Healthcare Fraud Detection Market By type (Predictive Analytics, Descriptive Analytics, Prescriptive Analytics), By application (Insurance claims review, Payment integrity), By delivery model (On-premises, On-demand), By component (Services, Software), By end user (Employers, Private insurance payers, Third party service providers, Public/government agencies), Industry Analysis, COVID-19 Impact Analysis, Size, Share, Growth, Trends, and Forecasts 2021-2028

  • Published On: Jul, 2018
  • Category: Healthcare
  • Pages: 184
The global Healthcare Fraud Detection market size is estimated at 8.7 billion USD with a CAGR of 29.9% during the forecasted period from 2021-2028.

Market Overview:

The global Healthcare Fraud Detection market size is estimated at 8.7 billion USD with a CAGR of 29.9% during the forecasted period from 2021-2028. A criminal deception intended to result in financial gain during drug manufacturing, quality of the product, medical practice, and health insurance is defined as Healthcare Fraud. The global Healthcare Fraud Detection market is expected to show high growth rate due to adoption of data mining practices. The key factor driving the growth of Healthcare Fraud Detection market is attributed to growing number of fraudulent events in health care.Also, rising number of patients choosing health insurance is positively influencing the market growth. Moreover, measures to decrease healthcare spending along with increasing pressure to uplift the operational efficacy is fostering the market growth during the forecast period. Furthermore, factors such as increase in healthcare BPO and efficacy of artificial intelligence in healthcare services & solutions are surging the market size. On the other hand, factors such as dearth of skilled professionals and high cost of detection software & services can limit the growth of Healthcare Fraud Detection market. Also, lack of awareness and low implementation rate in emerging economies is projected to hamper the growth of this market.

Healthcare Fraud Detection Market Segmentation

By Type • Predictive Analytics • Descriptive Analytics • Prescriptive Analytics By Application • Insurance claims review • Payment integrity • Others By Delivery model • On-premise • On-demand By Component • Services • Software By End user • Employers • Private insurance payers • Third party service providers • Public/government agencies By Geography • North America o U.S. o Canada o Mexico • Europe o U.K. o France o Germany o Italy o Spain o Rest of Europe • Asia-Pacific o China o Japan o India o Korea o Rest of APAC • South America o Brazil o Rest of South America • Rest of the World o Middle East o Africa

CHAPTER 1. INTRODUCTION
1.1. RESEARCH METHODOLOGY
1.1.1. ERC desk research
1.1.2. ERC data synthesis
1.1.3. Data validation and market feedback
1.1.4. ERC data sources

CHAPTER 2. HEALTHCARE FRAUD DETECTION MARKET OVERVIEW
2.1. HEALTHCARE FRAUD DETECTION MARKET INTRODUCTION
2.2. GLOBAL HEALTHCARE FRAUD DETECTION MARKET REVENUE AND GROWTH RATE, 2017-2025
2.2.1. Global Healthcare Fraud Detection Market Revenue (Million USD) and Growth Rate (%), (2017-2025)

CHAPTER 3. GLOBAL HEALTHCARE FRAUD DETECTION MARKET BY TYPE, 2017-2025
3.1. PREDICTIVE ANALYTICS
3.2. DESCRIPTIVE ANALYTICS
3.3. PRESCRIPTIVE ANALYTICS
3.4. GLOBAL HEALTHCARE FRAUD DETECTION MARKET REVENUE BY TYPE, 2017-2025
3.4.1. Global Healthcare Fraud Detection Market Revenue (Million USD) and Share (%) By Type, 2017-2025
3.4.2. Predictive Analytics Market Revenue and Growth Rate, 2017-2025
3.4.3. Descriptive Analytics Market Revenue and Growth Rate, 2017-2025
3.4.4. Prescriptive Analytics Market Revenue and Growth Rate, 2017-2025

Note: Similar information coverage has been provided for delivery model segment.

CHAPTER 4. GLOBAL HEALTHCARE FRAUD DETECTION MARKET BY APPLICATION, 2017-2025
4.1. INSURANCE CLAIMS REVIEW
4.2. PAYMENT INTEGRITY
4.3. OTHERS
4.4. GLOBAL HEALTHCARE FRAUD DETECTION MARKET REVENUE BY APPLICATION, 2017-2025
4.4.1. Global Healthcare Fraud Detection Market Revenue (Million USD) and Share (%) By Application, 2017-2025
4.4.2. Insurance claims review Market Revenue and Growth Rate, 2017-2025
4.4.3. Payment integrity Market Revenue and Growth Rate, 2017-2025
4.4.4. Others Market Revenue and Growth Rate, 2017-2025

Note: Similar information coverage has been provided for component and end-user segment.

