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Healthcare Fraud Analy Market Size, Share 2022
The market growth of medical fraud analysis can be attributed to the large amount of fraudulent activity in healthcare, the increasing number of patients seeking health insurance; high return on investment; and the increasing number of fraud related to pharmacy claims. The market is segmented by solution type, delivery model, application and end user. According to the app, the market is divided into insurance claim review, pharmacy billing abuse, payment integrity and other apps. The insurance claims review segment dominates the medical fraud analysis market. With the increasing number of patients seeking health insurance, the increasing number of fraudulent claims, and the increasing popularity of advance payment review models, it is expected to drive growth in this area in the coming years.
This report contains market size and forecasts of Healthcare Fraud Analy in Global, including the following market information:
Global Healthcare Fraud Analy Market Revenue, 2017-2022, 2023-2028, ($ millions)
Global top five companies in 2021 (%)
The global Healthcare Fraud Analy market was valued at million in 2021 and is projected to reach US$ million by 2028, at a CAGR of % during the forecast period.
The U.S. Market is Estimated at $ Million in 2021, While China is Forecast to Reach $ Million by 2028.
Descriptive Analytics Segment to Reach $ Million by 2028, with a % CAGR in next six years.
The global key manufacturers of Healthcare Fraud Analy include IBM, Optum, SAS Institute, Change Healthcare, EXL Service Holdings, Cotiviti, Wipro Limited, Conduent and Pondera Solutions and etc. In 2021, the global top five players have a share approximately % in terms of revenue.
We surveyed the Healthcare Fraud Analy companies, and industry experts on this industry, involving the revenue, demand, product type, recent developments and plans, industry trends, drivers, challenges, obstacles, and potential risks.
Total Market by Segment:
Global Healthcare Fraud Analy Market, by Type, 2017-2022, 2023-2028 ($ millions)
Global Healthcare Fraud Analy Market Segment Percentages, by Type, 2021 (%)
Descriptive Analytics
Predictive Analytics
Prescriptive Analytics
Global Healthcare Fraud Analy Market, by Application, 2017-2022, 2023-2028 ($ millions)
Global Healthcare Fraud Analy Market Segment Percentages, by Application, 2021 (%)
Public and Government Agencies
Private Insurance Payers
Third-party Service Providers
Employers
Global Healthcare Fraud Analy Market, By Region and Country, 2017-2022, 2023-2028 ($ Millions)
Global Healthcare Fraud Analy Market Segment Percentages, By Region and Country, 2021 (%)
North America
US
Canada
Mexico
Europe
Germany
France
U.K.
Italy
Russia
Nordic Countries
Benelux
Rest of Europe
Asia
China
Japan
South Korea
Southeast Asia
India
Rest of Asia
South America
Brazil
Argentina
Rest of South America
Middle East & Africa
Turkey
Israel
Saudi Arabia
UAE
Rest of Middle East & Africa
Competitor Analysis
The report also provides analysis of leading market participants including:
Key companies Healthcare Fraud Analy revenues in global market, 2017-2022 (estimated), ($ millions)
Key companies Healthcare Fraud Analy revenues share in global market, 2021 (%)
Further, the report presents profiles of competitors in the market, key players include:
IBM
Optum
SAS Institute
Change Healthcare
EXL Service Holdings
Cotiviti
Wipro Limited
Conduent
Pondera Solutions
LexisNexis
| Report Attributes |
Report Details |
| Report Title |
Healthcare Fraud Analy Market, Global Outlook and Forecast 2022-2028 |
| Historical Year |
2018 to 2022 (Data from 2010 can be provided as per availability) |
| Base Year |
2021 |
| Forecast Year |
2029 |
| Number of Pages |
63 Pages |
| Customization Available |
Yes, the report can be customized as per your need. |
TABLE OF CONTENTS
1 Introduction to Research & Analysis Reports
1.1 Healthcare Fraud Analy Market Definition
1.2 Market Segments
1.2.1 Market by Type
1.2.2 Market by Application
1.3 Global Healthcare Fraud Analy Market Overview
1.4 Features & Benefits of This Report
1.5 Methodology & Sources of Information
1.5.1 Research Methodology
1.5.2 Research Process
1.5.3 Base Year
1.5.4 Report Assumptions & Caveats
2 Global Healthcare Fraud Analy Overall Market Size
2.1 Global Healthcare Fraud Analy Market Size: 2021 VS 2028
2.2 Global Healthcare Fraud Analy Market Size, Prospects & Forecasts: 2017-2028
2.3 Key Market Trends, Opportunity, Drivers and Restraints
2.3.1 Market Opportunities & Trends
2.3.2 Market Drivers
2.3.3 Market Restraints
3 Company Landscape
3.1 Top Healthcare Fraud Analy Players in Global Market
3.2 Top Global Healthcare Fraud Analy Companies Ranked by Revenue
3.3 Global Healthcare Fraud Analy Revenue by Companies
3.4 Top 3 and Top 5 Healthcare Fraud Analy Companies in Global Market, by Revenue in 2021
3.5 Global Companies Healthcare Fraud Analy Product Type
3.6 Tier 1, Tier 2 and Tier 3 Healthcare Fraud Analy Players in Global Market
3.6.1 List of Global Tier 1 Healthcare Fraud Analy Companies
3.6.2 List of Global Tier 2 and Tier 3 Healthcare Fraud Analy Companies
4 Market Sights by Product
4.1 Overview
4.1.1 by Type - Global Healthcare Fraud Analy Market Size Markets, 2021 & 2028
4.1.2 Descriptive Analytics
4.1.3 Predictive Analytics
4.1.4 Prescriptive Analytics
4.2 By Type - Global Healthcare Fraud Analy Revenue & Forecasts
4.2.1 By Type - Global Healthcare Fraud Analy Revenue, 2017-2022
4.2.2 By Type - Global Healthcare Fraud Analy Revenue, 2023-2028
4.2.3 By Type - Global Healthcare Fraud Analy Revenue Market Share, 2017-2028
5 Sights by Application
5.1 Overview
5.1.1 By Application - Global Healthcare Fraud Analy Market Size, 2021 & 2028
5.1.2 Public and Government Agencies
5.1.3 Private Insurance Payers
5.1.4 Third-party Service Providers
5.1.5 Employers
5.2 By Application - Global Healthcare Fraud Analy Revenue & Forecasts
5.2.1 By Application - Global Healthcare Fraud Analy Revenue, 2017-2022
5.2.2 By Application - Global Healthcare Fraud Analy Revenue, 2023-2028
5.2.3 By Application - Global Healthcare Fraud Analy Revenue Market Share, 2017-2028
6 Sights by Region
6.1 By Region - Global Healthcare Fraud Analy Market Size, 2021 & 2028
