Healthcare Fraud Detection Market - Forecast(2024 - 2030)

Report Code: HCR 79366 Report Format: PDF + Excel
1. Healthcare Fraud Detection Market - Overview
        1.1 Definitions and Scope
2. Healthcare Fraud Detection Market - Executive summary
        2.1 Market Revenue, Market Size and Key Trends by Company
        2.2 Key Trends by type of Application
        2.3 Key Trends segmented by Geography
3. Healthcare Fraud Detection Market
        3.1 Comparative analysis
            3.1.1 Product Benchmarking - Top 10 companies
            3.1.2 Top 5 Financials Analysis
            3.1.3 Market Value split by Top 10 companies
            3.1.4 Patent Analysis - Top 10 companies
            3.1.5 Pricing Analysis
4. Healthcare Fraud Detection Market - Startup companies Scenario Premium
        4.1 Top 10 startup company Analysis by
            4.1.1 Investment
            4.1.2 Revenue
            4.1.3 Market Shares
            4.1.4 Market Size and Application Analysis
            4.1.5 Venture Capital and Funding Scenario
5. Healthcare Fraud Detection Market - Industry Market Entry Scenario Premium
        5.1 Regulatory Framework Overview
        5.2 New Business and Ease of Doing business index
        5.3 Case studies of successful ventures
        5.4 Customer Analysis - Top 10 companies
6. Healthcare Fraud Detection Market Forces
        6.1 Drivers
        6.2 Constraints
        6.3 Challenges
        6.4 Porters five force model
            6.4.1 Bargaining power of suppliers
            6.4.2 Bargaining powers of customers
            6.4.3 Threat of new entrants
            6.4.4 Rivalry among existing players
            6.4.5 Threat of substitutes
7. Healthcare Fraud Detection Market -Strategic analysis
        7.1 Value chain analysis
        7.2 Opportunities analysis
        7.3 Product life cycle
        7.4 Suppliers and distributors Market Share
8. Healthcare Fraud Detection Market - By Type (Market Size -$Million / $Billion)
        8.1 Market Size and Market Share Analysis
        8.2 Application Revenue and Trend Research
        8.3 Segment Analysis
            8.3.1 Descriptive Analytics
            8.3.2 Predictive Analytics
            8.3.3 Prescriptive Analytics
9. Healthcare Fraud Detection Market - By Component (Market Size -$Million / $Billion)
        9.1 Service
        9.2 Software
10. Healthcare Fraud Detection Market - By Delivery Model (Market Size -$Million / $Billion)
        10.1 On-Premise Delivery Model
        10.2 On-Demand Delivery Model

11. Healthcare Fraud Detection Market - By End User (Market Size -$Million / $Billion)
        11.1 Private Insurance Payer
        11.2 Public/Government Agency
        11.3 Third-Party Service Provider
        11.4 Employer
12. Healthcare Fraud Detection - By Application (Market Size -$Million / $Billion)
        12.1 Segment type Size and Market Share Analysis
        12.2 Application Revenue and Trends by type of Application
        12.3 Application Segment Analysis by Type
            12.3.1 Insurance Claim Review
                 12.3.1.1 Postpayment Review
                 12.3.1.2 Prepayment Review
            12.3.2 Payment Integrity
            12.3.3 Other Application
13. Healthcare Fraud Detection- By Geography (Market Size -$Million / $Billion)
        13.1 Healthcare Fraud Detection Market - North America Segment Research
        13.2 North America Market Research (Million / $Billion)
            13.2.1 Segment type Size and Market Size Analysis
            13.2.2 Revenue and Trends
            13.2.3 Application Revenue and Trends by type of Application
            13.2.4 Company Revenue and Product Analysis
            13.2.5 North America Product type and Application Market Size
                 13.2.5.1 U.S
                 13.2.5.2 Canada
                 13.2.5.3 Mexico
                 13.2.5.4 Rest of North America
