Healthcare Fraud Detection Market Research Report - Forecast till 2030

Healthcare Fraud Detection Market: Information By Type (Descriptive Analytics, Predictive Analytics and Prescriptive Analytics), By Component (Services and Software), By Delivery Model (On-Premise and Cloud-Based), By Application (Insurance Claims Review and Payment Integrity), By End User (Private Insurance Payers, Public/Government Agencies and Third Party Service Providers) - Forecast till 2030

ID: MRFR/HCIT/4215-CR | September, 2019 | Region : Global

1 EXECUTIVE SUMMARY

1.1 GLOBAL HEALTHCARE FRAUD DETECTION MARKET, BY TYPE 19

1.2 GLOBAL HEALTHCARE FRAUD DETECTION MARKET, BY COMPONENT 20

1.3 GLOBAL HEALTHCARE FRAUD DETECTION MARKET, BY DELIVERY MODEL 21

1.4 GLOBAL HEALTHCARE FRAUD DETECTION MARKET, BY APPLICATION 22

1.5 GLOBAL HEALTHCARE FRAUD DETECTION MARKET, BY END USER 23

2 MARKET INTRODUCTION

2.1 DEFINITION 24

2.2 SCOPE OF THE STUDY 24

2.3 RESEARCH OBJECTIVE 24

2.4 MARKET STRUCTURE 25

3 RESEARCH METHODOLOGY

3.1 RESEARCH PROCESS 26

3.2 PRIMARY RESEARCH 27

3.3 SECONDARY RESEARCH 28

3.4 MARKET SIZE ESTIMATION 29

3.5 FORECAST MODEL 30

4 MARKET DYNAMICS

4.1 INTRODUCTION 31

4.2 DRIVERS 32

4.2.1 INCREASE IN THE NUMBER OF FRAUDULENT ACTIVITIES IN HEALTHCARE 32

4.2.2 THE RISING NUMBER OF PATIENTS OPTING FOR HEALTH INSURANCE 32

4.2.3 THE ESCALATION IN HEALTHCARE EXPENDITURE 32

4.3 RESTRAINTS 33

4.3.1 UNWILLINGNESS TO ADOPT HEALTHCARE FRAUD ANALYTICS IN DEVELOPING REGIONS 33

4.4 OPPORTUNITIES 33

4.4.1 AI IN HEALTHCARE FRAUD DETECTION 33

5 MARKET FACTOR ANALYSIS

5.1 VALUE CHAIN ANALYSIS 34

5.1.1 INPUTS 34

5.1.2 SOFTWARE DEVELOPMENT PROCESSES 35

5.1.3 OUTPUT 35

5.1.4 MARKETING AND DISTRIBUTION 35

5.2 PORTER’S FIVE FORCES MODEL 35

5.2.1 BARGAINING POWER OF SUPPLIERS 36

5.2.2 BARGAINING POWER OF BUYERS 36

5.2.3 THE THREAT OF NEW ENTRANTS 36

5.2.4 THREAT OF SUBSTITUTES 37

5.2.5 INTENSITY OF RIVALRY 37

6 GLOBAL HEALTHCARE FRAUD DETECTION MARKET, BY TYPE

6.1 OVERVIEW 38

6.2 DESCRIPTIVE ANALYTICS 40

6.3 PREDICTIVE ANALYTICS 40

6.4 PRESCRIPTIVE ANALYTICS 41

7 GLOBAL HEALTHCARE FRAUD DETECTION MARKET, BY COMPONENT

7.1 OVERVIEW 42

7.2 SERVICES 44

7.3 SOFTWARE 44

8 GLOBAL HEALTHCARE FRAUD DETECTION MARKET, BY DELIVERY MODEL

8.1 OVERVIEW 45

8.2 ON-PREMISE 47

8.3 CLOUD BASED 47

9 GLOBAL HEALTHCARE FRAUD DETECTION MARKET, BY APPLICATION

9.1 OVERVIEW 48

9.2 INSURANCE CLAIMS REVIEW 50

9.3 PAYMENT INTEGRITY 51

10 GLOBAL HEALTHCARE FRAUD DETECTION MARKET, BY END USER

10.1 OVERVIEW 52

10.2 PRIVATE INSURANCE PAYERS 54

10.3 PUBLIC/GOVERNMENT AGENCIES 54

10.4 THIRD PARTY SERVICE PROVIDERS 55

11 GLOBAL HEALTHCARE FRAUD DETECTION MARKET, BY REGION

11.1 OVERVIEW 56

11.2 AMERICAS 58

11.2.1 NORTH AMERICA 61

11.2.1.1 US 64

11.2.1.2 CANADA 66

11.2.2 SOUTH AMERICA 69

11.3 EUROPE 72

11.3.1 WESTERN EUROPE 75

