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Healthcare Fraud Detection Market by Type (Descriptive, Prescriptive), Application (Insurance Claim, Prepay, Post payment), Component (Service, Software), Delivery (On-premise, Cloud), End user (Insurance Payer, Private, Public) - Global Forecast to 2022

Healthcare Fraud Detection Market by Type (Descriptive, Prescriptive), Application (Insurance Claim, Prepay, Post payment), Component (Service, Software), Delivery (On-premise, Cloud), End user (Insurance Payer, Private, Public) - Global Forecast to 2022

“Global healthcare fraud detection market projected to grow at a CAGR of 28.9%”
The healthcare fraud detection market is expected to reach USD 2,242.7 million by 2022 from USD 631.0 million in 2017, at a CAGR of 28.9%. Factors such as the large number of fraudulent activities in healthcare; increasing number of patients seeking health insurance; the prepayment review model; growing pressure of fraud, waste, and abuse on healthcare spending; and high returns on investments are driving the growth of the healthcare fraud detection market. On the other hand, market growth is likely to be negatively affected by the dearth of skilled personnel and reluctance to adopt healthcare fraud analytics in emerging countries, are expected to limit the growth of this market to a certain extent.

“The prescriptive analytics segment is expected to grow at the highest CAGR during the forecast period”
By type, the healthcare fraud detection market is segmented into descriptive, predictive, and prescriptive analytics. The prescriptive analytics segment is expected grow at a highest CAGR during the forecast period. The high growth of this segment is attributed to the ability of prescriptive analytics to ensure the synergistic integration of predictions and prescriptions.

“The services segment is expected to dominate the market during the forecast period”
Based on component, the healthcare fraud detection market is segmented into services, software, and hardware. The services segment accounted for the largest share of the healthcare fraud detection market in 2016. With the increasing need for business analytics services and the introduction of technologically advanced healthcare fraud detection software, which requires extensive training to use as well as regular upgrades, the services segment is expected to grow at the highest CAGR during the forecast period.

“North America to witness high growth during the forecast period”
In 2017, North America is expected to account for the largest share of the market followed by Europe. This regional segment is expected to register the highest CAGR during the forecast period. Factors such as increase in the number of people seeking health insurance, increasing cases of healthcare fraud, favorable government initiatives to combat healthcare fraud, rising pressure to reduce healthcare costs, technological advancements, and greater product and service availability in this region are expected to drive market growth in North America.

The primary interviews conducted for this report can be categorized as follows:
• By Company Type: Tier 1 – 33%; Tier 2 - 45%; Tier 3 - 22%.
• By Designation (Supply Side): C-level- 22%; D-level- 27%; others- 51%.
• By Region: North America-62%; Europe-13%; Asia-21%; South America- 3%, and Middle East & Africa- 1%.

List of companies profiled in the report
• IBM (US)
• Optum (US)
• SAS (US)
• McKesson (US)
• SCIO (US)
• Verscend (US)
• Wipro (India)
• Conduent (US)
• HCL (India)
• CGI (Canada)
• DXC (US)
• Northrop Grumman (US)
• LexisNexis (US)
• Pondera (US)

Research Coverage:
The report provides an overview of the healthcare fraud detection market. It aims at estimating the market size and future growth potential of this market across different segments such as type, application, component, delivery model, end user, and region. Furthermore, the report also includes an in-depth competitive analysis of the key players in the market along with their company profiles, recent developments, and key market strategies.

Key Benefits of Buying the Report:
The report will help the market leaders/new entrants in this market by providing them with the closest approximations of revenues for the overall healthcare fraud detection market and its subsegments. This report will help stakeholders to understand the competitive landscape better and gain insights to position their businesses and help companies make suitable go-to-market strategies. The report also helps stakeholders understand the pulse of the market and provide them with information regarding key market drivers and opportunities.


