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Global Healthcare Fraud Analytics and Detection Market 2019-2028

  • ID: 5130546
  • Report
  • July 2020
  • Region: Global
  • 170 pages
  • Triton Market Research

FEATURED COMPANIES

  • CGI Inc
  • Change Healthcare
  • Cotiviti Inc
  • DXC Technology Company
  • EXL
  • Fair Issac Corporation

MARKET OUTLOOK

According to an analysis by the publisher, the global healthcare fraud analytics and detection market is predicted to grow at a CAGR of 23.63% during the forecasting period 2019-2028.
The rising healthcare expenditure across the world is leading to the growth in the insurance facilities, thus driving the growth of the healthcare fraud analytics and detection market in the coming years. There is an increase in the number of people opting for health insurance worldwide. This is also likely to aid the market growth. However, the unwillingness to adopt the system in developing or undeveloped countries is hampering this growth. Besides, the huge cost of this system is also challenging the growth of the studied market. Key opportunities like the alarming rise in the fraudulent activities must be leveraged to reach the projected growth.

REGIONAL OUTLOOK

The global market report covers the countries from North America, Europe, the Asia-Pacific, Latin America and the Middle East and Africa.
Asia-Pacific is likely to be the fastest-growing region for the healthcare fraud analytics and detection market in the world. Governments of different countries are implementing several initiatives to improve the healthcare sector. Besides, the ever-increasing cases of fraud in the healthcare industry are resulting in a huge loss for the insurers. This is creating a demand for healthcare fraud analytics and detection in the market. The presence of big market players in the region is also favoring market growth.

COMPETITIVE OUTLOOK

The major companies in the healthcare fraud analytics and detection market are Northrop Grumman Corporation, Intelligent Business Machines Corporation, McKesson Corporation, Pondera Solutions, Fair Issac Corporation, DXC Technology Company, Change Healthcare, UnitedHealth Group (Optum Inc), RELX Group Plc, EXL, SAS Institute Inc, OSP Labs, Cotiviti Inc and CGI Inc.
OSP Labs is a global company providing insights-as-a-service and thereby harnessing global health data dynamics. The company organizes, visualizes and remodels this data and help stakeholders in making faster and data-based decisions. The health technology provided by the company is a combination of AI algorithms that create insights by making use of global health data. It provides fraud detection software like Healthcare Predictive Analytics Software Solutions and Healthcare Fraud Detection Solutions.
Note: Product cover images may vary from those shown

FEATURED COMPANIES

  • CGI Inc
  • Change Healthcare
  • Cotiviti Inc
  • DXC Technology Company
  • EXL
  • Fair Issac Corporation
1. Global Healthcare Fraud Analytics and Detection Market - Summary

2. Industry Outlook
2.1. Market Definition
2.2. Key Insights
2.2.1. Asia-Pacific is the Leading Regional Market
2.2.2. Prescriptive Analysis is Anticipated to Grow at a Highest CAGR
2.2.3. Growing Pressure to Increase Operational Efficiency and Reduce Healthcare Spending
2.3. Porter's Five Force Analysis
2.3.1. Threat of New Entrants
2.3.2. Threat of Substitute
2.3.3. Bargaining Power of Suppliers
2.3.4. Bargaining Power of Buyers
2.3.5. Threat of Competitive Rivalry
2.4. Market Attractiveness Index
2.5. Vendor Scorecard
2.6. Impact of Covid-19 on Healthcare Fraud Analytics and Detection
2.7. Market Drivers
2.7.1. Surge in Healthcare Expenditure
2.7.2. Swell in the Number of Patients Opting for Health Insurance
2.8. Market Restraints
2.8.1. Unwillingness to Adopt Healthcare Fraud Analytics
2.9. Market Opportunities
2.9.1. Increase in False Activities in Healthcare
2.10. Market Challenges
2.10.1. High Cost of Fraud Detection and Prevention Solutions

3. Global Healthcare Fraud Analytics and Detection Market Outlook - by Type
3.1. Descriptive Analysis
3.2. Predictive Analysis
3.3. Prescriptive Analysis

4. Global Healthcare Fraud Analytics and Detection Market Outlook - by Application
4.1. Review of Insurance Claims
4.2. Payment Integrity

5. Global Healthcare Fraud Analytics and Detection Market Outlook - by End-User
5.1. Private Insurance Payers
5.2. Government Agencies
5.3. Other End-Users

