1. Executive Summary2. Industry Outlook
2.1. Industry Overview
2.2. Industry Trends
3. Market Snapshot
3.1. Market Definition
3.2. Market Outlook
3.3. PEST Analysis
3.4. Porter Five Forces
3.5. Related Markets
4. Market characteristics
4.1. Market Evolution
4.2. Market Trends and Impact
4.3. Advantages/Disadvantages of Market
4.4. Regulatory Impact
4.5. Market Offerings
4.6. Market Segmentation
4.7. Market Dynamics
4.7.1. Drivers
4.7.2. Restraints
4.7.3. Opportunities
4.8. DRO - Impact Analysis
5. Delivery Model: Market Size & Analysis
5.1. Overview
5.2. On-premise
5.3. On-demand
6. Application: Market Size & Analysis
6.1. Overview
6.2. Insurance Claims Review
6.2.1. Post payment Review
6.2.2. Prepayment Review
6.3. Pharmacy Billing Misuse
6.4. Other applications
7. End-user: Market Size & Analysis
7.1. Overview
7.2. Public & Government Agencies
7.3. Private Insurance Payers
7.4. Third-party service providers
7.5. Employers
8. Solution Type: Market Size & Analysis
8.1. Overview
8.2. Descriptive Analytics
8.3. Predictive Analytics
8.4. Prescriptive Analytics
9. Geography: Market Size & Analysis
9.1. Overview
9.2. North America
9.3. Europe
9.4. Asia Pacific
9.5. Rest of the World
10. Competitive Landscape
10.1. Competitor Comparison Analysis
10.2. Market Developments
10.2.1. Mergers and Acquisitions, Legal, Awards, Partnerships
10.2.2. Product Launches and execution
11. Vendor Profiles
11.1. IBM.
11.1.1. Overview
11.1.2. Product Offerings
11.1.3. Geographic Revenue
11.1.4. Business Units
11.1.5. Developments
11.1.6. Business Strategy
11.2. Optum
11.2.1. Overview
11.2.2. Product Offerings
11.2.3. Geographic Revenue
11.2.4. Business Units
11.2.5. Developments
11.2.6. Business Strategy
11.3. Cotiviti Holdings, Inc
11.3.1. Overview
11.3.2. Product Offerings
11.3.3. Geographic Revenue
11.3.4. Business Units
11.3.5. Developments
11.3.6. Business Strategy
11.4. Fair Isaac Corporation.
11.4.1. Overview
11.4.2. Product Offerings
11.4.3. Geographic Revenue
11.4.4. Business Units
11.4.5. Developments
11.4.6. Business Strategy
11.5. SAS Institute
11.5.1. Overview
11.5.2. Product Offerings
11.5.3. Geographic Revenue
11.5.4. Business Units
11.5.5. Developments
11.5.6. Business Strategy
11.6. Change Healthcare
11.6.1. Overview
11.6.2. Product Offerings
11.6.3. Geographic Revenue
11.6.4. Business Units
11.6.5. Developments
11.6.6. Business Strategy
11.7. EXL Service Holdings, Inc.
11.7.1. Overview
11.7.2. Product Offerings
11.7.3. Geographic Revenue
11.7.4. Business Units
11.7.5. Developments
11.7.6. Business Strategy
11.8. Wipro
11.8.1. Overview
11.8.2. Product Offerings
11.8.3. Geographic Revenue
11.8.4. Business Units
11.8.5. Developments
11.8.6. Business Strategy
11.9. Conduent, Inc
11.9.1. Overview
11.9.2. Product Offerings
11.9.3. Geographic Revenue
11.9.4. Business Units
11.9.5. Developments
11.9.6. Business Strategy
11.10. HCL Technologies.
11.10.1. Overview
11.10.2. Product Offerings
11.10.3. Geographic Revenue
11.10.4. Business Units
11.10.5. Developments
11.10.6. Business Strategy
12. Companies to Watch
12.1. CGI Group.
12.1.1. Overview
12.1.2. Market
12.1.3. Business Strategy
12.2. DXC Technology Company.
12.2.1. Overview
12.2.2. Market
12.2.3. Business Strategy
12.3. Northrop Grumman Corporation
12.3.1. Overview
12.3.2. Market
12.3.3. Business Strategy
12.4. LexisNexis
12.4.1. Overview
12.4.2. Market
12.4.3. Business Strategy
12.5. Pondera Solutions
12.5.1. Overview
12.5.2. Market
12.5.3. Business Strategy
12.6. WhiteHatAI.
12.6.1. Overview
12.6.2. Market
12.6.3. Business Strategy
12.7. Healthcare Fraud Shield.
12.7.1. Overview
12.7.2. Market
12.7.3. Business Strategy
12.8. FraudLens, Inc
12.8.1. Overview
12.8.2. Market
12.8.3. Business Strategy
12.9. HMS
12.9.1. Overview
12.9.2. Market
12.9.3. Business Strategy
12.10. FraudScope, Inc
12.10.1. Overview
12.10.2. Market
13. Analyst Opinion14. Annexure
14.1. Report Scope
14.2. Market Definitions