  • INTRODUCTION
    • OBJECTIVES OF THE STUDY
    • MARKET DEFINITION
    • MARKET SCOPE
      • MARKETS COVERED
      • YEARS CONSIDERED FOR THE STUDY
    • CURRENCY
    • LIMITATIONS
    • STAKEHOLDERS
  • RESEARCH METHODOLOGY
    • RESEARCH DATA
      • SECONDARY DATA
      • PRIMARY DATA
    • MARKET SIZE ESTIMATION
      • BOTTOM-UP APPROACH
      • TOP-DOWN APPROACH
    • MARKET BREAKDOWN AND DATA TRIANGULATION
    • ASSUMPTIONS FOR THE STUDY
  • EXECUTIVE SUMMARY
  • PREMIUM INSIGHTS
    • HEALTHCARE FRAUD DETECTION: MARKET OVERVIEW
    • HEALTHCARE FRAUD DETECTION, BY PRODUCT AND SERVICE
    • HEALTHCARE FRAUD DETECTION, BY TYPE
    • HEALTHCARE FRAUD DETECTION, BY DELIVERY MODEL
  • MARKET OVERVIEW
    • INTRODUCTION
    • MARKET DYNAMICS
      • DRIVERS
      • RESTRAINT
      • OPPORTUNITIES
      • CHALLENGES
  • HEALTHCARE FRAUD DETECTION MARKET, BY COMPONENT
    • INTRODUCTION
      • Table HEALTHCARE FRAUD DETECTION MARKET, BY COMPONENT, 2015–2022 (USD MILLION)
    • SERVICES
      • Table HEALTHCARE FRAUD DETECTION SERVICES MARKET, BY REGION, 2015–2022 (USD MILLION)
      • Table NORTH AMERICA: HEALTHCARE FRAUD DETECTION SERVICES MARKET, BY COUNTRY, 2015–2022 (USD MILLION)
      • Table EUROPE: HEALTHCARE FRAUD DETECTION SERVICES MARKET, BY COUNTRY, 2015–2022 (USD MILLION)
    • SOFTWARE
      • Table HEALTHCARE FRAUD DETECTION SOFTWARE MARKET, BY REGION, 2015–2022 (USD MILLION)
      • Table NORTH AMERICA: HEALTHCARE FRAUD DETECTION SOFTWARE MARKET, BY COUNTRY, 2015–2022 (USD MILLION)
      • Table EUROPE: HEALTHCARE FRAUD DETECTION SOFTWARE MARKET, BY COUNTRY, 2015–2022 (USD MILLION)
  • FRAUD DETECTION MARKET, BY DELIVERY MODEL
    • INTRODUCTION
      • Table HEALTHCARE FRAUD DETECTION MARKET, BY DELIVERY MODEL, 2015–2022 (USD MILLION)
    • ON-PREMISE DELIVERY MODELS
      • Table HEALTHCARE FRAUD DETECTION MARKET FOR ON-PREMISE DELIVERY MODELS, BY REGION, 2015–2022 (USD MILLION)
      • Table NORTH AMERICA: HEALTHCARE FRAUD DETECTION MARKET FOR ON-PREMISE DELIVERY MODELS, BY COUNTRY, 2015–2022 (USD MILLION)
      • Table EUROPE: HEALTHCARE FRAUD DETECTION MARKET FOR ON-PREMISE DELIVERY MODELS, BY COUNTRY, 2015–2022 (USD MILLION)
    • ON-DEMAND DELIVERY MODELS
      • Table HEALTHCARE FRAUD DETECTION MARKET FOR ON-DEMAND DELIVERY MODELS, BY REGION, 2015–2022 (USD MILLION)
      • Table NORTH AMERICA: HEALTHCARE FRAUD DETECTION MARKET FOR ON-DEMAND DELIVERY MODELS, BY COUNTRY, 2015–2022 (USD MILLION)
      • Table EUROPE: HEALTHCARE FRAUD DETECTION MARKET FOR ON-DEMAND DELIVERY MODELS, BY COUNTRY, 2015–2022 (USD MILLION)
  • HEALTHCARE FRAUD DETECTION MARKET, BY TYPE
    • INTRODUCTION
      • Table HEALTHCARE FRAUD DETECTION MARKET, BY TYPE, 2015–2022 (USD MILLION)
