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市場規模 の 世界的な医療詐欺の検出 産業
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調査期間
2019 - 2029
市場規模 (2024)
USD 2.84 Billion
市場規模 (2029)
USD 7.75 Billion
CAGR (2024 - 2029)
22.26 %
最も急速に成長している市場
アジア太平洋地域
最大市場
北米
市場集中度
低い
主要プレーヤー
*免責事項:主要選手の並び順不同
医療詐欺検出市場分析
医療不正検知の世界市場規模は、2024時点でUSD 2.32 billionと推定され、2029までにはUSD 6.35 billionに達し、予測期間中(2024-2029)に22.26%のCAGRで成長すると予測されています
新型コロナウイルス感染症(COVID-19)のパンデミックが始まって以来、医療業界に大きな影響を与えています。業界の一部の市場では低迷が見られますが、一部の市場ではさらなる成長が見られます。医療業界では、患者、医師、内科医、その他の医療専門家による詐欺事件がいくつか目撃されています。多くの医療提供者や専門家が利益を得るために詐欺行為に従事していることが観察されました。パンデミック中に詐欺事件が増加していることは、多くの事例で証明されています。司法省の虚偽請求法の和解金と判決は2021年に56億ドルを超え、これは2014年以来2番目に多い額であり、このうち和解額は50億ドル以上が医療産業関連の問題であった。これには、医薬品および医療機器のメーカー、管理医療提供者、病院、薬局、ホスピス組織、研究所、医師などが含まれます。このような要因により、医療詐欺検出ソリューションの導入が促進され、パンデミック期における市場の成長が促進されました
さらに、市場の成長を促進する主な要因は医療費の増加です。健康保険を選択する患者の数が増加している。業務効率を高めて医療支出を削減するという圧力が高まり、世界中で医療分野で不正行為が急増しています
医学的に不必要なサービスや、請求どおりに提供されなかったサービスについて、連邦医療プログラムに請求したり請求したりする医療提供者が増えています。たとえば、2021 年 5 月、SavaSeniorCare LLC とその子会社は、患者を尊重せずに強引な企業目標を掲げて提供したリハビリテーション療法サービスに対する虚偽請求の疑いに対して、和解金 1,120 万ドルを支払うことに合意しました。臨床上のニーズ。同様に、Alere は、メディケア受給者が抗凝固薬服用時に血液凝固を監視するために使用していた欠陥のある迅速ポイントオブケア検査装置に対して請求を行い、他の者に請求させ、これに対して同社は、規定に従って 3,875 万米ドルの和解金を支払いました。上記のソース。医療業界におけるこうした不正行為の増加により、医療不正検出サービスとソリューションの需要が増加しており、市場の成長にプラスの影響を与えています
さらに、高所得国では医療費が均等に配分され、その結果、医療制度が全体的に発展していることが観察されました。逆に、低・中所得国の人々は、医療費に対する政府の拠出が少ないため自腹で支払わなければならず、その結果医療詐欺が増加しており、これに比例して医療詐欺検出の需要も高まっています。ソリューション
したがって、市場は予測期間中の成長を予測すると予想されます。ただし、医療詐欺分析が導入されていないことが、市場の成長を妨げる可能性があります
医療不正検知市場規模・シェア分析-成長動向と予測(2024年〜2029年)
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