11.3.1.1 GERMANY 78

11.3.1.2 UK 80

11.3.1.3 FRANCE 83

11.3.1.4 ITALY 85

11.3.1.5 SPAIN 87

11.3.1.6 REST OF WESTERN EUROPE 90

11.3.2 EASTERN EUROPE 92

11.4 ASIA-PACIFIC 95

11.4.1 JAPAN 98

11.4.2 CHINA 101

11.4.3 INDIA 103

11.4.4 AUSTRALIA 106

11.4.5 SOUTH KOREA 108

11.4.6 REST OF ASIA PACIFIC 111

11.5 MIDDLE EAST & AFRICA 114

11.5.1 MIDDLE EAST 117

11.5.2 AFRICA 120

12 COMPETITIVE LANDSCAPE

12.1 INTRODUCTION 123

12.2 COMPETITIVE OVERVIEW 123

13 COMPANY PROFILES

13.1 INTERNATIONAL BUSINESS MACHINES CORPORATION 125

13.1.1 COMPANY OVERVIEW 125

13.1.2 FINANCIAL OVERVIEW 126

13.1.3 PRODUCTS/SERVICES OFFERED 127

13.1.4 KEY DEVELOPMENTS 127

13.1.5 SWOT ANALYSIS 128

13.1.6 KEY STRATEGIES 128

13.2 UNITEDHEALTH GROUP 129

13.2.1 COMPANY OVERVIEW 129

13.2.2 FINANCIAL OVERVIEW 129

13.2.3 PRODUCTS/SERVICES OFFERED 130

13.2.4 KEY DEVELOPMENTS 130

13.2.5 SWOT ANALYSIS 131

13.2.6 KEY STRATEGIES 131

13.3 SAS INSTITUTE INC. 132

13.3.1 COMPANY OVERVIEW 132

13.3.2 FINANCIAL OVERVIEW 132

13.3.3 PRODUCTS/SERVICES OFFERED 133

13.3.4 KEY DEVELOPMENTS 133

13.3.5 SWOT ANALYSIS 134

13.3.6 KEY STRATEGIES 134

13.4 FAIR ISAAC CORPORATION 135

13.4.1 COMPANY OVERVIEW 135

13.4.2 FINANCIAL OVERVIEW 135

13.4.3 PRODUCTS/SERVICES OFFERED 136

13.4.4 KEY DEVELOPMENTS 136

13.4.5 SWOT ANALYSIS 137

13.4.6 KEY STRATEGIES 137

13.5 MCKESSON CORPORATION 138

13.5.1 COMPANY OVERVIEW 138

13.5.2 FINANCIAL OVERVIEW 138

13.5.3 PRODUCTS/SERVICES OFFERED 139

13.5.4 KEY DEVELOPMENTS 139

13.5.5 SWOT ANALYSIS 140

13.5.6 KEY STRATEGIES 140

13.6 EXLSERVICE HOLDINGS, INC. 141

13.6.1 COMPANY OVERVIEW 141

13.6.2 FINANCIAL OVERVIEW 141

13.6.3 PRODUCTS/SERVICES OFFERED 142

13.6.4 KEY DEVELOPMENTS 142

13.6.5 SWOT ANALYSIS 143

13.6.6 KEY STRATEGIES 143

13.7 DXC TECHNOLOGY COMPANY 144

13.7.1 COMPANY OVERVIEW 144

13.7.2 FINANCIAL OVERVIEW 144

13.7.3 PRODUCTS/SERVICES OFFERED 145

13.7.4 KEY DEVELOPMENTS 145

13.7.5 SWOT ANALYSIS 146

13.7.6 KEY STRATEGIES 146

13.8 LEXISNEXIS 147

13.8.1 COMPANY OVERVIEW 147

13.8.2 FINANCIAL OVERVIEW 147

13.8.3 PRODUCTS/SERVICES OFFERED 148

13.8.4 KEY DEVELOPMENTS 148

13.8.5 SWOT ANALYSIS 149

13.8.6 KEY STRATEGIES 149

13.9 COTIVITI, INC. 150

13.9.1 COMPANY OVERVIEW 150

13.9.2 FINANCIAL OVERVIEW 150

13.9.3 PRODUCTS/SERVICES OFFERED 150

13.9.4 KEY DEVELOPMENTS 150

13.9.5 SWOT ANALYSIS 151

13.9.6 KEY STRATEGIES 151

13.10 WIPRO LIMITED 152

13.10.1 COMPANY OVERVIEW 152

13.10.2 FINANCIAL OVERVIEW 153

13.10.3 PRODUCTS/SERVICES OFFERED 153

13.10.4 KEY DEVELOPMENTS 154

13.10.5 SWOT ANALYSIS 154

13.10.6 KEY STRATEGIES 155

13.11 CGI INC. 156

13.11.1 COMPANY OVERVIEW 156

13.11.2 FINANCIAL OVERVIEW 156

13.11.3 PRODUCTS/SERVICES OFFERED 157

13.11.4 KEY DEVELOPMENTS 157

13.11.5 SWOT ANALYSIS 158

13.11.6 KEY STRATEGIES 158

14 APPENDIX

14.1 REFERENCES 159

14.2 RELATED REPORTS 159

 