    • DESCRIPTIVE ANALYTICS
      • Table DESCRIPTIVE ANALYTICS MARKET, BY REGION, 2015–2022 (USD MILLION)
      • Table NORTH AMERICA: DESCRIPTIVE ANALYTICS MARKET, BY COUNTRY, 2015–2022 (USD MILLION)
      • Table EUROPE: DESCRIPTIVE ANALYTICS MARKET, BY COUNTRY, 2015–2022 (USD MILLION)
    • PREDICTIVE ANALYTICS
      • Table PREDICTIVE ANALYTICS MARKET, BY REGION, 2015–2022 (USD MILLION)
      • Table NORTH AMERICA: PREDICTIVE ANALYTICS MARKET, BY COUNTRY, 2015–2022 (USD MILLION)
      • Table EUROPE: PREDICTIVE ANALYTICS MARKET, BY COUNTRY, 2015–2022 (USD MILLION)
    • PRESCRIPTIVE ANALYTICS
      • Table PRESCRIPTIVE ANALYTICS MARKET, BY REGION, 2015–2022 (USD MILLION)
      • Table NORTH AMERICA: PRESCRIPTIVE ANALYTICS MARKET, BY COUNTRY, 2015–2022 (USD MILLION)
      • Table EUROPE: PRESCRIPTIVE ANALYTICS MARKET, BY COUNTRY, 2015–2022 (USD MILLION)
  • HEALTHCARE FRAUD DETECTION MARKET, BY APPLICATION
    • INTRODUCTION
      • Table HEALTHCARE FRAUD DETECTION MARKET, BY APPLICATION, 2015–2022 (USD MILLION)
    • INSURANCE CLAIMS REVIEW
      • Table HEALTHCARE FRAUD DETECTION MARKET FOR INSURANCE CLAIMS REVIEW, BY TYPE, 2015–2022 (USD MILLION)
      • Table HEALTHCARE FRAUD DETECTION MARKET FOR INSURANCE CLAIMS REVIEW, BY REGION, 2015–2022 (USD MILLION)
      • Table NORTH AMERICA: HEALTHCARE FRAUD DETECTION MARKET FOR INSURANCE CLAIMS REVIEW, BY COUNTRY, 2015–2022 (USD MILLION)
      • POSTPAYMENT REVIEW
        • Table HEALTHCARE FRAUD DETECTION MARKET FOR POSTPAYMENT REVIEW, BY REGION, 2015–2022 (USD MILLION)
      • PREPAYMENT REVIEW
        • Table HEALTHCARE FRAUD DETECTION MARKET FOR PREPAYMENT REVIEW, BY REGION, 2015–2022 (USD MILLION)
    • PAYMENT INTEGRITY
      • Table HEALTHCARE FRAUD DETECTION MARKET FOR PAYMENT INTEGRITY, BY REGION, 2015–2022 (USD MILLION)
    • OTHER APPLICATIONS
      • Table HEALTHCARE FRAUD DETECTION MARKET FOR OTHER APPLICATIONS, BY REGION, 2015–2022 (USD MILLION)
  • HEALTHCARE FRAUD DETECTION MARKET, BY END USER
    • INTRODUCTION
      • Table HEALTHCARE FRAUD DETECTION MARKET, BY END USER, 2015–2022 (USD MILLION)
    • PRIVATE INSURANCE PAYERS
      • Table HEALTHCARE FRAUD DETECTION MARKET FOR PRIVATE INSURANCE PAYERS, BY REGION, 2015–2022 (USD MILLION)
      • Table NORTH AMERICA: HEALTHCARE FRAUD DETECTION MARKET FOR PRIVATE INSURANCE PAYERS, BY COUNTRY, 2015–2022 (USD MILLION)
    • PUBLIC/GOVERNMENT AGENCIES
      • Table HEALTHCARE FRAUD DETECTION MARKET FOR PUBLIC/GOVERNMENT AGENCIES, BY REGION, 2015–2022 (USD MILLION)
      • Table NORTH AMERICA: HEALTHCARE FRAUD DETECTION MARKET FOR PUBLIC/GOVERNMENT AGENCIES, BY COUNTRY, 2015–2022 (USD MILLION)
    • THIRD-PARTY SERVICE PROVIDERS