6.2 By Region - Global Healthcare Fraud Analy Revenue & Forecasts
6.2.1 By Region - Global Healthcare Fraud Analy Revenue, 2017-2022
6.2.2 By Region - Global Healthcare Fraud Analy Revenue, 2023-2028
6.2.3 By Region - Global Healthcare Fraud Analy Revenue Market Share, 2017-2028
6.3 North America
6.3.1 By Country - North America Healthcare Fraud Analy Revenue, 2017-2028
6.3.2 US Healthcare Fraud Analy Market Size, 2017-2028
6.3.3 Canada Healthcare Fraud Analy Market Size, 2017-2028
6.3.4 Mexico Healthcare Fraud Analy Market Size, 2017-2028
6.4 Europe
6.4.1 By Country - Europe Healthcare Fraud Analy Revenue, 2017-2028
6.4.2 Germany Healthcare Fraud Analy Market Size, 2017-2028
6.4.3 France Healthcare Fraud Analy Market Size, 2017-2028
6.4.4 U.K. Healthcare Fraud Analy Market Size, 2017-2028
6.4.5 Italy Healthcare Fraud Analy Market Size, 2017-2028
6.4.6 Russia Healthcare Fraud Analy Market Size, 2017-2028
6.4.7 Nordic Countries Healthcare Fraud Analy Market Size, 2017-2028
6.4.8 Benelux Healthcare Fraud Analy Market Size, 2017-2028
6.5 Asia
6.5.1 By Region - Asia Healthcare Fraud Analy Revenue, 2017-2028
6.5.2 China Healthcare Fraud Analy Market Size, 2017-2028
6.5.3 Japan Healthcare Fraud Analy Market Size, 2017-2028
6.5.4 South Korea Healthcare Fraud Analy Market Size, 2017-2028
6.5.5 Southeast Asia Healthcare Fraud Analy Market Size, 2017-2028
6.5.6 India Healthcare Fraud Analy Market Size, 2017-2028
6.6 South America
6.6.1 By Country - South America Healthcare Fraud Analy Revenue, 2017-2028
6.6.2 Brazil Healthcare Fraud Analy Market Size, 2017-2028
6.6.3 Argentina Healthcare Fraud Analy Market Size, 2017-2028
6.7 Middle East & Africa
6.7.1 By Country - Middle East & Africa Healthcare Fraud Analy Revenue, 2017-2028
6.7.2 Turkey Healthcare Fraud Analy Market Size, 2017-2028
6.7.3 Israel Healthcare Fraud Analy Market Size, 2017-2028
6.7.4 Saudi Arabia Healthcare Fraud Analy Market Size, 2017-2028
6.7.5 UAE Healthcare Fraud Analy Market Size, 2017-2028
7 Players Profiles
7.1 IBM
7.1.1 IBM Corporate Summary
7.1.2 IBM Business Overview
7.1.3 IBM Healthcare Fraud Analy Major Product Offerings
7.1.4 IBM Healthcare Fraud Analy Revenue in Global Market (2017-2022)
7.1.5 IBM Key News
7.2 Optum
7.2.1 Optum Corporate Summary
7.2.2 Optum Business Overview
7.2.3 Optum Healthcare Fraud Analy Major Product Offerings
7.2.4 Optum Healthcare Fraud Analy Revenue in Global Market (2017-2022)
7.2.5 Optum Key News
7.3 SAS Institute
7.3.1 SAS Institute Corporate Summary
7.3.2 SAS Institute Business Overview
7.3.3 SAS Institute Healthcare Fraud Analy Major Product Offerings
7.3.4 SAS Institute Healthcare Fraud Analy Revenue in Global Market (2017-2022)
7.3.5 SAS Institute Key News
7.4 Change Healthcare
7.4.1 Change Healthcare Corporate Summary
7.4.2 Change Healthcare Business Overview
7.4.3 Change Healthcare Healthcare Fraud Analy Major Product Offerings
7.4.4 Change Healthcare Healthcare Fraud Analy Revenue in Global Market (2017-2022)
7.4.5 Change Healthcare Key News
7.5 EXL Service Holdings
7.5.1 EXL Service Holdings Corporate Summary
7.5.2 EXL Service Holdings Business Overview
7.5.3 EXL Service Holdings Healthcare Fraud Analy Major Product Offerings
