表紙:医療部門向け不正アナリティクス:コンポーネント別(サービス、ソフトウェア)、ソリューションタイプ別(記述的分析、予測的分析、処方分析)、地域別の世界市場規模予測(~2028年)
市場調査レポート
商品コード
1028598

医療部門向け不正アナリティクス:コンポーネント別(サービス、ソフトウェア)、ソリューションタイプ別(記述的分析、予測的分析、処方分析)、地域別の世界市場規模予測(~2028年)

Healthcare Fraud Analytics Market Forecasts to 2028 - Global Analysis By Component (Services, Software), Solution Type (Descriptive Analytics, Predictive Analytics Prescriptive Analytics) and By Geography

出版日: | 発行: Stratistics Market Research Consulting | ページ情報: 英文 150+ Pages | 納期: 2~3営業日

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=115.72円
医療部門向け不正アナリティクス:コンポーネント別(サービス、ソフトウェア)、ソリューションタイプ別(記述的分析、予測的分析、処方分析)、地域別の世界市場規模予測(~2028年)
出版日: 2021年08月01日
発行: Stratistics Market Research Consulting
ページ情報: 英文 150+ Pages
納期: 2~3営業日
  • 全表示
  • 概要
  • 図表
  • 目次
概要

世界の医療部門向け不正アナリティクスの市場規模は、2020年に11億8,000万米ドルとなり、予測期間中に27.8%のCAGRで成長し、2028年までに84億米ドルに達すると予測されています。

世界各地で医療保険請求に関連した医療不正事例が増加していることや、不正行為を制限するための政府の取り組みが活発化していることが、市場の成長を後押ししています。しかし、投資収益率の高さや、薬局での請求に関連する不正行為の増加が、市場の成長を妨げています。

当レポートでは医療部門向け不正アナリティクスの世界市場を調査し、市場の概要、市場の成長要因および阻害要因の分析、市場機会、Covid-19の影響、コンポーネント・ソリューションタイプ・地域別の市場規模の推移と予測、競合情勢、主要企業のプロファイルなど、体系的な情報を提供しています。

目次

第1章 エグゼクティブサマリー

第2章 序文

第3章 市場動向分析

  • 促進要因
  • 抑制要因
  • 市場機会
  • 脅威
  • アプリケーション分析
  • エンドユーザー分析
  • 新興市場
  • Covid-19の影響

第4章 ポーターズのファイブフォース分析

第5章 コンポーネント別

  • サービス
  • ソフトウェア

第6章 ソリューションタイプ別

  • 記述分析
  • 予測分析
  • 処方分析

第7章 配信モード別

  • オンプレミス
  • オンデマンド/クラウドベース

第8章 アプリケーション別

  • 保険金請求レビュー
    • 後払いレビュー
    • 前払いレビュー
  • 医療IDの盗難
  • 支払いの完全性
  • 薬局の請求の誤用
  • ケース管理

第9章 エンドユーザー別

  • 雇用主
  • 民間保険の支払人
  • 公的機関および政府機関
  • サードパーティのサービスプロバイダー

第10章 地域別

  • 北米
    • 米国
    • カナダ
    • メキシコ
  • 欧州
    • ドイツ
    • 英国
    • イタリア
    • フランス
    • スペイン
    • その他欧州
  • アジア太平洋地域
    • 日本
    • 中国
    • インド
    • オーストラリア
    • ニュージーランド
    • 韓国
    • その他アジア太平洋地域
  • 南米
    • アルゼンチン
    • ブラジル
    • チリ
    • その他南米
  • 中東とアフリカ
    • サウジアラビア
    • アラブ首長国連邦
    • カタール
    • 南アフリカ
    • その他中東およびアフリカ

