Healthcare Fraud Detection Market
- Published Date: Aug-2021 |
- 180 Pages |
- Report ID: HE0260
Healthcare Fraud Detection Market
Healthcare Fraud Detection market is expected to grow from USD 9.06 billion in 2019 to USD 37.04 billion by 2026 at a CAGR of 26.06% from 2020 to 2026.
Health care fraud is defined as criminal deception intended to end in gain during drug manufacturing, quality of the merchandise, practice, and insurance. Health care fraud practice involves healthcare plans of the government, defrauding insurance firm, company and consumer party, etc. Healthcare fraud is difficult to detect and is usually go unnoticed; therefore, detection of such fraudulent claims is important, as they rise the burden on society. The utilization of a fraud detection solution enables healthcare firms in accounting, and auditing by predictive data methodologies. Careful account auditing can reveal suspicious providers and policyholders and detect potential fraudulent cases before it occurs. A large number of fraudulent activities in healthcare, a rising number of patients opting for insurance, prepayment review model, increasing pressure of fraud, and abuse on healthcare spending is predicted to drive the expansion of the market. Moreover, rising adoption of cloud-based analytics, the emergence of social media, and its impact on the healthcare industry, AI (AI) in healthcare fraud detection is predicted to supply an opportunity for the expansion of the market during the forecast period. The global market is segregated on the basis of Model as On-premise Delivery and On-demand Delivery. Based on Type the global market is segmented in Predictive Analytics, Prescriptive Analytics, and Descriptive Analytics. Based on Component the global market is segmented in Software and Services.
The global market report provides geographical analysis covering regions, such as The market for each region is further segmented for major countries including the U.S., Canada, Germany, the U.K., France, Italy, China, India, Japan, Brazil, South Africa, and others.
Competitive Rivalry
Verscend Technologies, Inc, Fair Isaac Corporation, SAS Institute Inc, SCIOInspire, Corp, Wipro Limited, IBM, Conduent, Inc, HCL Technologies Limited, CGI Group Inc, McKesson Corporation, and others are among the major players in the market. The companies studied in terms of product strategy and various n several growths and expansion strategies to gain a competitive edge in the market. The major players not only follow value chain integration with business operations in multiple stages of the value chain.
The global Healthcare Fraud Detection market has been segmented as below:
By Model
- On-premise Delivery
- On-demand Delivery
By Type
- Predictive Analytics
- Prescriptive Analytics
- Descriptive Analytics
By Component
- Software
- Services
By Region
- Europe
- North America
- Asia Pacific
- Rest of The World
By Company
- Verscend Technologies, Inc
- Fair Isaac Corporation
- SAS Institute Inc
- SCIOInspire, Corp
- Wipro Limited
- IBM
- Conduent, Inc
- HCL Technologies Limited
- CGI Group Inc
- McKesson Corporation
The report covers the below scope:
- Global market sizes from 2020 to 2026, along with CAGR for 2020-2026
- Market size comparison for 2020 vs 2026, with actual data for 2020, estimates for 2021, and forecast from 2022 to 2026
- Global market trends, covering a comprehensive range of consumer trends & manufacturer trends
- Value chain analysis covering participants from raw material suppliers to the downstream buyer in the market
- Major market opportunities and challenges in the forecast timeframe to be focused
- Competitive landscape with analysis of competition pattern, portfolio comparisons, development trends, and strategic management
- Comprehensive company profiles of the key industry players
The years considered for the study are as follows:
- Base year - 2020
- Estimated year - 2021
- Projected year - 2022
- Forecast period - 2022 to 2026
Report Scope:
The global market report scope includes a detailed study covering underlying factors influencing the industry trends. The report covers the analysis of regional and country-level market dynamics. The scope also covers a competitive overview providing company market shares along with company profiles for major revenue contributing companies. The report scope includes a detailed competitive outlook covering market shares and profiles key participants in the market share. Major industry players with significant revenue share include Verscend Technologies, Inc, Fair Isaac Corporation, SAS Institute Inc, SCIOInspire, Corp, Wipro Limited, IBM, Conduent, Inc, HCL Technologies Limited, CGI Group Inc, McKesson Corporation, and others.
