Global Healthcare Fraud Detection Market Size, Share, and COVID-19 Impact Analysis, By Type (Descriptive Analytics, Predictive Analytics, and Prescriptive Analytics), By Delivery Model (On-premises, Cloud-based, and Others), By Application (Insurance Claims Review, Pharmacy Billing Issues, Payment Integrity, and Others), By End User (Private Insurance Payers, Public and Government Agencies, Third Party Service Providers, and Others), and By Region (North America, Europe, Asia-Pacific, Latin America, Middle East, and Africa), Analysis and Forecast 2023 - 2033

Industry: Healthcare
RELEASE DATE Jul 2024
REPORT ID SI4556
PAGES 245
REPORT FORMAT PathSoft
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Description Table of Contents Scope of Report Methodology
  1. Introduction
    1. Objectives of the Study
    2. Market Definition
    3. Research Scope
  2. Research Methodology and Assumptions
  3. Executive Summary
  4. Premium Insights
    1. Porter’s Five Forces Analysis
    2. Value Chain Analysis
    3. Top Investment Pockets
      1. Market Attractiveness Analysis By Type
      2. Market Attractiveness Analysis By Delivery Model
      3. Market Attractiveness Analysis By Application
      4. Market Attractiveness Analysis By End User
      5. Market Attractiveness Analysis By Region
    4. Industry Trends
  5. Market Dynamics
    1. Market Evaluation
    2. Drivers
      1. Increase in the number of patients utilizing health insurance sources
      2. Increasing demand to reduce healthcare spending and improved operational efficiency source
    3. Restraints
      1. Inability to apply a source for healthcare fraud analytics
    4. Opportunities
      1. The emergence of social media and its influence on the medical field.
    5. Challenges
      1. Time-consuming deployment and requirements for frequent updates
  6. Global Healthcare Fraud Detection Market Analysis and Projection, By Type
    1. Segment Overview
    2. Descriptive Analytics
    3. Predictive Analytics
    4. Prescriptive Analytics
  7. Global Healthcare Fraud Detection Market Analysis and Projection, By Delivery Model
    1. Segment Overview
    2. On-Premises
    3. Cloud-Based
    4. Others
  8. Global Healthcare Fraud Detection Market Analysis and Projection, By Application
    1. Segment Overview
    2. Insurance Claims Review
    3. Pharmacy Billing Issues
    4. Payment Integrity
    5. Others
  9. Global Healthcare Fraud Detection Market Analysis and Projection, By End User
    1. Segment Overview
    2. Private Insurance Payers
    3. Public And Government Agencies
    4. Third Party Service Providers
    5. Others
  10. Global Healthcare Fraud Detection Market Analysis and Projection, By Regional Analysis
    1. Segment Overview
    2. North America
      1. U.S.
      2. Canada
      3. Mexico
    3. Europe
      1. Germany
      2. France
      3. U.K.
      4. Italy
      5. Spain
    4. Asia-Pacific
      1. Japan
      2. China
      3. India
    5. South America
      1. Brazil
    6. Middle East and Africa
      1. UAE
      2. South Africa
  11. Global Healthcare Fraud Detection Market-Competitive Landscape
    1. Overview
    2. Market Share of Key Players in the Healthcare Fraud Detection Market
      1. Global Company Market Share
      2. North America Company Market Share
      3. Europe Company Market Share
      4. APAC Company Market Share
    3. Competitive Situations and Trends
      1. Coverage Launches and Developments
      2. Partnerships, Collaborations, and Agreements
      3. Mergers & Acquisitions
      4. Expansions
  12. Company Profiles
    1. IBM Corporation
      1. Business Overview
      2. Company Snapshot
      3. Company Market Share Analysis
      4. Company Coverage Portfolio
      5. Recent Developments
      6. SWOT Analysis
    2.   Wipro Limited 
      1. Business Overview
      2. Company Snapshot
      3. Company Market Share Analysis
      4. Company Coverage Portfolio
      5. Recent Developments
      6. SWOT Analysis
    3.  HCL Technologies 
      1. Business Overview
