Global $2.54Bn Healthcare Fraud Detection Market Insights, 2019 to 2024 – Key Players are CGI, DXC Technology, EXL (Scio Health Analytics), IBM, and McKesson
The Global Healthcare Fraud Detection market studied was valued at
The major factors attributing to the growth of the healthcare fraud detection market are rising healthcare expenditure, rise in the number of patients opting for health insurance, growing pressure to increase operations efficiency and reduce healthcare spending, and increasing fraudulent activities in healthcare.
The healthcare industry is witnessing a number of cases of frauds, which can be done by patients, doctors, physicians, and other medical specialists. Many healthcare providers and specialists are caught doing the frauds, for the sake of profit.
Most of the insurance companies are adopting fraud detection software, due to the rising availability of the same in developed regions. This growth in the availability of the software is due to the rising healthcare expenditure, which is inspiring the companies to come up with a service or product to meet the market demand.
Key Market Trends
In the Application Segment, the Review of Insurance Claims is Expected to Hold the Major Share and Expected to do Same
The healthcare fraud detection solution plays a major role in the review of insurance claims, as most of the fraud cases occur while claiming the insurance. As per the estimates of the
Machine learning techniques help in improving predictive accuracy, enabling loss control units to achieve higher coverage with low false-positive rates. Moreover, the quality and quantity of available data have a huge impact on predictive accuracy than the quality of the algorithm.
There are various organizations across the world that aims to reduce the healthcare insurance fraud, such as
North America Dominates the Market and Expected to do Same Over the Forecast Period
Competitive Landscape
The healthcare fraud detection market is moderately competitive and consists of several major players. In terms of market share, few of the major players currently dominate the market. With the rising adoption of Healthcare IT and the increasing number of fraud cases, few other smaller players are expected to enter into the market in the coming years.
Some of the major players of the market are CGI, DXC Technology Company, EXL (Scio Health Analytics), International Business Machines Corporation (IBM), and McKesson are among others.
Key Topics Covered
1 INTRODUCTION
1.1 Study Deliverables
1.2 Study Assumptions
1.3 Scope of the Study
2 RESEARCH METHODOLOGY
3 EXECUTIVE SUMMARY
4 MARKET DYNAMICS
4.1 Market Overview
4.2 Market Drivers
4.2.1 Rising Healthcare Expenditure
4.2.2 Rise in the Number of Patients Opting for
4.2.3 Growing Pressure to Increase Operations Efficiency and Reduce Healthcare Spending
4.2.4 Increasing Fraudulent Activities in Healthcare
4.3 Market Restraints
4.3.1 Unwillingness to Adopt Healthcare Fraud Analytics
4.4 Porter's Five Force Analysis
4.4.1 Threat of New Entrants
4.4.2
4.4.3
4.4.4 Threat of Substitute Products
4.4.5 Intensity of Competitive Rivalry
5 MARKET SEGMENTATION
5.1 By Type
5.1.1 Descriptive Analytics
5.1.2 Predictive Analytics
5.1.3 Prescriptive Analytics
5.2 By Application
5.2.1 Review of Insurance Claims
5.2.2 Payment Integrity
5.3 By End-user
5.3.1 Private Insurance Payers
5.3.2 Government Agencies
5.3.3 Other End-users
5.4 Geography
5.4.1
5.4.1.1 US
5.4.1.2
5.4.1.3
5.4.2
5.4.2.1
5.4.2.2
5.4.2.3
5.4.2.4
5.4.2.5
5.4.2.6 Rest of
5.4.3
5.4.3.1
5.4.3.2
5.4.3.3
5.4.3.4
5.4.3.5
5.4.3.6 Rest of
5.4.4
5.4.4.1 GCC
5.4.4.2
5.4.4.3 Rest of
5.4.5
5.4.5.1
5.4.5.2
5.4.5.3 Rest of
6 COMPETITIVE LANDSCAPE
6.1 Company Profiles
6.1.1 CGI Inc.
6.1.2 DXC Technology Company
6.1.3 EXL (Scio Health Analytics)
6.1.4 International Business Machines Corporation (IBM)
6.1.5 McKesson
6.1.6
6.1.8
6.1.9
7 MARKET OPPORTUNITIES AND FUTURE TRENDS
For more information about this report visit https://www.researchandmarkets.com/r/3502ej
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