Healthcare Fraud Analytics Market Size, Trends, Analysis, and Outlook By Solution (Descriptive Analytics, Predictive Analytics, Prescriptive Analytics), By Delivery Model (On-premise, On-demand), By Application (Insurance Claims Review, Pharmacy Billing Misuse, Payment Integrity, Others), By End-User (Public & Government Agencies, Private Insurance Payers, Third-party service providers, Employers), by Country, Segment, and Companies, 2024-2032
The global Healthcare Fraud Analytics market size is poised to register 23.9% growth from 2024 to 2032, presenting significant growth prospects for companies operating in the industry. The industry study analyzes the global Healthcare Fraud Analytics market across By Solution (Descriptive Analytics, Predictive Analytics, Prescriptive Analytics), By Delivery Model (On-premise, On-demand), By Application (Insurance Claims Review, Pharmacy Billing Misuse, Payment Integrity, Others), By End-User (Public & Government Agencies, Private Insurance Payers, Third-party service providers, Employers)
The healthcare fraud analytics market is driven by the increasing prevalence of healthcare fraud, waste, and abuse, advancements in analytics technologies and predictive modeling algorithms, and the growing adoption of data-driven approaches to fraud detection and prevention. By 2030, the market is anticipated to witness significant growth, fueled by innovations in fraud detection software, anomaly detection algorithms, and predictive analytics models. Further, expanding applications in claims auditing, provider monitoring, and payment integrity are expected to drive market expansion, enabling healthcare payers, government agencies, and anti-fraud organizations to combat fraud schemes, identify fraudulent activities, and mitigate financial losses through fraud analytics solutions that offer accuracy, scalability, and real-time monitoring for proactive fraud management and compliance in healthcare reimbursement and claims processing operations.
Healthcare Fraud Analytics Market Drivers, Trends, Opportunities, and Growth Opportunities
This comprehensive study discusses the latest trends and the most pressing challenges for industry players and investors. The Healthcare Fraud Analytics market research analyses the global market trends, key drivers, challenges, and opportunities in the industry. In addition, the latest Future of Healthcare Fraud Analytics survey report provides the market size outlook across types, applications, and other segments across the world and regions. It provides data-driven insights and actionable recommendations for companies in the Healthcare Fraud Analytics industry.
Key market trends defining the global Healthcare Fraud Analytics demand in 2024 and Beyond
The industry continues to remain an attractive hub for opportunities for both domestic and global vendors. As the market evolves, factors such as emerging market dynamics, demand from end-user sectors, a growing patient base, changes in consumption patterns, and widening distribution channels continue to play a major role.
Healthcare Fraud Analytics Market Segmentation- Industry Share, Market Size, and Outlook to 2032
The Healthcare Fraud Analytics industry comprises a wide range of segments and sub-segments. The rising demand for these product types and applications is supporting companies to increase their investment levels across niche segments. Accordingly, leading companies plan to generate a large share of their future revenue growth from expansion into these niche segments. The report presents the market size outlook across segments to support Healthcare Fraud Analytics companies scaling up production in these sub-segments with a focus on expanding into emerging countries.
Key strategies adopted by companies within the Healthcare Fraud Analytics industry
Leading Healthcare Fraud Analytics companies are boosting investments to capitalize on untapped potential and future possibilities across niche market segments and surging demand conditions in key regions. Further, companies are leveraging advanced technologies to unlock opportunities and achieve operational excellence. The report provides key strategies opted for by the top 10 Healthcare Fraud Analytics companies.
Healthcare Fraud Analytics Market Study- Strategic Analysis Review
The Healthcare Fraud Analytics market research report dives deep into the qualitative factors shaping the market, empowering you to make informed decisions-
The Healthcare Fraud Analytics industry report provides a detailed analysis and outlook of revenue generated by companies from 2018 to 2023. Further, with actual data for 2023, the report forecasts the market size outlook from 2024 to 2032 in three case scenarios- low case, reference case, and high case scenarios.
Healthcare Fraud Analytics Country Analysis and Revenue Outlook to 2032
The report analyses 22 countries worldwide including the key driving forces and market size outlook from 2021 to 2032. In addition, region analysis across Asia Pacific, Europe, the Middle East, Africa, North America, and South America is included in the study. For each of the six regions, the market size outlook by segments is forecast for 2032.