      2. Company Snapshot
      3. Company Market Share Analysis
      4. Company Coverage Portfolio
      5. Recent Developments
      6. SWOT Analysis
    4.   Exlservice Holdings Inc. 
      1. Business Overview
      2. Company Snapshot
      3. Company Market Share Analysis
      4. Company Coverage Portfolio
      5. Recent Developments
      6. SWOT Analysis
    5.   LexisNexis 
      1. Business Overview
      2. Company Snapshot
      3. Company Market Share Analysis
      4. Company Coverage Portfolio
      5. Recent Developments
      6. SWOT Analysis
    6.  Verscend Technologies
      1. Business Overview
      2. Company Snapshot
      3. Company Market Share Analysis
      4. Company Coverage Portfolio
      5. Recent Developments
      6. SWOT Analysis
    7.   Mckesson
      1. Business Overview
      2. Company Snapshot
      3. Company Market Share Analysis
      4. Company Coverage Portfolio
      5. Recent Developments
      6. SWOT Analysis
    8. Conduent
      1. Business Overview
      2. Company Snapshot
      3. Company Market Share Analysis
      4. Company Coverage Portfolio
      5. Recent Developments
      6. SWOT Analysis
    9.  Cotiviti Inc.
      1. Business Overview
      2. Company Snapshot
      3. Company Market Share Analysis
      4. Company Coverage Portfolio
      5. Recent Developments
      6. SWOT Analysis
    10.  OSP Labs   
      1. Business Overview
      2. Company Snapshot
      3. Company Market Share Analysis
      4. Company Coverage Portfolio
      5. Recent Developments
      6. SWOT Analysis
    11.  SAS Institute, Inc.
      1. Business Overview
      2. Company Snapshot
      3. Company Market Share Analysis
      4. Company Coverage Portfolio
      5. Recent Developments
      6. SWOT Analysis
    12.   International Business Machines Corporation
      1. Business Overview
      2. Company Snapshot
      3. Company Market Share Analysis
      4. Company Coverage Portfolio
      5. Recent Developments
      6. SWOT Analysis
    13.  Scioinspire CORP 
      1. Business Overview
      2. Company Snapshot
      3. Company Market Share Analysis
      4. Company Coverage Portfolio
      5. Recent Developments
      6. SWOT Analysis
    14.  FAIR ISAAC Corporation
      1. Business Overview
      2. Company Snapshot
      3. Company Market Share Analysis
      4. Company Coverage Portfolio
      5. Recent Developments
      6. SWOT Analysis
    15. Others 
      1. Business Overview
      2. Company Snapshot
      3. Company Market Share Analysis
      4. Company Coverage Portfolio
      5. Recent Developments
      6. SWOT Analysis

List of Table

  1. Global Healthcare Fraud Detection Market, By Type, 2023-2033(USD Billion)
  2. Global Descriptive Analytics, Healthcare Fraud Detection Market, By Region, 2023-2033(USD Billion)
  3. Global Predictive Analytics, Healthcare Fraud Detection Market, By Region, 2023-2033(USD Billion)
  4. Global Prescriptive Analytics, Healthcare Fraud Detection Market, By Region, 2023-2033(USD Billion)
  5. Global Healthcare Fraud Detection Market, By Delivery Model, 2023-2033(USD Billion)
  6. Global On-Premises, Healthcare Fraud Detection Market, By Region, 2023-2033(USD Billion)
  7. Global Cloud-Based, Healthcare Fraud Detection Market, By Region, 2023-2033(USD Billion)
  8. Global Others, Healthcare Fraud Detection Market, By Region, 2023-2033(USD Billion)
  9. Global Healthcare Fraud Detection Market, By Application, 2023-2033(USD Billion)
  10. Global Insurance Claims Review, Healthcare Fraud Detection Market, By Region, 2023-2033(USD Billion)
  11. Global Pharmacy Billing Issues, Healthcare Fraud Detection Market, By Region, 2023-2033(USD Billion)
  12. Global Payment Integrity, Healthcare Fraud Detection Market, By Region, 2023-2033(USD Billion)
  13. Global Others, Healthcare Fraud Detection Market, By Region, 2023-2033(USD Billion)
  14. Global Healthcare Fraud Detection Market, By End User, 2023-2033(USD Billion)
  15. Global Private Insurance Payers, Healthcare Fraud Detection Market, By Region, 2023-2033(USD Billion)