7.5.4 EXL Service Holdings Healthcare Fraud Analy Revenue in Global Market (2017-2022)
7.5.5 EXL Service Holdings Key News
7.6 Cotiviti
7.6.1 Cotiviti Corporate Summary
7.6.2 Cotiviti Business Overview
7.6.3 Cotiviti Healthcare Fraud Analy Major Product Offerings
7.6.4 Cotiviti Healthcare Fraud Analy Revenue in Global Market (2017-2022)
7.6.5 Cotiviti Key News
7.7 Wipro Limited
7.7.1 Wipro Limited Corporate Summary
7.7.2 Wipro Limited Business Overview
7.7.3 Wipro Limited Healthcare Fraud Analy Major Product Offerings
7.7.4 Wipro Limited Healthcare Fraud Analy Revenue in Global Market (2017-2022)
7.7.5 Wipro Limited Key News
7.8 Conduent
7.8.1 Conduent Corporate Summary
7.8.2 Conduent Business Overview
7.8.3 Conduent Healthcare Fraud Analy Major Product Offerings
7.8.4 Conduent Healthcare Fraud Analy Revenue in Global Market (2017-2022)
7.8.5 Conduent Key News
7.9 Pondera Solutions
7.9.1 Pondera Solutions Corporate Summary
7.9.2 Pondera Solutions Business Overview
7.9.3 Pondera Solutions Healthcare Fraud Analy Major Product Offerings
7.9.4 Pondera Solutions Healthcare Fraud Analy Revenue in Global Market (2017-2022)
7.9.5 Pondera Solutions Key News
7.10 LexisNexis
7.10.1 LexisNexis Corporate Summary
7.10.2 LexisNexis Business Overview
7.10.3 LexisNexis Healthcare Fraud Analy Major Product Offerings
7.10.4 LexisNexis Healthcare Fraud Analy Revenue in Global Market (2017-2022)
7.10.5 LexisNexis Key News
8 Conclusion
9 Appendix
9.1 Note
9.2 Examples of Clients
9.3 Disclaimer
LIST OF TABLES & FIGURES
List of Tables
Table 1. Healthcare Fraud Analy Market Opportunities & Trends in Global Market
Table 2. Healthcare Fraud Analy Market Drivers in Global Market
Table 3. Healthcare Fraud Analy Market Restraints in Global Market
Table 4. Key Players of Healthcare Fraud Analy in Global Market
Table 5. Top Healthcare Fraud Analy Players in Global Market, Ranking by Revenue (2021)
Table 6. Global Healthcare Fraud Analy Revenue by Companies, (US$, Mn), 2017-2022
Table 7. Global Healthcare Fraud Analy Revenue Share by Companies, 2017-2022
Table 8. Global Companies Healthcare Fraud Analy Product Type
Table 9. List of Global Tier 1 Healthcare Fraud Analy Companies, Revenue (US$, Mn) in 2021 and Market Share
Table 10. List of Global Tier 2 and Tier 3 Healthcare Fraud Analy Companies, Revenue (US$, Mn) in 2021 and Market Share
Table 11. By Type ? Global Healthcare Fraud Analy Revenue, (US$, Mn), 2021 & 2028
Table 12. By Type - Healthcare Fraud Analy Revenue in Global (US$, Mn), 2017-2022
Table 13. By Type - Healthcare Fraud Analy Revenue in Global (US$, Mn), 2023-2028
Table 14. By Application ? Global Healthcare Fraud Analy Revenue, (US$, Mn), 2021 & 2028
Table 15. By Application - Healthcare Fraud Analy Revenue in Global (US$, Mn), 2017-2022
Table 16. By Application - Healthcare Fraud Analy Revenue in Global (US$, Mn), 2023-2028
Table 17. By Region ? Global Healthcare Fraud Analy Revenue, (US$, Mn), 2021 & 2028
Table 18. By Region - Global Healthcare Fraud Analy Revenue (US$, Mn), 2017-2022
Table 19. By Region - Global Healthcare Fraud Analy Revenue (US$, Mn), 2023-2028
Table 20. By Country - North America Healthcare Fraud Analy Revenue, (US$, Mn), 2017-2022