第11章 主な発展

  • 契約、パートナーシップ、コラボレーション、ジョイントベンチャー
  • 買収と合併
  • 新製品の発売
  • 拡張
  • その他の重要な戦略

第12章 企業プロファイル

  • CGI Inc.
  • Conduent Inc.
  • Cotiviti Holdings, Inc.
  • DXC Technology Co
  • ExlService Holdings, Inc.
  • FraudScope, Inc.
  • HCL Technologies Limited
  • International Business Machines Corporation(IBM)
  • LexisNexis(A Part of Relx Group)
  • Northrop Grumman Corporation
  • Pondera Solutions, LLC
  • SAS Institute
  • Wipro Limited
図表

List of Tables

  • Table 1 Global Healthcare Fraud Analytics Market Outlook, By Region (2019-2028) (US $MN)
  • Table 2 Global Healthcare Fraud Analytics Market Outlook, By Component (2019-2028) (US $MN)
  • Table 3 Global Healthcare Fraud Analytics Market Outlook, By Services (2019-2028) (US $MN)
  • Table 4 Global Healthcare Fraud Analytics Market Outlook, By Software (2019-2028) (US $MN)
  • Table 5 Global Healthcare Fraud Analytics Market Outlook, By Solution Type (2019-2028) (US $MN)
  • Table 6 Global Healthcare Fraud Analytics Market Outlook, By Descriptive Analytics (2019-2028) (US $MN)
  • Table 7 Global Healthcare Fraud Analytics Market Outlook, By Predictive Analytics (2019-2028) (US $MN)
  • Table 8 Global Healthcare Fraud Analytics Market Outlook, By Prescriptive Analytics (2019-2028) (US $MN)
  • Table 9 Global Healthcare Fraud Analytics Market Outlook, By Delivery Mode (2019-2028) (US $MN)
  • Table 10 Global Healthcare Fraud Analytics Market Outlook, By On-Premise (2019-2028) (US $MN)
  • Table 11 Global Healthcare Fraud Analytics Market Outlook, By On-Demand/ Cloud-Based Delivery Mode (2019-2028) (US $MN)
  • Table 12 Global Healthcare Fraud Analytics Market Outlook, By Application (2019-2028) (US $MN)
  • Table 13 Global Healthcare Fraud Analytics Market Outlook, By Insurance Claims Review (2019-2028) (US $MN)
  • Table 14 Global Healthcare Fraud Analytics Market Outlook, By Postpayment Review (2019-2028) (US $MN)
  • Table 15 Global Healthcare Fraud Analytics Market Outlook, By Prepayment Review (2019-2028) (US $MN)
  • Table 16 Global Healthcare Fraud Analytics Market Outlook, By Medical Identity Theft (2019-2028) (US $MN)

Table17 Global Healthcare Fraud Analytics Market Outlook, By Payment Integrity (2019-2028) (US $MN)

