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Healthcare Fraud Analytics Global Market Report 2024

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    Report

  • 200 Pages
  • December 2023
  • Region: Global
  • The Business Research Company
  • ID: 5767405
Healthcare fraud analytics refers to on-premise and on-demand analytical solutions that assist in identifying issues such as duplication/repetition of claims and errors in claim healthcare operations and applications. Healthcare fraud analytics aims to help healthcare companies to audit their accounts and find out fraudulent activities in various transactions. It identifies frauds related to billings, claims, prepayment, post payments, and payment integrity.

The main type of solutions in healthcare fraud analytics are descriptive analytics, predictive analytics, prescriptive analytics. Descriptive analytics is a process of using current and historical data to identify trends and relationships. Healthcare fraud analytic solutions are deployed on-premise and on-demand, and they are widely used for insurance claims review, postpayment review, prepayment review, pharmacy billing misuse, payment integrity, other applications. Healthcare fraud analytics are used by public & government agencies, private insurance payers, third-party service providers.

The healthcare fraud analytics market research report is one of a series of new reports that provides healthcare fraud analytics market statistics, including healthcare fraud analytics industry global market size, regional shares, competitors with a healthcare fraud analytics market share, detailed healthcare fraud analytics market segments, market trends and opportunities, and any further data you may need to thrive in the healthcare fraud analytics industry. This healthcare fraud analytics market research report delivers a complete perspective of everything you need, with an in-depth analysis of the current and future scenarios of the industry.

The healthcare fraud analytics market size has grown exponentially in recent years. It will grow from $3 billion in 2023 to $3.8 billion in 2024 at a compound annual growth rate (CAGR) of 26.6%. The growth in the historic period can be attributed to rise in healthcare costs, complexity of healthcare systems, increasing volume of healthcare data, transition to electronic health records (ehrs), billing fraud challenges.

The healthcare fraud analytics market size is expected to see exponential growth in the next few years. It will grow to $9.66 billion in 2028 at a compound annual growth rate (CAGR) of 26.3%. The growth in the forecast period can be attributed to increasing sophistication of fraud schemes, integration of predictive analytics, regulatory evolution, global pandemic impact, enhanced patient identity verification. Major trends in the forecast period include adoption of cloud-based analytics, user-friendly interfaces, automation in fraud investigations, real-time fraud detection, behavioral analytics.

A large number of fraudulent activities in the healthcare sector contribute to the growth of the healthcare fraud analytics market. Medical providers, patients, and third parties who intentionally deceive the healthcare system into acquiring unlawful benefits can commit fraud based on deception or misrepresentation. These fraud and abuse involve kickbacks, billing, billing for services not provided, medical testing, and other fraudulent activities. For instance, according to Blue Cross Blue Shield Association, a US-based federation, in 2021, The National Heath Care Anti-Fraud Association estimated that health care fraud costs the nation about $68 billion annually, about 3 percent of the nation's $2.26 trillion in health care spending. Other estimates range as high as 10 percent of annual health care expenditure, or $230 billion. Thus, the increasing number of fraudulent activities in healthcare is contributing to the healthcare fraud market growth.

Increased healthcare expenditure is expected to propel the growth of the healthcare fraud analytics market. Healthcare expenditure refers to the total amount of resources, including financial and non-financial, spent on healthcare services and related activities within a specific period of time. Healthcare organizations and payers are investing in advanced fraud analytics solutions to protect their financial resources. For instance, in October 2022, according to the Willis Towers Watson Public Limited Company, a UK-based risk management, insurance brokerage, and advisory company, the healthcare benefit cost increased from 8.2% in 2021 to 8.8% in 2022 and is expected to grow again in 2023 to a high global average of 10%. Therefore, increased healthcare expenditure is driving the growth of the healthcare fraud analytics market.

Major players in the healthcare fraud analytics market are focusing on investments to expand in the market. Rising investments in healthcare fraud analytics denote the increasing allocation of financial resources towards advanced analytical tools and technologies aimed at detecting and preventing fraudulent activities within the healthcare sector. For instance, in January 2021, Healthcare Fraud Shield, a US-based company that provides new and unique Fraud, Waste and Abuse (FWA) automated solutions to the healthcare industry, received a $50 million investment from Charlesbank Technology Opportunities Fund, a fund managed by Charlesbank Capital Partners, a New York-based middle market private investment firm. Through this investment, Healthcare Fraud Shield will be able to quickly create new features and implement the capabilities of its platform, such as the newly released AIShield product and the ground-breaking PreShield product, across insurance policies that cover millions of people.