15 List Of Tables

TABLE 1 PRIMARY INTERVIEWS 27

TABLE 2 GLOBAL HEALTHCARE FRAUD DETECTION MARKET, BY TYPE 2020–2027 (USD MILLION) 39

TABLE 3 DESCRIPTIVE ANALYTICS: MARKET ESTIMATES & FORECAST, BY REGION, 2020–2027 (USD MILLION) 40

TABLE 4 DISPLAY SYSTEMS: MARKET ESTIMATES & FORECAST, BY REGION, 2020–2027 (USD MILLION) 40

TABLE 5 PRESCRIPTIVE ANALYTICS: MARKET ESTIMATES & FORECAST, BY REGION, 2020-2027 (USD MILLION) 41

TABLE 6 GLOBAL HEALTHCARE FRAUD DETECTION MARKET, BY COMPONENT 2020–2027 (USD MILLION) 43

TABLE 7 SERVICES: MARKET ESTIMATES & FORECAST, BY REGION, 2020–2027 (USD MILLION) 44

TABLE 8 SOFTWARE: MARKET ESTIMATES & FORECAST, BY REGION, 2020–2027 (USD MILLION) 44

TABLE 9 GLOBAL HEALTHCARE FRAUD DETECTION MARKET, BY DELIVERY MODEL 2020–2027 (USD MILLION) 46

TABLE 10 ON-PREMISE: MARKET ESTIMATES & FORECAST, BY REGION, 2020–2027 (USD MILLION) 47

TABLE 11 CLOUD BASED: MARKET ESTIMATES & FORECAST, BY REGION, 2020–2027 (USD MILLION) 47

TABLE 12 GLOBAL HEALTHCARE FRAUD DETECTION MARKET, BY APPLICATION 2020–2027 (USD MILLION) 49

TABLE 13 GLOBAL HEALTHCARE FRAUD DETECTION MARKET, FOR INSURANCE CLAIMS REVIEW, BY TYPE 2020–2027 (USD MILLION) 49

TABLE 14 INSURANCE CLAIMS REVIEW: MARKET ESTIMATES & FORECAST, BY REGION, 2020–2027 (USD MILLION) 50

TABLE 15 PAYMENT INTEGRITY: MARKET ESTIMATES & FORECAST, BY REGION, 2020–2027 (USD MILLION) 51

TABLE 16 GLOBAL HEALTHCARE FRAUD DETECTION MARKET, BY END USER 2020–2027 (USD MILLION) 53

TABLE 17 PRIVATE INSURANCE PAYERS: MARKET ESTIMATES & FORECAST, BY REGION, 2020–2027 (USD MILLION) 54

TABLE 18 PUBLIC/GOVERNMENT AGENCIES: MARKET ESTIMATES & FORECAST, BY REGION, 2020–2027 (USD MILLION) 54

TABLE 19 THIRD PARTY SERVICE PROVIDERS: MARKET ESTIMATES & FORECAST, BY REGION, 2020-2027 (USD MILLION) 55

TABLE 20 GLOBAL HEALTHCARE FRAUD DETECTION MARKET, BY REGION, 2020–2027 (USD MILLION) 57

TABLE 21 AMERICAS: HEALTHCARE FRAUD DETECTION MARKET, BY REGION, 2020–2027 (USD MILLION) 58

TABLE 22 AMERICAS: HEALTHCARE FRAUD DETECTION MARKET, BY TYPE, 2020–2027 (USD MILLION) 59

TABLE 23 AMERICAS: HEALTHCARE FRAUD DETECTION MARKET, BY COMPONENT, 2020–2027 (USD MILLION) 59

TABLE 24 AMERICAS: HEALTHCARE FRAUD DETECTION MARKET, BY DELIVERY MODEL, 2020–2027 (USD MILLION) 59

TABLE 25 AMERICAS: HEALTHCARE FRAUD DETECTION MARKET, BY APPLICATION, 2020–2027 (USD MILLION) 60

TABLE 26 AMERICAS: HEALTHCARE FRAUD DETECTION MARKET, FOR INSURANCE CLAIMS REVIEW, BY TYPE, 2020–2027 (USD MILLION) 60

TABLE 27 AMERICAS: HEALTHCARE FRAUD DETECTION MARKET, BY END USER, 2020–2027 (USD MILLION) 60

TABLE 28 NORTH AMERICA: HEALTHCARE FRAUD DETECTION MARKET, BY COUNTRY, 2020–2027 (USD MILLION) 61

TABLE 29 NORTH AMERICA: HEALTHCARE FRAUD DETECTION MARKET, BY TYPE, 2020–2027 (USD MILLION) 61

TABLE 30 NORTH AMERICA: HEALTHCARE FRAUD DETECTION MARKET, BY COMPONENT, 2020–2027 (USD MILLION) 62

TABLE 31 NORTH AMERICA: HEALTHCARE FRAUD DETECTION MARKET, BY DELIVERY MODEL, 2020–2027 (USD MILLION) 62

TABLE 32 NORTH AMERICA: HEALTHCARE FRAUD DETECTION MARKET, BY APPLICATION, 2020–2027 (USD MILLION) 62

TABLE 33 NORTH AMERICA: HEALTHCARE FRAUD DETECTION MARKET, FOR INSURANCE CLAIMS REVIEW, BY TYPE, 2020–2027 (USD MILLION) 63

