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表紙：医療業界向け不正アナリティクスの世界市場 - 市場規模・シェア・動向分析：ソリューションタイプ別（記述的、予測的、処方的）、配信モデル別、用途別、エンドユーザー別、地域別、セグメント別の予測（2022年～2030年）
市場調査レポート
商品コード
1076692

医療業界向け不正アナリティクスの世界市場 - 市場規模・シェア・動向分析：ソリューションタイプ別（記述的、予測的、処方的）、配信モデル別、用途別、エンドユーザー別、地域別、セグメント別の予測（2022年～2030年）

Healthcare Fraud Analytics Market Size, Share & Trends Analysis Report By Solution Type (Descriptive, Predictive, Prescriptive), By Delivery Model, By Application, By End User, By Region, And Segment Forecasts, 2022 - 2030
出版日: | 発行: Grand View Research | ページ情報: 英文 150 Pages | 納期: 2～10営業日

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価格
価格表記: USDを日本円(税抜)に換算
本日の銀行送金レート: 1USD=155.86円
医療業界向け不正アナリティクスの世界市場 - 市場規模・シェア・動向分析：ソリューションタイプ別（記述的、予測的、処方的）、配信モデル別、用途別、エンドユーザー別、地域別、セグメント別の予測（2022年～2030年）
出版日: 2022年04月29日
発行: Grand View Research
ページ情報: 英文 150 Pages
納期: 2～10営業日
  • 全表示
  • 概要
  • 図表
  • 目次
概要

世界の医療業界向け不正アナリティクスの市場規模は、2030年までに112億米ドルに達し、2022年～2030年にCAGRで24.3%の成長が予測されています。

医療部門における不正行為の発生率の上昇、医療保険を求める患者の増加、投資における高い利益率、薬局の請求に関連する不正行為の増加などが、市場の成長を促進する主な要因となっています。

当レポートでは、世界の医療業界向け不正アナリティクス市場について調査分析し、市場の動向、ソリューションタイプ・配信モデル・用途別・地域別の分析、競合分析などを提供しています。

目次

第1章 調査手法と範囲

第2章 エグゼクティブサマリー

第3章 医療業界向け不正アナリティクス市場の変数・動向・範囲

  • 市場系統の見通し
  • 浸透と成長の見通しのマッピング（2021年）
  • 医療業界向け不正アナリティクス市場力学
  • 医療業界向け不正アナリティクス市場分析ツール：ポーターのファイブフォース
  • 医療業界向け不正アナリティクス業界分析 - PEST（政治・法律、経済、社会、技術）
  • 規制の概要

第4章 COVID-19影響分析

  • COVID-19有病率分析
  • 現在および将来の影響分析
  • 市場企業に対するCOVID-19の影響

第5章 医療業界向け不正アナリティクス市場：セグメント分析、ソリューションタイプ別（2017年～2030年）

  • ソリューションタイプの市場シェア分析（2021年・2030年）
  • 医療業界向け不正アナリティクス市場：ソリューションタイプ別（2017年～2030年）
  • 記述的アナリティクス
  • 処方的アナリティクス
  • 予測的アナリティクス

第6章 医療業界向け不正アナリティクス市場：セグメント分析、用途別（2017年～2030年）

  • 用途の市場シェア分析（2021年・2030年）
  • 医療業界向け不正アナリティクス市場、用途別（2017年～2030年）
  • 保険金請求の審査
    • 後払いの審査
    • 前払いの審査
  • 薬局請求の誤用
  • 支払整合性
  • その他

第7章 医療業界向け不正アナリティクス市場：セグメント分析、配信モデル別（2017年～2030年）

  • 配信モデルの市場シェア分析（2021年・2030年）
  • 医療業界向け不正アナリティクス市場：配信モデル別（2017年～2030年）
  • オンプレミス
  • クラウドベース

第8章 医療業界向け不正アナリティクス市場：セグメント分析、エンドユーザー別（2017年～2030年）

  • エンドユーザーの市場シェア分析（2021年・2030年）
  • 医療業界向け不正アナリティクス市場：エンドユーザー別（2017年～2030年）
  • 公的機関・政府機関
  • 民間保険企業
  • サードパーティのサービスプロバイダー
  • 雇用主

第9章 医療業界向け不正アナリティクス市場：市場分析、地域別（2017年～2030年）

  • 定義と範囲
  • 地域動向分析（2021年・2030年）
  • 地域市場スナップショット
  • 北米
    • 米国
    • カナダ
  • 欧州
    • 英国
    • ドイツ
    • フランス
    • イタリア
    • スペイン
  • アジア太平洋
    • 日本
    • 中国
    • インド
    • オーストラリア
    • 韓国
  • ラテンアメリカ
    • ブラジル
    • メキシコ
    • アルゼンチン
  • 中東・アフリカ
    • 南アフリカ
    • サウジアラビア
    • アラブ首長国連邦