  • Table 18 Global Healthcare Fraud Analytics Market Outlook, By Pharmacy Billing Misuse (2019-2028) (US $MN)
  • Table 19 Global Healthcare Fraud Analytics Market Outlook, By Case Management (2019-2028) (US $MN)
  • Table 20 Global Healthcare Fraud Analytics Market Outlook, By End User (2019-2028) (US $MN)
  • Table 21 Global Healthcare Fraud Analytics Market Outlook, By Employers (2019-2028) (US $MN)
  • Table 22 Global Healthcare Fraud Analytics Market Outlook, By Private Insurance Payers (2019-2028) (US $MN)
  • Table 23 Global Healthcare Fraud Analytics Market Outlook, By Public & Government Agencies (2019-2028) (US $MN)
  • Table 24 Global Healthcare Fraud Analytics Market Outlook, By Third-Party Service Providers (2019-2028) (US $MN)
  • Table 25 North America Healthcare Fraud Analytics Market Outlook, By Country (2019-2028) (US $MN)
  • Table 26 North America Healthcare Fraud Analytics Market Outlook, By Component (2019-2028) (US $MN)
  • Table 27 North America Healthcare Fraud Analytics Market Outlook, By Services (2019-2028) (US $MN)
  • Table 28 North America Healthcare Fraud Analytics Market Outlook, By Software (2019-2028) (US $MN)
  • Table 29 North America Healthcare Fraud Analytics Market Outlook, By Solution Type (2019-2028) (US $MN)
  • Table 30 North America Healthcare Fraud Analytics Market Outlook, By Descriptive Analytics (2019-2028) (US $MN)
  • Table 31 North America Healthcare Fraud Analytics Market Outlook, By Predictive Analytics (2019-2028) (US $MN)
  • Table 32 North America Healthcare Fraud Analytics Market Outlook, By Prescriptive Analytics (2019-2028) (US $MN)
  • Table 33 North America Healthcare Fraud Analytics Market Outlook, By Delivery Mode (2019-2028) (US $MN)
  • Table 34 North America Healthcare Fraud Analytics Market Outlook, By On-Premise (2019-2028) (US $MN)
  • Table 35 North America Healthcare Fraud Analytics Market Outlook, By On-Demand/ Cloud-Based Delivery Mode (2019-2028) (US $MN)
  • Table 36 North America Healthcare Fraud Analytics Market Outlook, By Application (2019-2028) (US $MN)
  • Table 37 North America Healthcare Fraud Analytics Market Outlook, By Insurance Claims Review (2019-2028) (US $MN)
  • Table 38 North America Healthcare Fraud Analytics Market Outlook, By Postpayment Review (2019-2028) (US $MN)
  • Table 39 North America Healthcare Fraud Analytics Market Outlook, By Prepayment Review (2019-2028) (US $MN)
  • Table 40 North America Healthcare Fraud Analytics Market Outlook, By Medical Identity Theft (2019-2028) (US $MN)
  • Table 41 North America Healthcare Fraud Analytics Market Outlook, By Payment Integrity (2019-2028) (US $MN)
  • Table 42 North America Healthcare Fraud Analytics Market Outlook, By Pharmacy Billing Misuse (2019-2028) (US $MN)
  • Table 43 North America Healthcare Fraud Analytics Market Outlook, By Case Management (2019-2028) (US $MN)
  • Table 44 North America Healthcare Fraud Analytics Market Outlook, By End User (2019-2028) (US $MN)
  • Table 45 North America Healthcare Fraud Analytics Market Outlook, By Employers (2019-2028) (US $MN)
  • Table 46 North America Healthcare Fraud Analytics Market Outlook, By Private Insurance Payers (2019-2028) (US $MN)
  • Table 47 North America Healthcare Fraud Analytics Market Outlook, By Public & Government Agencies (2019-2028) (US $MN)
  • Table 48 North America Healthcare Fraud Analytics Market Outlook, By Third-Party Service Providers (2019-2028) (US $MN)
  • Table 49 Europe Healthcare Fraud Analytics Market Outlook, By Country (2019-2028) (US $MN)