TABLE 34 NORTH AMERICA: HEALTHCARE FRAUD DETECTION MARKET, BY END USER, 2020–2027 (USD MILLION) 63

TABLE 35 US: HEALTHCARE FRAUD DETECTION MARKET, BY TYPE, 2020–2027 (USD MILLION) 64

TABLE 36 US: HEALTHCARE FRAUD DETECTION MARKET, BY COMPONENT, 2020–2027 (USD MILLION) 64

TABLE 37 US: HEALTHCARE FRAUD DETECTION MARKET, BY DELIVERY MODEL, 2020–2027 (USD MILLION) 64

TABLE 38 US: HEALTHCARE FRAUD DETECTION MARKET, BY APPLICATION, 2020–2027 (USD MILLION) 65

TABLE 39 US: HEALTHCARE FRAUD DETECTION MARKET, FOR INSURANCE CLAIMS REVIEW, BY TYPE, 2020–2027 (USD MILLION) 65

TABLE 40 US: HEALTHCARE FRAUD DETECTION MARKET, BY END USER, 2020–2027 (USD MILLION) 66

TABLE 41 CANADA: HEALTHCARE FRAUD DETECTION MARKET, BY TYPE, 2020–2027 (USD MILLION) 66

TABLE 42 CANADA: HEALTHCARE FRAUD DETECTION MARKET, BY COMPONENT, 2020–2027 (USD MILLION) 67

TABLE 43 CANADA: HEALTHCARE FRAUD DETECTION MARKET, BY DELIVERY MODEL, 2020–2027 (USD MILLION) 67

TABLE 44 CANADA: HEALTHCARE FRAUD DETECTION MARKET, BY APPLICATION, 2020–2027 (USD MILLION) 67

TABLE 45 CANADA: HEALTHCARE FRAUD DETECTION MARKET, FOR INSURANCE CLAIMS REVIEW, BY TYPE, 2020–2027 (USD MILLION) 68

TABLE 46 CANADA: HEALTHCARE FRAUD DETECTION MARKET, BY END USER, 2020–2027 (USD MILLION) 68

TABLE 47 SOUTH AMERICA: HEALTHCARE FRAUD DETECTION MARKET, BY TYPE, 2020–2027 (USD MILLION) 69

TABLE 48 SOUTH AMERICA: HEALTHCARE FRAUD DETECTION MARKET, BY COMPONENT, 2020–2027 (USD MILLION) 69

TABLE 49 SOUTH AMERICA: HEALTHCARE FRAUD DETECTION MARKET, BY DELIVERY MODEL, 2020–2027 (USD MILLION) 69

TABLE 50 SOUTH AMERICA: HEALTHCARE FRAUD DETECTION MARKET, BY APPLICATION, 2020–2027 (USD MILLION) 70

TABLE 51 SOUTH AMERICA: HEALTHCARE FRAUD DETECTION MARKET, FOR INSURANCE CLAIMS REVIEW, BY TYPE, 2020–2027 (USD MILLION) 70

TABLE 52 SOUTH AMERICA: HEALTHCARE FRAUD DETECTION MARKET, BY END USER, 2020–2027 (USD MILLION) 71

TABLE 53 EUROPE: HEALTHCARE FRAUD DETECTION MARKET, BY REGION, 2020-2027 (USD MILLION) 72

TABLE 54 EUROPE: HEALTHCARE FRAUD DETECTION MARKET, BY TYPE, 2020–2027 (USD MILLION) 73

TABLE 55 EUROPE: HEALTHCARE FRAUD DETECTION MARKET, BY COMPONENT, 2020–2027 (USD MILLION) 73

TABLE 56 EUROPE: HEALTHCARE FRAUD DETECTION MARKET, BY DELIVERY MODEL, 2020–2027 (USD MILLION) 73

TABLE 57 EUROPE: HEALTHCARE FRAUD DETECTION MARKET, BY APPLICATION, 2020–2027 (USD MILLION) 74

TABLE 58 EUROPE: HEALTHCARE FRAUD DETECTION MARKET, FOR INSURANCE CLAIMS REVIEW, BY TYPE, 2020–2027 (USD MILLION) 74

TABLE 59 EUROPE: HEALTHCARE FRAUD DETECTION MARKET, BY END USER, 2020–2027 (USD MILLION) 74

TABLE 60 WESTERN EUROPE: HEALTHCARE FRAUD DETECTION MARKET, BY COUNTRY, 2020–2027 (USD MILLION) 75

TABLE 61 WESTERN EUROPE: HEALTHCARE FRAUD DETECTION MARKET, BY TYPE, 2020–2027 (USD MILLION) 75

TABLE 62 WESTERN EUROPE: HEALTHCARE FRAUD DETECTION MARKET, BY COMPONENT, 2020–2027 (USD MILLION) 76

TABLE 63 WESTERN EUROPE: HEALTHCARE FRAUD DETECTION MARKET, BY DELIVERY MODEL, 2020–2027 (USD MILLION) 76

TABLE 64 WESTERN EUROPE: HEALTHCARE FRAUD DETECTION MARKET, BY APPLICATION, 2020–2027 (USD MILLION) 76

TABLE 65 WESTERN EUROPE: HEALTHCARE FRAUD DETECTION MARKET, FOR INSURANCE CLAIMS REVIEW, BY TYPE, 2020–2027 (USD MILLION) 77