14.3. Research Methodology
14.3.1. Data Collation and In-house Estimation
14.3.2. Market Triangulation
14.3.3. Forecasting
15. Report Assumptions16. Declarations17. Stakeholders18. AbbreviationsList of Tables
Table 1. Global Healthcare Fraud Analytics Market Value, by Delivery Model, 2020-2026 (USD Million)
Table 2. Global Healthcare Fraud Analytics Market Value for On-Premise, by Geography, 2020-2026 (USD Million)
Table 3. Global Healthcare Fraud Analytics Market Value for On-Demand, by Geography, 2020-2026 (USD Million)
Table 4. Global Healthcare Fraud Analytics Market Value, by Application, 2020-2026 (USD Million)
Table 5. Global Healthcare Fraud Analytics Market Value for Insurance Claims Review, by Geography, 2020-2026 (USD Million)
Table 6. Global Healthcare Fraud Analytics Market Value for Postpayment Review, by Geography, 2020-2026 (USD Million)
Table 7. Global Healthcare Fraud Analytics Market Value for Prepayment Review, by Geography, 2020-2026 (USD Million)
Table 8. Global Healthcare Fraud Analytics Market Value for Pharmacy Billing Misuse, by Geography, 2020-2026 (USD Million)
Table 9. Global Healthcare Fraud Analytics Market Value for Payment Integrity, by Geography, 2020-2026 (USD Million)
Table 10. Global Healthcare Fraud Analytics Market Value for Other Applications, by Geography, 2020-2026 (USD Million)
Table 11. Global Healthcare Fraud Analytics Market Value, by End User, 2020-2026 (USD Million)
Table 12. Global Healthcare Fraud Analytics Market Value for Public & Government Agencies, by Geography, 2020-2026 (USD Million)
Table 13. Global Healthcare Fraud Analytics Market Value for Private Insurance Payers, by Geography, 2020-2026 (USD Million)
Table 14. Global Healthcare Fraud Analytics Market Value for Third-Party Service Providers, by Geography, 2020-2026 (USD Million)
Table 15. Global Healthcare Fraud Analytics Market Value for Employers, by Geography, 2020-2026 (USD Million)
Table 16. Global Healthcare Fraud Analytics Market Value, by Solution Type, 2020-2026 (USD Million)
Table 17. Global Healthcare Fraud Analytics Market Value for Descriptive Analytics, by Geography, 2020-2026 (USD Million)
Table 18. Global Healthcare Fraud Analytics Market Value for Predictive Analytics, by Geography, 2020-2026 (USD Million)
Table 19. Global Healthcare Fraud Analytics Market Value for Prescriptive Analytics, by Geography, 2020-2026 (USD Million)
Table 20. Global Healthcare Fraud Analytics Market Value, by Region, by Geography 2020-2026 (USD Million)
Table 21. North America Healthcare Fraud Analytics Market Value, by Country, 2020-2026 (USD Million)
Table 22. North America Healthcare Fraud Analytics Market Value, by Delivery Model, 2020-2026 (USD Million)
Table 23. North America Healthcare Fraud Analytics Market Value for Application, by Geography 2020-2026 (USD Million)
Table 24. North America Healthcare Fraud Analytics Market Value for End User, by Geography 2020-2026 (USD Million)
Table 25. North America Healthcare Fraud Analytics Market Value for Solution Type, by Geography 2020-2026 (USD Million)
Table 26. U.S. Healthcare Fraud Analytics Market Value, by Delivery Model, 2020-2026 (USD Million)
Table 27. U.S. Healthcare Fraud Analytics Market Value for Application, by Geography 2020-2026 (USD Million)
Table 28. U.S. Healthcare Fraud Analytics Market Value for End User, by Geography 2020-2026 (USD Million)
Table 29. U.S. Healthcare Fraud Analytics Market Value for Solution Type, by Geography 2020-2026 (USD Million)
Table 30. Canada Healthcare Fraud Analytics Market Value, by Delivery Model, 2020-2026 (USD Million)
Table 31. Canada Healthcare Fraud Analytics Market Value for Application, by Geography 2020-2026 (USD Million)
Table 32. Canada Healthcare Fraud Analytics Market Value for End User, by Geography 2020-2026 (USD Million)
Table 33. Canada Healthcare Fraud Analytics Market Value for Solution Type, by Geography 2020-2026 (USD Million)