North America Healthcare Fraud Analytics Market Size Outlook- Companies plan for focused investments in a changing environment
The US continues to remain the market leader in North America, driven by a large consumer base, the presence of well-established providers, and a strong healthcare infrastructure. Leading companies focus on new product launches in the changing environment. The US healthcare expenditure is expected to grow to $4.8 trillion in 2024 (around 3.7% growth in 2024), potentially driving demand for various Healthcare Fraud Analytics market segments. Similarly, Strong market demand is encouraging Canadian Healthcare Fraud Analytics companies to invest in niche segments. Further, as Mexico continues to strengthen its relations and invest in technological advancements, the Mexico Healthcare Fraud Analytics market is expected to experience significant expansion, offering lucrative opportunities for both domestic and international stakeholders.
Europe Healthcare Fraud Analytics Market Size Outlook-Companies investing in assessing consumers, categories, competitors, and capabilities
The German industry remains the major market for companies in the European Healthcare Fraud Analytics industry with consumers in Germany, France, the UK, Spain, Italy, and others anticipated to register a steady demand throughout the forecast period, driving the overall market prospects. In addition, the proactive approach of vendors in identifying and leveraging new growth prospects positions the European Healthcare Fraud Analytics market for an upward trajectory, fostering both domestic and international interest. Leading brands operating in the industry are emphasizing effective marketing strategies, innovative product offerings, and a keen understanding of consumer preferences.
Asia Pacific Healthcare Fraud Analytics Market Size Outlook- an attractive hub for opportunities for both local and global companies
The increasing prevalence of indications, robust healthcare expenditure, and increasing investments in healthcare infrastructure drive the demand for Healthcare Fraud Analytics in Asia Pacific. In particular, China, India, and South East Asian Healthcare Fraud Analytics markets present a compelling outlook for 2032, acting as a magnet for both domestic and multinational vendors seeking growth opportunities. Similarly, with a burgeoning population and a rising middle class, India offers a vast consumer market. Japanese and Korean companies are quickly aligning their strategies to navigate changes, explore new markets, and enhance their competitive edge. Our report utilizes in-depth interviews with industry experts and comprehensive data analysis to provide a comprehensive outlook of 6 major countries in the APAC region.
Latin America Healthcare Fraud Analytics Market Size Outlook- Continued urbanization and rising income levels
Rising income levels contribute to greater purchasing power among consumers, spurring consumption and creating opportunities for market expansion. Continued urbanization and rising income levels are expected to sustainably drive consumption growth in the medium to long term.
Middle East and Africa Healthcare Fraud Analytics Market Size Outlook- continues its upward trajectory across segments
Robust demand from Middle Eastern countries including Saudi Arabia, the UAE, Qatar, Kuwait, and other GCC countries supports the overall Middle East Healthcare Fraud Analytics market potential. Fueled by increasing healthcare expenditure of individuals, growing population, and high prevalence across a few markets drives the demand for Healthcare Fraud Analytics.
Healthcare Fraud Analytics Market Company Profiles
The global Healthcare Fraud Analytics market is characterized by intense competitive conditions with leading companies opting for aggressive marketing to gain market shares. The report presents business descriptions, SWOT analysis, growth strategies, and financial profiles. Leading companies included in the study are CGI Inc, Change Healthcare Inc, Codoxo Inc, Conduent Inc, Cotiviti Holdings Inc, DXC Technology Company, EXLService Holdings Inc, Fair Isaac Corp, FraudLens Inc, FraudScope Inc, FRISS Inc, H2O.ai Inc, HCL Technologies Ltd, Healthcare Fraud Shield LLC, HMS Holdings corp, IBM Corp, MultiPlan Corp, Northrop Grumman Corp, Optum Inc, OSP Labs LLc, Pondera Solutions Inc, Qlarant Inc, RELX Inc, SAS Institute Inc, Sharecare Inc, Wipro Ltd.
Recent Healthcare Fraud Analytics Market Developments
The global Healthcare Fraud Analytics market study presents recent market news and developments including new product launches, mergers, acquisitions, expansions, product approvals, and other updates in the industry.