Major players in the healthcare fraud analytics market are focusing on strategic partnership to protect customers. Strategic partnerships refer to a process in which companies leverage each other's strengths and resources to achieve mutual benefits and success. For instance, in May 2023, Mastercard, a New-York-based credit card company, partnered with HealthLock, a US-based comapny that provides medical fraud and overbilling protection solution. The collaboration between Mastercard and HealthLock will help safeguard consumers from healthcare fraud and billing errors by delivering a no-fee, core HealthLock breach alert and fraud remediation solution. This service will assist clients in detecting and correcting any fraudulent activity or billing problems on their healthcare bills.

In August 2021, Equifax, an Atlanta-based consumer credit reporting agency, acquired Appriss Insights for $1.825 billion. The acquisition broadened Equifax's data and analytics capabilities, allowing it to deliver more complete solutions to its clients. Appriss Insights is a US-based company that provides data and analytics solutions, including healthcare fraud analytics.

Major companies operating in the in the healthcare fraud analytics market report are International Business Machines Corporation, Optum Inc., Statistical Analysis Software Institute Inc., Change Healthcare, EXL Service Holdings Inc., Cotiviti Inc., DXC Technology Company, Wipro Limited, Conduent Incorporated, Consultants to Government and Industry Inc., HCL Technologies Limited, Qlarant Inc., Northrop Grumman Corporation, LEXIS-NEXIS Group, Healthcare Fraud Shield, Sharecare Inc., FraudLens Inc., HMS Holding Corp., Codoxo, H20. ai, Pondera Solutions Inc., Friss International B. V., MultiPlan Inc., FraudScope, Osp Labs Private Limited, Fair Isaac Corporation, Mckesson Corp, Relx Group PLC, FraudHunt, FraudGuardian

North America was the largest region in the healthcare fraud analytics market in 2023. North America is expected to be the fastest-growing region in the forecast period. The regions covered in the healthcare fraud analytics market report are Asia-Pacific, Western Europe, Eastern Europe, North America, South America, Middle East, Africa

The countries covered in the healthcare fraud analytics market report are Australia, Brazil, China, France, Germany, India, Indonesia, Japan, Russia, South Korea, UK, USA, Italy, Canada, Spain.

The healthcare fraud analytics market includes revenues earned by entities by providing services such as fraud detection, predictive analytics, and Medicaid. The market value includes the value of related goods sold by the service provider or included within the service offering. Only goods and services traded between entities or sold to end consumers are included.

The market value is defined as the revenues that enterprises gain from the sale of goods and/or services within the specified market and geography through sales, grants, or donations in terms of the currency (in USD, unless otherwise specified)).

The revenues for a specified geography are consumption values that are revenues generated by organizations in the specified geography within the market, irrespective of where they are produced. It does not include revenues from resales along the supply chain, either further along the supply chain or as part of other products.