6. Global Healthcare Fraud Analytics and Detection Market – Regional Outlook
6.1. North America
6.1.1. Market by Type
6.1.2. Market by Application
6.1.3. Market by End-User
6.1.4. Country Analysis
6.1.4.1. United States
6.1.4.2. Canada
6.2. Europe
6.2.1. Market by Type
6.2.2. Market by Application
6.2.3. Market by End-User
6.2.4. Country Analysis
6.2.4.1. United Kingdom
6.2.4.2. Germany
6.2.4.3. France
6.2.4.4. Spain
6.2.4.5. Italy
6.2.4.6. Russia
6.2.4.7. Rest of Europe
6.3. Asia-Pacific
6.3.1. Market by Type
6.3.2. Market by Application
6.3.3. Market by End-User
6.3.4. Country Analysis
6.3.4.1. China
6.3.4.2. Japan
6.3.4.3. India
6.3.4.4. South Korea
6.3.4.5. Asean Countries
6.3.4.6. Australia & New Zealand
6.3.4.7. Rest of Asia-Pacific
6.4. Latin America
6.4.1. Market by Type
6.4.2. Market by Application
6.4.3. Market by End-User
6.4.4. Country Analysis
6.4.4.1. Brazil
6.4.4.2. Mexico
6.4.4.3. Rest of Latin America
6.5. Middle East and Africa
6.5.1. Market by Type
6.5.2. Market by Application
6.5.3. Market by End-User
6.5.4. Country Analysis
6.5.4.1. United Arab Emirates
6.5.4.2. Turkey
6.5.4.3. Saudi Arabia
6.5.4.4. South Africa
6.5.4.5. Rest of Middle East & Africa

7. Competitive Landscape
7.1. CGI Inc
7.2. DXC Technology Company
7.3. EXL
7.4. Intelligent Business Machines Corporation
7.5. Mckesson Corporation
7.6. Northrop Grumman Corporation
7.7. OSP Labs
7.8. SAS Institute Inc
7.9. Relx Group plc
7.10. Unitedhealth Group (Optum Inc)
7.11. Cotiviti Inc
7.12. Change Healthcare
7.13. Fair Issac Corporation
7.14. Pondera Solutions

8. Methodology & Scope
8.1. Research Scope
8.2. Sources of Data
8.3. Research Methodology

List of Tables
Table 1: Global Healthcare Fraud Analytics and Detection Market, by Geography, 2019-2028 (In $ Million)
Table 2: Market Attractiveness Index
Table 3: Vendor Scorecard
Table 4: Global Healthcare Fraud Analytics and Detection Market, by Type, 2019-2028 (In $ Million)
Table 5: Global Healthcare Fraud Analytics and Detection Market, by Application, 2019-2028 (In $ Million)
Table 6: Global Healthcare Fraud Analytics and Detection Market, by End-User, 2019-2028 (In $ Million)
Table 7: Global Healthcare Fraud Analytics and Detection Market, by Geography, 2019-2028 (In $ Million)
Table 8: North America Healthcare Fraud Analytics and Detection Market, by Country, 2019-2028 (In $ Million)
Table 9: North America Healthcare Fraud Analytics and Detection Market, by Type, 2019-2028 (In $ Million)
Table 10: North America Healthcare Fraud Analytics and Detection Market, by Application, 2019-2028 (In $ Million)
Table 11: North America Healthcare Fraud Analytics and Detection Market, by End-User, 2019-2028 (In $ Million)
Table 12: Europe Healthcare Fraud Analytics and Detection Market, by Country, 2019-2028 (In $ Million)
Table 13: Europe Healthcare Fraud Analytics and Detection Market, by Type, 2019-2028 (In $ Million)
Table 14: Europe Healthcare Fraud Analytics and Detection Market, by Application, 2019-2028 (In $ Million)
Table 15: Europe Healthcare Fraud Analytics and Detection Market, by End-User, 2019-2028 (In $ Million)
Table 16: Asia-Pacific Healthcare Fraud Analytics and Detection Market, by Country, 2019-2028 (In $ Million)
Table 17: Asia-Pacific Healthcare Fraud Analytics and Detection Market, by Type, 2019-2028 (In $ Million)
Table 18: Asia-Pacific Healthcare Fraud Analytics and Detection Market, by Application, 2019-2028 (In $ Million)
Table 19: Asia-Pacific Healthcare Fraud Analytics and Detection Market, by End-User, 2019-2028 (In $ Million)
Table 20: Latin America Healthcare Fraud Analytics and Detection Market, by Country, 2019-2028 (In $ Million)
Table 21: Latin America Healthcare Fraud Analytics and Detection Market, by Type, 2019-2028 (In $ Million)
Table 22: Latin America Healthcare Fraud Analytics and Detection Market, by Application, 2019-2028 (In $ Million)
Table 23: Latin America Healthcare Fraud Analytics and Detection Market, by End-User, 2019-2028 (In $ Million)
Table 24: Middle East and Africa Healthcare Fraud Analytics and Detection Market, by Country, 2019-2028 (In $ Million)
Table 25: Middle East and Africa Healthcare Fraud Analytics and Detection Market, by Type, 2019-2028 (In $ Million)
Table 26: Middle East and Africa Healthcare Fraud Analytics and Detection Market, by Application, 2019-2028 (In $ Million)
Table 27: Middle East and Africa Healthcare Fraud Analytics and Detection Market, by End-User, 2019-2028 (In $ Million)