Healthcare Fraud Analytics Market Report Scope
Parameters: Revenue, Volume Price
Study Period: 2023 (Base Year); 2018- 2023 (Historic Period); 2024- 2032 (Forecast Period)
Currency: USD; (Upon request, can be provided in Euro, JPY, GBP, and other Local Currency)
Qualitative Analysis
By Solution
Descriptive Analytics
Predictive Analytics
Prescriptive Analytics
By Delivery Model
On-premise
On-demand
By Application
Insurance Claims Review
-Post payment Review
-Pre payment Review
Pharmacy Billing Misuse
Payment Integrity
Others
By End-User
Public & Government Agencies
Private Insurance Payers
Third-party service providers
Employers
Geographical Segmentation:
CGI Inc
Change Healthcare Inc
Codoxo Inc
Conduent Inc
Cotiviti Holdings Inc
DXC Technology Company
EXLService Holdings Inc
Fair Isaac Corp
FraudLens Inc
FraudScope Inc
FRISS Inc
H2O.ai Inc
HCL Technologies Ltd
Healthcare Fraud Shield LLC
HMS Holdings corp
IBM Corp
MultiPlan Corp
Northrop Grumman Corp
Optum Inc
OSP Labs LLc
Pondera Solutions Inc
Qlarant Inc
RELX Inc
SAS Institute Inc
Sharecare Inc
Wipro Ltd
Formats Available: Excel, PDF, and PPT
The healthcare fraud analytics market is driven by the increasing prevalence of healthcare fraud, waste, and abuse, advancements in analytics technologies and predictive modeling algorithms, and the growing adoption of data-driven approaches to fraud detection and prevention. By 2030, the market is anticipated to witness significant growth, fueled by innovations in fraud detection software, anomaly detection algorithms, and predictive analytics models. Further, expanding applications in claims auditing, provider monitoring, and payment integrity are expected to drive market expansion, enabling healthcare payers, government agencies, and anti-fraud organizations to combat fraud schemes, identify fraudulent activities, and mitigate financial losses through fraud analytics solutions that offer accuracy, scalability, and real-time monitoring for proactive fraud management and compliance in healthcare reimbursement and claims processing operations.
Healthcare Fraud Analytics Market Drivers, Trends, Opportunities, and Growth Opportunities
This comprehensive study discusses the latest trends and the most pressing challenges for industry players and investors. The Healthcare Fraud Analytics market research analyses the global market trends, key drivers, challenges, and opportunities in the industry. In addition, the latest Future of Healthcare Fraud Analytics survey report provides the market size outlook across types, applications, and other segments across the world and regions. It provides data-driven insights and actionable recommendations for companies in the Healthcare Fraud Analytics industry.
Key market trends defining the global Healthcare Fraud Analytics demand in 2024 and Beyond
The industry continues to remain an attractive hub for opportunities for both domestic and global vendors. As the market evolves, factors such as emerging market dynamics, demand from end-user sectors, a growing patient base, changes in consumption patterns, and widening distribution channels continue to play a major role.
Healthcare Fraud Analytics Market Segmentation- Industry Share, Market Size, and Outlook to 2032
The Healthcare Fraud Analytics industry comprises a wide range of segments and sub-segments. The rising demand for these product types and applications is supporting companies to increase their investment levels across niche segments. Accordingly, leading companies plan to generate a large share of their future revenue growth from expansion into these niche segments. The report presents the market size outlook across segments to support Healthcare Fraud Analytics companies scaling up production in these sub-segments with a focus on expanding into emerging countries.
Key strategies adopted by companies within the Healthcare Fraud Analytics industry
Leading Healthcare Fraud Analytics companies are boosting investments to capitalize on untapped potential and future possibilities across niche market segments and surging demand conditions in key regions. Further, companies are leveraging advanced technologies to unlock opportunities and achieve operational excellence. The report provides key strategies opted for by the top 10 Healthcare Fraud Analytics companies.
Healthcare Fraud Analytics Market Study- Strategic Analysis Review
The Healthcare Fraud Analytics market research report dives deep into the qualitative factors shaping the market, empowering you to make informed decisions-
- Industry Dynamics: Porter's Five Forces analysis to understand bargaining power, competitive rivalry, and threats that impact long-term strategy formulation.
- Strategic Insights: Provides valuable perspectives on key players and their approaches based on comprehensive strategy analysis.
- Internal Strengths and Weaknesses: Develop targeted strategies to leverage strengths, address weaknesses, and capitalize on market opportunities.
