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Market Research Report

Global Healthcare Fraud Analytics and Detection Market Forecast 2020-2028

Published by Inkwood Research Product code 943450
Published Content info 166 Pages
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Global Healthcare Fraud Analytics and Detection Market Forecast 2020-2028
Published: June 21, 2020 Content info: 166 Pages
Description

KEY FINDINGS

The global healthcare fraud analytics and detection market is set to register a CAGR of 21.09% during the forecast period, 2020-2028. The factors augmenting the growth of the market are the rising fabricated activities in healthcare, the increasing number of patients opting for health insurance, and the growing healthcare expenditure.

MARKET INSIGHTS

Healthcare fraud detection is increasingly prioritized these days. There is a rise in the cases of frauds with regard to medical insurance, which is one of the crucial factors propelling the growth of the market analyzed. Many countries, like the United States, face issues with fraud in medical insurance. In the case of developing countries like India, there has been an increase in the number of fraudulent cases during the claim of medical insurance. In order to tackle such circumstances, the healthcare industry is adopting technology, which can ease the process of fraud detection, while maintaining the data for insurance. The implementation of fraud detection software has increased, given the rapid transformation of healthcare delivery and claims systems in developed and developing countries. The growing reliance on software and cloud-based solutions, is deemed to be beneficial for market growth. The inefficiency, while dealing with technology, and the unwillingness of companies in adopting new analytics technologies, are the factors hindering the growth of the market.

REGIONAL INSIGHTS

The geographical segmentation of the global healthcare fraud analytics and detection market entails the assessment of Europe, North America, Asia Pacific, and the rest of the world. The Asia Pacific region is predicted to record the highest CAGR by the end of the forecast period. The increasing use of mobile data for applications like mobile banking and social media is resulting in the increased adoption of fraud detection and prevention solutions. Such factors are accredited to the growth of the market in the region.

COMPETITIVE INSIGHTS

The competitive environment of the market encompasses sustainable advantage due to innovations among companies. Some of the leading companies present in the market include, DXC Technology, EXL, McKesson, IBM, CGI Inc, etc.

Our report offerings include:

  • Explore key findings of the overall market
  • Strategic breakdown of market dynamics (Drivers, Restraints, Opportunities, Challenges)
  • Market forecasts for a minimum of 9 years, along with 3 years of historical data for all segments, sub-segments, and regions
  • Market Segmentation cater to a thorough assessment of key segments with their market estimations
  • Geographical Analysis: Assessments of the mentioned regions and country-level segments with their market share
  • Key analytics: Porter's Five Forces Analysis, Vendor Landscape, Opportunity Matrix, Key Buying Criteria, etc.
  • Competitive landscape is the theoretical explanation of the key companies based on factors, market share, etc.
  • Company profiling: A detailed company overview, product/services offered, SCOT analysis, and recent strategic developments
Table of Contents
Product Code: 32302

TABLE OF CONTENTS

1. RESEARCH SCOPE & METHODOLOGY

  • 1.1. STUDY OBJECTIVES
  • 1.2. SCOPE OF STUDY
  • 1.3. METHODOLOGY
  • 1.4. ASSUMPTIONS & LIMITATIONS

2. EXECUTIVE SUMMARY

  • 2.1. MARKET SIZE & ESTIMATES
  • 2.2. MARKET OVERVIEW

3. MARKET DYNAMICS

  • 3.1. MARKET DEFINITION
  • 3.2. KEY DRIVERS
    • 3.2.1. RISE IN HEALTHCARE EXPENDITURE
    • 3.2.2. SURGE IN THE NUMBER OF PATIENTS OPTING FOR HEALTH INSURANCE
    • 3.2.3. RISE IN FABRICATED ACTIVITIES IN HEALTHCARE
  • 3.3. KEY RESTRAINTS
    • 3.3.1. RELUCTANCE TO ADOPT HEALTHCARE FRAUD ANALYTICS