  16. Global Public And Government Agencies, Healthcare Fraud Detection Market, By Region, 2023-2033(USD Billion)
  17. Global Third Party Service Providers, Healthcare Fraud Detection Market, By Region, 2023-2033(USD Billion)
  18. Global Others, Healthcare Fraud Detection Market, By Region, 2023-2033(USD Billion)
  19. North America Healthcare Fraud Detection Market, By Type, 2023-2033(USD Billion)
  20. North America Healthcare Fraud Detection Market, By Delivery Model, 2023-2033(USD Billion)
  21. North America Healthcare Fraud Detection Market, By Application, 2023-2033(USD Billion)
  22. North America Healthcare Fraud Detection Market, By End User, 2023-2033(USD Billion)
  23. U.S.  Healthcare Fraud Detection Market, By Type, 2023-2033(USD Billion)
  24. U.S.  Healthcare Fraud Detection Market, By Delivery Model, 2023-2033(USD Billion)
  25. U.S.  Healthcare Fraud Detection Market, By Application, 2023-2033(USD Billion)
  26. U.S.  Healthcare Fraud Detection Market, By End User, 2023-2033(USD Billion)
  27. Canada Healthcare Fraud Detection Market, By Type, 2023-2033(USD Billion)
  28. Canada Healthcare Fraud Detection Market, By Delivery Model, 2023-2033(USD Billion)
  29. Canada Healthcare Fraud Detection Market, By Application, 2023-2033(USD Billion)
  30. Canada Healthcare Fraud Detection Market, By End User, 2023-2033(USD Billion)
  31. Mexico Healthcare Fraud Detection Market, By Type, 2023-2033(USD Billion)
  32. Mexico Healthcare Fraud Detection Market, By Delivery Model, 2023-2033(USD Billion)
  33. Mexico Healthcare Fraud Detection Market, By Application, 2023-2033(USD Billion)
  34. Mexico Healthcare Fraud Detection Market, By End User, 2023-2033(USD Billion)
  35. Europe Healthcare Fraud Detection Market, By Type, 2023-2033(USD Billion)
  36. Europe Healthcare Fraud Detection Market, By Delivery Model, 2023-2033(USD Billion)
  37. Europe Healthcare Fraud Detection Market, By Application, 2023-2033(USD Billion)
  38. Europe Healthcare Fraud Detection Market, By End User, 2023-2033(USD Billion)
  39. Germany Healthcare Fraud Detection Market, By Type, 2023-2033(USD Billion)
  40. Germany Healthcare Fraud Detection Market, By Delivery Model, 2023-2033(USD Billion)
  41. Germany Healthcare Fraud Detection Market, By Application, 2023-2033(USD Billion)
  42. Germany Healthcare Fraud Detection Market, By End User, 2023-2033(USD Billion)
  43. France Healthcare Fraud Detection Market, By Type, 2023-2033(USD Billion)
  44. France Healthcare Fraud Detection Market, By Delivery Model, 2023-2033(USD Billion)
  45. France Healthcare Fraud Detection Market, By Application, 2023-2033(USD Billion)
  46. France Healthcare Fraud Detection Market, By End User, 2023-2033(USD Billion)
  47. U.K.  Healthcare Fraud Detection Market, By Type, 2023-2033(USD Billion)
  48. U.K.  Healthcare Fraud Detection Market, By Delivery Model, 2023-2033(USD Billion)
  49. U.K.  Healthcare Fraud Detection Market, By Application, 2023-2033(USD Billion)
  50. U.K.  Healthcare Fraud Detection Market, By End User, 2023-2033(USD Billion)
  51. Italy Healthcare Fraud Detection Market, By Type, 2023-2033(USD Billion)
  52. Italy Healthcare Fraud Detection Market, By Delivery Model, 2023-2033(USD Billion)
  53. Italy Healthcare Fraud Detection Market, By Application, 2023-2033(USD Billion)
  54. Italy Healthcare Fraud Detection Market, By End User, 2023-2033(USD Billion)
  55. Spain Healthcare Fraud Detection Market, By Type, 2023-2033(USD Billion)
  56. Spain Healthcare Fraud Detection Market, By Delivery Model, 2023-2033(USD Billion)
  57. Spain Healthcare Fraud Detection Market, By Application, 2023-2033(USD Billion)
  58. Spain Healthcare Fraud Detection Market, By End User, 2023-2033(USD Billion)
  59. Asia Pacific Healthcare Fraud Detection Market, By Type, 2023-2033(USD Billion)
  60. Asia Pacific Healthcare Fraud Detection Market, By Delivery Model, 2023-2033(USD Billion)
  61. Asia Pacific Healthcare Fraud Detection Market, By Application, 2023-2033(USD Billion)
