An increase in the number of fraudulent events in health care, a rise in the number of patients choosing health care insurance, and a rise in pressure to remain track of fraud & abuse in health care spending are projected to drive the worldwide healthcare fraud detection market within following few years.
The rise within the quantity of health care BPO and fraud identity management software, rapid acceptance of cloud-based analytical solutions, increase within the influence of social media on the health care industry, and effectiveness of AI in healthcare services and solutions are the other factors anticipated to propel the worldwide healthcare fraud detection market.
However, the high cost of these health care fraud detection software & services, lack of skilled personnel, and fewer adoption and awareness about health care fraud analytics services in developing countries are expected to hamper the expansion of the worldwide healthcare fraud detection market.
Covid-19 Impact on Healthcare Fraud Analytics Market:
In addition, the present Global Market study offers an in-depth analysis of the present COVID-19 pandemic impact on the market growth and its influence on the long-term growth of the worldwide market. The recently published report demonstrates the elevation within the demand for the healthcare sector. The healthcare manufacturers have experienced future also as short term effect which includes supply shortages, panic buying, and stocking, regulation changes as short-term whereas approval delays and possible trend variations in consumption could be perceived as long-term impacts of COVID-19 on the health and pharmaceutical market.
The increasing need for a cure has pushed vaccine research and manufacturers to the limit. Additionally to the current, panic conditions have already spurred the demand for several healthcare products and services which are discussed intimately during this report. Moreover, the impact of this pandemic on overall market revenue for the base year 2020 and its projection up to 2027 is provided intimately during this report.
Healthcare Fraud Analytics Market Segment Overview
By type, the predictive analytics segment accounted for the largest share of the market in the forecast period.
By Application, the Review of Insurance Claims segment accounted for the major market share in the estimated period. Owing to surgical operations and fraud claims for operations are major factors to rises this segment growth.
By End User, the Private insurance payer segment accounted for major market share within the estimated time due to rapidly work on a process for insurance claims for customer satisfaction and acceptance of updated technology thus helpful to patient’s data handling.
Market Analysis, Insights and Forecast – By Type
· Descriptive Analytics
· Predictive Analytics
· Prescriptive Analytics
Market Analysis, Insights and Forecast – By Application
· Review of Insurance Claims
· Payment Integrity
Market Analysis, Insights and Forecast – By End User
· Private Insurance Payers
· Government Agencies
· Other End Users
Healthcare Fraud Analytics Market Regional Overview
Region-wise, in terms of regions, North America accounted for a major share of the worldwide market in the forecast period 2020-2027. Owing to the factors in healthcare in North America rapid adoption of technologically advanced products, the presence of prominent brands, better reimbursement policies, and a rise in investments in health care analytical services.
Healthcare Fraud Analytics Market, By Geography
· North America (US & Canada)
· Europe (UK, Germany, France, Italy, Spain, & Rest of Europe)
· Asia-Pacific (Japan, China, India, Australia, & South Korea, & Rest of Asia-Pacific)
· LAMEA (Brazil, Saudi Arabia, UAE & Rest of LAMEA)
Healthcare Fraud Analytics Market Competitor overview
Some key developments and strategies adopted by manufacturers in the Healthcare Fraud Analytics are highlighted below.
· In 2019, Conduent Inc. acquired Health Solutions Plus; these acquisitions could increase the leading position of Conduent, also helps to strengthen the healthcare ecosystem.
Healthcare Fraud Analytics Market, Key Players
· CGI Group, Inc.
· Conduent, Inc.
· DXC Technology Company
· Fair Isaac Corporation
· HCL Technologies Ltd.
· IBM Corporation
· McKesson Corporation
· Northrop Grumman Corporation
· Optum, Inc.
· Pondera Solutions, Inc.
· SAS Institute, Inc.
· SCIO Health Analytics, an EXL company
· Verscend Technologies, Inc.
· Wipro Ltd.