      • Table HEALTHCARE FRAUD DETECTION MARKET FOR THIRD-PARTY SERVICE PROVIDERS, BY REGION, 2015–2022 (USD MILLION)
      • Table NORTH AMERICA: HEALTHCARE FRAUD DETECTION MARKET FOR THIRD-PARTY SERVICE PROVIDERS, BY COUNTRY, 2015–2022 (USD MILLION)
    • EMPLOYERS
      • Table HEALTHCARE FRAUD DETECTION MARKET FOR EMPLOYERS, BY REGION, 2015–2022 (USD MILLION)
      • Table NORTH AMERICA: HEALTHCARE FRAUD DETECTION MARKET FOR EMPLOYERS, BY COUNTRY, 2015–2022 (USD MILLION)
  • HEALTHCARE FRAUD DETECTION MARKET, BY REGION
    • INTRODUCTION
      • Table HEALTHCARE FRAUD DETECTION MARKET, BY REGION, 2015–2022 (USD MILLION)
    • NORTH AMERICA
      • Table NORTH AMERICA: HEALTHCARE FRAUD DETECTION MARKET, BY COUNTRY, 2015–2022 (USD MILLION)
      • Table NORTH AMERICA: HEALTHCARE FRAUD DETECTION MARKET, BY COMPONENT, 2015–2022 (USD MILLION)
      • Table NORTH AMERICA: HEALTHCARE FRAUD DETECTION SOFTWARE MARKET, BY DELIVERY MODEL, 2015–2022 (USD MILLION)
      • Table NORTH AMERICA: HEALTHCARE FRAUD DETECTION MARKET, BY TYPE, 2015–2022 (USD MILLION)
      • Table NORTH AMERICA: HEALTHCARE FRAUD DETECTION MARKET, BY APPLICATION, 2015–2022 (USD MILLION)
      • Table NORTH AMERICA: INSURANCE CLAIMS REVIEW MARKET, BY TYPE, 2015–2022 (USD MILLION)
      • Table NORTH AMERICA: HEALTHCARE FRAUD DETECTION MARKET, BY END USER, 2015–2022 (USD MILLION)
      • US
        • Table US: HEALTHCARE FRAUD DETECTION MARKET, BY COMPONENT, 2015–2022 (USD MILLION)
        • Table US: HEALTHCARE FRAUD DETECTION SOFTWARE MARKET, BY DELIVERY MODEL, 2015–2022 (USD MILLION)
        • Table US: HEALTHCARE FRAUD DETECTION MARKET, BY TYPE, 2015–2022 (USD MILLION)
        • Table US: HEALTHCARE FRAUD DETECTION MARKET, BY APPLICATION, 2015–2022 (USD MILLION)
        • Table US: INSURANCE CLAIMS REVIEW MARKET, BY TYPE, 2015–2022 (USD MILLION)
        • Table US: HEALTHCARE FRAUD DETECTION MARKET, BY END USER, 2015–2022 (USD MILLION)
      • CANADA
        • Table CANADA: HEALTHCARE FRAUD DETECTION MARKET, BY COMPONENT, 2015–2022 (USD MILLION)
        • Table CANADA: HEALTHCARE FRAUD DETECTION SOFTWARE MARKET, BY DELIVERY MODEL, 2015–2022 (USD MILLION)
        • Table CANADA: HEALTHCARE FRAUD DETECTION MARKET, BY TYPE, 2015–2022 (USD MILLION)
        • Table CANADA: HEALTHCARE FRAUD DETECTION MARKET, BY APPLICATION, 2015–2022 (USD MILLION)
        • Table CANADA: HEALTHCARE FRAUD DETECTION MARKET, BY END USER, 2015–2022 (USD MILLION)
    • EUROPE
      • Table EUROPE: HEALTHCARE FRAUD DETECTION MARKET, BY COUNTRY, 2015–2022 (USD MILLION)
      • Table EUROPE: HEALTHCARE FRAUD DETECTION MARKET, BY COMPONENT, 2015–2022 (USD MILLION)