4. KEY ANALYTICS

  • 4.1. KEY INVESTMENT INSIGHTS
  • 4.2. PORTER'S FIVE FORCE ANALYSIS
    • 4.2.1. BUYER POWER
    • 4.2.2. SUPPLIER POWER
    • 4.2.3. SUBSTITUTION
    • 4.2.4. NEW ENTRANTS
    • 4.2.5. INDUSTRY RIVALRY
  • 4.3. OPPORTUNITY MATRIX
  • 4.4. VENDOR LANDSCAPE

5. MARKET BY TYPE

  • 5.1. DESCRIPTIVE ANALYSIS
  • 5.2. PREDICTIVE ANALYSIS
  • 5.3. PRESCRIPTIVE ANALYSIS

6. MARKET BY APPLICATION

  • 6.1. REVIEW OF INSURANCE CLAIMS
  • 6.2. PAYMENT INTEGRITY

7. MARKET BY END-USER

  • 7.1. PRIVATE INSURANCE PAYERS
  • 7.2. GOVERNMENT AGENCIES
  • 7.3. OTHER END-USERS

8. GEOGRAPHICAL ANALYSIS

  • 8.1. NORTH AMERICA
    • 8.1.1. UNITED STATES
    • 8.1.2. CANADA
  • 8.2. EUROPE
    • 8.2.1. UNITED KINGDOM
    • 8.2.2. GERMANY
    • 8.2.3. FRANCE
    • 8.2.4. ITALY
    • 8.2.5. RUSSIA
    • 8.2.6. BELGIUM
    • 8.2.7. POLAND
    • 8.2.8. REST OF EUROPE
  • 8.3. ASIA PACIFIC
    • 8.3.1. CHINA
    • 8.3.2. JAPAN
    • 8.3.3. INDIA
    • 8.3.4. SOUTH KOREA
    • 8.3.5. INDONESIA
    • 8.3.6. THAILAND
    • 8.3.7. VIETNAM
    • 8.3.8. AUSTRALIA & NEW ZEALAND
    • 8.3.9. REST OF ASIA PACIFIC
  • 8.4. REST OF WORLD
    • 8.4.1. LATIN AMERICA
    • 8.4.2. MIDDLE EAST & AFRICA

9. COMPANY PROFILES

  • 9.1. CGI INC
  • 9.2. DXC TECHNOLOGY
  • 9.3. EXL
  • 9.4. IBM
  • 9.5. MCKESSON
  • 9.6. NORTHROP GRUMMAN
  • 9.7. OSP LABS
  • 9.8. SAS INSTITUTE
  • 9.9. RELX GROUP PLC
  • 9.10. UNITED HEALTH GROUP INCORPORATED (OPTUM INC)
  • 9.11. COTIVITI HOLDINGS INC
  • 9.12. CHANGE HEALTHCARE
  • 9.13. FAIR ISSAC CORPORATION
  • 9.14. PONDERA SOLUTIONS