第10章 医療業界向け不正アナリティクス市場 - 競合分析

  • 市場参入企業の分類
  • 企業ダッシュボード分析
  • 公開企業
    • 企業市況分析
    • シナジー分析：主要な取引と戦略的提携
  • 市場企業の詳細なリスト

第11章 医療業界向け不正アナリティクス市場 - 企業プロファイル

  • IBM
  • Optum Inc.
  • Cotiviti Inc.
  • DXC Technology
  • SAS Institute Inc.
  • Exlservice Holdings, Inc.
  • Wipro Limited
  • Conduent Inc.
  • HCL Technologies Limited
  • OSP Labs
図表

List of Tables

  • Table 1 List of secondary sources
  • Table 2 List of Key companies
  • Table 3 Global Healthcare Fraud Analytics market, by region, 2017 - 2030 (USD Million)
  • Table 4 Global Healthcare Fraud Analytics market, by solution type, 2017 - 2030 (USD Million)
  • Table 5 Global Healthcare Fraud Analytics market, by end-user, 2017 - 2030 (USD Million)
  • Table 6 Global Healthcare Fraud Analytics market, by delivery model, 2017 - 2030 (USD Million)
  • Table 7 Global Healthcare Fraud Analytics market, by application, 2017 - 2030 (USD Million)
  • Table 8 North America Healthcare Fraud Analytics market, by country, 2017 - 2030 (USD Million)
  • Table 9 North America Healthcare Fraud Analytics market, by solution type, 2017 - 2030 (USD Million)
  • Table 10 North America Healthcare Fraud Analytics market, by end-user, 2017 - 2030 (USD Million)
  • Table 11 North America Healthcare Fraud Analytics market, by delivery model, 2017 - 2030 (USD Million)
  • Table 12 North America Healthcare Fraud Analytics market, by application, 2017 - 2030 (USD Million)
  • Table 13 U.S. Healthcare Fraud Analytics market, by solution type, 2017 - 2030 (USD Million)
  • Table 14 U.S. Healthcare Fraud Analytics market, by end-user, 2017 - 2030 (USD Million)
  • Table 15 U.S. Healthcare Fraud Analytics market, by delivery model, 2017 - 2030 (USD Million)
  • Table 16 U.S. Healthcare Fraud Analytics market, by application, 2017 - 2030 (USD Million)
  • Table 17 Canada Healthcare Fraud Analytics market, by solution type, 2017 - 2030 (USD Million)
  • Table 18 Canada Healthcare Fraud Analytics market, by end-user, 2017 - 2030 (USD Million)
  • Table 19 Canada Healthcare Fraud Analytics market, by delivery model, 2017 - 2030 (USD Million)
  • Table 20 Canada Healthcare Fraud Analytics market, by application, 2017 - 2030 (USD Million)
  • Table 21 Europe Healthcare Fraud Analytics market, by country, 2017 - 2030 (USD Million)
  • Table 22 Europe Healthcare Fraud Analytics market, by solution type, 2017 - 2030 (USD Million)
  • Table 23 Europe Healthcare Fraud Analytics market, by end-user, 2017 - 2030 (USD Million)
  • Table 24 Europe Healthcare Fraud Analytics market, by delivery model, 2017 - 2030 (USD Million)
  • Table 25 Europe Healthcare Fraud Analytics market, by application, 2017 - 2030 (USD Million)
  • Table 26 UK Healthcare Fraud Analytics market, by solution type, 2017 - 2030 (USD Million)
  • Table 27 UK Healthcare Fraud Analytics market, by end-user, 2017 - 2030 (USD Million)
  • Table 28 UK Healthcare Fraud Analytics market, by delivery model, 2017 - 2030 (USD Million)
  • Table 29 UK Healthcare Fraud Analytics market, by application, 2017 - 2030 (USD Million)
  • Table 30 Germany Healthcare Fraud Analytics market, by solution type, 2017 - 2030 (USD Million)
  • Table 31 Germany Healthcare Fraud Analytics market, by end-user, 2017 - 2030 (USD Million)
  • Table 32 Germany Healthcare Fraud Analytics market, by delivery model, 2017 - 2030 (USD Million)
  • Table 33 Germany Healthcare Fraud Analytics market, by application, 2017 - 2030 (USD Million)
