Healthcare Fraud Analytics Market – By Solution Type (Descriptive Analytics, Predictive Analytics, and Prescriptive Analytics), By Delivery Model (On-premise and On-Demand), By Component (Services and Software), By Application (Insurance Claims Review, Pharmacy Billing Misuse, Payment Integrity, and Others), By End-User (Private Insurance Payers, Public & Government Agencies, Third-Party Service Providers, and Employers), and By Region: Global Industry Perspective, Comprehensive Analysis, and Forecast, 2019 – 2025

Global demand for the Healthcare Fraud Analytics market was valued over USD 1 Billion in 2019 and is expected to reach a CAGR of 29.10% between 2019 and 2025.

24-Feb-2020 | Number of pages: 110 | Report Code: ZMR-5291 | Report Format : | Status : Published

Abstract

This report analyzes and estimates the Healthcare Fraud Analytics market at global, regional, and country level. The research study provides historic data from 2015 to 2019 along with forecast from 2020 to 2025 based on value (USD Billion). The report offers detailed insights of the Healthcare Fraud Analytics market drivers and restraints along with their impact analysis at global level from 2015 to 2025.

The report covers in-depth analysis of the strategies adopted by major competitors in the global Healthcare Fraud Analytics market. To understand the competitive landscape in the global Healthcare Fraud Analytics market, an analysis of Porter’s Five Forces model is also included. The research study comprises of market attractiveness analysis, wherein all the segments are benchmarked on the basis of their market size and growth rate.

Global Healthcare Fraud Analytics Market

The research study provides a decisive view on the global Healthcare Fraud Analytics market based on Solution Type, Delivery Model, Component, Application, End-User, and Region. All the segments of the market have been analyzed based on the past, present, and future trends. The market is estimated from 2019 to 2025.

Healthcare Fraud Analytics market growth is primarily attributed to the increasing number of fraudulent activities in the healthcare sector and the mounting number of patients opting for health insurance. On the other hand, the increasing reimbursement policies and surging pharmacy claim-related frauds are expected to augment the market growth during the forecast period.  Descriptive analytics role in forming the base for the effective application of predictive or prescriptive analytics will supplement the expansion of the global Healthcare Fraud Analytics market. In addition to this, the growing acceptance of the prepayment review model will supplement the growth of this category in the upcoming years.

Additionally, the supportive government anti-fraud initiatives are majorly helping in the easy acceptance of healthcare fraud analytics across various regions. The pressure to lower healthcare costs, technological innovations, and the increasing availability of product and service across the globe is expected to augment the market growth. Moreover, the rising presence of headquarters of many of the leading players in the Healthcare Fraud Analytics market in various regions will further aid in the market growth. However, the lack of skilled personnel is likely to hamper the growth of Healthcare Fraud Analytics market.

On the basis of solution type, the global Healthcare Fraud Analytics market is divided into Descriptive Analytics, Predictive Analytics, and Prescriptive Analytics. Based on delivery model, the market is segregated into On-premise and On-Demand. By component, the market for healthcare fraud analytics is segmented into Services and Software. In terms of application, the Healthcare Fraud Analytics market is categorized into Insurance Claims Review, Pharmacy Billing Misuse, Payment Integrity, and Others. Based on end-user, the market is classified into Private Insurance Payers, Public & Government Agencies, Third-Party Service Providers, and Employers. The regional segmentation comprises the past, present, and estimated demand for the Middle East & Africa, North America, Asia Pacific, Latin America, and Europe. The regional segment is further split into the U.S., Canada, Mexico, UK, France, Germany, China, Japan, India, South Korea, Brazil, and Argentina among others.

Some of the key players of the global Healthcare Fraud Analytics market include Optum, EXL Service Holdings, SAS Institute, IBM Corporation, DXC Technology Company, Change Healthcare, Cotiviti, Conduent, HCL, Wipro Limited, LexisNexis Group, Canadian Global Information Technology Group, Northrop Grumman Corporation, and Pondera Solutions.

The report on the global Healthcare Fraud Analytics market is segmented into:

Global Healthcare Fraud Analytics Market: By Solution Type Segmentation Analysis

  • Descriptive Analytics
  • Predictive Analytics
  • Prescriptive Analytics

Global Healthcare Fraud Analytics Market: By Delivery Model Segmentation Analysis

  • On-Premise
  • On-Demand

Global Healthcare Fraud Analytics Market: By Application Segmentation Analysis

  • Insurance Claims Review
    • Postpayment Review
    • Prepayment Review
  • Pharmacy Billing Misuse
  • Payment Integrity
  • Others

Global Healthcare Fraud Analytics Market: By End-User Segmentation Analysis

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

Global Healthcare Fraud Analytics Market: By Regional Segmentation Analysis

  • North America
    • The U.S.
    • Canada
  • Europe
    • France
    • The UK
    • Spain
    • Germany
    • Italy
    • Rest of Europe
  • Asia Pacific
    • China
    • Japan
    • India
    • South Korea
    • Southeast Asia
    • Rest of Asia Pacific
  • Latin America
    • Brazil
    • Mexico
    • Rest of Latin America
  • Middle East & Africa
    • GCC
    • South Africa
    • Rest of Middle East & Africa

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