      • Table EUROPE: HEALTHCARE FRAUD DETECTION SOFTWARE MARKET, BY DELIVERY MODEL, 2015–2022 (USD MILLION)
      • Table EUROPE: HEALTHCARE FRAUD DETECTION MARKET, BY TYPE, 2015–2022 (USD MILLION)
      • Table EUROPE: HEALTHCARE FRAUD DETECTION MARKET, BY APPLICATION, 2015–2022 (USD MILLION)
      • Table EUROPE: HEALTHCARE FRAUD DETECTION MARKET, BY END USER, 2015–2022 (USD MILLION)
      • GERMANY
        • Table GERMANY: HEALTHCARE FRAUD DETECTION MARKET, BY COMPONENT, 2015–2022 (USD MILLION)
        • Table GERMANY: HEALTHCARE FRAUD DETECTION SOFTWARE MARKET, BY DELIVERY MODEL, 2015–2022 (USD MILLION)
        • Table GERMANY: HEALTHCARE FRAUD DETECTION MARKET, BY TYPE, 2015–2022 (USD MILLION)
        • Table GERMANY: HEALTHCARE FRAUD DETECTION MARKET, BY END USER, 2015–2022 (USD MILLION)
      • UK
        • Table UK: HEALTHCARE FRAUD DETECTION MARKET, BY COMPONENT, 2015–2022 (USD MILLION)
        • Table UK: HEALTHCARE FRAUD DETECTION SOFTWARE MARKET, BY DELIVERY MODEL, 2015–2022 (USD MILLION)
        • Table UK: HEALTHCARE FRAUD DETECTION MARKET, BY TYPE, 2015–2022 (USD MILLION)
        • Table UK: HEALTHCARE FRAUD DETECTION MARKET, BY END USER, 2015–2022 (USD MILLION)
      • FRANCE
        • Table FRANCE: HEALTHCARE FRAUD DETECTION MARKET, BY COMPONENT, 2015–2022 (USD MILLION)
        • Table FRANCE: HEALTHCARE FRAUD DETECTION SOFTWARE MARKET, BY DELIVERY MODEL, 2015–2022 (USD MILLION)
        • Table FRANCE: HEALTHCARE FRAUD DETECTION MARKET, BY TYPE, 2015–2022 (USD MILLION)
        • Table FRANCE: HEALTHCARE FRAUD DETECTION MARKET, BY END USER, 2015–2022 (USD MILLION)
      • REST OF EUROPE
        • Table ROE: HEALTHCARE FRAUD DETECTION MARKET, BY COMPONENT, 2015–2022 (USD MILLION)
        • Table ROE: HEALTHCARE FRAUD DETECTION SOFTWARE MARKET, BY DELIVERY MODEL, 2015–2022 (USD MILLION)
        • Table ROE: HEALTHCARE FRAUD DETECTION MARKET, BY TYPE, 2015–2022 (USD MILLION)
        • Table ROE: HEALTHCARE FRAUD DETECTION MARKET, BY END USER, 2015–2022 (USD MILLION)
    • ASIA
      • Table ASIA: HEALTHCARE FRAUD DETECTION MARKET, BY COMPONENT, 2015–2022 (USD MILLION)
      • Table ASIA: HEALTHCARE FRAUD DETECTION SOFTWARE MARKET, BY DELIVERY MODEL, 2015–2022 (USD MILLION)
      • Table ASIA: HEALTHCARE FRAUD DETECTION MARKET, BY TYPE, 2015–2022 (USD MILLION)
      • Table ASIA: HEALTHCARE FRAUD DETECTION MARKET, BY APPLICATION, 2015–2022 (USD MILLION)
      • Table ASIA: HEALTHCARE FRAUD DETECTION MARKET, BY END USER, 2015–2022 (USD MILLION)
    • REST OF THE WORLD (ROW)
      • Table ROW: HEALTHCARE FRAUD DETECTION MARKET, BY COMPONENT, 2015–2022 (USD MILLION)
      • Table ROW: HEALTHCARE FRAUD DETECTION SOFTWARE MARKET, BY DELIVERY MODEL, 2015–2022 (USD MILLION)