Table 34. Europe America Healthcare Fraud Analytics Market Value, by Country, 2020-2026 (USD Million)
Table 35. Europe Healthcare Fraud Analytics Market Value, by Delivery Model, 2020-2026 (USD Million)
Table 36. Europe Healthcare Fraud Analytics Market Value for Application, by Geography 2020-2026 (USD Million)
Table 37. Europe Healthcare Fraud Analytics Market Value for End User, by Geography 2020-2026 (USD Million)
Table 38. Europe Healthcare Fraud Analytics Market Value for Solution Type, by Geography 2020-2026 (USD Million)
Table 39. Germany Healthcare Fraud Analytics Market Value, by Delivery Model, 2020-2026 (USD Million)
Table 40. Germany Healthcare Fraud Analytics Market Value for Application, by Geography 2020-2026 (USD Million)
Table 41. Germany Healthcare Fraud Analytics Market Value for End User, by Geography 2020-2026 (USD Million)
Table 42. Germany Healthcare Fraud Analytics Market Value for Solution Type, by Geography 2020-2026 (USD Million)
Table 43. UK Healthcare Fraud Analytics Market Value, by Delivery Model, 2020-2026 (USD Million)
Table 44. UK Healthcare Fraud Analytics Market Value for Application, by Geography 2020-2026 (USD Million)
Table 45. UK Healthcare Fraud Analytics Market Value for End User, by Geography 2020-2026 (USD Million)
Table 46. UK Healthcare Fraud Analytics Market Value for Solution Type, by Geography 2020-2026 (USD Million)
Table 47. France Healthcare Fraud Analytics Market Value, by Delivery Model, 2020-2026 (USD Million)
Table 48. France Healthcare Fraud Analytics Market Value for Application, by Geography 2020-2026 (USD Million)
Table 49. France Healthcare Fraud Analytics Market Value for End User, by Geography 2020-2026 (USD Million)
Table 50. France Healthcare Fraud Analytics Market Value for Solution Type, by Geography 2020-2026 (USD Million)
Table 51. RoE Healthcare Fraud Analytics Market Value, by Delivery Model, 2020-2026 (USD Million)
Table 52. RoE Healthcare Fraud Analytics Market Value for Application, by Geography 2020-2026 (USD Million)
Table 53. RoE Healthcare Fraud Analytics Market Value for End User, by Geography 2020-2026 (USD Million)
Table 54. RoE Healthcare Fraud Analytics Market Value for Solution Type, by Geography 2020-2026 (USD Million)
Table 55. Asia Pacific Healthcare Fraud Analytics Market Value, by Delivery Model, 2020-2026 (USD Million)
Table 56. Asia Pacific Healthcare Fraud Analytics Market Value for Application, by Geography 2020-2026 (USD Million)
Table 57. Asia Pacific Healthcare Fraud Analytics Market Value for End User, by Geography 2020-2026 (USD Million)
Table 58. Asia Pacific Healthcare Fraud Analytics Market Value for Solution Type, by Geography 2020-2026 (USD Million)
Table 59. RoW Healthcare Fraud Analytics Market Value, by Delivery Model, 2020-2026 (USD Million)
Table 60. RoW Healthcare Fraud Analytics Market Value for Application, by Geography 2020-2026 (USD Million)
Table 61. RoW Healthcare Fraud Analytics Market Value for End User, by Geography 2020-2026 (USD Million)
Table 62. RoW Healthcare Fraud Analytics Market Value for Solution Type, by Geography 2020-2026 (USD Million)
Table 63. IBM: Overview
Table 64. IBM: Strategic Snapshot
Table 65. IBM: Business Focus
Table 66. IBM: End User/Service Portfolio
Table 67. Optum: Overview
Table 68. Optum: Strategic Snapshot
Table 69. Optum: Business Focus
Table 70. Optum: End User/Service Portfolio
Table 71. Cotiviti Holdings, Inc: Overview
Table 72. Cotiviti Holdings, Inc: Strategic Snapshot
Table 73. Cotiviti Holdings, Inc: Business Focus
Table 74. Cotiviti Holdings, Inc: End User/Service Portfolio
Table 75. Fair Isaac Corporation.: Overview
Table 76. Fair Isaac Corporation: Strategic Snapshot
Table 77. Fair Isaac Corporation: Business Focus
Table 78. Fair Isaac Corporation: End User/Service Portfolio
Table 79. SAS Institute: Overview
Table 80. SAS Institute: Strategic Snapshot