        13.3 Healthcare Fraud Detection- South America Segment Research
        13.4 South America Market Research (Market Size -$Million / $Billion)
            13.4.1 Segment type Size and Market Size Analysis
            13.4.2 Revenue and Trends
            13.4.3 Application Revenue and Trends by type of Application
            13.4.4 Company Revenue and Product Analysis
            13.4.5 South America Product type and Application Market Size
                 13.4.5.1 Brazil
                 13.4.5.2 Venezuela
                 13.4.5.3 Argentina
                 13.4.5.4 Ecuador
                 13.4.5.5 Peru
                 13.4.5.6 Colombia
                 13.4.5.7 Costa Rica
                 13.4.5.8 Rest of South America
        13.5 Healthcare Fraud Detection- Europe Segment Research
        13.6 Europe Market Research (Market Size -$Million / $Billion)
            13.6.1 Segment type Size and Market Size Analysis
            13.6.2 Revenue and Trends
            13.6.3 Application Revenue and Trends by type of Application
            13.6.4 Company Revenue and Product Analysis
            13.6.5 Europe Segment Product type and Application Market Size
                 13.6.5.1 U.K
                 13.6.5.2 Germany
                 13.6.5.3 Italy
                 13.6.5.4 France
                 13.6.5.5 Netherlands
                 13.6.5.6 Belgium
                 13.6.5.7 Denmark
                 13.6.5.8 Spain
                 13.6.5.9 Rest of Europe
        13.7 Healthcare Fraud Detection - APAC Segment Research
        13.8 APAC Market Research (Market Size -$Million / $Billion)
            13.8.1 Segment type Size and Market Size Analysis
            13.8.2 Revenue and Trends
            13.8.3 Application Revenue and Trends by type of Application
            13.8.4 Company Revenue and Product Analysis
            13.8.5 APAC Segment - Product type and Application Market Size
                 13.8.5.1 China
                 13.8.5.2 Australia
                 13.8.5.3 Japan
                 13.8.5.4 South Korea
                 13.8.5.5 India
                 13.8.5.6 Taiwan
                 13.8.5.7 Malaysia
                 13.8.5.8 Hong kong
                 13.8.5.9 Rest of APAC
        13.9 Healthcare Fraud Detection - Middle East Segment and Africa Segment Research
        13.10 Middle East & Africa Market Research (Market Size -$Million / $Billion)
            13.10.1 Segment type Size and Market Size Analysis
            13.10.2 Revenue and Trend Analysis
            13.10.3 Application Revenue and Trends by type of Application
            13.10.4 Company Revenue and Product Analysis
            13.10.5 Middle East Segment Product type and Application Market Size
                 13.10.5.1 Israel
                 13.10.5.2 Saudi Arabia
                 13.10.5.3 UAE
            13.10.6 Africa Segment Analysis
                 13.10.6.1 South Africa
                 13.10.6.2 Rest of Middle East & Africa
14. Healthcare Fraud Detection Market - Entropy
        14.1 New product launches
        14.2 M&A s, collaborations, JVs and partnerships
15. Healthcare Fraud Detection Market - Industry / Segment Competition landscape Premium
        15.1 Market Share Analysis
            15.1.1 Market Share by Country- Top companies
            15.1.2 Market Share by Region- Top 10 companies
            15.1.3 Market Share by type of Application - Top 10 companies
            15.1.4 Market Share by type of Product / Product category- Top 10 companies
            15.1.5 Market Share at global level - Top 10 companies
            15.1.6 Best Practises for companies
16. Healthcare Fraud Detection Market - Key Company List by Country Premium
17. Healthcare Fraud Detection Market Company Analysis
        17.1 Market Share, Company Revenue, Products, M&A, Developments
        17.2 Cgi Group
        17.3 Conduent