TABLE 66 WESTERN EUROPE: HEALTHCARE FRAUD DETECTION MARKET, BY END USER, 2020–2027 (USD MILLION) 77

TABLE 67 GERMANY: HEALTHCARE FRAUD DETECTION MARKET, BY TYPE, 2020–2027 (USD MILLION) 78

TABLE 68 GERMANY: HEALTHCARE FRAUD DETECTION MARKET, BY COMPONENT, 2020–2027 (USD MILLION) 78

TABLE 69 GERMANY: HEALTHCARE FRAUD DETECTION MARKET, BY DELIVERY MODEL, 2020–2027 (USD MILLION) 78

TABLE 70 GERMANY: HEALTHCARE FRAUD DETECTION MARKET, BY APPLICATION, 2020–2027 (USD MILLION) 79

TABLE 71 GERMANY: HEALTHCARE FRAUD DETECTION MARKET, FOR INSURANCE CLAIMS REVIEW, BY TYPE, 2020–2027 (USD MILLION) 79

TABLE 72 GERMANY: HEALTHCARE FRAUD DETECTION MARKET, BY END USER, 2020–2027 (USD MILLION) 80

TABLE 73 UK: HEALTHCARE FRAUD DETECTION MARKET, BY TYPE, 2020–2027 (USD MILLION) 80

TABLE 74 UK: HEALTHCARE FRAUD DETECTION MARKET, BY COMPONENT, 2020–2027 (USD MILLION) 81

TABLE 75 UK: HEALTHCARE FRAUD DETECTION MARKET, BY DELIVERY MODEL, 2020–2027 (USD MILLION) 81

TABLE 76 UK: HEALTHCARE FRAUD DETECTION MARKET, BY APPLICATION, 2020–2027 (USD MILLION) 81

TABLE 77 UK: HEALTHCARE FRAUD DETECTION MARKET, FOR INSURANCE CLAIMS REVIEW, BY TYPE, 2020–2027 (USD MILLION) 82

TABLE 78 UK: HEALTHCARE FRAUD DETECTION MARKET, BY END USER, 2020–2027 (USD MILLION) 82

TABLE 79 FRANCE: HEALTHCARE FRAUD DETECTION MARKET, BY TYPE, 2020–2027 (USD MILLION) 83

TABLE 80 FRANCE: HEALTHCARE FRAUD DETECTION MARKET, BY COMPONENT, 2020–2027 (USD MILLION) 83

TABLE 81 FRANCE: HEALTHCARE FRAUD DETECTION MARKET, BY DELIVERY MODEL, 2020–2027 (USD MILLION) 83

TABLE 82 FRANCE: HEALTHCARE FRAUD DETECTION MARKET, BY APPLICATION, 2020–2027 (USD MILLION) 84

TABLE 83 FRANCE: HEALTHCARE FRAUD DETECTION MARKET, FOR INSURANCE CLAIMS REVIEW, BY TYPE, 2020–2027 (USD MILLION) 84

TABLE 84 FRANCE: HEALTHCARE FRAUD DETECTION MARKET, BY END USER, 2020–2027 (USD MILLION) 84

TABLE 85 ITALY: HEALTHCARE FRAUD DETECTION MARKET, BY TYPE, 2020–2027 (USD MILLION) 85

TABLE 86 ITALY: HEALTHCARE FRAUD DETECTION MARKET, BY COMPONENT, 2020–2027 (USD MILLION) 85

TABLE 87 ITALY: HEALTHCARE FRAUD DETECTION MARKET, BY DELIVERY MODEL, 2020–2027 (USD MILLION) 86

TABLE 88 ITALY: HEALTHCARE FRAUD DETECTION MARKET, BY APPLICATION, 2020–2027 (USD MILLION) 86

TABLE 89 ITALY: HEALTHCARE FRAUD DETECTION MARKET, FOR INSURANCE CLAIMS REVIEW, BY TYPE, 2020–2027 (USD MILLION) 86

TABLE 90 ITALY: HEALTHCARE FRAUD DETECTION MARKET, BY END USER, 2020–2027 (USD MILLION) 87

TABLE 91 SPAIN: HEALTHCARE FRAUD DETECTION MARKET, BY TYPE, 2020–2027 (USD MILLION) 87

TABLE 92 SPAIN: HEALTHCARE FRAUD DETECTION MARKET, BY COMPONENT, 2020–2027 (USD MILLION) 88

TABLE 93 SPAIN: HEALTHCARE FRAUD DETECTION MARKET, BY DELIVERY MODEL, 2020–2027 (USD MILLION) 88

TABLE 94 SPAIN: HEALTHCARE FRAUD DETECTION MARKET, BY APPLICATION, 2020–2027 (USD MILLION) 88

TABLE 95 SPAIN: HEALTHCARE FRAUD DETECTION MARKET, FOR INSURANCE CLAIMS REVIEW, BY TYPE, 2020–2027 (USD MILLION) 89

TABLE 96 SPAIN: HEALTHCARE FRAUD DETECTION MARKET, BY END USER, 2020–2027 (USD MILLION) 89

TABLE 97 REST OF WESTERN EUROPE: HEALTHCARE FRAUD DETECTION MARKET, BY TYPE, 2020–2027 (USD MILLION) 90

TABLE 98 REST OF WESTERN EUROPE: HEALTHCARE FRAUD DETECTION MARKET, BY COMPONENT, 2020–2027 (USD MILLION) 90

TABLE 99 REST OF WESTERN EUROPE: HEALTHCARE FRAUD DETECTION MARKET, BY DELIVERY MODEL, 2020–2027 (USD MILLION) 90

TABLE 100 REST OF WESTERN EUROPE: HEALTHCARE FRAUD DETECTION MARKET, BY APPLICATION, 2020–2027 (USD MILLION) 91

TABLE 101 REST OF WESTERN EUROPE: HEALTHCARE FRAUD DETECTION MARKET, FOR INSURANCE CLAIMS REVIEW, BY TYPE, 2020–2027 (USD MILLION) 91

TABLE 102 REST OF WESTERN EUROPE: HEALTHCARE FRAUD DETECTION MARKET, BY END USER, 2020–2027 (USD MILLION) 92

TABLE 103 EASTERN EUROPE: HEALTHCARE FRAUD DETECTION MARKET, BY TYPE, 2020–2027 (USD MILLION) 92

TABLE 104 EASTERN EUROPE: HEALTHCARE FRAUD DETECTION MARKET, BY COMPONENT, 2020–2027 (USD MILLION) 93

TABLE 105 EASTERN EUROPE: HEALTHCARE FRAUD DETECTION MARKET, BY DELIVERY MODEL, 2020–2027 (USD MILLION) 93

TABLE 106 EASTERN EUROPE: HEALTHCARE FRAUD DETECTION MARKET, BY APPLICATION, 2020–2027 (USD MILLION) 93

TABLE 107 EASTERN EUROPE: HEALTHCARE FRAUD DETECTION MARKET, FOR INSURANCE CLAIMS REVIEW, BY TYPE, 2020–2027 (USD MILLION) 94

TABLE 108 EASTERN EUROPE: HEALTHCARE FRAUD DETECTION MARKET, BY END USER, 2020–2027 (USD MILLION) 94

TABLE 109 ASIA-PACIFIC: HEALTHCARE FRAUD DETECTION MARKET, BY COUNTRY, 2020–2027 (USD MILLION) 95

TABLE 110 ASIA-PACIFIC: HEALTHCARE FRAUD DETECTION MARKET, BY TYPE, 2020–2027 (USD MILLION) 96

TABLE 111 ASIA-PACIFIC: HEALTHCARE FRAUD DETECTION MARKET, BY COMPONENT, 2020–2027 (USD MILLION) 96

TABLE 112 ASIA-PACIFIC: HEALTHCARE FRAUD DETECTION MARKET, BY DELIVERY MODEL, 2020–2027 (USD MILLION) 96

TABLE 113 ASIA-PACIFIC: HEALTHCARE FRAUD DETECTION MARKET, BY APPLICATION, 2020–2027 (USD MILLION) 97

TABLE 114 ASIA-PACIFIC: HEALTHCARE FRAUD DETECTION MARKET, FOR INSURANCE CLAIMS REVIEW, BY TYPE, 2020–2027 (USD MILLION) 97