Table 81. SAS Institute: Business Focus
Table 82. SAS Institute: End User/Service Portfolio
Table 83. Choicespine: Overview
Table 84. Choicespine: Strategic Snapshot
Table 85. Choicespine: Business Focus
Table 86. Choicespine: End User/Service Portfolio
Table 87. Exl Service Holdings, Inc: Overview
Table 88. Exl Service Holdings, Inc: Strategic Snapshot
Table 89. Exl Service Holdings, Inc: Business Focus
Table 90. Exl Service Holdings, Inc: End User/Service Portfolio
Table 91. Wipro: Overview
Table 92. Wipro: Strategic Snapshot
Table 93. Wipro: Business Focus
Table 94. Wipro: End User/Service Portfolio
Table 95. Conduent, Inc: Overview
Table 96. Conduent, Inc: Strategic Snapshot
Table 97. Conduent, Inc: Business Focus
Table 98. Conduent, Inc: End User/Service Portfolio
Table 99. Hcl Technologies: Overview
Table 100. Hcl Technologies: Strategic Snapshot
Table 101. Hcl Technologies: Business Focus
Table 102. Hcl Technologies: End User/Service Portfolio
List of Figures
Chart 1. Global Healthcare Fraud Analytics Market Value, by Delivery Model, 2020-2026 (USD Million)
Chart 2. Global Healthcare Fraud Analytics Market Value for On-Premise, by Geography, 2020-2026 (USD Million)
Chart 3. Global Healthcare Fraud Analytics Market Value for On-Demand, by Geography, 2020-2026 (USD Million)
Chart 4. Global Healthcare Fraud Analytics Market Value, by Application, 2020-2026 (USD Million)
Chart 5. Global Healthcare Fraud Analytics Market Value for Insurance Claims Review, by Geography, 2020-2026 (USD Million)
Chart 6. Global Healthcare Fraud Analytics Market Value for Postpayment Review, by Geography, 2020-2026 (USD Million)
Chart 7. Global Healthcare Fraud Analytics Market Value for Prepayment Review, by Geography, 2020-2026 (USD Million)
Chart 8. Global Healthcare Fraud Analytics Market Value for Pharmacy Billing Misuse, by Geography, 2020-2026 (USD Million)
Chart 9. Global Healthcare Fraud Analytics Market Value for Payment Integrity, by Geography, 2020-2026 (USD Million)
Chart 10. Global Healthcare Fraud Analytics Market Value for Other Applications, by Geography, 2020-2026 (USD Million)
Chart 11. Global Healthcare Fraud Analytics Market Value, by End User, 2020-2026 (USD Million)
Chart 12. Global Healthcare Fraud Analytics Market Value for Public & Government Agencies, by Geography, 2020-2026 (USD Million)
Chart 13. Global Healthcare Fraud Analytics Market Value for Private Insurance Payers, by Geography, 2020-2026 (USD Million)
Chart 14. Global Healthcare Fraud Analytics Market Value for Third-Party Service Providers, by Geography, 2020-2026 (USD Million)
Chart 15. Global Healthcare Fraud Analytics Market Value for Employers, by Geography, 2020-2026 (USD Million)
Chart 16. Global Healthcare Fraud Analytics Market Value, by Solution Type, 2020-2026 (USD Million)
Chart 17. Global Healthcare Fraud Analytics Market Value for Descriptive Analytics, by Geography, 2020-2026 (USD Million)
Chart 18. Global Healthcare Fraud Analytics Market Value for Predictive Analytics, by Geography, 2020-2026 (USD Million)
Chart 19. Global Healthcare Fraud Analytics Market Value for Prescriptive Analytics, by Geography, 2020-2026 (USD Million)
Chart 20. Global Healthcare Fraud Analytics Market Value, by Region, by Geography 2020-2026 (USD Million)
Chart 21. North America Healthcare Fraud Analytics Market Value, by Country, 2020-2026 (USD Million)
Chart 22. North America Healthcare Fraud Analytics Market Value, by Delivery Model, 2020-2026 (USD Million)
Chart 23. North America Healthcare Fraud Analytics Market Value for Application, by Geography 2020-2026 (USD Million)
Chart 24. North America Healthcare Fraud Analytics Market Value for End User, by Geography 2020-2026 (USD Million)
Chart 25. North America Healthcare Fraud Analytics Market Value for Solution Type, by Geography 2020-2026 (USD Million)
Chart 26. U.S. Healthcare Fraud Analytics Market Value, by Delivery Model, 2020-2026 (USD Million)