  • Table 50 Europe Healthcare Fraud Analytics Market Outlook, By Component (2019-2028) (US $MN)
  • Table 51 Europe Healthcare Fraud Analytics Market Outlook, By Services (2019-2028) (US $MN)
  • Table 52 Europe Healthcare Fraud Analytics Market Outlook, By Software (2019-2028) (US $MN)
  • Table 53 Europe Healthcare Fraud Analytics Market Outlook, By Solution Type (2019-2028) (US $MN)
  • Table 54 Europe Healthcare Fraud Analytics Market Outlook, By Descriptive Analytics (2019-2028) (US $MN)
  • Table 55 Europe Healthcare Fraud Analytics Market Outlook, By Predictive Analytics (2019-2028) (US $MN)
  • Table 56 Europe Healthcare Fraud Analytics Market Outlook, By Prescriptive Analytics (2019-2028) (US $MN)
  • Table 57 Europe Healthcare Fraud Analytics Market Outlook, By Delivery Mode (2019-2028) (US $MN)
  • Table 58 Europe Healthcare Fraud Analytics Market Outlook, By On-Premise (2019-2028) (US $MN)
  • Table 59 Europe Healthcare Fraud Analytics Market Outlook, By On-Demand/ Cloud-Based Delivery Mode (2019-2028) (US $MN)
  • Table 60 Europe Healthcare Fraud Analytics Market Outlook, By Application (2019-2028) (US $MN)
  • Table 61 Europe Healthcare Fraud Analytics Market Outlook, By Insurance Claims Review (2019-2028) (US $MN)
  • Table 62 Europe Healthcare Fraud Analytics Market Outlook, By Postpayment Review (2019-2028) (US $MN)
  • Table 63 Europe Healthcare Fraud Analytics Market Outlook, By Prepayment Review (2019-2028) (US $MN)
  • Table 64 Europe Healthcare Fraud Analytics Market Outlook, By Medical Identity Theft (2019-2028) (US $MN)
  • Table 65 Europe Healthcare Fraud Analytics Market Outlook, By Payment Integrity (2019-2028) (US $MN)
  • Table 66 Europe Healthcare Fraud Analytics Market Outlook, By Pharmacy Billing Misuse (2019-2028) (US $MN)
  • Table 67 Europe Healthcare Fraud Analytics Market Outlook, By Case Management (2019-2028) (US $MN)
  • Table 68 Europe Healthcare Fraud Analytics Market Outlook, By End User (2019-2028) (US $MN)
  • Table 69 Europe Healthcare Fraud Analytics Market Outlook, By Employers (2019-2028) (US $MN)
  • Table 70 Europe Healthcare Fraud Analytics Market Outlook, By Private Insurance Payers (2019-2028) (US $MN)
  • Table 71 Europe Healthcare Fraud Analytics Market Outlook, By Public & Government Agencies (2019-2028) (US $MN)
  • Table 72 Europe Healthcare Fraud Analytics Market Outlook, By Third-Party Service Providers (2019-2028) (US $MN)
  • Table 73 Asia Pacific Healthcare Fraud Analytics Market Outlook, By Country (2019-2028) (US $MN)
  • Table 74 Asia Pacific Healthcare Fraud Analytics Market Outlook, By Component (2019-2028) (US $MN)
  • Table 75 Asia Pacific Healthcare Fraud Analytics Market Outlook, By Services (2019-2028) (US $MN)
  • Table 76 Asia Pacific Healthcare Fraud Analytics Market Outlook, By Software (2019-2028) (US $MN)
  • Table 77 Asia Pacific Healthcare Fraud Analytics Market Outlook, By Solution Type (2019-2028) (US $MN)
  • Table 78 Asia Pacific Healthcare Fraud Analytics Market Outlook, By Descriptive Analytics (2019-2028) (US $MN)
  • Table 79 Asia Pacific Healthcare Fraud Analytics Market Outlook, By Predictive Analytics (2019-2028) (US $MN)
  • Table 80 Asia Pacific Healthcare Fraud Analytics Market Outlook, By Prescriptive Analytics (2019-2028) (US $MN)
  • Table 81 Asia Pacific Healthcare Fraud Analytics Market Outlook, By Delivery Mode (2019-2028) (US $MN)
  • Table 82 Asia Pacific Healthcare Fraud Analytics Market Outlook, By On-Premise (2019-2028) (US $MN)
  • Table 83 Asia Pacific Healthcare Fraud Analytics Market Outlook, By On-Demand/ Cloud-Based Delivery Mode (2019-2028) (US $MN)
