United States Healthcare Fraud Detection Market By Type (Descriptive Analytics, Predictive Analytics, and Prescriptive Analytics), By Application (Review of insurance claims, and Payment Integrity), and By End User (Private Insurance payers, Government Agencies, and Other End Users) - Trends, Analysis and Forecast till 2034

By 2034, the US healthcare fraud detection market, estimated at US$ 0.8 billion in 2024, is expected to have grown at a compound annual growth rate (CAGR) of 22.9% to US$ 5.2 billion.

Account auditing and detective work are involved in the detection of healthcare fraud. Prudent auditing of accounts can expose dubious policyholders and providers. It is ideal to thoroughly audit each claim individually. Nevertheless, there is no practical way to audit every claim. Moreover, it's very challenging to audit providers in the absence of clear-cut red flags. Creating short lists for examination and conducting audits on the patients and providers on the short lists is a useful strategy. Audit short lists can be created using a variety of analytical methods. Remember that excessively high levels of fraud result in overall deviations.