Healthcare Fraud Analytics Market Size, Share Global Analysis Report, 2020–2026

Industry Insights

This specialized and expertise oriented industry research report scrutinizes the technical and commercial business outlook of the global healthcare fraud analytics industry. The report analyzes and declares the historical and current trends analysis of the global healthcare fraud analytics industry and subsequently recommends the projected trends anticipated to be observed in the global healthcare fraud analytics market during the upcoming years.

The global healthcare fraud analytics market report analyzes and notifies the industry statistics at the global as well as regional and country levels in order to acquire a thorough perspective of the entire global healthcare fraud analytics market. The historical and past insights are provided for FY 2016 to FY 2019 whereas projected trends are delivered for FY 2020 to FY 2026. The quantitative and numerical data is represented in terms of value (USD Million) from FY 2016 – 2026.

The quantitative data is further underlined and reinforced by comprehensive qualitative data which comprises various across-the-board market dynamics. The rationales which directly or indirectly impact the global healthcare fraud analytics industry are exemplified through parameters such as growth drivers, restraints, challenges, and opportunities among other impacting factors.

Throughout our research report, we have encompassed all the proven models and tools of industry analysis and extensively illustrated all the key business strategies and business models adopted in the global healthcare fraud analytics industry. The report provides an all-inclusive and detailed competitive landscape prevalent in the global healthcare fraud analytics market.

The report utilizes established industry analysis tools and models such as Porter’s Five Forces framework to analyze and recognize critical business strategies adopted by various stakeholders involved in the entire value chain of the global healthcare fraud analytics industry. The global healthcare fraud analytics market report additionally employs SWOT analysis and PESTLE analysis models for further in-depth analysis.

The report study further includes an in-depth analysis of industry players' market shares and provides an overview of leading players' market position in the global healthcare fraud analytics sector. Key strategic developments in the global healthcare fraud analytics market competitive landscape such as acquisitions & mergers, inaugurations of different products and services, partnerships & joint ventures, MoU agreements, VC & funding activities, R&D activities, and geographic expansion among other noteworthy activities by key players of the global healthcare fraud analytics market are appropriately highlighted in the report.

The incidences related to healthcare fraud are mounting at a splendid rate and are quite hard to detect. Therefore, globally-established healthcare services providers have been trying hard to find a definite solution for this major issue. Healthcare fraud analytics sector is devoted to thoroughly analyze the healthcare-related cases. The global healthcare fraud analytics market is attributed to the rising count of people opting for healthcare insurance, mounting pressure on healthcare services providers regarding the fraud & abuse incidences, and the prepayment review model. Besides this, incorporation of artificial intelligence in fraud analysis and rising adoption of healthcare data management on the cloud-based platform are likely to generate new avenues for the industrial players of the global healthcare fraud analytics market during the study timeframe.

The global healthcare fraud analytics market research report delivers an acute valuation and taxonomy of the global healthcare fraud analytics industry by practically splitting the market on the basis of different solution types, delivery models, applications, end-users, and regions. Through the analysis of the historical and projected trends, all the segments and sub-segments were evaluated through the bottom-up approach, and different market sizes have been projected for FY 2020 to FY 2026. The regional segmentation of the global healthcare fraud analytics industry includes the complete classification of all the major continents including North America, Latin America, Europe, Asia Pacific, and Middle East & Africa. Further, country-wise data for the global healthcare fraud analytics industry is provided for the leading economies of the world.

The global healthcare fraud analytics market is segmented based on the solution type, delivery model, application, end-user, and region. Based on the solution type, the global healthcare fraud analytics industry is categorized into predictive analytics, descriptive analytics, and prescriptive analytics. The global market, by delivery model, is segmented into on-demand and on-premises. Application-wise, the sector is bifurcated into payment integrity, insurance claims review, pharmacy billing misuse, and identity & case management. End-users fragment the global market into third-party service providers, public & government agencies, employers, and private insurance payers.

Report Scope

Some of the essential players operating in the global healthcare fraud analytics market, but not restricted to include

•  Northrop Grumman Corporation
•  HCL
•  Wipro Limited
•  SAS Institute
•  Pondera Solutions
•  EXL Service Holdings
•  IBM Corporation
•  Canadian Global Information Technology Group
•  LexisNexis Group
•  Cotiviti
•  Optum
•  Conduent
•  DXC Technology Company
•  Change Healthcare

The taxonomy of the global healthcare fraud analytics industry by its scope and segmentation is as follows:

Solution Type Segmentation Analysis

• Predictive Analytics
• Descriptive Analytics
• Prescriptive Analytics

Delivery Model Segmentation Analysis

• On-demand
• On-premises

Application Segmentation Analysis

• Payment integrity
• Insurance claims review
  • Prepayment review
  • Postpayment review
• Pharmacy billing misuse
• Identity & case management

End-User Segmentation Analysis

• Third-party service providers
• Public & Government Agencies
• Employers
• Private Insurance Payers

Regional Segmentation Analysis

• North America
  • The U.S.
  • Canada
• Europe
  • Germany
  • The UK
  • France
  • Spain
  • 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