        17.4 Dxc Technology
        17.5 Fair Isaac
        17.6 Hcl Technology
        17.7 Ibm
        17.8 Lexinexis
        17.9 Mckesson
        17.10 Northrop Grumman
        17.11 Optum
        17.12 Pondera Solution
        17.13 Sa Institute
        17.14 Scio Health Analytics
        17.15 Verscend Technology
        17.16 Wipro
        17.17 Company 16
        17.18 Company 17 & More
*Financials would be provided on a best efforts basis for private companies
18. Healthcare Fraud Detection Market - Appendix
        18.1 Abbreviations
        18.2 Sources
19. Healthcare Fraud Detection Market - Methodology
        19.1 Research Methodology
            19.1.1 Company Expert Interviews
            19.1.2 Industry Databases
            19.1.3 Associations
            19.1.4 Company News
            19.1.5 Company Annual Reports
            19.1.6 Application Trends
            19.1.7 New Products and Product database
            19.1.8 Company Transcripts
            19.1.9 R&D Trends
            19.1.10 Key Opinion Leaders Interviews
            19.1.11 Supply and Demand Trends

LIST OF TABLES

1.Global Healthcare Fraud Detection Market, By Component Market 2023-2030 ($M)
1.1 Service Market 2023-2030 ($M) - Global Industry Research
1.2 Software Market 2023-2030 ($M) - Global Industry Research
2.Global Fraud Detection Market, By Delivery Model Market 2023-2030 ($M)
2.1 On-Premise Delivery Model Market 2023-2030 ($M) - Global Industry Research
2.2 On-Demand Delivery Model Market 2023-2030 ($M) - Global Industry Research
3.Global Healthcare Fraud Detection Market, By Type Market 2023-2030 ($M)
3.1 Descriptive Analytics Market 2023-2030 ($M) - Global Industry Research
3.2 Predictive Analytics Market 2023-2030 ($M) - Global Industry Research
3.3 Prescriptive Analytics Market 2023-2030 ($M) - Global Industry Research
4.Global Healthcare Fraud Detection Market, By End User Market 2023-2030 ($M)
4.1 Private Insurance Payer Market 2023-2030 ($M) - Global Industry Research
4.2 Public/Government Agency Market 2023-2030 ($M) - Global Industry Research
4.3 Third-Party Service Provider Market 2023-2030 ($M) - Global Industry Research
4.4 Employer Market 2023-2030 ($M) - Global Industry Research
5.Global Healthcare Fraud Detection Market, By Component Market 2023-2030 (Volume/Units)
5.1 Service Market 2023-2030 (Volume/Units) - Global Industry Research
5.2 Software Market 2023-2030 (Volume/Units) - Global Industry Research
6.Global Fraud Detection Market, By Delivery Model Market 2023-2030 (Volume/Units)
6.1 On-Premise Delivery Model Market 2023-2030 (Volume/Units) - Global Industry Research
6.2 On-Demand Delivery Model Market 2023-2030 (Volume/Units) - Global Industry Research
7.Global Healthcare Fraud Detection Market, By Type Market 2023-2030 (Volume/Units)
7.1 Descriptive Analytics Market 2023-2030 (Volume/Units) - Global Industry Research
7.2 Predictive Analytics Market 2023-2030 (Volume/Units) - Global Industry Research
7.3 Prescriptive Analytics Market 2023-2030 (Volume/Units) - Global Industry Research
8.Global Healthcare Fraud Detection Market, By End User Market 2023-2030 (Volume/Units)
8.1 Private Insurance Payer Market 2023-2030 (Volume/Units) - Global Industry Research
8.2 Public/Government Agency Market 2023-2030 (Volume/Units) - Global Industry Research
8.3 Third-Party Service Provider Market 2023-2030 (Volume/Units) - Global Industry Research
8.4 Employer Market 2023-2030 (Volume/Units) - Global Industry Research
9.North America Healthcare Fraud Detection Market, By Component Market 2023-2030 ($M)
9.1 Service Market 2023-2030 ($M) - Regional Industry Research
9.2 Software Market 2023-2030 ($M) - Regional Industry Research
10.North America Fraud Detection Market, By Delivery Model Market 2023-2030 ($M)
10.1 On-Premise Delivery Model Market 2023-2030 ($M) - Regional Industry Research
10.2 On-Demand Delivery Model Market 2023-2030 ($M) - Regional Industry Research