  • Table 34 France Healthcare Fraud Analytics market, by solution type, 2017 - 2030 (USD Million)
  • Table 35 France Healthcare Fraud Analytics market, by end-user, 2017 - 2030 (USD Million)
  • Table 36 France Healthcare Fraud Analytics market, by delivery model, 2017 - 2030 (USD Million)
  • Table 37 France Healthcare Fraud Analytics market, by application, 2017 - 2030 (USD Million)
  • Table 38 Italy Healthcare Fraud Analytics market, by solution type, 2017 - 2030 (USD Million)
  • Table 39 Italy Healthcare Fraud Analytics market, by end-user, 2017 - 2030 (USD Million)
  • Table 40 Italy Healthcare Fraud Analytics market, by delivery model, 2017 - 2030 (USD Million)
  • Table 41 Italy Healthcare Fraud Analytics market, by application, 2017 - 2030 (USD Million)
  • Table 42 Spain Healthcare Fraud Analytics market, by solution type, 2017 - 2030 (USD Million)
  • Table 43 Spain Healthcare Fraud Analytics market, by end-user, 2017 - 2030 (USD Million)
  • Table 44 Spain Healthcare Fraud Analytics market, by delivery model, 2017 - 2030 (USD Million)
  • Table 45 Spain Healthcare Fraud Analytics market, by application, 2017 - 2030 (USD Million)
  • Table 46 Asia Pacific Healthcare Fraud Analytics market, by country, 2017 - 2030 (USD Million)
  • Table 47 Asia Pacific Healthcare Fraud Analytics market, by solution type, 2017 - 2030 (USD Million)
  • Table 48 Asia Pacific Healthcare Fraud Analytics market, by end-user, 2017 - 2030 (USD Million)
  • Table 49 Asia Pacific Healthcare Fraud Analytics market, by delivery model, 2017 - 2030 (USD Million)
  • Table 50 Asia Pacific Healthcare Fraud Analytics market, by application, 2017 - 2030 (USD Million)
  • Table 51 China Healthcare Fraud Analytics market, by solution type, 2017 - 2030 (USD Million)
  • Table 52 China Healthcare Fraud Analytics market, by end-user, 2017 - 2030 (USD Million)
  • Table 53 China Healthcare Fraud Analytics market, by delivery model, 2017 - 2030 (USD Million)
  • Table 54 China Healthcare Fraud Analytics market, by application, 2017 - 2030 (USD Million)
  • Table 55 Japan Healthcare Fraud Analytics market, by solution type, 2017 - 2030 (USD Million)
  • Table 56 Japan Healthcare Fraud Analytics market, by end user, 2017 - 2030 (USD Million)
  • Table 57 Japan Healthcare Fraud Analytics market, by delivery model, 2017 - 2030 (USD Million)
  • Table 58 Japan Healthcare Fraud Analytics market, by application, 2017 - 2030 (USD Million)
  • Table 59 India Healthcare Fraud Analytics market, by solution type, 2017 - 2030 (USD Million)
  • Table 60 India Healthcare Fraud Analytics market, by end user, 2017 - 2030 (USD Million)
  • Table 61 India Healthcare Fraud Analytics market, by delivery model, 2017 - 2030 (USD Million)
  • Table 62 India Healthcare Fraud Analytics market, by application, 2017 - 2030 (USD Million)
  • Table 63 Australia Healthcare Fraud Analytics market, by solution type, 2017 - 2030 (USD Million)
  • Table 64 Australia Healthcare Fraud Analytics market, by end-user, 2017 - 2030 (USD Million)
  • Table 65 Australia Healthcare Fraud Analytics market, by delivery model, 2017 - 2030 (USD Million)
  • Table 66 Australia Healthcare Fraud Analytics market, by application, 2017 - 2030 (USD Million)
  • Table 67 South Korea Healthcare Fraud Analytics market, by solution type, 2017 - 2030 (USD Million)
  • Table 68 South Korea Healthcare Fraud Analytics market, by end-user, 2017 - 2030 (USD Million)
  • Table 69 South Korea Healthcare Fraud Analytics market, by delivery model, 2017 - 2030 (USD Million)