TABLE 115 ASIA-PACIFIC: HEALTHCARE FRAUD DETECTION MARKET, BY END USER, 2020–2027 (USD MILLION) 98

TABLE 116 JAPAN: HEALTHCARE FRAUD DETECTION MARKET, BY TYPE, 2020–2027 (USD MILLION) 98

TABLE 117 JAPAN: HEALTHCARE FRAUD DETECTION MARKET, BY COMPONENT, 2020–2027 (USD MILLION) 99

TABLE 118 JAPAN: HEALTHCARE FRAUD DETECTION MARKET, BY DELIVERY MODEL, 2020–2027 (USD MILLION) 99

TABLE 119 JAPAN: HEALTHCARE FRAUD DETECTION MARKET, BY APPLICATION, 2020–2027 (USD MILLION) 99

TABLE 120 JAPAN: HEALTHCARE FRAUD DETECTION MARKET, FOR INSURANCE CLAIMS REVIEW, BY TYPE, 2020–2027 (USD MILLION) 100

TABLE 121 JAPAN: HEALTHCARE FRAUD DETECTION MARKET, BY END USER, 2020–2027 (USD MILLION) 100

TABLE 122 CHINA: HEALTHCARE FRAUD DETECTION MARKET, BY TYPE, 2020–2027 (USD MILLION) 101

TABLE 123 CHINA: HEALTHCARE FRAUD DETECTION MARKET, BY COMPONENT, 2020–2027 (USD MILLION) 101

TABLE 124 CHINA: HEALTHCARE FRAUD DETECTION MARKET, BY DELIVERY MODEL, 2020–2027 (USD MILLION) 101

TABLE 125 CHINA: HEALTHCARE FRAUD DETECTION MARKET, BY APPLICATION, 2020–2027 (USD MILLION) 102

TABLE 126 CHINA: HEALTHCARE FRAUD DETECTION MARKET, FOR INSURANCE CLAIMS REVIEW, BY TYPE, 2020–2027 (USD MILLION) 102

TABLE 127 CHINA: HEALTHCARE FRAUD DETECTION MARKET, BY END USER, 2020–2027 (USD MILLION) 103

TABLE 128 INDIA: HEALTHCARE FRAUD DETECTION MARKET, BY TYPE, 2020–2027 (USD MILLION) 103

TABLE 129 INDIA: HEALTHCARE FRAUD DETECTION MARKET, BY COMPONENT, 2020–2027 (USD MILLION) 104

TABLE 130 INDIA: HEALTHCARE FRAUD DETECTION MARKET, BY DELIVERY MODEL, 2020–2027 (USD MILLION) 104

TABLE 131 INDIA: HEALTHCARE FRAUD DETECTION MARKET, BY APPLICATION, 2020–2027 (USD MILLION) 104

TABLE 132 INDIA: HEALTHCARE FRAUD DETECTION MARKET, FOR INSURANCE CLAIMS REVIEW, BY TYPE, 2020–2027 (USD MILLION) 105

TABLE 133 INDIA: HEALTHCARE FRAUD DETECTION MARKET, BY END USER, 2020–2027 (USD MILLION) 105

TABLE 134 AUSTRALIA: HEALTHCARE FRAUD DETECTION MARKET, BY TYPE, 2020–2027 (USD MILLION) 106

TABLE 135 AUSTRALIA: HEALTHCARE FRAUD DETECTION MARKET, BY COMPONENT, 2020–2027 (USD MILLION) 106

TABLE 136 AUSTRALIA: HEALTHCARE FRAUD DETECTION MARKET, BY DELIVERY MODEL, 2020–2027 (USD MILLION) 106

TABLE 137 AUSTRALIA: HEALTHCARE FRAUD DETECTION MARKET, BY APPLICATION, 2020–2027 (USD MILLION) 107

TABLE 138 AUSTRALIA: HEALTHCARE FRAUD DETECTION MARKET, FOR INSURANCE CLAIMS REVIEW, BY TYPE, 2020–2027 (USD MILLION) 107

TABLE 139 AUSTRALIA: HEALTHCARE FRAUD DETECTION MARKET, BY END USER, 2020–2027 (USD MILLION) 108

TABLE 140 SOUTH KOREA: HEALTHCARE FRAUD DETECTION MARKET, BY TYPE, 2020–2027 (USD MILLION) 108

TABLE 141 SOUTH KOREA: HEALTHCARE FRAUD DETECTION MARKET, BY COMPONENT, 2020–2027 (USD MILLION) 109

TABLE 142 SOUTH KOREA: HEALTHCARE FRAUD DETECTION MARKET, BY DELIVERY MODEL, 2020–2027 (USD MILLION) 109

TABLE 143 SOUTH KOREA: HEALTHCARE FRAUD DETECTION MARKET, BY APPLICATION, 2020–2027 (USD MILLION) 109

TABLE 144 SOUTH KOREA: HEALTHCARE FRAUD DETECTION MARKET, FOR INSURANCE CLAIMS REVIEW, BY TYPE, 2020–2027 (USD MILLION) 110

TABLE 145 SOUTH KOREA: HEALTHCARE FRAUD DETECTION MARKET, BY END USER, 2020–2027 (USD MILLION) 110

TABLE 146 REST OF ASIA PACIFIC: HEALTHCARE FRAUD DETECTION MARKET, BY TYPE, 2020–2027 (USD MILLION) 111

TABLE 147 REST OF ASIA PACIFIC: HEALTHCARE FRAUD DETECTION MARKET, BY COMPONENT, 2020–2027 (USD MILLION) 111

TABLE 148 REST OF ASIA PACIFIC: HEALTHCARE FRAUD DETECTION MARKET, BY DELIVERY MODEL, 2020–2027 (USD MILLION) 111

TABLE 149 REST OF ASIA PACIFIC: HEALTHCARE FRAUD DETECTION MARKET, BY APPLICATION, 2020–2027 (USD MILLION) 112

TABLE 150 REST OF ASIA PACIFIC: HEALTHCARE FRAUD DETECTION MARKET, FOR INSURANCE CLAIMS REVIEW, BY TYPE, 2020–2027 (USD MILLION) 112