Table 21. By Country - North America Healthcare Fraud Analy Revenue, (US$, Mn), 2023-2028
Table 22. By Country - Europe Healthcare Fraud Analy Revenue, (US$, Mn), 2017-2022
Table 23. By Country - Europe Healthcare Fraud Analy Revenue, (US$, Mn), 2023-2028
Table 24. By Region - Asia Healthcare Fraud Analy Revenue, (US$, Mn), 2017-2022
Table 25. By Region - Asia Healthcare Fraud Analy Revenue, (US$, Mn), 2023-2028
Table 26. By Country - South America Healthcare Fraud Analy Revenue, (US$, Mn), 2017-2022
Table 27. By Country - South America Healthcare Fraud Analy Revenue, (US$, Mn), 2023-2028
Table 28. By Country - Middle East & Africa Healthcare Fraud Analy Revenue, (US$, Mn), 2017-2022
Table 29. By Country - Middle East & Africa Healthcare Fraud Analy Revenue, (US$, Mn), 2023-2028
Table 30. IBM Corporate Summary
Table 31. IBM Healthcare Fraud Analy Product Offerings
Table 32. IBM Healthcare Fraud Analy Revenue (US$, Mn), (2017-2022)
Table 33. Optum Corporate Summary
Table 34. Optum Healthcare Fraud Analy Product Offerings
Table 35. Optum Healthcare Fraud Analy Revenue (US$, Mn), (2017-2022)
Table 36. SAS Institute Corporate Summary
Table 37. SAS Institute Healthcare Fraud Analy Product Offerings
Table 38. SAS Institute Healthcare Fraud Analy Revenue (US$, Mn), (2017-2022)
Table 39. Change Healthcare Corporate Summary
Table 40. Change Healthcare Healthcare Fraud Analy Product Offerings
Table 41. Change Healthcare Healthcare Fraud Analy Revenue (US$, Mn), (2017-2022)
Table 42. EXL Service Holdings Corporate Summary
Table 43. EXL Service Holdings Healthcare Fraud Analy Product Offerings
Table 44. EXL Service Holdings Healthcare Fraud Analy Revenue (US$, Mn), (2017-2022)
Table 45. Cotiviti Corporate Summary
Table 46. Cotiviti Healthcare Fraud Analy Product Offerings
Table 47. Cotiviti Healthcare Fraud Analy Revenue (US$, Mn), (2017-2022)
Table 48. Wipro Limited Corporate Summary
Table 49. Wipro Limited Healthcare Fraud Analy Product Offerings
Table 50. Wipro Limited Healthcare Fraud Analy Revenue (US$, Mn), (2017-2022)
Table 51. Conduent Corporate Summary
Table 52. Conduent Healthcare Fraud Analy Product Offerings
Table 53. Conduent Healthcare Fraud Analy Revenue (US$, Mn), (2017-2022)
Table 54. Pondera Solutions Corporate Summary
Table 55. Pondera Solutions Healthcare Fraud Analy Product Offerings
Table 56. Pondera Solutions Healthcare Fraud Analy Revenue (US$, Mn), (2017-2022)
Table 57. LexisNexis Corporate Summary
Table 58. LexisNexis Healthcare Fraud Analy Product Offerings
Table 59. LexisNexis Healthcare Fraud Analy Revenue (US$, Mn), (2017-2022)
List of Figures
Figure 1. Healthcare Fraud Analy Segment by Type in 2021
Figure 2. Healthcare Fraud Analy Segment by Application in 2021
Figure 3. Global Healthcare Fraud Analy Market Overview: 2021
Figure 4. Key Caveats
Figure 5. Global Healthcare Fraud Analy Market Size: 2021 VS 2028 (US$, Mn)
Figure 6. Global Healthcare Fraud Analy Revenue, 2017-2028 (US$, Mn)
Figure 7. The Top 3 and 5 Players Market Share by Healthcare Fraud Analy Revenue in 2021
Figure 8. By Type - Global Healthcare Fraud Analy Revenue Market Share, 2017-2028