      • Table ROW: HEALTHCARE FRAUD DETECTION MARKET, BY TYPE, 2015–2022 (USD MILLION)
      • Table ROW: HEALTHCARE FRAUD DETECTION MARKET, BY END USER, 2015–2022 (USD MILLION)
  • COMPETITIVE LANDSCAPE
    • OVERVIEW
    • MARKET PLAYER RANKING, 2016
      • Table HEALTHCARE FRAUD DETECTION RANKING ANALYSIS, BY KEY PLAYER, 2016
    • COMPETITIVE SCENARIO
      • AGREEMENTS, PARTNERSHIPS, COLLABORATIONS, AND CONTRACTS
      • EXPANSIONS
      • ACQUISITIONS
      • PRODUCT LAUNCHES
  • COMPANY PROFILES
    • IBM
      • BUSINESS OVERVIEW
      • PRODUCTS AND SERVICES OFFERED
      • RECENT DEVELOPMENTS
      • SWOT ANALYSIS
      • MNM VIEW
    • OPTUM (A PART OF UNITEDHEALTH GROUP)
      • BUSINESS OVERVIEW
      • PRODUCTS AND SERVICES OFFERED
      • RECENT DEVELOPMENTS
      • SWOT ANALYSIS
      • MNM VIEW
    • VERSCEND TECHNOLOGIES
      • BUSINESS OVERVIEW
      • PRODUCTS OFFERED
      • SWOT ANALYSIS
      • MNM VIEW
    • MCKESSON
      • BUSINESS OVERVIEW
      • PRODUCTS AND SERVICES OFFERED
      • RECENT DEVELOPMENTS
      • SWOT ANALYSIS
      • MNM VIEW
    • FAIR ISAAC (FICO)
      • BUSINESS OVERVIEW
      • PRODUCTS OFFERED
      • RECENT DEVELOPMENTS
      • SWOT ANALYSIS
      • MNM VIEW
    • SAS INSTITUTE
      • BUSINESS OVERVIEW
      • PRODUCTS AND SERVICES OFFERED
      • RECENT DEVELOPMENTS
      • MNM VIEW
    • SCIO HEALTH ANALYTICS
      • BUSINESS OVERVIEW
      • PRODUCTS AND SERVICES OFFERED
      • RECENT DEVELOPMENTS
      • MNM VIEW
    • WIPRO
      • BUSINESS OVERVIEW
      • PRODUCTS AND SERVICES OFFERED
      • RECENT DEVELOPMENTS
      • MNM VIEW
    • CONDUENT
      • BUSINESS OVERVIEW
      • PRODUCTS OFFERED
      • MNM VIEW
    • HCL TECHNOLOGIES
      • BUSINESS OVERVIEW
      • PRODUCTS AND SERVICES OFFERED
      • MNM VIEW
    • CGI GROUP
      • BUSINESS OVERVIEW
      • PRODUCTS OFFERED
      • RECENT DEVELOPMENTS
      • MNM VIEW
    • DXC TECHNOLOGY
      • BUSINESS OVERVIEW
      • PRODUCTS OFFERED
      • RECENT DEVELOPMENTS
      • MNM VIEW
    • NORTHROP GRUMMAN
      • BUSINESS OVERVIEW
      • PRODUCTS OFFERED
      • RECENT DEVELOPMENTS
      • MNM VIEW
    • LEXINEXIS (A PART OF RELX GROUP)
      • BUSINESS OVERVIEW
      • PRODUCTS OFFERED
      • RECENT DEVELOPMENTS
      • MNM VIEW
    • PONDERA SOLUTIONS
      • BUSINESS OVERVIEW
      • PRODUCTS OFFERED
      • RECENT DEVELOPMENTS
      • MNM VIEW
  • APPENDIX
    • INSIGHTS FROM INDUSTRY EXPERTS
    • DISCUSSION GUIDE
    • KNOWLEDGE STORE: MARKETSANDMARKETS’ SUBSCRIPTION PORTAL
    • INTRODUCING RT: REAL-TIME MARKET INTELLIGENCE
    • AVAILABLE CUSTOMIZATIONS
    • RELATED REPORTS
    • AUTHOR DETAILS

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