TABLE 151 REST OF ASIA PACIFIC: HEALTHCARE FRAUD DETECTION MARKET, BY END USER, 2020–2027 (USD MILLION) 113

TABLE 152 MIDDLE EAST & AFRICA: HEALTHCARE FRAUD DETECTION MARKET, BY REGION, 2020–2027 (USD MILLION) 114

TABLE 153 MIDDLE EAST & AFRICA: HEALTHCARE FRAUD DETECTION MARKET, BY TYPE, 2020–2027 (USD MILLION) 115

TABLE 154 MIDDLE EAST & AFRICA: HEALTHCARE FRAUD DETECTION MARKET, BY COMPONENT, 2020–2027 (USD MILLION) 115

TABLE 155 MIDDLE EAST & AFRICA: HEALTHCARE FRAUD DETECTION MARKET, BY DELIVERY MODEL, 2020–2027 (USD MILLION) 115

TABLE 156 MIDDLE EAST & AFRICA: HEALTHCARE FRAUD DETECTION MARKET, BY APPLICATION, 2020–2027 (USD MILLION) 116

TABLE 157 MIDDLE EAST & AFRICA: HEALTHCARE FRAUD DETECTION MARKET, FOR INSURANCE CLAIMS REVIEW, BY TYPE, 2020–2027 (USD MILLION) 116

TABLE 158 MIDDLE EAST & AFRICA: HEALTHCARE FRAUD DETECTION MARKET, BY END USER, 2020–2027 (USD MILLION) 117

TABLE 159 MIDDLE EAST: HEALTHCARE FRAUD DETECTION MARKET, BY TYPE, 2020–2027 (USD MILLION) 117

TABLE 160 MIDDLE EAST: HEALTHCARE FRAUD DETECTION MARKET, BY COMPONENT, 2020–2027 (USD MILLION) 118

TABLE 161 MIDDLE EAST: HEALTHCARE FRAUD DETECTION MARKET, BY DELIVERY MODEL, 2020–2027 (USD MILLION) 118

TABLE 162 MIDDLE EAST: HEALTHCARE FRAUD DETECTION MARKET, BY APPLICATION, 2020–2027 (USD MILLION) 118

TABLE 163 MIDDLE EAST: HEALTHCARE FRAUD DETECTION MARKET, FOR INSURANCE CLAIMS REVIEW, BY TYPE, 2020–2027 (USD MILLION) 119

TABLE 164 MIDDLE EAST: HEALTHCARE FRAUD DETECTION MARKET, BY END USER, 2020–2027 (USD MILLION) 119

TABLE 165 AFRICA: HEALTHCARE FRAUD DETECTION MARKET, BY TYPE, 2020–2027 (USD MILLION) 120

TABLE 166 AFRICA: HEALTHCARE FRAUD DETECTION MARKET, BY COMPONENT, 2020–2027 (USD MILLION) 120

TABLE 167 AFRICA: HEALTHCARE FRAUD DETECTION MARKET, BY DELIVERY MODEL, 2020–2027 (USD MILLION) 120

TABLE 168 AFRICA: HEALTHCARE FRAUD DETECTION MARKET, BY APPLICATION, 2020–2027 (USD MILLION) 121

TABLE 169 AFRICA: HEALTHCARE FRAUD DETECTION MARKET, FOR INSURANCE CLAIMS REVIEW, BY TYPE, 2020–2027 (USD MILLION) 121

TABLE 170 AFRICA: HEALTHCARE FRAUD DETECTION MARKET, BY END USER, 2020–2027 (USD MILLION) 122

TABLE 171 MAJOR MANUFACTURERS IN THE GLOBAL HEALTHCARE FRAUD DETECTION MARKET 123

TABLE 172 IBM PRODUCTS/SERVICES OFFERED 127

TABLE 173 IBM: KEY DEVELOPMENTS 127

TABLE 174 UHG: PRODUCTS OFFERED 130

TABLE 175 OPTUM: KEY DEVELOPMENTS 130

TABLE 176 SAS: PRODUCTS/SERVICES OFFERED 133

TABLE 177 SAS: KEY DEVELOPMENTS 133

TABLE 178 FICO: PRODUCTS/SERVICES OFFERED 136

TABLE 179 FICO: KEY DEVELOPMENTS 136

TABLE 180 MCKESSON: PRODUCTS/SERVICES OFFERED 139

TABLE 181 MCKESSON: KEY DEVELOPMENTS 139

TABLE 182 EXL: PRODUCTS/SERVICES OFFERED 142

TABLE 183 EXL: KEY DEVELOPMENTS 142

TABLE 184 DXC COMPANY: PRODUCTS/SERVICES OFFERED 145

TABLE 185 DXC :KEY DEVELOPMENTS 145

TABLE 186 LEXISNEXIS: PRODUCTS/SERVICES OFFERED 148

TABLE 187 LEXISNEXIS: KEY DEVELOPMENTS 148

TABLE 188 COTIVITI, INC.: PRODUCTS/SERVICES OFFERED 150

TABLE 189 COTIVITI, INC.: KEY DEVELOPMENTS 150

TABLE 190 WIPRO LIMITED: PRODUCTS/SERVICES OFFERED 153

TABLE 191 WIPRO LIMITED: KEY DEVELOPMENTS 154

TABLE 192 CGI INC.: PRODUCTS/SERVICES OFFERED 157

TABLE 193 CGI INC.: KEY DEVELOPMENTS 157

 

