Market Definition

Health is one of the most essential part for humans to live a life happily. Advances in technology and medical science is ceaselessly revamping the general well being of the population. But looking towards the surging number of healthcare fraud activities across the globe and in different health insurance industry is creating a serious environment in the regions. Health care fraud activities results in financial gain for the drug manufacturers and loss for the patients. These fraudulent activities involve healthcare plans of government, defrauding insurance company, etc. healthcare fraud activities are hard to be detect and mainly goes unnoticed many a times. Some of the common fraud activities involves illegal medical billing practices, insurance claims, stolen patients’ identities, collusion between unprincipled providers, and many such. Respective governments and healthcare unit are taking the initiatives at a personal level to reduce this fraudulent activity and to provide a smooth and clean healthcare facilities.

Report Scope

The global healthcare fraud analytics market report scope includes a detailed study covering underlying factors influencing the industry trends. The report covers analysis of regional and country-level market dynamics. The scope also covers 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 Market Players

The key companies operating in the global healthcare fraud analytics market are WhiteHatAI, Healthcare Fraud Shield, FraudLens, Inc, HMS, FraudScope, Inc, IBM, Optum (A Part of UnitedHealth Group), Cotiviti Holdings, Inc, Fair Isaac Corporation, SAS Institute, Change Healthcare, EXL Service Holdings, Inc, Wipro, Conduent, Inc, CL Technologies, CGI Group, DXC Technology Company, and Northrop Grumman Corporation

The Healthcare Fraud Analytics market report has been categorized as below 

By Deliver Mode

  • On-premise
  • On-demand

By Application

  • Insurance Claims Review
  • Pharmacy Billing Misuse
  • Payment Integrity
  • Other application

By End User

  • Insurance Claims Review
  • Pharmacy Billing Misuse
  • Payment Integrity
  • Other application

By Region

  • North America
  • Europe
  • Asia Pacific
  • Rest of World

The years considered for the global healthcare fraud analytics market study are as follows:

  • Base year - 2020
  • Estimated year - 2021
  • Projected year - 2022
  • Forecast period - 2021 to 2027

Key Questions Addressed by the Report

  • New products/service competitor are exploring?
  • Key players in the Healthcare Fraud Analytics Market and how intense is the competition?
  • What are the upcoming industry trends that manufacturers are focusing on in the future updates?
  • For each segment, what are the significant opportunities in the market?
  • What are the key growth strategies adopted by major market players in the market?
  • What are the key success strategies adopted by major competitors in the market? 

Why Buy this Report:

  • Gain comprehensive insights on the Healthcare Fraud Analytics Market trends
  • Note complete analysis of the market status
  • Recognize the market opportunities and growth segments
  • Evaluating business segments & product portfolios, and interpret competitive dynamics
  • Facilitate strategy planning and industry dynamics to strengthen decision making

Report Table Of Content

1.   Healthcare Fraud Analytics Market Introduction

1.1. Key Insights

1.2. Report Overview

1.3. Markets Covered

1.4. Stakeholders

2.   Research Methodology

2.1. Research Scope

2.2. Market Research Process

2.3. Research Data Analysis

2.4. Market Size Estimation

3.   Executive Summary

4.   Market Overview

4.1.   Introduction

4.2.   Market Drivers and Restraints

5.   Healthcare Fraud Analytics Market, By Application

5.1.   Key Points

5.2.   Insurance Claims Review

5.3.   Pharmacy Billing Misuse

5.4.   Payment Integrity

5.5.   Other application

6.   Healthcare Fraud Analytics Market, By Delivery Mode

6.1.   Key Points

6.2.   On-premise

6.3.   On-demand

7.   Healthcare Fraud Analytics Market, By End Users

7.1.   Key Points

7.2.   Insurance Claims Review

7.3.   Pharmacy Billing Misuse

7.4.   Payment Integrity

7.5.   Other application

8.   Healthcare Fraud Analytics Market, By Region

8.1.   Key Points

8.2.   North America

8.2.1. US

8.2.2. Canada

8.2.3. Mexico

8.3.   Europe

8.3.1. Germany

8.3.2. France

8.3.3. Italy

8.3.4. UK

8.3.5. Rest of Europe

8.4.   Asia Pacific

8.4.1. Japan

8.4.2. China

8.4.3. India

8.4.4. Australia

8.4.5. Rest of Asia Pacific

8.5.   Rest of World

8.5.1. South America

8.5.2. Middle East and Africa

9.   Company Profile

(Profile contain company overview, products/services, financials & recent developments)

