The Healthcare Fraud Analytics Market is expected to grow from USD 1.27 billion in 2019 to USD 6.59 billion by 2026 at a CAGR of 32% from 2020 to 2026.
Healthcare fraud is problematic to notice and is generally go ignored; consequently, detection of such fraudulent claims is needed, as they increase the burden on society. The use of fraud detection solution qualifies healthcare firms in accounting and auditing by predictive data methodologies. Careful account auditing can reveal suspicious earners and policyholders and detect potential fraudulent cases before it occurs. Through comprehensive market valuation across the main geographies. The global market is segregated on the basis of Application as Pharmacy Billing Misuse, Payment Integrity, Other applications, and Insurance Claims Review. Based on End User the global market is segmented in Third-party service providers, Employers, Public & Government Agencies, and Private Insurance Payers. Based on Delivery Model the global market is segmented in On-demand and On-premise. Based on Solution Type, the global market is segmented in Predictive Analytics, Prescriptive Analytics, and Descriptive Analytics.
The global market report provides geographical analysis covering regions, such as Europe, North America, Asia Pacific, and the Rest of The World. The market for each region is further segmented for major countries including the U.S., Canada, Germany, the U.K., France, Italy, China, India, Japan, Brazil, South Africa, and others.
Competitive Rivalry
CGI Group, DXC Technology Company, Northrop Grumman Corporation, LexisNexis, Pondera Solutions, IBM, Optum, Cotiviti Holdings, Inc., Fair Isaac Corporation, SAS Institute, and others are among the major players in the market. The companies studied in terms of product strategy and various n several growths and expansion strategies to gain a competitive edge in the market. The major players not only follow value chain integration with business operations in multiple stages of the value chain.
The global Healthcare Fraud Analytics market has been segmented as below:
By Application
By End-User
By Delivery Model
By Solution Type
By Region
By Company
The report covers the below scope:
The years considered for the study are as follows:
Report Scope:
The global market report scope includes a detailed study covering underlying factors influencing the industry trends. The report covers the analysis of regional and country-level market dynamics. The scope also covers competitive overview providing company market shares along with company profiles for major revenue contributing companies. The report scope includes a detailed competitive outlook covering market shares and profiles key participants in the market share. Major industry players with significant revenue share include CGI Group, DXC Technology Company, Northrop Grumman Corporation, LexisNexis, Pondera Solutions, IBM, Optum, Cotiviti Holdings, Inc., Fair Isaac Corporation, SAS Institute, and others.
Why Buy this Report:
Target Audience:
The report targeted the existing players in the industry is as follows:
Free and Paid Customization based on the requirement
Report Content
1.1 Key Insights
1.2 Report Overview
1.3 Markets Covered
1.4 Stakeholders
2.1 Research Scope
2.2 Market Research Process
2.3 Research Data Analysis
2.4.1 Secondary Research
2.4.2 Primary Research
2.4.3 Models for Estimation
2.5 Market Size Estimation
2.5.1 Bottom-Up Approach - Segmental Market Analysis
2.5.2 Top-Down Approach - Parent Market Analysis
4.1 Introduction
4.2.1 Drivers
4.2.2 Restraints
4.2.3 Opportunities
4.2.4 Challenges
4.2 Porter's Five Force Analysis
5.1 Introduction
5.2 Pharmacy Billing Misuse
5.2.1 Market Overview
5.2.2 Market Size and Forecast
5.3 Payment Integrity
5.3.1 Market Overview
5.3.2 Market Size and Forecast
5.4 Other applications
5.4.1 Market Overview
5.4.2 Market Size and Forecast
5.5 Insurance Claims Review
5.5.1 Market Overview
5.5.2 Market Size and Forecast
6.1 Introduction
6.2 Third-party service providers
6.2.1 Market Overview
6.2.2 Market Size and Forecast
6.3 Employers
6.3.1 Market Overview
6.3.2 Market Size and Forecast
6.4 Public & Government Agencies
6.4.1 Market Overview
6.4.2 Market Size and Forecast
6.5 Private Insurance Payers
6.5.1 Market Overview
6.5.2 Market Size and Forecast
7.1 Introduction
7.2 On-demand
7.2.1 Market Overview
7.2.2 Market Size and Forecast
7.3 On-premise
7.3.1 Market Overview
7.3.2 Market Size and Forecast
8.1 Introduction
8.2 Predictive Analytics
8.2.1 Market Overview
8.2.2 Market Size and Forecast
8.3 Prescriptive Analytics
8.3.1 Market Overview
8.3.2 Market Size and Forecast
8.4 Descriptive Analytics
8.4.1 Market Overview
8.4.2 Market Size and Forecast
9.1 Introduction
9.2 Europe
9.2.1 Europe Market, By Application
9.2.2 Europe Market, By End User
9.2.3 Europe Market, By Delivery Model
9.2.4 Europe Market, By Solution Type
9.3 North America
9.3.1 North America Market, By Application
9.3.2 North America Market, By End User
9.3.3 North America Market, By Delivery Model
9.3.4 North America Market, By Solution Type
9.4 Asia Pacific
9.4.1 Asia Pacific Market, By Application
9.4.2 Asia Pacific Market, By End User
9.4.3 Asia Pacific Market, By Delivery Model
9.4.4 Asia Pacific Market, By Solution Type
9.5 Rest of The World
9.5.1 Rest of The World Market, By Application
9.5.2 Rest of The World Market, By End User
9.5.3 Rest of The World Market, By Delivery Model
9.5.4 Rest of The World Market, By Solution Type
10.1 Key Insights
10.2 Company Market Share Analysis
10.3 Strategic Outlook
10.3.1 Mergers & Acquisitions
10.3.2 New Product Development
10.3.3 Portfolio/Production Capacity Expansions
10.3.4 Joint Ventures, Collaborations, Partnerships & Agreements
10.3.5 Others
11.1 CGI Group
11.1.1 Company Overview
11.1.2 Product/Service Landscape
11.1.3 Financial Overview
11.1.4 Recent Developments
11.2 DXC Technology Company
11.2.1 Company Overview
11.2.2 Product/Service Landscape
11.2.3 Financial Overview
11.2.4 Recent Developments
11.3 Northrop Grumman Corporation
11.3.1 Company Overview
11.3.2 Product/Service Landscape
11.3.3 Financial Overview
11.3.4 Recent Developments
11.4 LexisNexis
11.4.1 Company Overview
11.4.2 Product/Service Landscape
11.4.3 Financial Overview
11.4.4 Recent Developments
11.5 Pondera Solutions
11.5.1 Company Overview
11.5.2 Product/Service Landscape
11.5.3 Financial Overview
11.5.4 Recent Developments
11.6 IBM
11.6.1 Company Overview
11.6.2 Product/Service Landscape
11.6.3 Financial Overview
11.6.4 Recent Developments
11.7 Optum
11.7.1 Company Overview
11.7.2 Product/Service Landscape
11.7.3 Financial Overview
11.7.4 Recent Developments
11.8 Cotiviti Holdings, Inc.
11.8.1 Company Overview
11.8.2 Product/Service Landscape
11.8.3 Financial Overview
11.8.4 Recent Developments
11.9 Fair Isaac Corporation
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