LIST OF TABLES

  • TABLE 1: MARKET SNAPSHOT - HEALTHCARE FRAUD ANALYTICS AND DETECTION
  • TABLE 2: GLOBAL HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, BY TYPE, HISTORICAL YEARS, 2016-2019 (IN $ MILLION)
  • TABLE 3: GLOBAL HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, BY TYPE, FORECAST YEARS, 2020-2028 (IN $ MILLION)
  • TABLE 4: GLOBAL DESCRIPTIVE ANALYSIS MARKET, BY REGION, HISTORICAL YEARS, 2016-2019 (IN $ MILLION)
  • TABLE 5: GLOBAL DESCRIPTIVE ANALYSIS MARKET, BY REGION, FORECAST YEARS, 2020-2028 (IN $ MILLION)
  • TABLE 6: GLOBAL PREDICTIVE ANALYSIS MARKET, BY REGION, HISTORICAL YEARS, 2016-2019 (IN $ MILLION)
  • TABLE 7: GLOBAL PREDICTIVE ANALYSIS MARKET, BY REGION, FORECAST YEARS, 2020-2028 (IN $ MILLION)
  • TABLE 8: GLOBAL PRESCRIPTIVE ANALYSIS MARKET, BY REGION, HISTORICAL YEARS, 2016-2019 (IN $ MILLION)
  • TABLE 9: GLOBAL PRESCRIPTIVE ANALYSIS MARKET, BY REGION, FORECAST YEARS, 2020-2028 (IN $ MILLION)
  • TABLE 10: GLOBAL HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, BY APPLICATION, HISTORICAL YEARS, 2016-2019 (IN $
  • TABLE 11: GLOBAL HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, BY APPLICATION, FORECAST YEARS, 2020-2028 (IN $ MILLION)
  • TABLE 12: GLOBAL REVIEW OF INSURANCE CLAIMS MARKET, BY REGION, HISTORICAL YEARS, 2016-2019 (IN $ MILLION)
  • TABLE 13: GLOBAL REVIEW OF INSURANCE CLAIMS MARKET, BY REGION, FORECAST YEARS, 2020-2028 (IN $ MILLION)
  • TABLE 14: GLOBAL PAYMENT INTEGRITY MARKET, BY REGION, HISTORICAL YEARS, 2016-2019 (IN $ MILLION)
  • TABLE 15: GLOBAL PAYMENT INTEGRITY MARKET, BY REGION, FORECAST YEARS, 2020-2028 (IN $ MILLION)
  • TABLE 16: GLOBAL HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, BY END-USER, HISTORICAL YEARS, 2016-2019 (IN $ MILLION)
  • TABLE 17: GLOBAL HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, BY END-USER, FORECAST YEARS, 2020-2028 (IN $ MILLION)
  • TABLE 18: GLOBAL PRIVATE INSURANCE PAYERS MARKET, BY REGION, HISTORICAL YEARS, 2016-2019 (IN $ MILLION)
  • TABLE 19: GLOBAL PRIVATE INSURANCE PAYERS MARKET, BY REGION, FORECAST YEARS, 2020-2028 (IN $ MILLION)
  • TABLE 20: GLOBAL GOVERNMENT AGENCIES MARKET, BY REGION, HISTORICAL YEARS, 2016-2019 (IN $ MILLION)
  • TABLE 21: GLOBAL GOVERNMENT AGENCIES MARKET, BY REGION, FORECAST YEARS, 2020-2028 (IN $ MILLION)
  • TABLE 22: GLOBAL OTHER END-USERS MARKET, BY REGION, HISTORICAL YEARS, 2016-2019 (IN $ MILLION)
  • TABLE 23: GLOBAL OTHER END-USERS MARKET, BY REGION, FORECAST YEARS, 2020-2028 (IN $ MILLION)
  • TABLE 24: GLOBAL HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, BY GEOGRAPHY, HISTORICAL YEARS, 2016-2019 (IN $
  • TABLE 25: GLOBAL HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, BY GEOGRAPHY, FORECAST YEARS, 2020-2028 (IN $ MILLION)
  • TABLE 26: NORTH AMERICA HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, BY COUNTRY, HISTORICAL YEARS, 2016-2019 (IN $ MILLION)
  • TABLE 27: NORTH AMERICA HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, BY COUNTRY, FORECAST YEARS, 2020-2028 (IN $ MILLION)
  • TABLE 28: EUROPE HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, BY COUNTRY, HISTORICAL YEARS, 2016-2019 (IN $ MILLION)
  • TABLE 29: EUROPE HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, BY COUNTRY, FORECAST YEARS, 2020-2028 (IN $ MILLION)
  • TABLE 30: ASIA PACIFIC HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, BY COUNTRY, HISTORICAL YEARS, 2016-2019 (IN $ MILLION)
  • TABLE 31: ASIA PACIFIC HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, BY COUNTRY, FORECAST YEARS, 2020-2028 (IN $ MILLION)
  • TABLE 32: REST OF WORLD HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, BY REGION, HISTORICAL YEARS, 2016-2019 (IN $ MILLION)
  • TABLE 33: REST OF WORLD HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, BY REGION, FORECAST YEARS, 2020-2028 (IN $ MILLION)