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Table of Contents

1. Executive Summary2. Healthcare Fraud Analytics Market Characteristics3. Healthcare Fraud Analytics Market Trends And Strategies
4. Healthcare Fraud Analytics Market - Macro Economic Scenario
4.1. Impact Of High Inflation On The Market
4.2. Ukraine-Russia War Impact On The Market
4.3. COVID-19 Impact On The Market
5. Global Healthcare Fraud Analytics Market Size and Growth
5.1. Global Healthcare Fraud Analytics Market Drivers and Restraints
5.1.1. Drivers Of The Market
5.1.2. Restraints Of The Market
5.2. Global Healthcare Fraud Analytics Historic Market Size and Growth, 2018 - 2023, Value ($ Billion)
5.3. Global Healthcare Fraud Analytics Forecast Market Size and Growth, 2023 - 2028, 2033F, Value ($ Billion)
6. Healthcare Fraud Analytics Market Segmentation
6.1. Global Healthcare Fraud Analytics Market, Segmentation By Solution Type, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
Descriptive Analytics
Predictive Analytics
Prescriptive Analytics
6.2. Global Healthcare Fraud Analytics Market, Segmentation By Delivery Model, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
On-Premise
On-Demand
6.3. Global Healthcare Fraud Analytics Market, Segmentation By Application, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
Insurance Claims Review
Postpayment Review
Prepayment Review
Pharmacy Billing Misuse
Payment Integrity
Other Applications
6.4. Global Healthcare Fraud Analytics Market, Segmentation By End User, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
Public & Government Agencies
Private Insurance Payers
Third-Party Service Providers
7. Healthcare Fraud Analytics Market Regional And Country Analysis
7.1. Global Healthcare Fraud Analytics Market, Split By Region, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
7.2. Global Healthcare Fraud Analytics Market, Split By Country, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
8. Asia-Pacific Healthcare Fraud Analytics Market
8.1. Asia-Pacific Healthcare Fraud Analytics Market Overview
Region Information, Impact Of COVID-19, Market Information, Background Information, Government Initiatives, Regulations, Regulatory Bodies, Major Associations, Taxes Levied, Corporate Tax Structure, Investments, Major Companies
8.2. Asia-Pacific Healthcare Fraud Analytics Market, Segmentation By Solution Type, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
8.3. Asia-Pacific Healthcare Fraud Analytics Market, Segmentation By Application, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
8.4. Asia-Pacific Healthcare Fraud Analytics Market, Segmentation By End User, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
9. China Healthcare Fraud Analytics Market
9.1. China Healthcare Fraud Analytics Market Overview
9.2. China Healthcare Fraud Analytics Market, Segmentation By Solution Type, Historic and Forecast, 2018-2023, 2023-2028F, 2033F,$ Billion
9.3. China Healthcare Fraud Analytics Market, Segmentation By Application, Historic and Forecast, 2018-2023, 2023-2028F, 2033F,$ Billion
9.4. China Healthcare Fraud Analytics Market, Segmentation By End User, Historic and Forecast, 2018-2023, 2023-2028F, 2033F,$ Billion
10. India Healthcare Fraud Analytics Market
10.1. India Healthcare Fraud Analytics Market, Segmentation By Solution Type, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
10.2. India Healthcare Fraud Analytics Market, Segmentation By Application, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
10.3. India Healthcare Fraud Analytics Market, Segmentation By End User, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
11. Japan Healthcare Fraud Analytics Market
11.1. Japan Healthcare Fraud Analytics Market, Segmentation By Solution Type, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
11.2. Japan Healthcare Fraud Analytics Market, Segmentation By Application, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
11.3. Japan Healthcare Fraud Analytics Market, Segmentation By End User, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
12. Australia Healthcare Fraud Analytics Market
12.1. Australia Healthcare Fraud Analytics Market, Segmentation By Solution Type, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
12.2. Australia Healthcare Fraud Analytics Market, Segmentation By Application, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
12.3. Australia Healthcare Fraud Analytics Market, Segmentation By End User, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
13. Indonesia Healthcare Fraud Analytics Market
13.1. Indonesia Healthcare Fraud Analytics Market, Segmentation By Solution Type, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
13.2. Indonesia Healthcare Fraud Analytics Market, Segmentation By Application, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
13.3. Indonesia Healthcare Fraud Analytics Market, Segmentation By End User, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
14. South Korea Healthcare Fraud Analytics Market
14.1. South Korea Healthcare Fraud Analytics Market, Segmentation By Solution Type, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
14.2. South Korea Healthcare Fraud Analytics Market, Segmentation By Application, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
14.3. South Korea Healthcare Fraud Analytics Market, Segmentation By End User, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
15. Western Europe Healthcare Fraud Analytics Market
15.1. Western Europe Healthcare Fraud Analytics Market Overview
15.2. Western Europe Healthcare Fraud Analytics Market, Segmentation By Solution Type, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
15.3. Western Europe Healthcare Fraud Analytics Market, Segmentation By Application, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
15.4. Western Europe Healthcare Fraud Analytics Market, Segmentation By End User, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
16. UK Healthcare Fraud Analytics Market
16.1. UK Healthcare Fraud Analytics Market, Segmentation By Solution Type, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
16.2. UK Healthcare Fraud Analytics Market, Segmentation By Application, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
16.3. UK Healthcare Fraud Analytics Market, Segmentation By End User, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
17. Germany Healthcare Fraud Analytics Market
17.1. Germany Healthcare Fraud Analytics Market, Segmentation By Solution Type, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
17.2. Germany Healthcare Fraud Analytics Market, Segmentation By Application, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
17.3. Germany Healthcare Fraud Analytics Market, Segmentation By End User, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
18. France Healthcare Fraud Analytics Market
18.5. France Healthcare Fraud Analytics Market, Segmentation By Solution Type, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
18.6. France Healthcare Fraud Analytics Market, Segmentation By Application, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
