OVERVIEW

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.

TABLE OF CONTENT

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