  • Table 70 South Korea Healthcare Fraud Analytics market, by application, 2017 - 2030 (USD Million)
  • Table 71 Latin America Healthcare Fraud Analytics market, by country, 2017 - 2030 (USD Million)
  • Table 72 Latin America Healthcare Fraud Analytics market, by solution type, 2017 - 2030 (USD Million)
  • Table 73 Latin America Healthcare Fraud Analytics market, by end-user, 2017 - 2030 (USD Million)
  • Table 74 Latin America Healthcare Fraud Analytics market, by delivery model, 2017 - 2030 (USD Million)
  • Table 75 Latin America Healthcare Fraud Analytics market, by application, 2017 - 2030 (USD Million)
  • Table 76 Brazil Healthcare Fraud Analytics market, by solution type, 2017 - 2030 (USD Million)
  • Table 77 Brazil Healthcare Fraud Analytics market, by end-user, 2017 - 2030 (USD Million)
  • Table 78 Brazil Healthcare Fraud Analytics market, by delivery model, 2017 - 2030 (USD Million)
  • Table 79 Brazil Healthcare Fraud Analytics market, by application, 2017 - 2030 (USD Million)
  • Table 80 Mexico Healthcare Fraud Analytics market, by solution type, 2017 - 2030 (USD Million)
  • Table 81 Mexico Healthcare Fraud Analytics market, by end-user, 2017 - 2030 (USD Million)
  • Table 82 Mexico Healthcare Fraud Analytics market, by delivery model, 2017 - 2030 (USD Million)
  • Table 83 Mexico Healthcare Fraud Analytics market, by application, 2017 - 2030 (USD Million)
  • Table 84 Argentina Healthcare Fraud Analytics market, by solution type, 2017 - 2030 (USD Million)
  • Table 85 Argentina Healthcare Fraud Analytics market, by end-user, 2017 - 2030 (USD Million)
  • Table 86 Argentina Healthcare Fraud Analytics market, by delivery model, 2017 - 2030 (USD Million)
  • Table 87 Argentina Healthcare Fraud Analytics market, by application, 2017 - 2030 (USD Million)
  • Table 88 MEA Healthcare Fraud Analytics market, by country, 2017 - 2030 (USD Million)
  • Table 89 MEA Healthcare Fraud Analytics market, by solution type, 2017 - 2030 (USD Million)
  • Table 90 MEA Healthcare Fraud Analytics market, by end-user, 2017 - 2030 (USD Million)
  • Table 91 MEA Healthcare Fraud Analytics market, by delivery model, 2017 - 2030 (USD Million)
  • Table 92 MEA Healthcare Fraud Analytics market, by application, 2017 - 2030 (USD Million)
  • Table 93 South Africa Healthcare Fraud Analytics market, by solution type, 2017 - 2030 (USD Million)
  • Table 94 South Africa Healthcare Fraud Analytics market, by end-user, 2017 - 2030 (USD Million)
  • Table 95 South Africa Healthcare Fraud Analytics market, by delivery model, 2017 - 2030 (USD Million)
  • Table 96 South Africa Healthcare Fraud Analytics market, by application, 2017 - 2030 (USD Million)
  • Table 97 Saudi Arabia Healthcare Fraud Analytics market, by solution type, 2017 - 2030 (USD Million)
  • Table 98 Saudi Arabia Healthcare Fraud Analytics market, by end-user, 2017 - 2030 (USD Million)
  • Table 99 Saudi Arabia Healthcare Fraud Analytics market, by delivery model, 2017 - 2030 (USD Million)
  • Table 100 Saudi Arabia Healthcare Fraud Analytics market, by application, 2017 - 2030 (USD Million)
  • Table 101 UAE Healthcare Fraud Analytics market, by solution type, 2017 - 2030 (USD Million)
  • Table 102 UAE Healthcare Fraud Analytics market, by end-user, 2017 - 2030 (USD Million)
  • Table 103 UAE Healthcare Fraud Analytics market, by delivery model, 2017 - 2030 (USD Million)
  • Table 104 UAE Healthcare Fraud Analytics market, by application, 2017 - 2030 (USD Million)