11.North America Healthcare Fraud Detection Market, By Type Market 2023-2030 ($M)
11.1 Descriptive Analytics Market 2023-2030 ($M) - Regional Industry Research
11.2 Predictive Analytics Market 2023-2030 ($M) - Regional Industry Research
11.3 Prescriptive Analytics Market 2023-2030 ($M) - Regional Industry Research
12.North America Healthcare Fraud Detection Market, By End User Market 2023-2030 ($M)
12.1 Private Insurance Payer Market 2023-2030 ($M) - Regional Industry Research
12.2 Public/Government Agency Market 2023-2030 ($M) - Regional Industry Research
12.3 Third-Party Service Provider Market 2023-2030 ($M) - Regional Industry Research
12.4 Employer Market 2023-2030 ($M) - Regional Industry Research
13.South America Healthcare Fraud Detection Market, By Component Market 2023-2030 ($M)
13.1 Service Market 2023-2030 ($M) - Regional Industry Research
13.2 Software Market 2023-2030 ($M) - Regional Industry Research
14.South America Fraud Detection Market, By Delivery Model Market 2023-2030 ($M)
14.1 On-Premise Delivery Model Market 2023-2030 ($M) - Regional Industry Research
14.2 On-Demand Delivery Model Market 2023-2030 ($M) - Regional Industry Research
15.South America Healthcare Fraud Detection Market, By Type Market 2023-2030 ($M)
15.1 Descriptive Analytics Market 2023-2030 ($M) - Regional Industry Research
15.2 Predictive Analytics Market 2023-2030 ($M) - Regional Industry Research
15.3 Prescriptive Analytics Market 2023-2030 ($M) - Regional Industry Research
16.South America Healthcare Fraud Detection Market, By End User Market 2023-2030 ($M)
16.1 Private Insurance Payer Market 2023-2030 ($M) - Regional Industry Research
16.2 Public/Government Agency Market 2023-2030 ($M) - Regional Industry Research
16.3 Third-Party Service Provider Market 2023-2030 ($M) - Regional Industry Research
16.4 Employer Market 2023-2030 ($M) - Regional Industry Research
17.Europe Healthcare Fraud Detection Market, By Component Market 2023-2030 ($M)
17.1 Service Market 2023-2030 ($M) - Regional Industry Research
17.2 Software Market 2023-2030 ($M) - Regional Industry Research
18.Europe Fraud Detection Market, By Delivery Model Market 2023-2030 ($M)
18.1 On-Premise Delivery Model Market 2023-2030 ($M) - Regional Industry Research
18.2 On-Demand Delivery Model Market 2023-2030 ($M) - Regional Industry Research
19.Europe Healthcare Fraud Detection Market, By Type Market 2023-2030 ($M)
19.1 Descriptive Analytics Market 2023-2030 ($M) - Regional Industry Research
19.2 Predictive Analytics Market 2023-2030 ($M) - Regional Industry Research
19.3 Prescriptive Analytics Market 2023-2030 ($M) - Regional Industry Research
20.Europe Healthcare Fraud Detection Market, By End User Market 2023-2030 ($M)
20.1 Private Insurance Payer Market 2023-2030 ($M) - Regional Industry Research
20.2 Public/Government Agency Market 2023-2030 ($M) - Regional Industry Research
20.3 Third-Party Service Provider Market 2023-2030 ($M) - Regional Industry Research
20.4 Employer Market 2023-2030 ($M) - Regional Industry Research
21.APAC Healthcare Fraud Detection Market, By Component Market 2023-2030 ($M)
21.1 Service Market 2023-2030 ($M) - Regional Industry Research
21.2 Software Market 2023-2030 ($M) - Regional Industry Research
22.APAC Fraud Detection Market, By Delivery Model Market 2023-2030 ($M)
22.1 On-Premise Delivery Model Market 2023-2030 ($M) - Regional Industry Research
22.2 On-Demand Delivery Model Market 2023-2030 ($M) - Regional Industry Research
23.APAC Healthcare Fraud Detection Market, By Type Market 2023-2030 ($M)
23.1 Descriptive Analytics Market 2023-2030 ($M) - Regional Industry Research
23.2 Predictive Analytics Market 2023-2030 ($M) - Regional Industry Research
23.3 Prescriptive Analytics Market 2023-2030 ($M) - Regional Industry Research
24.APAC Healthcare Fraud Detection Market, By End User Market 2023-2030 ($M)