Why Buy this Report:
- Gain detailed insights on the Healthcare Fraud Detection industry trends
- Find a complete analysis of the market status
- Identify the market opportunities and growth segments
- Analyze competitive dynamics by evaluating business segments & product portfolios
- Facilitate strategy planning and industry dynamics to enhance decision making
Target Audience:
The report targeted the existing players in the industry is as follows:
- Market Manufacturers/Service Providers
- Market Wholesale/Traders
- Investment and Financial Institutions
Free and Paid Customization based on the requirement
Report Content
- Introduction
1.1 Key Insights
1.2 Report Overview
1.3 Markets Covered
1.4 Stakeholders
- Research Methodology
2.1 Research Scope
2.2 Market Research Process
2.3 Research Data Analysis
2.4.1 Secondary Research
2.4.2 Primary Research
2.4.3 Models for Estimation
2.5 Market Size Estimation
2.5.1 Bottom-Up Approach - Segmental Market Analysis
2.5.2 Top-Down Approach - Parent Market Analysis
- Executive Summary
- Market Overview
4.1 Introduction
4.2.1 Drivers
4.2.2 Restraints
4.2.3 Opportunities
4.2.4 Challenges
4.2 Porter's Five Force Analysis
- By Model
5.1 Introduction
5.2 On-premise Delivery
5.2.1 Market Overview
5.2.2 Market Size and Forecast
5.3 On-demand Delivery
5.3.1 Market Overview
5.3.2 Market Size and Forecast
- By Type
6.1 Introduction
6.2 Predictive Analytics
6.2.1 Market Overview
6.2.2 Market Size and Forecast
6.3 Prescriptive Analytics
6.3.1 Market Overview
6.3.2 Market Size and Forecast
6.4 Descriptive Analytics
6.4.1 Market Overview
6.4.2 Market Size and Forecast
- By Component
7.1 Introduction
7.2 Software
7.2.1 Market Overview
7.2.2 Market Size and Forecast
7.3 Services
7.3.1 Market Overview
7.3.2 Market Size and Forecast
- By Geography
8.1 Introduction
8.2 Europe
8.2.1 Europe Market, By Model
8.2.2 Europe Market, By Type
8.2.3 Europe Market, By Component
8.3 North America
8.3.1 North America Market, By Model
8.3.2 North America Market, By Type
8.3.3 North America Market, By Component
8.4 Asia Pacific
8.4.1 Asia Pacific Market, By Model
8.4.2 Asia Pacific Market, By Type
8.4.3 Asia Pacific Market, By Component
8.5 Rest of The World
8.5.1 Rest of The World Market, By Model
8.5.2 Rest of The World Market, By Type
8.5.3 Rest of The World Market, By Component
- Competitive Insights
9.1 Key Insights
9.2 Company Market Share Analysis
9.3 Strategic Outlook
9.3.1 Mergers & Acquisitions
9.3.2 New Product Development
9.3.3 Portfolio/Production Capacity Expansions
9.3.4 Joint Ventures, Collaborations, Partnerships & Agreements
9.3.5 Others
- Company Profiles
(Overview, Key Financials, Recent Developments, Product and Service Offering)
- Verscend Technologies, Inc
- Fair Isaac Corporation
- SAS Institute Inc
- SCIOInspire, Corp
- Wipro Limited
- IBM
- Conduent, Inc
- HCL Technologies Limited
- CGI Group Inc
- McKesson Corporation
The global Healthcare Fraud Detection market has been segmented as below:
By Model
- On-premise Delivery
- On-demand Delivery
By Type
- Predictive Analytics
- Prescriptive Analytics
- Descriptive Analytics
By Component
- Software
- Services
By Region
- Europe
- North America
- Asia Pacific
- Rest of The World
By Company
- Verscend Technologies, Inc
- Fair Isaac Corporation
- SAS Institute Inc
- SCIOInspire, Corp
- Wipro Limited
- IBM
- Conduent, Inc
- HCL Technologies Limited
- CGI Group Inc
- McKesson Corporation