1. Introduction
- 1.1. Research Scope
- 1.2. Market Segmentation
- 1.3. Research Methodology
- 1.4. Definitions and Assumptions
2. Executive Summary
3. Market Dynamics
- 3.1. Market Drivers
- 3.2. Market Restraints
- 3.3. Market Opportunities
4. Key Insights
- 4.1. Key Emerging Trends – For Major Countries
- 4.2. Latest Technological Advancement
- 4.3. Regulatory Landscape
- 4.4. Industry SWOT Analysis
- 4.5. Porters Five Forces Analysis
5. Global Healthcare Fraud Analytics Market Analysis (USD Billion), Insights and Forecast, 2020-2027
- 5.1. Key Findings / Summary
- 5.2. Market Analysis, Insights and Forecast – By Type
- 5.2.1. Descriptive Analytics
- 5.2.2. Predictive Analytics
- 5.2.3. Prescriptive Analytics
- 5.3. Market Analysis, Insights and Forecast – By Application
- 5.3.1. Review of Insurance Claims
- 5.3.2. Payment Integrity
- 5.4. Market Analysis, Insights and Forecast – By End User
- 5.4.1. Private Insurance Payers
- 5.4.2. Government Agencies
- 5.4.3. Other End Users
- 5.5. Market Analysis, Insights and Forecast – By Region
- 5.5.1. North America
- 5.5.2. Europe
- 5.5.3. Asia Pacific
- 5.5.4. Latin America, Middle East, and Africa
6. North America Healthcare Fraud Analytics Market Analysis (USD Billion), Insights and Forecast, 2020-2027
- 6.1. Key Findings / Summary
- 6.2. Market Analysis, Insights and Forecast – By Type
- 6.2.1. Descriptive Analytics
- 6.2.2. Predictive Analytics
- 6.2.3. Prescriptive Analytics
- 6.3. Market Analysis, Insights and Forecast – By Application
- 6.3.1. Review of Insurance Claims
- 6.3.2. Payment Integrity
- 6.4. Market Analysis, Insights and Forecast – By End User
- 6.4.1. Private Insurance Payers
- 6.4.2. Government Agencies
- 6.4.3. Other End Users
- 6.5. Market Analysis, Insights and Forecast – By Country
- 6.5.1. U.S.
- 6.5.2. Canada
7. Europe Healthcare Fraud Analytics Market Analysis (USD Billion), Insights and Forecast, 2020-2027
- 7.1. Key Findings / Summary
- 7.2. Market Analysis, Insights and Forecast – By Type
- 7.2.1. Descriptive Analytics
- 7.2.2. Predictive Analytics
- 7.2.3. Prescriptive Analytics
- 7.3. Market Analysis, Insights and Forecast – By Application
- 7.3.1. Review of Insurance Claims
- 7.3.2. Payment Integrity
- 7.4. Market Analysis, Insights and Forecast – By End User
- 7.4.1. Private Insurance Payers
- 7.4.2. Government Agencies
- 7.4.3. Other End Users
- 7.5. Market Analysis, Insights and Forecast – By Country
- 7.5.1. UK
- 7.5.2. Germany
- 7.5.3. France
- 7.5.4. Italy
- 7.5.5. Spain
- 7.5.6. Russia
- 7.5.7. Rest of Europe
8. Asia Pacific Healthcare Fraud Analytics Market Analysis (USD Billion), Insights and Forecast, 2020-2027
- 8.1. Key Findings / Summary
- 8.2. Market Analysis, Insights and Forecast – By Type
- 8.2.1. Descriptive Analytics
- 8.2.2. Predictive Analytics
- 8.2.3. Prescriptive Analytics
- 8.3. Market Analysis, Insights and Forecast – By Application
- 8.3.1. Review of Insurance Claims
- 8.3.2. Payment Integrity
- 8.4. Market Analysis, Insights and Forecast – By End User
- 8.4.1. Private Insurance Payers
- 8.4.2. Government Agencies
- 8.4.3. Other End Users
- 8.5. Market Analysis, Insights and Forecast – By Country
- 8.5.1. China
- 8.5.2. India
- 8.5.3. Japan
- 8.5.4. Australia
- 8.5.5. South East Asia
- 8.5.6. Rest of Asia Pacific
9. Latin America, Middle East, and Africa Healthcare Fraud Analytics Market Analysis (USD Billion), Insights and Forecast, 2020-2027
- 9.1. Key Findings / Summary
- 9.2. Market Analysis, Insights and Forecast – By Type
- 9.2.1. Descriptive Analytics
- 9.2.2. Predictive Analytics
- 9.2.3. Prescriptive Analytics
- 9.3. Market Analysis, Insights and Forecast – By Application
- 9.3.1. Review of Insurance Claims
- 9.3.2. Payment Integrity