24.1 Private Insurance Payer Market 2023-2030 ($M) - Regional Industry Research
24.2 Public/Government Agency Market 2023-2030 ($M) - Regional Industry Research
24.3 Third-Party Service Provider Market 2023-2030 ($M) - Regional Industry Research
24.4 Employer Market 2023-2030 ($M) - Regional Industry Research
25.MENA Healthcare Fraud Detection Market, By Component Market 2023-2030 ($M)
25.1 Service Market 2023-2030 ($M) - Regional Industry Research
25.2 Software Market 2023-2030 ($M) - Regional Industry Research
26.MENA Fraud Detection Market, By Delivery Model Market 2023-2030 ($M)
26.1 On-Premise Delivery Model Market 2023-2030 ($M) - Regional Industry Research
26.2 On-Demand Delivery Model Market 2023-2030 ($M) - Regional Industry Research
27.MENA Healthcare Fraud Detection Market, By Type Market 2023-2030 ($M)
27.1 Descriptive Analytics Market 2023-2030 ($M) - Regional Industry Research
27.2 Predictive Analytics Market 2023-2030 ($M) - Regional Industry Research
27.3 Prescriptive Analytics Market 2023-2030 ($M) - Regional Industry Research
28.MENA Healthcare Fraud Detection Market, By End User Market 2023-2030 ($M)
28.1 Private Insurance Payer Market 2023-2030 ($M) - Regional Industry Research
28.2 Public/Government Agency Market 2023-2030 ($M) - Regional Industry Research
28.3 Third-Party Service Provider Market 2023-2030 ($M) - Regional Industry Research
28.4 Employer Market 2023-2030 ($M) - Regional Industry Research

LIST OF FIGURES

1.US Healthcare Fraud Detection Market Revenue, 2023-2030 ($M)
2.Canada Healthcare Fraud Detection Market Revenue, 2023-2030 ($M)
3.Mexico Healthcare Fraud Detection Market Revenue, 2023-2030 ($M)
4.Brazil Healthcare Fraud Detection Market Revenue, 2023-2030 ($M)
5.Argentina Healthcare Fraud Detection Market Revenue, 2023-2030 ($M)
6.Peru Healthcare Fraud Detection Market Revenue, 2023-2030 ($M)
7.Colombia Healthcare Fraud Detection Market Revenue, 2023-2030 ($M)
8.Chile Healthcare Fraud Detection Market Revenue, 2023-2030 ($M)
9.Rest of South America Healthcare Fraud Detection Market Revenue, 2023-2030 ($M)
10.UK Healthcare Fraud Detection Market Revenue, 2023-2030 ($M)
11.Germany Healthcare Fraud Detection Market Revenue, 2023-2030 ($M)
12.France Healthcare Fraud Detection Market Revenue, 2023-2030 ($M)
13.Italy Healthcare Fraud Detection Market Revenue, 2023-2030 ($M)
14.Spain Healthcare Fraud Detection Market Revenue, 2023-2030 ($M)
15.Rest of Europe Healthcare Fraud Detection Market Revenue, 2023-2030 ($M)
16.China Healthcare Fraud Detection Market Revenue, 2023-2030 ($M)
17.India Healthcare Fraud Detection Market Revenue, 2023-2030 ($M)
18.Japan Healthcare Fraud Detection Market Revenue, 2023-2030 ($M)
19.South Korea Healthcare Fraud Detection Market Revenue, 2023-2030 ($M)
20.South Africa Healthcare Fraud Detection Market Revenue, 2023-2030 ($M)
21.North America Healthcare Fraud Detection By Application
22.South America Healthcare Fraud Detection By Application
23.Europe Healthcare Fraud Detection By Application
24.APAC Healthcare Fraud Detection By Application
25.MENA Healthcare Fraud Detection By Application
26.Ibm, Sales /Revenue, 2015-2018 ($Mn/$Bn)
27.Optum, Sales /Revenue, 2015-2018 ($Mn/$Bn)
28.Verscend Technology, Sales /Revenue, 2015-2018 ($Mn/$Bn)
29.Mckesson, Sales /Revenue, 2015-2018 ($Mn/$Bn)
30.Fair Isaac, Sales /Revenue, 2015-2018 ($Mn/$Bn)
31.Sa Institute, Sales /Revenue, 2015-2018 ($Mn/$Bn)
32.Scio Health Analytics, Sales /Revenue, 2015-2018 ($Mn/$Bn)
33.Wipro, Sales /Revenue, 2015-2018 ($Mn/$Bn)
34.Conduent, Sales /Revenue, 2015-2018 ($Mn/$Bn)
35.Hcl Technology, Sales /Revenue, 2015-2018 ($Mn/$Bn)
36.Cgi Group, Sales /Revenue, 2015-2018 ($Mn/$Bn)
37.Dxc Technology, Sales /Revenue, 2015-2018 ($Mn/$Bn)
38.Northrop Grumman, Sales /Revenue, 2015-2018 ($Mn/$Bn)
39.Lexinexis, Sales /Revenue, 2015-2018 ($Mn/$Bn)
40.Pondera Solution, Sales /Revenue, 2015-2018 ($Mn/$Bn)