Chart 27. U.S. Healthcare Fraud Analytics Market Value for Application, by Geography 2020-2026 (USD Million)
Chart 28. U.S. Healthcare Fraud Analytics Market Value for End User, by Geography 2020-2026 (USD Million)
Chart 29. U.S. Healthcare Fraud Analytics Market Value for Solution Type, by Geography 2020-2026 (USD Million)
Chart 30. Canada Healthcare Fraud Analytics Market Value, by Delivery Model, 2020-2026 (USD Million)
Chart 31. Canada Healthcare Fraud Analytics Market Value for Application, by Geography 2020-2026 (USD Million)
Chart 32. Canada Healthcare Fraud Analytics Market Value for End User, by Geography 2020-2026 (USD Million)
Chart 33. Canada Healthcare Fraud Analytics Market Value for Solution Type, by Geography 2020-2026 (USD Million)
Chart 34. Europe America Healthcare Fraud Analytics Market Value, by Country, 2020-2026 (USD Million)
Chart 35. Europe Healthcare Fraud Analytics Market Value, by Delivery Model, 2020-2026 (USD Million)
Chart 36. Europe Healthcare Fraud Analytics Market Value for Application, by Geography 2020-2026 (USD Million)
Chart 37. Europe Healthcare Fraud Analytics Market Value for End User, by Geography 2020-2026 (USD Million)
Chart 38. Europe Healthcare Fraud Analytics Market Value for Solution Type, by Geography 2020-2026 (USD Million)
Chart 39. Germany Healthcare Fraud Analytics Market Value, by Delivery Model, 2020-2026 (USD Million)
Chart 40. Germany Healthcare Fraud Analytics Market Value for Application, by Geography 2020-2026 (USD Million)
Chart 41. Germany Healthcare Fraud Analytics Market Value for End User, by Geography 2020-2026 (USD Million)
Chart 42. Germany Healthcare Fraud Analytics Market Value for Solution Type, by Geography 2020-2026 (USD Million)
Chart 43. Uk Healthcare Fraud Analytics Market Value, by Delivery Model, 2020-2026 (USD Million)
Chart 44. Uk Healthcare Fraud Analytics Market Value for Application, by Geography 2020-2026 (USD Million)
Chart 45. Uk Healthcare Fraud Analytics Market Value for End User, by Geography 2020-2026 (USD Million)
Chart 46. Uk Healthcare Fraud Analytics Market Value for Solution Type, by Geography 2020-2026 (USD Million)
Chart 47. France Healthcare Fraud Analytics Market Value, by Delivery Model, 2020-2026 (USD Million)
Chart 48. France Healthcare Fraud Analytics Market Value for Application, by Geography 2020-2026 (USD Million)
Chart 49. France Healthcare Fraud Analytics Market Value for End User, by Geography 2020-2026 (USD Million)
Chart 50. France Healthcare Fraud Analytics Market Value for Solution Type, by Geography 2020-2026 (USD Million)
Chart 51. RoE Healthcare Fraud Analytics Market Value, by Delivery Model, 2020-2026 (USD Million)
Chart 52. RoE Healthcare Fraud Analytics Market Value for Application, by Geography 2020-2026 (USD Million)
Chart 53. RoE Healthcare Fraud Analytics Market Value for End User, by Geography 2020-2026 (USD Million)
Chart 54. RoE Healthcare Fraud Analytics Market Value for Solution Type, by Geography 2020-2026 (USD Million)
Chart 55. Asia Pacific Healthcare Fraud Analytics Market Value, by Delivery Model, 2020-2026 (USD Million)
Chart 56. Asia Pacific Healthcare Fraud Analytics Market Value for Application, by Geography 2020-2026 (USD Million)
Chart 57. Asia Pacific Healthcare Fraud Analytics Market Value for End User, by Geography 2020-2026 (USD Million)
Chart 58. Asia Pacific Healthcare Fraud Analytics Market Value for Solution Type, by Geography 2020-2026 (USD Million)
Chart 59. Row Healthcare Fraud Analytics Market Value, by Delivery Model, 2020-2026 (USD Million)
Chart 60. Row Healthcare Fraud Analytics Market Value, for Application, by Geography 2020-2026 (USD Million)
Chart 61. Row Healthcare Fraud Analytics Market Value, for End User, by Geography 2020-2026 (USD Million)
Chart 62. Row Healthcare Fraud Analytics Market Value, for Solution Type, by Geography 2020-2026 (USD Million)