List of Figures
Figure 1: Global Healthcare Fraud Analytics and Detection Market, by Type, 2018 & 2028 (In %)
Figure 2: Porter's Five Force Analysis
Figure 3: Global Healthcare Fraud Analytics and Detection Market, by Descriptive Analysis, 2019-2028 (In $ Million)
Figure 4: Global Healthcare Fraud Analytics and Detection Market, by Predictive Analysis, 2019-2028 (In $ Million)
Figure 5: Global Healthcare Fraud Analytics and Detection Market, by Prescriptive Analysis, 2019-2028 (In $ Million)
Figure 6: Global Healthcare Fraud Analytics and Detection Market, by Review of Insurance Claims, 2019-2028 (In $ Million)
Figure 7: Global Healthcare Fraud Analytics and Detection Market, by Payment Integrity, 2019-2028 (In $ Million)
Figure 8: Global Healthcare Fraud Analytics and Detection Market, by Private Insurance Payers, 2019-2028 (In $ Million)
Figure 9: Global Healthcare Fraud Analytics and Detection Market, by Government Agencies, 2019-2028 (In $ Million)
Figure 10: Global Healthcare Fraud Analytics and Detection Market, by Other End-Users, 2019-2028 (In $ Million)
Figure 11: Global Healthcare Fraud Analytics and Detection Market, Regional Outlook, 2018 & 2028 (In %)
Figure 12: United States Healthcare Fraud Analytics and Detection Market, 2019-2028 (In $ Million)
Figure 13: Canada Healthcare Fraud Analytics and Detection Market, 2019-2028 (In $ Million)
Figure 14: United Kingdom Healthcare Fraud Analytics and Detection Market, 2019-2028 (In $ Million)
Figure 15: Germany Healthcare Fraud Analytics and Detection Market, 2019-2028 (In $ Million)
Figure 16: France Healthcare Fraud Analytics and Detection Market, 2019-2028 (In $ Million)
Figure 17: Spain Healthcare Fraud Analytics and Detection Market, 2019-2028 (In $ Million)
Figure 18: Italy Healthcare Fraud Analytics and Detection Market, 2019-2028 (In $ Million)
Figure 19: Russia Healthcare Fraud Analytics and Detection Market, 2019-2028 (In $ Million)
Figure 20: Rest of Europe Healthcare Fraud Analytics and Detection Market, 2019-2028 (In $ Million)
Figure 21: China Healthcare Fraud Analytics and Detection Market, 2019-2028 (In $ Million)
Figure 22: Japan Healthcare Fraud Analytics and Detection Market, 2019-2028 (In $ Million)
Figure 23: India Healthcare Fraud Analytics and Detection Market, 2019-2028 (In $ Million)
Figure 24: South Korea Healthcare Fraud Analytics and Detection Market, 2019-2028 (In $ Million)
Figure 25: Asean Countries Healthcare Fraud Analytics and Detection Market, 2019-2028 (In $ Million)
Figure 26: Australia & New Zealand Healthcare Fraud Analytics and Detection Market, 2019-2028 (In $ Million)
Figure 27: Rest of Asia-Pacific Healthcare Fraud Analytics and Detection Market, 2019-2028 (In $ Million)
Figure 28: Brazil Healthcare Fraud Analytics and Detection Market, 2019-2028 (In $ Million)
Figure 29: Mexico Healthcare Fraud Analytics and Detection Market, 2019-2028 (In $ Million)
Figure 30: Rest of Latin America Healthcare Fraud Analytics and Detection Market, 2019-2028 (In $ Million)
Figure 31: United Arab Emirates Healthcare Fraud Analytics and Detection Market, 2019-2028 (In $ Million)
Figure 32: Turkey Healthcare Fraud Analytics and Detection Market, 2019-2028 (In $ Million)
Figure 33: Saudi Arabia Healthcare Fraud Analytics and Detection Market, 2019-2028 (In $ Million)
Figure 34: South Africa Healthcare Fraud Analytics and Detection Market, 2019-2028 (In $ Million)
Figure 35: Rest of Middle East & Africa Healthcare Fraud Analytics and Detection Market, 2019-2028 (In $ Million)
Note: Product cover images may vary from those shown

A selection of companies mentioned in this report includes:

  • CGI Inc
  • DXC Technology Company
  • EXL
  • Intelligent Business Machines Corporation
  • Mckesson Corporation
  • Northrop Grumman Corporation
  • OSP Labs
  • SAS Institute Inc
  • Relx Group plc
  • Unitedhealth Group (Optum Inc)
  • Cotiviti Inc
  • Change Healthcare
  • Fair Issac Corporation
  • Pondera Solutions
Note: Product cover images may vary from those shown

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