  • Table 84 Asia Pacific Healthcare Fraud Analytics Market Outlook, By Application (2019-2028) (US $MN)
  • Table 85 Asia Pacific Healthcare Fraud Analytics Market Outlook, By Insurance Claims Review (2019-2028) (US $MN)
  • Table 86 Asia Pacific Healthcare Fraud Analytics Market Outlook, By Postpayment Review (2019-2028) (US $MN)
  • Table 87 Asia Pacific Healthcare Fraud Analytics Market Outlook, By Prepayment Review (2019-2028) (US $MN)
  • Table 88 Asia Pacific Healthcare Fraud Analytics Market Outlook, By Medical Identity Theft (2019-2028) (US $MN)
  • Table 89 Asia Pacific Healthcare Fraud Analytics Market Outlook, By Payment Integrity (2019-2028) (US $MN)
  • Table 90 Asia Pacific Healthcare Fraud Analytics Market Outlook, By Pharmacy Billing Misuse (2019-2028) (US $MN)
  • Table 91 Asia Pacific Healthcare Fraud Analytics Market Outlook, By Case Management (2019-2028) (US $MN)
  • Table 92 Asia Pacific Healthcare Fraud Analytics Market Outlook, By End User (2019-2028) (US $MN)
  • Table 93 Asia Pacific Healthcare Fraud Analytics Market Outlook, By Employers (2019-2028) (US $MN)
  • Table 94 Asia Pacific Healthcare Fraud Analytics Market Outlook, By Private Insurance Payers (2019-2028) (US $MN)
  • Table 95 Asia Pacific Healthcare Fraud Analytics Market Outlook, By Public & Government Agencies (2019-2028) (US $MN)
  • Table 96 Asia Pacific Healthcare Fraud Analytics Market Outlook, By Third-Party Service Providers (2019-2028) (US $MN)
  • Table 97 South America Healthcare Fraud Analytics Market Outlook, By Country (2019-2028) (US $MN)
  • Table 98 South America Healthcare Fraud Analytics Market Outlook, By Component (2019-2028) (US $MN)
  • Table 99 South America Healthcare Fraud Analytics Market Outlook, By Services (2019-2028) (US $MN)
  • Table 100 South America Healthcare Fraud Analytics Market Outlook, By Software (2019-2028) (US $MN)
  • Table 101 South America Healthcare Fraud Analytics Market Outlook, By Solution Type (2019-2028) (US $MN)
  • Table 102 South America Healthcare Fraud Analytics Market Outlook, By Descriptive Analytics (2019-2028) (US $MN)
  • Table 103 South America Healthcare Fraud Analytics Market Outlook, By Predictive Analytics (2019-2028) (US $MN)
  • Table 104 South America Healthcare Fraud Analytics Market Outlook, By Prescriptive Analytics (2019-2028) (US $MN)
  • Table 105 South America Healthcare Fraud Analytics Market Outlook, By Delivery Mode (2019-2028) (US $MN)
  • Table 106 South America Healthcare Fraud Analytics Market Outlook, By On-Premise (2019-2028) (US $MN)
  • Table 107 South America Healthcare Fraud Analytics Market Outlook, By On-Demand/ Cloud-Based Delivery Mode (2019-2028) (US $MN)
  • Table 108 South America Healthcare Fraud Analytics Market Outlook, By Application (2019-2028) (US $MN)
  • Table 109 South America Healthcare Fraud Analytics Market Outlook, By Insurance Claims Review (2019-2028) (US $MN)
  • Table 110 South America Healthcare Fraud Analytics Market Outlook, By Postpayment Review (2019-2028) (US $MN)
  • Table 111 South America Healthcare Fraud Analytics Market Outlook, By Prepayment Review (2019-2028) (US $MN)
  • Table 112 South America Healthcare Fraud Analytics Market Outlook, By Medical Identity Theft (2019-2028) (US $MN)
  • Table 113 South America Healthcare Fraud Analytics Market Outlook, By Payment Integrity (2019-2028) (US $MN)
  • Table 114 South America Healthcare Fraud Analytics Market Outlook, By Pharmacy Billing Misuse (2019-2028) (US $MN)