  62. Asia Pacific Healthcare Fraud Detection Market, By End User, 2023-2033(USD Billion)
  63. Japan Healthcare Fraud Detection Market, By Type, 2023-2033(USD Billion)
  64. Japan Healthcare Fraud Detection Market, By Delivery Model, 2023-2033(USD Billion)
  65. Japan Healthcare Fraud Detection Market, By Application, 2023-2033(USD Billion)
  66. Japan Healthcare Fraud Detection Market, By End User, 2023-2033(USD Billion)
  67. China Healthcare Fraud Detection Market, By Type, 2023-2033(USD Billion)
  68. China Healthcare Fraud Detection Market, By Delivery Model, 2023-2033(USD Billion)
  69. China Healthcare Fraud Detection Market, By Application, 2023-2033(USD Billion)
  70. China Healthcare Fraud Detection Market, By End User, 2023-2033(USD Billion)
  71. India Healthcare Fraud Detection Market, By Type, 2023-2033(USD Billion)
  72. India Healthcare Fraud Detection Market, By Delivery Model, 2023-2033(USD Billion)
  73. India Healthcare Fraud Detection Market, By Application, 2023-2033(USD Billion)
  74. India Healthcare Fraud Detection Market, By End User, 2023-2033(USD Billion)
  75. South America Healthcare Fraud Detection Market, By Type, 2023-2033(USD Billion)
  76. South America Healthcare Fraud Detection Market, By Delivery Model, 2023-2033(USD Billion)
  77. South America Healthcare Fraud Detection Market, By Application, 2023-2033(USD Billion)
  78. South America Healthcare Fraud Detection Market, By End User, 2023-2033(USD Billion)
  79. Brazil Healthcare Fraud Detection Market, By Type, 2023-2033(USD Billion)
  80. Brazil Healthcare Fraud Detection Market, By Delivery Model, 2023-2033(USD Billion)
  81. Brazil Healthcare Fraud Detection Market, By Application, 2023-2033(USD Billion)
  82. Brazil Healthcare Fraud Detection Market, By End User, 2023-2033(USD Billion)
  83. The Middle East and Africa Healthcare Fraud Detection Market, By Type, 2023-2033(USD   Billion)
  84. The Middle East and Africa Healthcare Fraud Detection Market, By Delivery Model, 2023-2033(USD   Billion)
  85. The Middle East and Africa Healthcare Fraud Detection Market, By Application, 2023-2033(USD Billion)
  86. The Middle East and Africa Healthcare Fraud Detection Market, By End User, 2023-2033(USD Billion)
  87. UAE Healthcare Fraud Detection Market, By Type, 2023-2033(USD Billion)
  88. UAE Healthcare Fraud Detection Market, By Delivery Model, 2023-2033(USD Billion)
  89. UAE Healthcare Fraud Detection Market, By Application, 2023-2033(USD Billion)
  90. UAE Healthcare Fraud Detection Market, By End User, 2023-2033(USD Billion) 
  91. South Africa Healthcare Fraud Detection Market, By Type, 2023-2033(USD Billion)
  92. South Africa Healthcare Fraud Detection Market, By Delivery Model, 2023-2033(USD Billion)
  93. South Africa Healthcare Fraud Detection Market, By Application, 2023-2033(USD Billion)
  94. South Africa Healthcare Fraud Detection Market, By End User, 2023-2033(USD Billion)

List of Figures 

  1. Global Healthcare Fraud Detection Market Segmentation
  2. Healthcare Fraud Detection Market: Research Methodology
  3. Market Size Estimation Methodology: Bottom-Up Approach
  4. Market Size Estimation Methodology: Top-down Approach
  5. Data Triangulation
  6. Porter’s Five Forces Analysis
  7. Value Chain Analysis
  8. Top investment pocket in the Healthcare Fraud Detection Market
  9. Top Winning Strategies, 2023-2033
  10. Top Winning Strategies, By Development, 2023-2033(%)
  11. Top Winning Strategies, By Company, 2023-2033
  12. Moderate Bargaining power of Buyers
  13. Moderate Bargaining power of Suppliers
  14. Moderate Bargaining power of New Entrants
  15. Low threat of Substitution
  16. High Competitive Rivalry
  17. Top Player Positioning, 2023
  18. Market Share Analysis, 2023
  19. Restraint and Drivers:  Healthcare Fraud Detection Market
  20. Healthcare Fraud Detection Market Segmentation, By Type
  21. Healthcare Fraud Detection Market For Descriptive Analytics, By Region,2023-2033($ Billion)
  22.  Healthcare Fraud Detection Market For Predictive Analytics, By Region,2023-2033($ Billion)
