Healthcare Fraud Detection Market by Type (Prescriptive, Descriptive), Application (Post payment, Insurance Claim, Prepay), Component (Software, Service), End user (Private, Public, Insurance Payer), Delivery (Cloud On-premise)- 2019 to 2024

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Published on: May 28, 2019
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The overall market for detection of fraud in healthcare is expected to exceed USD 2,554.5 million by 2024, rising from 2019 to 2024 at a CAGR of 27.8%. Some of the major factors such as large numbers of fraudulent healthcare activities; growing numbers of patients requiring health insurance; increasing pressure on healthcare spending on fraud, waste, and abuse; and high returns on investment would help market growth.

Healthcare Fraud Detection Market by Type (Prescriptive, Descriptive), Application (Post payment, Insurance Claim, Prepay), Component (Software, Service), End user (Private, Public, Insurance Payer), Delivery (Cloud On-premise)- 2019 to 2024 1

Healthcare Fraud Detection Market by Type (Prescriptive, Descriptive), Application (Post payment, Insurance Claim, Prepay), Component (Software, Service), End user (Private, Public, Insurance Payer), Delivery (Cloud On-premise)- 2019 to 2024 2

Healthcare Fraud Detection Market by Type (Prescriptive, Descriptive), Application (Post payment, Insurance Claim, Prepay), Component (Software, Service), End user (Private, Public, Insurance Payer), Delivery (Cloud On-premise)- 2019 to 2024 3

Healthcare Fraud Detection Market by Type (Prescriptive, Descriptive), Application (Post payment, Insurance Claim, Prepay), Component (Software, Service), End user (Private, Public, Insurance Payer), Delivery (Cloud On-premise)- 2019 to 2024 4

Healthcare Fraud Detection Market by Type (Prescriptive, Descriptive), Application (Post payment, Insurance Claim, Prepay), Component (Software, Service), End user (Private, Public, Insurance Payer), Delivery (Cloud On-premise)- 2019 to 2024 5

Healthcare Fraud Detection Market by Type (Prescriptive, Descriptive), Application (Post payment, Insurance Claim, Prepay), Component (Software, Service), End user (Private, Public, Insurance Payer), Delivery (Cloud On-premise)- 2019 to 2024 6

Healthcare Fraud Detection Market by Type (Prescriptive, Descriptive), Application (Post payment, Insurance Claim, Prepay), Component (Software, Service), End user (Private, Public, Insurance Payer), Delivery (Cloud On-premise)- 2019 to 2024 7

Healthcare Fraud Detection Market by Type (Prescriptive, Descriptive), Application (Post payment, Insurance Claim, Prepay), Component (Software, Service), End user (Private, Public, Insurance Payer), Delivery (Cloud On-premise)- 2019 to 2024 8

1 Global Healthcare Fraud Detection Market 
1.1 Study Objectives
1.2 Market Definition
1.3 Study Scope
1.3.1 Markets Covered
1.3.2 Geographic Scope

2 RESEARCH METHODOLOGY
2.1 Research Data
2.1.1 Secondary Data
2.1.1.1 Key Data From Secondary Sources
2.1.2 Primary Data
2.1.2.1 Key Data From Primary Sources
2.1.2.2 Key Industry Insights
2.1.2.3 Breakdown of Primaries
2.2 Market Size Estimation
2.2.1 Bottom-Up Approach
2.2.2 Top-Down Approach
2.3 Market Breakdown and Data Triangulation
2.4 Research Assumptions

3 Global Healthcare Fraud Detection Market – Executive Summary
3.1 Market Revenue, Market Size and Key Trends by Company
3.2 Key Trends by type of Application
3.3 Key Trends segmented by Geography

4 Global Healthcare Fraud Detection Market – Comparative Analysis
4.1 Product Benchmarking – Top 10 companies
4.2 Top 5 Financials Analysis
4.3 Market Value split by Top 10 companies
4.4 Patent Analysis – Top 10 companies
4.5 Pricing Analysis

5 Global Healthcare Fraud Detection Market – Industry Market Entry Scenario
5.1 Regulatory Framework Overview
5.2 New Business and Ease of Doing business index
5.3 Case studies of successful ventures
5.4 Customer Analysis – Top 10 companies

6 Global Healthcare Fraud Detection Market – Market Forces
6.1 Introduction
6.2 Market Dynamics
6.2.1 Drivers
6.2.2 Opportunities
6.2.3 Challenges
6.3 Porters Analysis of Market
6.3.1 Bargaining power of suppliers
6.3.2 Bargaining powers of customers
6.3.3 Threat of new entrants
6.3.4 Rivalry among existing players
6.3.5 Threat of substitutes

7 Global Healthcare Fraud Detection Market – Strategic Analysis
7.1 Value Chain analysis
7.2 Product Life Cycle
7.3 Supplier and distributor analysis (Market share and product dealing strategies)

8 Global Healthcare Fraud Detection Market – By Solution Type (Market Size – &
million/billion)
8.1 Descriptive Analytics
8.2 Predictive Analytics
8.3 Prescriptive Analytics

9 Global Healthcare Fraud Detection Market – By Delivery Model
9.1 On-premise
9.2 On-demand

10 Global Healthcare Fraud Detection Market – By Application
10.1 Insurance Claims Review
10.2 Pharmacy Billing Misuse
10.3 Payment Integrity
10.4 Other applications*
10.5 Other

11 Global Healthcare Fraud Detection Market – By End-User
11.1 Public & Government Agencies
11.2 Private Insurance Payers
11.3 Third-party service providers
11.4 Employers

12 Global Healthcare Fraud Detection Market – By Geography (Market Size – &
million/billion)
12.1 Introduction
12.2 North America
12.2.1 US
12.2.2 Canada
12.2.3 Mexico
12.3 Europe
12.3.1 U.K
12.3.2 Germany
12.3.3 Italy
12.3.4 France
12.3.5 Spain
12.3.6 Rest of Europe
12.4 Asia-Pacific
12.4.1 China
12.4.2 Japan
12.4.3 India
12.4.4 South Korea
12.4.5 Rest of APAC
12.5 Rest of the World
12.5.1 South America
12.5.2 Middle East
12.5.3 Africa

13 Global Healthcare Fraud Detection Market – Entropy
13.1 New product launches
13.2 M&A’s, collaborations, JVs and partnerships

14 Global Healthcare Fraud Detection Market Company Profile (Key Players)
14.1 Market Share, Company Revenue, Products, M&A, Developments
14.2 IBM
14.3 Optum (A Part of Unitedhealth Group)
14.4 Wipro
14.5 Cotiviti Holdings, Inc.
14.6 Fair Isaac Corporation
14.7 Conduent, Inc.
14.8 HCL Technologies
14.9 SAS Institute
14.10 Change Healthcare
14.11 EXL Service Holdings, Inc.
14.12 Company 11 & more

15 Global Healthcare Fraud Detection Market – Appendix
15.1 Sources
15.2 Abbreviations