  • Table 115 South America Healthcare Fraud Analytics Market Outlook, By Case Management (2019-2028) (US $MN)
  • Table 116 South America Healthcare Fraud Analytics Market Outlook, By End User (2019-2028) (US $MN)
  • Table 117 South America Healthcare Fraud Analytics Market Outlook, By Employers (2019-2028) (US $MN)
  • Table 118 South America Healthcare Fraud Analytics Market Outlook, By Private Insurance Payers (2019-2028) (US $MN)
  • Table 119 South America Healthcare Fraud Analytics Market Outlook, By Public & Government Agencies (2019-2028) (US $MN)
  • Table 120 South America Healthcare Fraud Analytics Market Outlook, By Third-Party Service Providers (2019-2028) (US $MN)
  • Table 121 Middle East & Africa Healthcare Fraud Analytics Market Outlook, By Country (2019-2028) (US $MN)
  • Table 122 Middle East & Africa Healthcare Fraud Analytics Market Outlook, By Component (2019-2028) (US $MN)
  • Table 123 Middle East & Africa Healthcare Fraud Analytics Market Outlook, By Services (2019-2028) (US $MN)
  • Table 124 Middle East & Africa Healthcare Fraud Analytics Market Outlook, By Software (2019-2028) (US $MN)
  • Table 125 Middle East & Africa Healthcare Fraud Analytics Market Outlook, By Solution Type (2019-2028) (US $MN)
  • Table 126 Middle East & Africa Healthcare Fraud Analytics Market Outlook, By Descriptive Analytics (2019-2028) (US $MN)
  • Table 127 Middle East & Africa Healthcare Fraud Analytics Market Outlook, By Predictive Analytics (2019-2028) (US $MN)
  • Table 128 Middle East & Africa Healthcare Fraud Analytics Market Outlook, By Prescriptive Analytics (2019-2028) (US $MN)
  • Table 129 Middle East & Africa Healthcare Fraud Analytics Market Outlook, By Delivery Mode (2019-2028) (US $MN)
  • Table 130 Middle East & Africa Healthcare Fraud Analytics Market Outlook, By On-Premise (2019-2028) (US $MN)
  • Table 131 Middle East & Africa Healthcare Fraud Analytics Market Outlook, By On-Demand/ Cloud-Based Delivery Mode (2019-2028) (US $MN)
  • Table 132 Middle East & Africa Healthcare Fraud Analytics Market Outlook, By Application (2019-2028) (US $MN)
  • Table 133 Middle East & Africa Healthcare Fraud Analytics Market Outlook, By Insurance Claims Review (2019-2028) (US $MN)
  • Table 134 Middle East & Africa Healthcare Fraud Analytics Market Outlook, By Postpayment Review (2019-2028) (US $MN)
  • Table 135 Middle East & Africa Healthcare Fraud Analytics Market Outlook, By Prepayment Review (2019-2028) (US $MN)
  • Table 136 Middle East & Africa Healthcare Fraud Analytics Market Outlook, By Medical Identity Theft (2019-2028) (US $MN)
  • Table 137 Middle East & Africa Healthcare Fraud Analytics Market Outlook, By Payment Integrity (2019-2028) (US $MN)
  • Table 138 Middle East & Africa Healthcare Fraud Analytics Market Outlook, By Pharmacy Billing Misuse (2019-2028) (US $MN)
  • Table 139 Middle East & Africa Healthcare Fraud Analytics Market Outlook, By Case Management (2019-2028) (US $MN)
  • Table 140 Middle East & Africa Healthcare Fraud Analytics Market Outlook, By End User (2019-2028) (US $MN)
  • Table 141 Middle East & Africa Healthcare Fraud Analytics Market Outlook, By Employers (2019-2028) (US $MN)
  • Table 142 Middle East & Africa Healthcare Fraud Analytics Market Outlook, By Private Insurance Payers (2019-2028) (US $MN)
  • Table 143 Middle East & Africa Healthcare Fraud Analytics Market Outlook, By Public & Government Agencies (2019-2028) (US $MN)
  • Table 144 Middle East & Africa Healthcare Fraud Analytics Market Outlook, By Third-Party Service Providers (2019-2028) (US $MN)
目次
Product Code: SMRC20914