  23. Healthcare Fraud Detection Market For Prescriptive Analytics, By Region,2023-2033($ Billion)
  24. Healthcare Fraud Detection Market Segmentation, By Delivery Model
  25.  Healthcare Fraud Detection Market For On-Premises, By Region, 2023-2033($ Billion)
  26.  Healthcare Fraud Detection Market For Cloud-Based, By Region, 2023-2033($ Billion)
  27. Healthcare Fraud Detection Market For Others, By Region, 2023-2033($ Billion)
  28. Healthcare Fraud Detection Market Segmentation, By Application
  29. Healthcare Fraud Detection Market For Insurance Claims Review, By Region, 2023-2033($ Billion)
  30. Healthcare Fraud Detection Market For Pharmacy Billing Issues, By Region, 2023-2033($ Billion)
  31. Healthcare Fraud Detection Market For Payment Integrity, By Region, 2023-2033($ Billion)
  32. Healthcare Fraud Detection Market For Others, By Region, 2023-2033($ Billion)
  33. Healthcare Fraud Detection Market Segmentation, By End User
  34. Healthcare Fraud Detection Market For Private Insurance Payers, By Region, 2023-2033($ Billion)
  35. Healthcare Fraud Detection Market For Public And Government Agencies, By Region, 2023-2033($ Billion)
  36. Healthcare Fraud Detection Market For Third Party Service Providers, By Region, 2023-2033($ Billion)
  37. Healthcare Fraud Detection Market For Others, By Region, 2023-2033($ Billion)
  38. IBM Corporation: Net Sales, 2023-2033($ Billion)
  39. IBM Corporation: Revenue Share, By Segment, 2023(%)
  40. IBM Corporation: Revenue Share, By Region, 2023(%)
  41. Wipro Limited: Net Sales, 2023-2033($ Billion)
  42. Wipro Limited: Revenue Share, By Segment, 2023(%)
  43. Wipro Limited: Revenue Share, By Region, 2023(%)
  44. HCL Technologies: Net Sales, 2023-2033($ Billion)
  45. HCL Technologies: Revenue Share, By Segment, 2023(%)
  46. HCL Technologies: Revenue Share, By Region, 2023(%)
  47. Exlservice Holdings Inc.: Net Sales, 2023-2033($ Billion)
  48. Exlservice Holdings Inc.: Revenue Share, By Segment, 2023(%)
  49. Exlservice Holdings Inc.: Revenue Share, By Region, 2023(%)
  50. LexisNexis: Net Sales, 2023-2033($ Billion)
  51. LexisNexis: Revenue Share, By Segment, 2023(%)
  52. LexisNexis: Revenue Share, By Region, 2023(%)
  53. Verscend Technologies: Net Sales, 2023-2033($ Billion)
  54. Verscend Technologies: Revenue Share, By Segment, 2023(%)
  55. Verscend Technologies: Revenue Share, By Region, 2023(%)
  56. Mckesson: Net Sales, 2023-2033($ Billion)
  57. Mckesson: Revenue Share, By Segment, 2023(%)
  58. Mckesson: Revenue Share, By Region, 2023(%)
  59. Conduent: Net Sales, 2023-2033($ Billion)
  60. Conduent: Revenue Share, By Segment, 2023(%)
  61. Conduent: Revenue Share, By Region, 2023(%)
  62. Cotiviti Inc.: Net Sales, 2023-2033($ Billion)
  63. Cotiviti Inc.: Revenue Share, By Segment, 2023(%)
  64. Cotiviti Inc.: Revenue Share, By Region, 2023(%)
  65. OSP Labs : Net Sales, 2023-2033($ Billion)
  66. OSP Labs: Revenue Share, By Segment, 2023(%)
  67. OSP Labs: Revenue Share, By Region, 2023(%)
  68. SAS Institute, Inc.: Net Sales, 2023-2033($ Billion)
  69. SAS Institute, Inc.: Revenue Share, By Segment, 2023(%)
  70. SAS Institute, Inc.: Revenue Share, By Region, 2023(%)
  71. International Business Machines Corporation: Net Sales, 2023-2033($ Billion)
  72. International Business Machines Corporation: Revenue Share, By Segment, 2023(%)
  73. International Business Machines Corporation: Revenue Share, By Region, 2023(%)
  74. Scioinspire CORP: Net Sales, 2023-2033($ Billion)
  75. Scioinspire CORP: Revenue Share, By Segment, 2023(%)
  76. Scioinspire CORP: Revenue Share, By Region, 2023(%)
  77. FAIR ISAAC Corporation: Net Sales, 2023-2033($ Billion)
  78. FAIR ISAAC Corporation: Revenue Share, By Segment, 2023(%)
  79. FAIR ISAAC Corporation: Revenue Share, By Region, 2023(%)
  80. Others: Net Sales, 2023-2033($ Billion)
  81. Others: Revenue Share, By Segment, 2023(%)
  82. Others: Revenue Share, By Region, 2023(%)

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Base Year:2023
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