9.1.   WhiteHatAI

9.1.1. Company Overview

9.1.2. Financial Highlights

9.1.3. Product/Services

9.1.4. Recent Developments

9.2.    Healthcare Fraud Shield

9.2.1. Company Overview

9.2.2. Financial Highlights

9.2.3. Product/Services

9.2.4. Recent Developments

9.3.    FraudLens, Inc

9.3.1. Company Overview

9.3.2. Financial Highlights

9.3.3. Product/Services

9.3.4. Recent Developments

9.4.   HMS

9.4.1. Company Overview

9.4.2. Financial Highlights

9.4.3. Product/Services

9.4.4. Recent Developments

9.5.    FraudScope, Inc

9.5.1. Company Overview

9.5.2. Financial Highlights

9.5.3. Product/Services

9.5.4. Recent Developments

9.6.   IBM

9.6.1. Company Overview

9.6.2. Financial Highlights

9.6.3. Product/Services

9.6.4. Recent Developments

9.7.    Optum (A Part of UnitedHealth Group)

9.7.1. Company Overview

9.7.2. Financial Highlights

9.7.3. Product/Services

9.7.4. Recent Developments

9.8.    Cotiviti Holdings, Inc

9.8.1. Company Overview

9.8.2. Financial Highlights

9.8.3. Product/Services

9.8.4. Recent Developments

9.9.    Fair Isaac Corporation

9.9.1. Company Overview

9.9.2. Financial Highlights

9.9.3. Product/Services

9.9.4. Recent Developments

9.10. SAS Institute

9.10.1. Company Overview

9.10.2. Financial Highlights

9.10.3. Product/Services

9.10.4. Recent Developments

9.11. Change Healthcare

9.11.1. Company Overview

9.11.2. Financial Highlights

9.11.3. Product/Services

9.11.4. Recent Developments

9.12. EXL Service Holdings, Inc

9.12.1. Company Overview

9.12.3. Financial Highlights

9.12.3. Product/Services

912.4. Recent Developments

9.13. Wipro

9.13.1. Company Overview

9.13.2. Financial Highlights

9.13.3. Product/Services

9.13.4. Recent Developments

9.14. Conduent, Inc

9.14.1. Company Overview

9.14.2. Financial Highlights

9.14.3. Product/Services

9.14.4. Recent Developments

9.15. CL Technologies

9.15.1. Company Overview

9.15.2. Financial Highlights

9.15.3. Product/Services

9.15.4. Recent Developments

9.16. CGI Group

9.16.1. Company Overview

9.16.2. Financial Highlights

9.16.3. Product/Services

9.16.4. Recent Developments

9.17. DXC Technology Company

9.17.1. Company Overview

9.17.2. Financial Highlights

9.17.3. Product/Services

9.17.4. Recent Developments

9.18. Northrop Grumman Corporation

9.18.1. Company Overview

9.18.2. Financial Highlights

9.18.3. Product/Services

9.18.4. Recent Developments

The Healthcare Fraud Analytics market report has been categorized as below 

By Deliver Mode

  • On-premise
  • On-demand

By Application

  • Insurance Claims Review
  • Pharmacy Billing Misuse
  • Payment Integrity
  • Other application

By End User

  • Insurance Claims Review
  • Pharmacy Billing Misuse
  • Payment Integrity
  • Other application

By Region

  • North America
  • Europe
  • Asia Pacific
  • Rest of World

Licence Option

  • Single User-
    2500 USD 1500 USD
  • Multiple User-
    5500 USD 3500 USD

Quality assurance

A testimonial for service in the form of BBB “A” Accreditation.

Your personal and confidential information is safe and secure.