According to Stratistics MRC, the Global Healthcare Fraud Analytics Market is accounted for $1.18 billion in 2020 and is expected to reach $8.40 billion by 2028 growing at a CAGR of 27.8% during the forecast period. Rising number of healthcare fraud instances related with healthcare insurance claims across the world and growing government efforts to limit frauds are driving the market growth. However, high return on investments and increase in pharmacy claim related frauds is hampering the growth of the market.

Healthcare fraud revealing is a set of analytical solutions that help in finding issues such as mistakes in duplication/repetition of claims and claim submission forms. Healthcare fraud revealing of claims is necessary as fraud claims rise load on the healthcare industry and society. The usage of fraud detection solutions permits healthcare firms to check and account for analytical data methodologies. Conventionally cautious account checking was followed that exposed numerous doubtful providers and policyholders but with technological advancements classifying potential fraudulent cases before it occurs boosts the healthcare fraud analytics.

Based on the delivery mode, the on-premise segment is going to have lucrative growth during the forecast period. Services are executed in-house and inside the IT facilities of an association in an on-premises deployment. It is the part of the organization to achieve these solutions and all related operations. These are important for the data canter's on-going expenses, resource use, and space for corporations that install applications on site.

By geography, North America is going to have high growth during the forecast period. The, rising requirement for reduced healthcare costs, technological developments, growing number of people looking for health insurance , and improved accessibility of products and facilities are aspects accountable for dominance of the province in the global market.

Some of the key players profiled in the Healthcare Fraud Analytics Market include CGI Inc., Conduent Inc., Cotiviti Holdings, Inc., DXC Technology Co, ExlService Holdings, Inc., FraudScope, Inc. ,HCL Technologies Limited, International Business Machines Corporation (IBM), LexisNexis (A Part of Relx Group), Northrop Grumman Corporation, Pondera Solutions, LLC, SAS Institute, Wipro Limited.

Components Covered:

  • Services
  • Software

Solution Types Covered:

  • Descriptive Analytics
  • Predictive Analytics
  • Prescriptive Analytics

Delivery Modes Covered:

  • On-Premise
  • On-Demand/ Cloud-Based Delivery Mode

Applications Covered:

  • Insurance Claims Review
  • Medical Identity Theft
  • Payment Integrity
  • Pharmacy Billing Misuse
  • Case Management

End Users Covered:

  • Employers
  • Private Insurance Payers
  • Public & Government Agencies
  • Third-Party Service Providers

Regions Covered:

  • North America
    • US
    • Canada
    • Mexico
  • Europe
    • Germany
    • UK
    • Italy
    • France
    • Spain
    • Rest of Europe
  • Asia Pacific
    • Japan
    • China
    • India
    • Australia
    • New Zealand
    • South Korea
    • Rest of Asia Pacific
  • South America
    • Argentina
    • Brazil
    • Chile
    • Rest of South America
  • Middle East & Africa
    • Saudi Arabia
    • UAE
    • Qatar
    • South Africa
    • Rest of Middle East & Africa

What our report offers:

  • Market share assessments for the regional and country-level segments
  • Strategic recommendations for the new entrants
  • Covers Market data for the years 2018, 2019, 2020, 2024 and 2027
  • Market Trends (Drivers, Constraints, Opportunities, Threats, Challenges, Investment Opportunities, and recommendations)
  • Strategic recommendations in key business segments based on the market estimations
  • Competitive landscaping mapping the key common trends
  • Company profiling with detailed strategies, financials, and recent developments
  • Supply chain trends mapping the latest technological advancements

Free Customization Offerings:

All the customers of this report will be entitled to receive one of the following free customization options:

  • Company Profiling
    • Comprehensive profiling of additional market players (up to 3)
    • SWOT Analysis of key players (up to 3)
  • Regional Segmentation
    • Market estimations, Forecasts and CAGR of any prominent country as per the client's interest (Note: Depends on feasibility check)
  • Competitive Benchmarking
    • Benchmarking of key players based on product portfolio, geographical presence, and strategic alliances

Table of Contents

1 Executive Summary

2 Preface

  • 2.1 Abstract
  • 2.2 Stake Holders
  • 2.3 Research Scope
  • 2.4 Research Methodology
    • 2.4.1 Data Mining
    • 2.4.2 Data Analysis
    • 2.4.3 Data Validation
    • 2.4.4 Research Approach
  • 2.5 Research Sources
    • 2.5.1 Primary Research Sources
    • 2.5.2 Secondary Research Sources
    • 2.5.3 Assumptions