LIST OF FIGURES

  • FIGURE 1: KEY INVESTMENT INSIGHTS
  • FIGURE 2: PORTER'S FIVE FORCE ANALYSIS
  • FIGURE 3: OPPORTUNITY MATRIX
  • FIGURE 4: VENDOR LANDSCAPE
  • FIGURE 5: GLOBAL HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, GROWTH POTENTIAL, BY TYPE, IN 2019
  • FIGURE 6: GLOBAL HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, BY DESCRIPTIVE ANALYSIS, 2020-2028 (IN $ MILLION)
  • FIGURE 7: GLOBAL HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, BY PREDICTIVE ANALYSIS, 2020-2028 (IN $ MILLION)
  • FIGURE 8: GLOBAL HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, BY PRESCRIPTIVE ANALYSIS, 2020-2028 (IN $ MILLION)
  • FIGURE 9: GLOBAL HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, GROWTH POTENTIAL, BY APPLICATION, IN 2019
  • FIGURE 10: GLOBAL HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, BY REVIEW OF INSURANCE CLAIMS, 2020-2028 (IN $ MILLION)
  • FIGURE 11: GLOBAL HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, BY PAYMENT INTEGRITY, 2020-2028 (IN $ MILLION)
  • FIGURE 12: GLOBAL HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, GROWTH POTENTIAL, BY END-USER, IN 2019
  • FIGURE 13: GLOBAL HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, BY PRIVATE INSURANCE PAYERS, 2020-2028 (IN $ MILLION)
  • FIGURE 14: GLOBAL HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, BY GOVERNMENT AGENCIES, 2020-2028 (IN $ MILLION)
  • FIGURE 15: GLOBAL HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, BY OTHER END-USERS, 2020-2028 (IN $ MILLION)
  • FIGURE 16: NORTH AMERICA HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, REGIONAL OUTLOOK, 2019 & 2028 (IN %)
  • FIGURE 17: UNITED STATES HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, 2020-2028 (IN $ MILLION)
  • FIGURE 18: CANADA HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, 2020-2028 (IN $ MILLION)
  • FIGURE 19: EUROPE HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, REGIONAL OUTLOOK, 2019 & 2028 (IN %)
  • FIGURE 20: UNITED KINGDOM HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, 2020-2028 (IN $ MILLION)
  • FIGURE 21: GERMANY HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, 2020-2028 (IN $ MILLION)
  • FIGURE 22: FRANCE HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, 2020-2028 (IN $ MILLION)
  • FIGURE 23: ITALY HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, 2020-2028 (IN $ MILLION)
  • FIGURE 24: RUSSIA HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, 2020-2028 (IN $ MILLION)
  • FIGURE 25: BELGIUM HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, 2020-2028 (IN $ MILLION)
  • FIGURE 26: POLAND HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, 2020-2028 (IN $ MILLION)
  • FIGURE 27: REST OF EUROPE HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, 2020-2028 (IN $ MILLION)
  • FIGURE 28: ASIA PACIFIC HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, REGIONAL OUTLOOK, 2019 & 2028 (IN %)
  • FIGURE 29: CHINA HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, 2020-2028 (IN $ MILLION)
  • FIGURE 30: JAPAN HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, 2020-2028 (IN $ MILLION)
  • FIGURE 31: INDIA HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, 2020-2028 (IN $ MILLION)
  • FIGURE 32: SOUTH KOREA HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, 2020-2028 (IN $ MILLION)
  • FIGURE 33: INDONESIA HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, 2020-2028 (IN $ MILLION)
  • FIGURE 34: THAILAND HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, 2020-2028 (IN $ MILLION)
  • FIGURE 35: VIETNAM HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, 2020-2028 (IN $ MILLION)
  • FIGURE 36: AUSTRALIA & NEW ZEALAND HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, 2020-2028 (IN $ MILLION)
  • FIGURE 37: REST OF ASIA PACIFIC HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, 2020-2028 (IN $ MILLION)
  • FIGURE 38: REST OF WORLD HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, REGIONAL OUTLOOK, 2019 & 2028 (IN %)
  • FIGURE 39: LATIN AMERICA HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, 2020-2028 (IN $ MILLION)
  • FIGURE 40: MIDDLE EAST & AFRICA HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, 2020-2028 (IN $ MILLION)
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