18.7. France Healthcare Fraud Analytics Market, Segmentation By End User, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
19. Italy Healthcare Fraud Analytics Market
19.9. Italy Healthcare Fraud Analytics Market, Segmentation By Solution Type, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
19.10. Italy Healthcare Fraud Analytics Market, Segmentation By Application, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
19.11. Italy Healthcare Fraud Analytics Market, Segmentation By End User, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
20. Spain Healthcare Fraud Analytics Market
20.13. Spain Healthcare Fraud Analytics Market, Segmentation By Solution Type, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
20.14. Spain Healthcare Fraud Analytics Market, Segmentation By Application, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
20.15. Spain Healthcare Fraud Analytics Market, Segmentation By End User, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
21. Eastern Europe Healthcare Fraud Analytics Market
21.1. Eastern Europe Healthcare Fraud Analytics Market Overview
21.2. Eastern Europe Healthcare Fraud Analytics Market, Segmentation By Solution Type, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
21.3. Eastern Europe Healthcare Fraud Analytics Market, Segmentation By Application, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
21.4. Eastern Europe Healthcare Fraud Analytics Market, Segmentation By End User, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
22. Russia Healthcare Fraud Analytics Market
22.1. Russia Healthcare Fraud Analytics Market, Segmentation By Solution Type, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
22.2. Russia Healthcare Fraud Analytics Market, Segmentation By Application, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
22.3. Russia Healthcare Fraud Analytics Market, Segmentation By End User, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
23. North America Healthcare Fraud Analytics Market
23.1. North America Healthcare Fraud Analytics Market Overview
23.2. North America Healthcare Fraud Analytics Market, Segmentation By Solution Type, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
23.3. North America Healthcare Fraud Analytics Market, Segmentation By Application, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
23.4. North America Healthcare Fraud Analytics Market, Segmentation By End User, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
24. USA Healthcare Fraud Analytics Market
24.1. USA Healthcare Fraud Analytics Market Overview
24.2. USA Healthcare Fraud Analytics Market, Segmentation By Solution Type, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
24.3. USA Healthcare Fraud Analytics Market, Segmentation By Application, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
24.4. USA Healthcare Fraud Analytics Market, Segmentation By End User, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
25. Canada Healthcare Fraud Analytics Market
25.1. Canada Healthcare Fraud Analytics Market Overview
25.2. Canada Healthcare Fraud Analytics Market, Segmentation By Solution Type, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
25.3. Canada Healthcare Fraud Analytics Market, Segmentation By Application, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
25.4. Canada Healthcare Fraud Analytics Market, Segmentation By End User, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
26. South America Healthcare Fraud Analytics Market
26.1. South America Healthcare Fraud Analytics Market Overview
26.2. South America Healthcare Fraud Analytics Market, Segmentation By Solution Type, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
26.3. South America Healthcare Fraud Analytics Market, Segmentation By Application, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
26.4. South America Healthcare Fraud Analytics Market, Segmentation By End User, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
27. Brazil Healthcare Fraud Analytics Market
27.1. Brazil Healthcare Fraud Analytics Market, Segmentation By Solution Type, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
27.2. Brazil Healthcare Fraud Analytics Market, Segmentation By Application, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
27.3. Brazil Healthcare Fraud Analytics Market, Segmentation By End User, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
28. Middle East Healthcare Fraud Analytics Market
28.1. Middle East Healthcare Fraud Analytics Market Overview
28.2. Middle East Healthcare Fraud Analytics Market, Segmentation By Solution Type, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
28.3. Middle East Healthcare Fraud Analytics Market, Segmentation By Application, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
28.4. Middle East Healthcare Fraud Analytics Market, Segmentation By End User, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
29. Africa Healthcare Fraud Analytics Market
29.1. Africa Healthcare Fraud Analytics Market Overview
29.2. Africa Healthcare Fraud Analytics Market, Segmentation By Solution Type, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
29.3. Africa Healthcare Fraud Analytics Market, Segmentation By Application, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
29.4. Africa Healthcare Fraud Analytics Market, Segmentation By End User, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
30. Healthcare Fraud Analytics Market Competitive Landscape And Company Profiles
30.1. Healthcare Fraud Analytics Market Competitive Landscape
30.2. Healthcare Fraud Analytics Market Company Profiles
30.2.1. International Business Machines Corporation
30.2.1.1. Overview
30.2.1.2. Products and Services
30.2.1.3. Strategy
30.2.1.4. Financial Performance
30.2.2. Optum Inc.
30.2.2.1. Overview
30.2.2.2. Products and Services
30.2.2.3. Strategy
30.2.2.4. Financial Performance
30.2.3. Statistical Analysis Software Institute Inc.
30.2.3.1. Overview
30.2.3.2. Products and Services
30.2.3.3. Strategy
30.2.3.4. Financial Performance
30.2.4. Change Healthcare
30.2. 4.1. Overview
30.2. 4.2. Products and Services
30.2. 4.3. Strategy
30.2.4.4. Financial Performance
30.2.5. EXL Service Holdings Inc.
30.2. 5.1. Overview
30.2. 5.2. Products and Services
30.2. 5.3. Strategy
30.2.5.4. Financial Performance
31. Global Healthcare Fraud Analytics Market Competitive Benchmarking32. Global Healthcare Fraud Analytics Market Competitive Dashboard33. Key Mergers And Acquisitions In The Healthcare Fraud Analytics Market
34. Healthcare Fraud Analytics Market Future Outlook and Potential Analysis
34.1 Healthcare Fraud Analytics Market In 2028 - Countries Offering Most New Opportunities
34.2 Healthcare Fraud Analytics Market In 2028 - Segments Offering Most New Opportunities
34.3. Healthcare Fraud Analytics Market In 2028 - Growth Strategies
34.3.1 Market Trend Based Strategies
34.3.2 Competitor Strategies
35. Appendix
35.1. Abbreviations
35.2. Currencies
35.3. Historic And Forecast Inflation Rates
35.4. Research Inquiries
35.5. The Business Research Company
35.6. Copyright And Disclaimer