3 Market Trend Analysis

  • 3.1 Introduction
  • 3.2 Drivers
  • 3.3 Restraints
  • 3.4 Opportunities
  • 3.5 Threats
  • 3.6 Application Analysis
  • 3.7 End User Analysis
  • 3.8 Emerging Markets
  • 3.9 Impact of Covid-19

4 Porters Five Force Analysis

  • 4.1 Bargaining power of suppliers
  • 4.2 Bargaining power of buyers
  • 4.3 Threat of substitutes
  • 4.4 Threat of new entrants
  • 4.5 Competitive rivalry

5 Global Healthcare Fraud Analytics Market, By Component

  • 5.1 Introduction
  • 5.2 Services
  • 5.3 Software

6 Global Healthcare Fraud Analytics Market, By Solution Type

  • 6.1 Introduction
  • 6.2 Descriptive Analytics
  • 6.3 Predictive Analytics
  • 6.4 Prescriptive Analytics

7 Global Healthcare Fraud Analytics Market, By Delivery Mode

  • 7.1 Introduction
  • 7.2 On-Premise
  • 7.3 On-Demand/ Cloud-Based Delivery Mode

8 Global Healthcare Fraud Analytics Market, By Application

  • 8.1 Introduction
  • 8.2 Insurance Claims Review
    • 8.2.1 Postpayment Review
    • 8.2.2 Prepayment Review
  • 8.3 Medical Identity Theft
  • 8.4 Payment Integrity
  • 8.5 Pharmacy Billing Misuse
  • 8.6 Case Management

9 Global Healthcare Fraud Analytics Market, By End User

  • 9.1 Introduction
  • 9.2 Employers
  • 9.3 Private Insurance Payers
  • 9.4 Public & Government Agencies
  • 9.5 Third-Party Service Providers

10 Global Healthcare Fraud Analytics Market, By Geography

  • 10.1 Introduction
  • 10.2 North America
    • 10.2.1 US
    • 10.2.2 Canada
    • 10.2.3 Mexico
  • 10.3 Europe
    • 10.3.1 Germany
    • 10.3.2 UK
    • 10.3.3 Italy
    • 10.3.4 France
    • 10.3.5 Spain
    • 10.3.6 Rest of Europe
  • 10.4 Asia Pacific
    • 10.4.1 Japan
    • 10.4.2 China
    • 10.4.3 India
    • 10.4.4 Australia
    • 10.4.5 New Zealand
    • 10.4.6 South Korea
    • 10.4.7 Rest of Asia Pacific
  • 10.5 South America
    • 10.5.1 Argentina
    • 10.5.2 Brazil
    • 10.5.3 Chile
    • 10.5.4 Rest of South America
  • 10.6 Middle East & Africa
    • 10.6.1 Saudi Arabia
    • 10.6.2 UAE
    • 10.6.3 Qatar
    • 10.6.4 South Africa
    • 10.6.5 Rest of Middle East & Africa

11 Key Developments

  • 11.1 Agreements, Partnerships, Collaborations and Joint Ventures
  • 11.2 Acquisitions & Mergers
  • 11.3 New Product Launch
  • 11.4 Expansions
  • 11.5 Other Key Strategies

12 Company Profiling

  • 12.1 CGI Inc.
  • 12.2 Conduent Inc.
  • 12.3 Cotiviti Holdings, Inc.
  • 12.4 DXC Technology Co
  • 12.5 ExlService Holdings, Inc.
  • 12.6 FraudScope, Inc.
  • 12.7 HCL Technologies Limited
  • 12.8 International Business Machines Corporation (IBM)
  • 12.9 LexisNexis (A Part of Relx Group)
  • 12.10 Northrop Grumman Corporation
  • 12.11 Pondera Solutions, LLC
  • 12.12 SAS Institute
  • 12.13 Wipro Limited