific Market for Healthcare Fraud Detection, by Deployment Mode, Through 2030
Table 10 : RoW Market for Healthcare Fraud Detection, by Component, Through 2030
Table 11 : RoW Market for Healthcare Fraud Detection, by Deployment Mode, Through 2030
Table 12 : Global Ranking of Companies for Healthcare Fraud Detection Market, 2024
Table 13 : Partnership: Global Healthcare Fraud Detection Market, 2023–2024
Table 14 : Strategic Initiatives: Global Healthcare Fraud Detection Market, 2023–2026
Table 15 : Product Launches: Global Healthcare Fraud Detection Market, 2024–2025
Table 16 : Abbreviations Used in This Report
Table 17 : Conduent Inc.: Company Snapshot
Table 18 : Conduent Inc.: Financial Performance, FY 2024 and 2025
Table 19 : Conduent Inc.: Product Portfolio
Table 20 : Conduent Inc.: News/Key Developments, 2024–2025
Table 21 : DXC Technology Co.: Company Snapshot
Table 22 : DXC Technology Co.: Financial Performance, FY 2024 and 2025
Table 23 : DXC Technology Co.: Product Portfolio
Table 24 : DXC Technology Co.: News/Key Developments, 2025
Table 25 : Experian Information Solutions Inc.: Company Snapshot
Table 26 : Experian Information Solutions Inc.: Financial Performance, FY 2024 and 2025
Table 27 : Experian Information Solutions Inc.: Product Portfolio
Table 28 : Experian Information Solutions Inc.: News/Key Developments, 2023–2026
Table 29 : FICO: Company Snapshot
Table 30 : FICO: Financial Performance, FY 2024 and 2025
Table 31 : FICO: Product Portfolio
Table 32 : FICO: News/Key Developments, 2023–2025
Table 33 : HCL Technologies Ltd.: Company Snapshot
Table 34 : HCL Technologies Ltd.: Financial Performance, FY 2023 and 2024
Table 35 : HLC Technologies Ltd.: Product Portfolio
Table 36 : IBM Corp.: Company Snapshot
Table 37 : IBM Corp.: Financial Performance, FY 2023 and 2024
Table 38 : IBM Corp.: Product Portfolio
Table 39 : IBM Corp.: News/Key Developments, 2024–2025
Table 40 : McKesson Corp.: Company Snapshot
Table 41 : McKesson Corp.: Financial Performance, FY 2023 and 2024
Table 42 : McKesson Corp.: Product Portfolio
Table 43 : Optum Inc.: Company Snapshot
Table 44 : Optum Inc.: Product Portfolio
Table 45 : SAS Institute Inc.: Company Snapshot
Table 46 : SAS Institute Inc.: Product Portfolio
Table 47 : SAS Institute Inc.: News/Key Developments, 2024–2025
Table 48 : Wipro: Company Snapshot
Table 49 : Wipro: Financial Performance, FY 2023 and 2024
Table 50 : Wipro: Product Portfolio
Table 51 : Wipro: News/Key Developments, 2025List of Figures
Summary Figure : Global Market Shares of Healthcare Fraud Detection, by Component, 2024
Figure 1 : Porter’s Five Forces Analysis of the Global Healthcare Fraud Detection Market
Figure 2 : Market Dynamics of the Global Healthcare Fraud Detection
Figure 3 : Global Market Shares of Healthcare Fraud Detection, by Component, 2024
Figure 4 : Global Market Shares of Healthcare Fraud Detection, by Deployment Mode, 2024
Figure 5 : Global Market Shares of Healthcare Fraud Detection, by Region, 2024
Figure 6 : North American Market Shares of Healthcare Fraud Detection, by Component, 2024
Figure 7 : North American Market Shares of Healthcare Fraud Detection, by Deployment Mode, 2024
Figure 8 : European Market Shares of Healthcare Fraud Detection, by Component, 2024
Figure 9 : European Market Shares of Healthcare Fraud Detection, by Deployment Mode, 2024
Figure 10 : Asia-Pacific Market Shares of Healthcare Fraud Detection, by Component, 2024
Figure 11 : Asia-Pacific Market Shares of Healthcare Fraud Detection, by Deployment Mode, 2024
Figure 12 : RoW Market Shares of Healthcare Fraud Detection, by Component, 2024
Figure 13 : RoW Market Shares of Healthcare Fraud Detection, by Deployment Mode, 2024
Figure 14 : Conduent Inc.: Revenue Shares, by Business Segment, FY 2024
Figure 15 : Conduent Inc.: Revenue Shares, by Region, FY 2024
Figure 16 : DXC Technology Co.: Revenue Shares, by Business Segment, FY 2025
Figure 17 : DXC Technology Co.: Revenue Shares, by Region, FY 2025
Figure 18 : Experian Information Solutions Inc.: Revenue Shares, by Business Segment, FY 2025
Figure 19 : Experian Information Solutions Inc.: Revenue Shares, by Region, FY 2025
Figure 20 : FICO: Revenue Shares, by Business Segment, FY 2025
Figure 21 : FICO: Revenue Shares, by Country/Region, FY 2025
Figure 22 : HCL Technologies Ltd.: Revenue Shares, by Business Segment, FY 2024
Figure 23 : HCL Technologies Ltd.: Revenue Shares, by Region, FY 2024
Figure 24 : IBM Corp.: Revenue Shares, by Business Segment, FY 2024
Figure 25 : IBM Corp.: Revenue Shares, by Region, FY 2024
Figure 26 : McKesson Corp.: Revenue Shares, by Business Segment, FY 2024
Figure 27 : Wipro: Revenue Shares, by Business Segment, FY 2024
Figure 28 : Wipro: Revenue Shares, by Region, FY 2024