  - Information security

Market Definition

Health is one of the most essential part for humans to live a life happily. Advances in technology and medical science is ceaselessly revamping the general well being of the population. But looking towards the surging number of healthcare fraud activities across the globe and in different health insurance industry is creating a serious environment in the regions. Health care fraud activities results in financial gain for the drug manufacturers and loss for the patients. These fraudulent activities involve healthcare plans of government, defrauding insurance company, etc. healthcare fraud activities are hard to be detect and mainly goes unnoticed many a times. Some of the common fraud activities involves illegal medical billing practices, insurance claims, stolen patients’ identities, collusion between unprincipled providers, and many such. Respective governments and healthcare unit are taking the initiatives at a personal level to reduce this fraudulent activity and to provide a smooth and clean healthcare facilities.

Report Scope

The global healthcare fraud analytics market report scope includes a detailed study covering underlying factors influencing the industry trends. The report covers analysis of regional and country-level market dynamics. The scope also covers 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 Market Players

The key companies operating in the global healthcare fraud analytics market are WhiteHatAI, Healthcare Fraud Shield, FraudLens, Inc, HMS, FraudScope, Inc, IBM, Optum (A Part of UnitedHealth Group), Cotiviti Holdings, Inc, Fair Isaac Corporation, SAS Institute, Change Healthcare, EXL Service Holdings, Inc, Wipro, Conduent, Inc, CL Technologies, CGI Group, DXC Technology Company, and Northrop Grumman Corporation

The Healthcare Fraud Analytics market report has been categorized as below 

By Deliver Mode

  • On-premise
  • On-demand

By Application

  • Insurance Claims Review
  • Pharmacy Billing Misuse
  • Payment Integrity
  • Other application

By End User

  • Insurance Claims Review
  • Pharmacy Billing Misuse
  • Payment Integrity
  • Other application

By Region

  • North America
  • Europe
  • Asia Pacific
  • Rest of World

The years considered for the global healthcare fraud analytics market study are as follows:

  • Base year - 2020
  • Estimated year - 2021
  • Projected year - 2022
  • Forecast period - 2021 to 2027

Key Questions Addressed by the Report

  • New products/service competitor are exploring?
  • Key players in the Healthcare Fraud Analytics Market and how intense is the competition?
  • What are the upcoming industry trends that manufacturers are focusing on in the future updates?
  • For each segment, what are the significant opportunities in the market?
  • What are the key growth strategies adopted by major market players in the market?
  • What are the key success strategies adopted by major competitors in the market? 

Why Buy this Report:

  • Gain comprehensive insights on the Healthcare Fraud Analytics Market trends
  • Note complete analysis of the market status
  • Recognize the market opportunities and growth segments
  • Evaluating business segments & product portfolios, and interpret competitive dynamics
  • Facilitate strategy planning and industry dynamics to strengthen decision making

Report Table Of Content

1.   Healthcare Fraud Analytics Market Introduction

1.1. Key Insights

1.2. Report Overview

1.3. Markets Covered

1.4. Stakeholders

2.   Research Methodology

2.1. Research Scope

2.2. Market Research Process

2.3. Research Data Analysis

2.4. Market Size Estimation

3.   Executive Summary

4.   Market Overview

4.1.   Introduction

4.2.   Market Drivers and Restraints

5.   Healthcare Fraud Analytics Market, By Application

5.1.   Key Points

5.2.   Insurance Claims Review

5.3.   Pharmacy Billing Misuse

5.4.   Payment Integrity

5.5.   Other application

6.   Healthcare Fraud Analytics Market, By Delivery Mode

6.1.   Key Points

6.2.   On-premise

6.3.   On-demand

7.   Healthcare Fraud Analytics Market, By End Users

7.1.   Key Points

7.2.   Insurance Claims Review

7.3.   Pharmacy Billing Misuse

7.4.   Payment Integrity

7.5.   Other application

8.   Healthcare Fraud Analytics Market, By Region

8.1.   Key Points

8.2.   North America

8.2.1. US

8.2.2. Canada

8.2.3. Mexico

8.3.   Europe

8.3.1. Germany

8.3.2. France

8.3.3. Italy

8.3.4. UK

8.3.5. Rest of Europe

8.4.   Asia Pacific

8.4.1. Japan

8.4.2. China

8.4.3. India

8.4.4. Australia

8.4.5. Rest of Asia Pacific

8.5.   Rest of World

8.5.1. South America

8.5.2. Middle East and Africa

9.   Company Profile

(Profile contain company overview, products/services, financials & recent developments)