List of Figures

  • Fig. 1 Market research process
  • Fig. 2 Data triangulation techniques
  • Fig. 3 Primary research pattern
  • Fig. 4 Market research approaches
  • Fig. 5 Value-chain-based sizing & forecasting
  • Fig. 6 QFD modeling for market share assessment
  • Fig. 7 Market formulation & validation
  • Fig. 8 Commodity workflow analysis
  • Fig. 9 Healthcare Fraud Analytics market snapshot, 2021 (USD Million)
  • Fig. 10 Healthcare Fraud Analytics market: Segmentation and scope
  • Fig. 11 Parent market outlook
  • Fig. 12 Ancillary market outlook
  • Fig. 13 Penetration & growth prospect mapping, 2021
  • Fig. 14 Healthcare Fraud Analytics market: Dynamics analysis
  • Fig. 15 Healthcare Fraud Analytics market: Driver analysis
  • Fig. 16 Healthcare Fraud Analytics market: Restraint analysis
  • Fig. 17 COVID-19 disease prevalence
  • Fig. 18 Healthcare Fraud Analytics market: Application movement analysis, 2021 & 2030
  • Fig. 19 Healthcare Fraud Analytics market Application Outlook: Key takeaways
  • Fig. 20 Insurance Claims Review market, 2017 - 2030 (USD Million)
  • Fig. 21 Postpayment Review market, 2017 - 2030 (USD Million)
  • Fig. 22 Prepayment Review market, 2017 - 2030 (USD Million)
  • Fig. 23 Pharmacy Billing Issue market, 2017 - 2030 (USD Million)
  • Fig. 24 Payment Integrity market, 2017 - 2030 (USD Million)
  • Fig. 25 Others market, 2017 - 2030 (USD Million)
  • Fig. 26 Healthcare Fraud Analytics market: End-user movement analysis 2021 & 2030
  • Fig. 27 Healthcare Fraud Analytics market End-user outlook: Key takeaways
  • Fig. 28 Public & Government Agencies market, 2017 - 2030 (USD Million)
  • Fig. 29 Private Insurance Payers market, 2017 - 2030 (USD Million)
  • Fig. 30 Third-Party Service Providers market, 2017 - 2030 (USD Million)
  • Fig. 31 Employers market, 2017 - 2030 (USD Million)
  • Fig. 32 Healthcare Fraud Analytics market: Solution Type movement analysis, 2021 & 2030
  • Fig. 33 Healthcare Fraud Analytics market Solution Type Outlook: Key takeaways
  • Fig. 34 Descriptive Analytics market, 2017 - 2030 (USD Million)
  • Fig. 35 Prescriptive Analytics market, 2017 - 2030 (USD Million)
  • Fig. 36 Predictive Analytics market, 2017 - 2030 (USD Million)
  • Fig. 37 Healthcare Fraud Analytics market: Delivery Model movement analysis, 2021 & 2030
  • Fig. 38 Healthcare Fraud Analytics market Delivery Model Outlook: Key takeaways
  • Fig. 39 On-Premises market, 2017 - 2030 (USD Million)
  • Fig. 40 Cloud-Based market, 2017 - 2030 (USD Million)
  • Fig. 41 Healthcare Fraud Analytics market: Regional movement analysis 2021 & 2030
  • Fig. 42 Healthcare Fraud Analytics market regional outlook: Key takeaways
  • Fig. 43 North America Healthcare Fraud Analytics market share, by country, 2021
  • Fig. 44 North America Healthcare Fraud Analytics market, 2017 - 2030 (USD Million)
  • Fig. 45 U.S. Healthcare Fraud Analytics market, 2017 - 2030 (USD Million)
  • Fig. 46 Canada Healthcare Fraud Analytics market, 2017 - 2030 (USD Million)
  • Fig. 47 Europe Healthcare Fraud Analytics market share, by country, 2021
  • Fig. 48 Europe Healthcare Fraud Analytics market, 2017 - 2030 (USD Million)
  • Fig. 49 Germany Healthcare Fraud Analytics market, 2017 - 2030 (USD Million)
  • Fig. 50 France Healthcare Fraud Analytics market, 2017 - 2030 (USD Million)
  • Fig. 51 UK Healthcare Fraud Analytics market, 2017 - 2030 (USD Million)
  • Fig. 52 Italy Healthcare Fraud Analytics market, 2017 - 2030 (USD Million)
  • Fig. 53 Spain Healthcare Fraud Analytics market, 2017 - 2030 (USD Million)
  • Fig. 54 Asia Pacific Healthcare Fraud Analytics market share, by country, 2021
  • Fig. 55 Asia Pacific Healthcare Fraud Analytics market, 2017 - 2030 (USD Million)
  • Fig. 56 Japan Healthcare Fraud Analytics market, 2017 - 2030 (USD Million)
  • Fig. 57 China Healthcare Fraud Analytics market, 2017 - 2030 (USD Million)
  • Fig. 58 India Healthcare Fraud Analytics market, 2017 - 2030 (USD Million)
  • Fig. 59 Australia Healthcare Fraud Analytics market, 2017 - 2030 (USD Million)
  • Fig. 60 South Korea Healthcare Fraud Analytics market, 2017 - 2030 (USD Million)
  • Fig. 61 Latin America Healthcare Fraud Analytics market share, by country, 2021
  • Fig. 62 Latin America Healthcare Fraud Analytics market, 2017 - 2030 (USD Million)
  • Fig. 63 Brazil Healthcare Fraud Analytics market, 2017 - 2030 (USD Million)
  • Fig. 64 Mexico Healthcare Fraud Analytics market, 2017 - 2030 (USD Million)
  • Fig. 65 Argentina Healthcare Fraud Analytics market, 2017 - 2030 (USD Million)
  • Fig. 66 MEA Healthcare Fraud Analytics market share, by country, 2021
  • Fig. 67 MEA Healthcare Fraud Analytics market, 2017 - 2030 (USD Million)
  • Fig. 68 South Africa Healthcare Fraud Analytics market, 2017 - 2030 (USD Million)
  • Fig. 69 Saudi Arabia Healthcare Fraud Analytics market, 2017 - 2030 (USD Million)
  • Fig. 70 UAE Healthcare Fraud Analytics market, 2017 - 2030 (USD Million)
  • Fig. 71 Market participant categorization
  • Fig. 72 Company market position analysis
目次
Product Code: GVR-4-68039-924-0

Healthcare Fraud Analytics Market Growth & Trends:

The global healthcare fraud analytics market size is expected to reach USD 11.2 billion by 2030, according to a new report by Grand View Research, Inc. The market is projected to advance at a CAGR of 24.3% from 2022 to 2030. The rising incidence of fraudulent activities in the healthcare sector, increasing number of patients seeking health insurance, high returns on investment, and the increasing number of pharmacy claims-related frauds are the major drivers propelling the market growth.