Executive Summary

Healthcare Fraud Analytics Global Market Report 2024 provides strategists, marketers and senior management with the critical information they need to assess the market.

This report focuses on healthcare fraud analytics market which is experiencing strong growth. The report gives a guide to the trends which will be shaping the market over the next ten years and beyond.

Reasons to Purchase

  • Gain a truly global perspective with the most comprehensive report available on this market covering 50+ geographies.
  • Understand how the market has been affected by the COVID-19 and how it is responding as the impact of the virus abates.
  • Assess the Russia - Ukraine war’s impact on agriculture, energy and mineral commodity supply and its direct and indirect impact on the market.
  • Measure the impact of high global inflation on market growth.
  • Create regional and country strategies on the basis of local data and analysis.
  • Identify growth segments for investment.
  • Outperform competitors using forecast data and the drivers and trends shaping the market.
  • Understand customers based on the latest market shares.
  • Benchmark performance against key competitors.
  • Suitable for supporting your internal and external presentations with reliable high quality data and analysis
  • All data from the report will also be delivered in an excel dashboard format.

Description:

Where is the largest and fastest growing market for healthcare fraud analytics? How does the market relate to the overall economy, demography and other similar markets? What forces will shape the market going forward? This report answers all these questions and many more.

The report covers market characteristics, size and growth, segmentation, regional and country breakdowns, competitive landscape, market shares, trends and strategies for this market. It traces the market’s historic and forecast market growth by geography.

Scope

  • Markets Covered: 1) By Solution Type: Descriptive Analytics; Predictive Analytics; Prescriptive Analytics 2) By Delivery Model: On-Premise; On-Demand 3) By Application: Insurance Claims Review; Postpayment Review; Prepayment Review; Pharmacy Billing Misuse; Payment Integrity; Other Applications 4) By End User: Public & Government Agencies; Private Insurance Payers; Third-Party Service Providers
  • Companies Mentioned: International Business Machines Corporation; Optum Inc.; Statistical Analysis Software Institute Inc.; Change Healthcare; EXL Service Holdings Inc.
  • Countries: Australia; Brazil; China; France; Germany; India; Indonesia; Japan; Russia; South Korea; UK; USA; Canada; Italy; Spain
  • Regions: Asia-Pacific; Western Europe; Eastern Europe; North America; South America; Middle East; Africa
  • Time series: Five years historic and ten years forecast.
  • Data: Ratios of market size and growth to related markets, GDP proportions, expenditure per capita,
  • Data segmentations: country and regional historic and forecast data, market share of competitors, market segments.
  • Sourcing and Referencing: Data and analysis throughout the report is sourced using end notes.
  • Delivery format: PDF, Word and Excel Data Dashboard.

Companies Mentioned (Partial List)

A selection of companies mentioned in this report includes, but is not limited to:

  • International Business Machines Corporation
  • Optum Inc.
  • Statistical Analysis Software Institute Inc.
  • Change Healthcare
  • EXL Service Holdings Inc.
  • Cotiviti Inc.
  • DXC Technology Company
  • Wipro Limited
  • Conduent Incorporated
  • Consultants to Government and Industry Inc.
  • HCL Technologies Limited
  • Qlarant Inc.
  • Northrop Grumman Corporation
  • LEXIS-NEXIS Group
  • Healthcare Fraud Shield
  • Sharecare Inc.
  • FraudLens Inc.
  • HMS Holding Corp.
  • Codoxo
  • H20. ai
  • Pondera Solutions Inc.
  • Friss International B. V.
  • MultiPlan Inc.
  • FraudScope
  • Osp Labs Private Limited
  • Fair Isaac Corporation
  • Mckesson Corp
  • Relx Group PLC
  • FraudHunt
  • FraudGuardian

Methodology

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