- 9.4. Market Analysis, Insights and Forecast – By End User
- 9.4.1. Private Insurance Payers
- 9.4.2. Government Agencies
- 9.4.3. Other End Users
- 9.5. Market Analysis, Insights and Forecast – By Country
- 9.5.1. Brazil
- 9.5.2. Saudi Arabia
- 9.5.3. UAE
- 9.5.4. Rest of LAMEA
10. Competitive Analysis
- 10.1. Company Market Share Analysis, 2018
- 10.2. Key Industry Developments
- 10.3. Company Profile
- 10.4. CGI Group, Inc.
- 10.4.1. Business Overview
- 10.4.2. Segment 1 & Service Offering
- 10.4.3. Overall Revenue
- 10.4.4. Geographic Presence
- 10.4.5. Recent Development
- 10.5. Conduent, Inc.
- 10.6. DXC Technology Company
- 10.7. Fair Isaac Corporation
- 10.8. HCL Technologies Ltd.
- 10.9. IBM Corporation
- 10.10. McKesson Corporation
- 10.11. Northrop Grumman Corporation
- 10.12. Optum, Inc.
- 10.13. Pondera Solutions, Inc.
- 10.14. SAS Institute, Inc.
- 10.15. SCIO Health Analytics, an EXL company
- 10.16. Verscend Technologies, Inc.
Data Library Research are conducted by industry experts who offer insight on industry structure, market segmentations technology assessment and competitive landscape (CL), and penetration, as well as on emerging trends. Their analysis is based on primary interviews (~ 80%) and secondary research (~ 20%) as well as years of professional expertise in their respective industries. Adding to this, by analysing historical trends and current market positions, our analysts predict where the market will be headed for the next five years. Furthermore, the varying trends of segment & categories geographically presented are also studied and the estimated based on the primary & secondary research.
In this particular report from the supply side Data Library Research has conducted primary surveys (interviews) with the key level executives (VP, CEO’s, Marketing Director, Business Development Manager and SOFT) of the companies that active & prominent as well as the midsized organization
FIGURE 1: DLR RESEARH PROCESS
Extensive primary research was conducted to gain a deeper insight of the market and industry performance. The analysis is based on both primary and secondary research as well as years of professional expertise in the respective industries.
In addition to analysing current and historical trends, our analysts predict where the market is headed over the next five years.
It varies by segment for these categories geographically presented in the list of market tables. Speaking about this particular report we have conducted primary surveys (interviews) with the key level executives (VP, CEO’s, Marketing Director, Business Development Manager and many more) of the major players active in the market.
Secondary ResearchSecondary research was mainly used to collect and identify information useful for the extensive, technical, market-oriented, and Friend’s study of the Global Extra Neutral Alcohol. It was also used to obtain key information about major players, market classification and segmentation according to the industry trends, geographical markets, and developments related to the market and technology perspectives. For this study, analysts have gathered information from various credible sources, such as annual reports, sec filings, journals, white papers, SOFT presentations, and company web sites.
Market Size EstimationBoth, top-down and bottom-up approaches were used to estimate and validate the size of the Global market and to estimate the size of various other dependent submarkets in the overall Extra Neutral Alcohol. The key players in the market were identified through secondary research and their market contributions in the respective geographies were determined through primary and secondary research.
Forecast Model