The COVID-19 pandemic has drastically affected the healthcare industry. The healthcare industry has observed various fraud cases on the part of doctors, patients, physicians, and other healthcare specialists. It is observed that many medical specialists and healthcare providers are engaged in fraudulent activities for profit gains. Many instances prove the increasing number of fraud cases during the COVID-19 pandemic.

The adoption of software used for fraud detection by insurance companies is increasing due to the rising availability of the same in developed regions. For instance, in February 2022, The Canadian Life and Health Insurance Association (CLHIA) launched an industry initiative to pool claims data and use advanced artificial intelligence tools which enhance the investigation and detection of benefits fraud.

Moreover, in June 2021, Artivatic launched the Alfred- AI Health Claims platform. This platform automates end-to-end health claims, and the abuse & fraud detection capacity is almost 30% or more. Moreover, it enables users to self-learn and develop a system for decision-making, risk assessment, and fraud detection. This growth in the availability of the software is because of increasing healthcare expenditure, which triggers the companies to come up with a product or service to meet the market demand.

The rising incidence of fraudulent activities in the healthcare sector drives the market globally. For example, according to data published by the National Library of Medicine, the fraudulent activities count raised from 30 in 2019 to 52 in the year 2021. The market is highly competitive and consists of several major players. With the rising adoption of healthcare IT solutions and the increasing number of fraud cases, smaller or private players are anticipated to enter the market in the coming years.

Initiatives like collaborations or partnerships with local players, acquisitions, or new product launches by market players contribute to the market growth. For example, in April 2019, HCL Technologies Limited launched the CyberSecurity Fusion Center in Texas, U.S., and expanded its U.S. operations with the CyberSecurity Center.

Healthcare Fraud Analytics Market Report Highlights:

  • In terms of revenue, the descriptive analytics segment dominated the solution type segment with a share of around 40.5% in 2021, owing to its high penetration
  • Based on the delivery model, the on-premise segment is expected to show lucrative growth during the forecast period, owing to its higher deployment as compared to the cloud-based delivery model
  • Insurance claims review dominated the application segment with a share of around 35% as of 2021. The growth can be attributed to the rising adoption of health insurance
  • The employers' segment is expected to show the fastest growth during the forecast period, owing to the increasing demand for healthcare fraud analytics software by employers for better cost management
  • The North American region accounted for the largest market share of around 38% in 2021, owing to the presence of major market players in the region

Table of Contents

Chapter 1 Methodology and Scope

  • 1.1 Market Segmentation and Scope
    • 1.1.1 Segment scope
    • 1.1.2 Regional scope
    • 1.1.3 Estimates and forecast timeline
  • 1.2 Research Methodology
  • 1.3 Information procurement
    • 1.3.1 Purchased database
    • 1.3.2 GVR's internal database
    • 1.3.3 Secondary sources
    • 1.3.4 Primary research
    • 1.3.5 Details of primary research
  • 1.4 Information or Data Analysis
    • 1.4.1 Data analysis models
  • 1.5 Market Formulation & Validation
  • 1.6 Model Details
  • 1.7 List of Secondary Sources
  • 1.8 Objectives

Chapter 2 Executive Summary

  • 2.1 Healthcare Fraud Analytics Market Summary

Chapter 3 Healthcare Fraud Analytics Market Variables, Trends & Scope

  • 3.1 Market Lineage Outlook
    • 3.1.1. Parent Market Outlook
    • 3.1.2. Related/Ancillary Market Outlook
  • 3.2. Penetration & Growth Prospect Mapping, 2021
  • 3.3 Healthcare Fraud Analytics Market Dynamics
    • 3.3.1 Market driver analysis
    • 3.3.2 Market restraint analysis
    • 3.3.3. Market opportunity analysis
    • 3.3.4. Market challenge analysis
  • 3.4 Healthcare Fraud Analytics Market Analysis Tools: Porter's Five Forces
    • 3.4.1 Supplier Power
    • 3.4.2. Buyer Power
    • 3.4.3. Substitution Threat
    • 3.4.4. Threat of New Entrants
    • 3.4.5. Competitive Rivalry
  • 3.5 Healthcare Fraud Analytics Industry Analysis - PEST (Political & Legal, Economic, Social, and Technological)
    • 3.5.1 Political/Legal Landscape
    • 3.5.2 Economic Landscape
    • 3.5.3 Social Landscape
    • 3.5.4 Technology Landscape
  • 3.6. Regulatory Overview