16 List Of Figures

FIGURE 1 MARKET SYNOPSIS 18

FIGURE 2 GLOBAL HEALTHCARE FRAUD DETECTION MARKET ANALYSIS, BY TYPE 19

FIGURE 3 GLOBAL HEALTHCARE FRAUD DETECTION MARKET ANALYSIS, BY COMPONENT 20

FIGURE 4 GLOBAL HEALTHCARE FRAUD DETECTION MARKET ANALYSIS, BY DELIVERY MODEL 21

FIGURE 5 GLOBAL HEALTHCARE FRAUD DETECTION MARKET ANALYSIS, BY APPLICATION 22

FIGURE 6 GLOBAL HEALTHCARE FRAUD DETECTION MARKET ANALYSIS, BY END USER 23

FIGURE 7 GLOBAL HEALTHCARE FRAUD DETECTION MARKET: STRUCTURE 25

FIGURE 8 RESEARCH PROCESS 26

FIGURE 9 TOP-DOWN & BOTTOM-UP APPROACHES 29

FIGURE 10 MARKET DYNAMICS: ANALYSIS OF THE GLOBAL HEALTHCARE FRAUD DETECTION MARKET 31

FIGURE 11 VALUE CHAIN: GLOBAL HEALTHCARE FRAUD DETECTION MARKET 34

FIGURE 12 PORTER’S FIVE FORCES ANALYSIS: GLOBAL HEALTHCARE FRAUD DETECTION MARKET 36

FIGURE 13 GLOBAL HEALTHCARE FRAUD DETECTION MARKET, BY TYPE, 2020 (% SHARE) 38

FIGURE 14 GLOBAL HEALTHCARE FRAUD DETECTION MARKET, BY TYPE, 2020 AND 2027 (USD MILLION) 39

FIGURE 15 GLOBAL HEALTHCARE FRAUD DETECTION MARKET, BY COMPONENT, 2020 (% SHARE) 42

FIGURE 16 GLOBAL HEALTHCARE FRAUD DETECTION MARKET, BY COMPONENT, 2020 AND 2027 (USD MILLION) 43

FIGURE 17 GLOBAL HEALTHCARE FRAUD DETECTION MARKET, BY DELIVERY MODEL, 2020 (% SHARE) 45

FIGURE 18 GLOBAL HEALTHCARE FRAUD DETECTION MARKET, BY DELIVERY MODEL, 2020 AND 2027 (USD MILLION) 46

FIGURE 19 GLOBAL HEALTHCARE FRAUD DETECTION MARKET, BY APPLICATION, 2020 (% SHARE) 48

FIGURE 20 GLOBAL HEALTHCARE FRAUD DETECTION MARKET, BY APPLICATION, 2020 AND 2027 (USD MILLION) 50

FIGURE 21 GLOBAL HEALTHCARE FRAUD DETECTION MARKET, BY END USER, 2020 (% SHARE) 52

FIGURE 22 GLOBAL HEALTHCARE FRAUD DETECTION MARKET, BY END USER, 2020 AND 2027 (USD MILLION) 53

FIGURE 23 GLOBAL HEALTHCARE FRAUD DETECTION MARKET, BY REGION, 2020 AND 2027 (USD MILLION) 56

FIGURE 24 GLOBAL HEALTHCARE FRAUD DETECTION MARKET, BY REGION, 2020 (% SHARE) 57

FIGURE 25 AMERICAS: HEALTHCARE FRAUD DETECTION MARKET SHARE, BY REGION, 2020 (% SHARE) 58

FIGURE 26 EUROPE: HEALTHCARE FRAUD DETECTION MARKET SHARE, BY REGION, 2020 (% SHARE) 72

FIGURE 27 ASIA-PACIFIC: HEALTHCARE FRAUD DETECTION MARKET SHARE, BY COUNTRY, 2020 (% SHARE) 95

FIGURE 28 MIDDLE EAST & AFRICA: HEALTHCARE FRAUD DETECTION MARKET SHARE, BY REGION, 2020 (% SHARE) 114

FIGURE 29 IBM FINANCIAL OVERVIEW SNAPSHOT 126

FIGURE 30 IBM: SWOT ANALYSIS 128

FIGURE 31 UHG: FINANCIAL OVERVIEW SNAPSHOT 129

FIGURE 32 UHG: SWOT ANALYSIS 131

FIGURE 33 SAS: FINANCIAL OVERVIEW SNAPSHOT 132

FIGURE 34 SAS: SWOT ANALYSIS 134

FIGURE 35 FICO: FINANCIAL OVERVIEW SNAPSHOT 135

FIGURE 36 FICO: SWOT ANALYSIS 137

FIGURE 37 MCKESSON: FINANCIAL OVERVIEW SNAPSHOT 138

FIGURE 38 MCKESSON: SWOT ANALYSIS 140

FIGURE 39 EXL: FINANCIAL OVERVIEW SNAPSHOT 141

FIGURE 40 EXL: SWOT ANALYSIS 143

FIGURE 41 DXC: FINANCIAL OVERVIEW SNAPSHOT 144

FIGURE 42 DXC: SWOT ANALYSIS 146

FIGURE 43 RELX: FINANCIAL OVERVIEW SNAPSHOT 147

FIGURE 44 LEXISNEXIS COMPANY: SWOT ANALYSIS 149

FIGURE 45 COTIVITI, INC.: SWOT ANALYSIS 151

FIGURE 46 WIPRO LIMITED: FINANCIAL OVERVIEW SNAPSHOT 153

FIGURE 47 WIPRO LIMITED: SWOT ANALYSIS 154

FIGURE 48 CGI INC.: FINANCIAL OVERVIEW SNAPSHOT 156

FIGURE 49 CGI INC.: SWOT ANALYSIS 158