9.1.   WhiteHatAI

9.1.1. Company Overview

9.1.2. Financial Highlights

9.1.3. Product/Services

9.1.4. Recent Developments

9.2.    Healthcare Fraud Shield

9.2.1. Company Overview

9.2.2. Financial Highlights

9.2.3. Product/Services

9.2.4. Recent Developments

9.3.    FraudLens, Inc

9.3.1. Company Overview

9.3.2. Financial Highlights

9.3.3. Product/Services

9.3.4. Recent Developments

9.4.   HMS

9.4.1. Company Overview

9.4.2. Financial Highlights

9.4.3. Product/Services

9.4.4. Recent Developments

9.5.    FraudScope, Inc

9.5.1. Company Overview

9.5.2. Financial Highlights

9.5.3. Product/Services

9.5.4. Recent Developments

9.6.   IBM

9.6.1. Company Overview

9.6.2. Financial Highlights

9.6.3. Product/Services

9.6.4. Recent Developments

9.7.    Optum (A Part of UnitedHealth Group)

9.7.1. Company Overview

9.7.2. Financial Highlights

9.7.3. Product/Services

9.7.4. Recent Developments

9.8.    Cotiviti Holdings, Inc

9.8.1. Company Overview

9.8.2. Financial Highlights

9.8.3. Product/Services

9.8.4. Recent Developments

9.9.    Fair Isaac Corporation

9.9.1. Company Overview

9.9.2. Financial Highlights

9.9.3. Product/Services

9.9.4. Recent Developments

9.10. SAS Institute

9.10.1. Company Overview

9.10.2. Financial Highlights

9.10.3. Product/Services

9.10.4. Recent Developments

9.11. Change Healthcare

9.11.1. Company Overview

9.11.2. Financial Highlights

9.11.3. Product/Services

9.11.4. Recent Developments

9.12. EXL Service Holdings, Inc

9.12.1. Company Overview

9.12.3. Financial Highlights

9.12.3. Product/Services

912.4. Recent Developments

9.13. Wipro

9.13.1. Company Overview

9.13.2. Financial Highlights

9.13.3. Product/Services

9.13.4. Recent Developments

9.14. Conduent, Inc

9.14.1. Company Overview

9.14.2. Financial Highlights

9.14.3. Product/Services

9.14.4. Recent Developments

9.15. CL Technologies

9.15.1. Company Overview

9.15.2. Financial Highlights

9.15.3. Product/Services

9.15.4. Recent Developments

9.16. CGI Group

9.16.1. Company Overview

9.16.2. Financial Highlights

9.16.3. Product/Services

9.16.4. Recent Developments

9.17. DXC Technology Company

9.17.1. Company Overview

9.17.2. Financial Highlights

9.17.3. Product/Services

9.17.4. Recent Developments

9.18. Northrop Grumman Corporation

9.18.1. Company Overview

9.18.2. Financial Highlights

9.18.3. Product/Services

9.18.4. Recent Developments

The Healthcare Fraud Analytics market report has been categorized as below 

By Deliver Mode

  • On-premise
  • On-demand

By Application

  • Insurance Claims Review
  • Pharmacy Billing Misuse
  • Payment Integrity
  • Other application

By End User

  • Insurance Claims Review
  • Pharmacy Billing Misuse
  • Payment Integrity
  • Other application

By Region

  • North America
  • Europe
  • Asia Pacific
  • Rest of World

Licence Option

  • Single User-
    2500 USD 1500 USD
  • Multiple User-
    5500 USD 3500 USD

Quality assurance

A testimonial for service in the form of BBB “A” Accreditation.

Your personal and confidential information is safe and secure.

  - Information security

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