Chapter 4 COVID-19 Impact Analysis

  • 4.1 COVID-19 Prevalence Analysis
  • 4.2. Current and Future Impact Analysis
  • 4.3. Impact of COVID-19 on Market Players

Chapter 5 Healthcare Fraud Analytics Market: Segment Analysis, By Solution Type, 2017 - 2030 (USD Million)

  • 5.1 Solution Type Market Share Analysis, 2021 & 2030
  • 5.2 Healthcare Fraud Analytics market, by Solution Type, 2017 to 2030
  • 5.3 Descriptive Analytics
    • 5.3.1 Descriptive Analytics market, 2017-2030 (USD Million)
  • 5.4 Prescriptive Analytics
    • 5.4.1 Prescriptive Analytics market, 2017-2030 (USD Million)
  • 5.5 Predictive Analytics
    • 5.5.1 Predictive Analytics market, 2017-2030 (USD Million)

Chapter 6 Healthcare Fraud Analytics Market: Segment Analysis, By Application, 2017 - 2030 (USD Million)

  • 6.1 Application Market Share Analysis, 2021 & 2030
  • 6.2 Healthcare Fraud Analytics market, by Application, 2017 to 2030
  • 6.3 Insurance Claims Review
    • 6.3.1 Insurance Claims Review market, 2017-2030 (USD Million)
    • 6.3.2 Postpayment Review
      • 6.3.2.1 Postpayment Review market, 2017-2030 (USD Million)
    • 6.3.3 Prepayment Review
      • 6.3.3.1 Prepayment Review market, 2017-2030 (USD Million)
  • 6.4 Pharmacy Billing Issue
    • 6.4.1 Pharmacy Billing Issue market, 2017-2030 (USD Million)
  • 6.5 Payment Integrity
    • 6.5.1 Payment Integrity market, 2017-2030 (USD Million)
  • 6.6 Others
    • 6.6.1 Others market, 2017-2030 (USD Million)

Chapter 7 Healthcare Fraud Analytics Market: Segment Analysis, By Delivery Model, 2017 - 2030 (USD Million)

  • 7.1 Delivery Model Market Share Analysis, 2021 & 2030
  • 7.2 Healthcare Fraud Analytics Market, by delivery model, 2017 to 2030
  • 7.3 On-Premises
    • 7.3.1 On-Premises market, 2017-2030 (USD Million)
  • 7.4 Cloud-Based
    • 7.4.1 Cloud-Based market, 2017-2030 (USD Million)

Chapter 8 Healthcare Fraud Analytics Market: Segment Analysis, By End User, 2017 - 2030 (USD Million)

  • 8.1 End User Market Share Analysis, 2021 & 2030
  • 8.2 Healthcare Fraud Analytics Market, by End User, 2017 to 2030
  • 8.3 Public & Government Agencies
    • 8.3.1 Public & Government Agencies market, 2017-2030 (USD Million)
  • 8.4 Private Insurance Payers
    • 8.4.1 Private Insurance Payers market, 2017-2030 (USD million)
  • 8.5 Third Party Service Providers
    • 8.5.1 Third Party Service Providers market, 2017-2030 (USD Million)
  • 8.6 Employers
    • 8.6.1 Employers market, 2017-2030 (USD Million)

Chapter 9 Healthcare Fraud Analytics Market: Regional Market Analysis 2017 - 2030 (USD Million)