Figure 9. By Application - Global Healthcare Fraud Analy Revenue Market Share, 2017-2028
Figure 10. By Region - Global Healthcare Fraud Analy Revenue Market Share, 2017-2028
Figure 11. By Country - North America Healthcare Fraud Analy Revenue Market Share, 2017-2028
Figure 12. US Healthcare Fraud Analy Revenue, (US$, Mn), 2017-2028
Figure 13. Canada Healthcare Fraud Analy Revenue, (US$, Mn), 2017-2028
Figure 14. Mexico Healthcare Fraud Analy Revenue, (US$, Mn), 2017-2028
Figure 15. By Country - Europe Healthcare Fraud Analy Revenue Market Share, 2017-2028
Figure 16. Germany Healthcare Fraud Analy Revenue, (US$, Mn), 2017-2028
Figure 17. France Healthcare Fraud Analy Revenue, (US$, Mn), 2017-2028
Figure 18. U.K. Healthcare Fraud Analy Revenue, (US$, Mn), 2017-2028
Figure 19. Italy Healthcare Fraud Analy Revenue, (US$, Mn), 2017-2028
Figure 20. Russia Healthcare Fraud Analy Revenue, (US$, Mn), 2017-2028
Figure 21. Nordic Countries Healthcare Fraud Analy Revenue, (US$, Mn), 2017-2028
Figure 22. Benelux Healthcare Fraud Analy Revenue, (US$, Mn), 2017-2028
Figure 23. By Region - Asia Healthcare Fraud Analy Revenue Market Share, 2017-2028
Figure 24. China Healthcare Fraud Analy Revenue, (US$, Mn), 2017-2028
Figure 25. Japan Healthcare Fraud Analy Revenue, (US$, Mn), 2017-2028
Figure 26. South Korea Healthcare Fraud Analy Revenue, (US$, Mn), 2017-2028
Figure 27. Southeast Asia Healthcare Fraud Analy Revenue, (US$, Mn), 2017-2028
Figure 28. India Healthcare Fraud Analy Revenue, (US$, Mn), 2017-2028
Figure 29. By Country - South America Healthcare Fraud Analy Revenue Market Share, 2017-2028
Figure 30. Brazil Healthcare Fraud Analy Revenue, (US$, Mn), 2017-2028
Figure 31. Argentina Healthcare Fraud Analy Revenue, (US$, Mn), 2017-2028
Figure 32. By Country - Middle East & Africa Healthcare Fraud Analy Revenue Market Share, 2017-2028
Figure 33. Turkey Healthcare Fraud Analy Revenue, (US$, Mn), 2017-2028
Figure 34. Israel Healthcare Fraud Analy Revenue, (US$, Mn), 2017-2028
Figure 35. Saudi Arabia Healthcare Fraud Analy Revenue, (US$, Mn), 2017-2028
Figure 36. UAE Healthcare Fraud Analy Revenue, (US$, Mn), 2017-2028
Figure 37. IBM Healthcare Fraud Analy Revenue Year Over Year Growth (US$, Mn) & (2017-2022)
Figure 38. Optum Healthcare Fraud Analy Revenue Year Over Year Growth (US$, Mn) & (2017-2022)
Figure 39. SAS Institute Healthcare Fraud Analy Revenue Year Over Year Growth (US$, Mn) & (2017-2022)
Figure 40. Change Healthcare Healthcare Fraud Analy Revenue Year Over Year Growth (US$, Mn) & (2017-2022)
Figure 41. EXL Service Holdings Healthcare Fraud Analy Revenue Year Over Year Growth (US$, Mn) & (2017-2022)
Figure 42. Cotiviti Healthcare Fraud Analy Revenue Year Over Year Growth (US$, Mn) & (2017-2022)
Figure 43. Wipro Limited Healthcare Fraud Analy Revenue Year Over Year Growth (US$, Mn) & (2017-2022)
Figure 44. Conduent Healthcare Fraud Analy Revenue Year Over Year Growth (US$, Mn) & (2017-2022)
Figure 45. Pondera Solutions Healthcare Fraud Analy Revenue Year Over Year Growth (US$, Mn) & (2017-2022)
Figure 46. LexisNexis Healthcare Fraud Analy Revenue Year Over Year Growth (US$, Mn) & (2017-2022)