CHAPTER 5. GLOBAL HEALTHCARE FRAUD DETECTION MARKET BY REGION, 2017-2025
5.1. NORTH AMERICA
5.1.1. U.S.
5.1.2. Canada
5.1.3. Mexico
5.2. EUROPE
5.2.1. U.K.
5.2.2. France
5.2.3. Germany
5.2.4. Italy
5.2.5. Spain
5.2.6. Rest of Europe
5.3. ASIA PACIFIC
5.3.1. China
5.3.2. Japan
5.3.3. India
5.3.4. Korea
5.3.5. Rest of APAC
5.4. SOUTH AMERICA
5.4.1. Brazil
5.4.2. Rest of South America
5.5. REST OF THE WORLD
5.5.1. Middle East
5.5.2. Africa
5.6. GLOBAL HEALTHCARE FRAUD DETECTION MARKET REVENUE BY REGION, 2017-2025
5.6.1. Global Healthcare Fraud Detection Market Revenue (Million USD) and Share (%) By Region, 2017-2025
5.6.2. North America Market Revenue and Growth Rate, 2017-2025
5.6.3. Europe Market Revenue and Growth Rate, 2017-2025
5.6.4. Asia Pacific Market Revenue and Growth Rate, 2017-2025
5.6.5. South America Market Revenue and Growth Rate, 2017-2025
5.6.6. Rest of the World Market Revenue and Growth Rate, 2017-2025

CHAPTER 6. MARKET DETERMINANTS
6.1. MARKET DRIVERS
6.2. MARKET RESTRAINTS
6.3. MARKET OPPORTUNITIES
6.4. MARKET DETERMINANTS RADAR CHART

CHAPTER 7. GLOBAL HEALTHCARE FRAUD DETECTION MARKET COMPETITION BY SERVICE PROVIDERS
7.1. GLOBAL HEALTHCARE FRAUD DETECTION REVENUE AND SHARE BY SERVICE PROVIDERS (2017-2025)
7.1.1. Global Healthcare Fraud Detection Revenue (Million USD) and Share (%) by Service Providers (2017-2025)
7.2. HEALTHCARE FRAUD DETECTION MARKET COMPETITIVE SITUATION AND TRENDS
7.2.1. Healthcare Fraud Detection Market Share (%) of Top 3 Service Providers
7.2.2. Healthcare Fraud Detection Market Share (%) of Top 5 Service Providers

CHAPTER 8. COMPANY PROFILES
8.1. OPTUM
8.1.1. Business Overview
8.1.2. Company Basic Information
8.1.3. Healthcare Fraud Detection Product Details
8.1.4. Optum Healthcare Fraud Detection Revenue and Gross Margin
8.2. SAS
8.2.1. Business Overview
8.2.2. Company Basic Information
8.2.3. Healthcare Fraud Detection Product Details
8.2.4. SAS Healthcare Fraud Detection Revenue and Gross Margin
8.3. SCIO
8.3.1. Business Overview
8.3.2. Company Basic Information
8.3.3. Healthcare Fraud Detection Product Details
8.3.4. SCIO Healthcare Fraud Detection Revenue and Gross Margin
8.4. VERSCEND
8.4.1. Business Overview
8.4.2. Company Basic Information
8.4.3. Healthcare Fraud Detection Product Details
8.4.4. Verscend Healthcare Fraud Detection Revenue and Gross Margin
8.5. HCL
8.5.1. Business Overview
8.5.2. Company Basic Information
8.5.3. Healthcare Fraud Detection Product Details
8.5.4. HCL Healthcare Fraud Detection Revenue and Gross Margin
8.6. DXC
8.6.1. Business Overview
8.6.2. Company Basic Information
8.6.3. Healthcare Fraud Detection Product Details
8.6.4. DXC Healthcare Fraud Detection Revenue and Gross Margin
8.7. LEXISNEXIS
8.7.1. Business Overview
8.7.2. Company Basic Information
8.7.3. Healthcare Fraud Detection Product Details
8.7.4. LexisNexis Healthcare Fraud Detection Revenue and Gross Margin
8.8. IBM
8.8.1. Business Overview
8.8.2. Company Basic Information
8.8.3. Healthcare Fraud Detection Product Details
8.8.4. IBM Healthcare Fraud Detection Revenue and Gross Margin
8.9. NORTHROP GRUMMAN
8.9.1. Business Overview
8.9.2. Company Basic Information
8.9.3. Healthcare Fraud Detection Product Details
8.9.4. Northrop Grumman Healthcare Fraud Detection Revenue and Gross Margin
8.10. PONDERA
8.10.1. Business Overview
8.10.2. Company Basic Information
8.10.3. Healthcare Fraud Detection Product Details
8.10.4. Pondera Healthcare Fraud Detection Revenue and Gross Margin

CHAPTER 9. HEALTHCARE FRAUD DETECTION MARKET VALUE CHAIN ANALYSIS
9.1. HEALTHCARE FRAUD DETECTION INDUSTRIAL CHAIN ANALYSIS
9.2. CONSUMER ANALYSIS
9.2.1. Consumer 1
9.2.2. Consumer 2
9.2.3. Consumer 3
9.2.4. Consumer 4

• Optum
• SAS
• SCIO
• McKesson
• Verscend
• Conduent
• Wipro
• HCL
• DXC
• CGI
• LexisNexis
• Northrop Grumman
• IBM
• Pondera

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Report Highlights:

Complete overview of market
Major drivers, restrain, opportunities, and challenges of the market
Market Trends and how they are boosting the market growth
Changing dynamics in the Market
Complete overview of the market
Historical, Base year, projected, and current market size in terms of value and volume
COVID-19 Impact analysis of the market
Current industry trends and developments

CLIENTS