  • 9.1 Definition & Scope
  • 9.2 Regional Movement Analysis, 2021 & 2030
  • 9.3 Regional Market Snapshot
  • 9.4 North America
    • 9.4.1 North America Healthcare Fraud Analytics Market, 2017 - 2030 (USD Million)
    • 9.4.2. U.S.
      • 9.4.2.1 U.S. Healthcare Fraud Analytics Market, 2017 - 2030 (USD Million)
    • 9.4.3 Canada
      • 9.4.3.1 Canada Healthcare Fraud Analytics Market, 2017 - 2030 (USD Million)
  • 9.5 Europe
    • 9.5.1 Europe Healthcare Fraud Analytics Market, 2017 - 2030 (USD Million)
    • 9.5.2 U.K.
      • 9.5.2.1 U.K. Healthcare Fraud Analytics Market, 2017 - 2030 (USD Million)
    • 9.5.3 Germany
      • 9.5.3.1 Germany Healthcare Fraud Analytics Market, 2017 - 2030 (USD Million)
    • 9.5.4 France
      • 9.5.4.1 France Healthcare Fraud Analytics Market, 2017 - 2030 (USD Million)
    • 9.5.5 Italy
      • 9.5.5.1 Italy Healthcare Fraud Analytics Market, 2017 - 2030 (USD Million)
    • 9.5.6 Spain
      • 9.5.6.1 Spain Healthcare Fraud Analytics Market, 2017 - 2030 (USD Million)
  • 9.6 Asia Pacific
    • 9.6.1 Asia Pacific Healthcare Fraud Analytics market, 2017 - 2030 (USD Million)
    • 9.6.2 Japan
      • 9.6.2.1 Japan Healthcare Fraud Analytics Market, 2017 - 2030 (USD Million)
    • 9.6.3 China
      • 9.6.3.1 China Healthcare Fraud Analytics Market, 2017 - 2030 (USD million)
    • 9.6.4 India
      • 9.6.4.1 India Healthcare Fraud Analytics Market, 2017 - 2030 (USD Million)
    • 9.6.5 Australia
      • 9.6.5.1 Australia Healthcare Fraud Analytics Market, 2017 - 2030 (USD million)
    • 9.6.6 South Korea
      • 9.6.6.1 South Korea Healthcare Fraud Analytics Market, 2017 - 2030 (USD Million)
  • 9.7 Latin America
    • 9.7.1 Latin America Healthcare Fraud Analytics Market, 2017 - 2030 (USD Million)
    • 9.7.2 Brazil
      • 9.7.2.1 Brazil Healthcare Fraud Analytics Market, 2017 - 2030 (USD Million)
    • 9.7.3 Mexico
      • 9.7.3.1 Mexico Healthcare Fraud Analytics Market, 2017 - 2030 (USD Million)
    • 9.7.4 Argentina
      • 9.7.4.1 Argentina Healthcare Fraud Analytics Market, 2017 - 2030 (USD Million)
  • 9.8 MEA
    • 9.8.1 MEA Healthcare Fraud Analytics Market, 2017 - 2030 (USD Million)
    • 9.8.2 South Africa
      • 9.8.2.1 South Africa Healthcare Fraud Analytics Market, 2017 - 2030 (USD Million)
    • 9.8.3 Saudi Arabia
      • 9.8.3.1 Saudi Arabia Healthcare Fraud Analytics Market, 2017 - 2030 (USD Million)
    • 9.8.4 UAE
      • 9.8.4.1 UAE Healthcare Fraud Analytics Market, 2017 - 2030 (USD Million)

Chapter 10 Healthcare Fraud Analytics Market - Competitive Analysis

  • 10.1 Market Participant Categorization
  • 10.2 Company Dashboard Analysis
  • 10.3 Public Companies
    • 10.3.1. Company Market Position Analysis
    • 10.3.2. Synergy Analysis: Major Deals & Strategic Alliances
  • 10.4. Detailed List of Market Players

Chapter 11 Healthcare Fraud Analytics Market - Company Profiles

  • 11.1 IBM
    • 11.1.1 Company overview
    • 11.1.2 FINANCIAL PERFORMANCE
    • 11.1.3 Product benchmarking
    • 11.1.4 Strategic initiatives
  • 11.2 Optum Inc.
    • 11.2.1 Company overview
    • 11.2.2 Financial performance
    • 11.2.3 Product benchmarking
    • 11.2.4 Strategic initiatives
  • 11.3 Cotiviti Inc.
    • 11.3.1 Company overview
    • 11.3.2 Financial performance
    • 11.3.3 Product benchmarking
    • 11.3.4 Strategic initiatives
  • 11.4 DXC Technology
    • 11.4.1 Company overview
    • 11.4.2 Financial performance
    • 11.4.3 Product benchmarking
    • 11.4.4 Strategic initiatives
  • 11.5 SAS Institute Inc.
    • 11.5.1 Company overview
    • 11.5.2 Financial performance
    • 11.5.3 Product benchmarking
    • 11.5.4 Strategic initiatives
  • 11.6 Exlservice Holdings, Inc.
    • 11.6.1 Company overview
    • 11.6.2 Financial performance
    • 11.6.3 Product benchmarking
    • 11.6.4 Strategic initiatives
  • 11.7 Wipro Limited
    • 11.7.1 Company overview
    • 11.7.2 Financial performance
    • 11.7.3 Product benchmarking
    • 11.7.4 Strategic initiatives
  • 11.8 Conduent Inc.
    • 11.8.1 Company overview
    • 11.8.2 Financial performance
    • 11.8.3 Product benchmarking
    • 11.8.4 Strategic initiatives
  • 11.9 HCL Technologies Limited
    • 11.9.1 Company overview
    • 11.9.2 Financial performance
    • 11.9.3 Product benchmarking
    • 11.9.4 Strategic initiatives
  • 11.10 OSP Labs
    • 11.10.1 Company overview
    • 11.10.2 Financial performance
    • 11.10.3 Product benchmarking
    • 11.10.4 Strategic initiatives