- Future Possibilities: Prepare for diverse outcomes with in-depth scenario analysis. Explore potential market disruptions, technology advancements, and economic changes.
The Healthcare Fraud Analytics industry report provides a detailed analysis and outlook of revenue generated by companies from 2018 to 2023. Further, with actual data for 2023, the report forecasts the market size outlook from 2024 to 2032 in three case scenarios- low case, reference case, and high case scenarios.
Healthcare Fraud Analytics Country Analysis and Revenue Outlook to 2032
The report analyses 22 countries worldwide including the key driving forces and market size outlook from 2021 to 2032. In addition, region analysis across Asia Pacific, Europe, the Middle East, Africa, North America, and South America is included in the study. For each of the six regions, the market size outlook by segments is forecast for 2032.
North America Healthcare Fraud Analytics Market Size Outlook- Companies plan for focused investments in a changing environment
The US continues to remain the market leader in North America, driven by a large consumer base, the presence of well-established providers, and a strong healthcare infrastructure. Leading companies focus on new product launches in the changing environment. The US healthcare expenditure is expected to grow to $4.8 trillion in 2024 (around 3.7% growth in 2024), potentially driving demand for various Healthcare Fraud Analytics market segments. Similarly, Strong market demand is encouraging Canadian Healthcare Fraud Analytics companies to invest in niche segments. Further, as Mexico continues to strengthen its relations and invest in technological advancements, the Mexico Healthcare Fraud Analytics market is expected to experience significant expansion, offering lucrative opportunities for both domestic and international stakeholders.
Europe Healthcare Fraud Analytics Market Size Outlook-Companies investing in assessing consumers, categories, competitors, and capabilities
The German industry remains the major market for companies in the European Healthcare Fraud Analytics industry with consumers in Germany, France, the UK, Spain, Italy, and others anticipated to register a steady demand throughout the forecast period, driving the overall market prospects. In addition, the proactive approach of vendors in identifying and leveraging new growth prospects positions the European Healthcare Fraud Analytics market for an upward trajectory, fostering both domestic and international interest. Leading brands operating in the industry are emphasizing effective marketing strategies, innovative product offerings, and a keen understanding of consumer preferences.
Asia Pacific Healthcare Fraud Analytics Market Size Outlook- an attractive hub for opportunities for both local and global companies
The increasing prevalence of indications, robust healthcare expenditure, and increasing investments in healthcare infrastructure drive the demand for Healthcare Fraud Analytics in Asia Pacific. In particular, China, India, and South East Asian Healthcare Fraud Analytics markets present a compelling outlook for 2032, acting as a magnet for both domestic and multinational vendors seeking growth opportunities. Similarly, with a burgeoning population and a rising middle class, India offers a vast consumer market. Japanese and Korean companies are quickly aligning their strategies to navigate changes, explore new markets, and enhance their competitive edge. Our report utilizes in-depth interviews with industry experts and comprehensive data analysis to provide a comprehensive outlook of 6 major countries in the APAC region.
Latin America Healthcare Fraud Analytics Market Size Outlook- Continued urbanization and rising income levels
Rising income levels contribute to greater purchasing power among consumers, spurring consumption and creating opportunities for market expansion. Continued urbanization and rising income levels are expected to sustainably drive consumption growth in the medium to long term.
Middle East and Africa Healthcare Fraud Analytics Market Size Outlook- continues its upward trajectory across segments
Robust demand from Middle Eastern countries including Saudi Arabia, the UAE, Qatar, Kuwait, and other GCC countries supports the overall Middle East Healthcare Fraud Analytics market potential. Fueled by increasing healthcare expenditure of individuals, growing population, and high prevalence across a few markets drives the demand for Healthcare Fraud Analytics.
Healthcare Fraud Analytics Market Company Profiles
The global Healthcare Fraud Analytics market is characterized by intense competitive conditions with leading companies opting for aggressive marketing to gain market shares. The report presents business descriptions, SWOT analysis, growth strategies, and financial profiles. Leading companies included in the study are CGI Inc, Change Healthcare Inc, Codoxo Inc, Conduent Inc, Cotiviti Holdings Inc, DXC Technology Company, EXLService Holdings Inc, Fair Isaac Corp, FraudLens Inc, FraudScope Inc, FRISS Inc, H2O.ai Inc, HCL Technologies Ltd, Healthcare Fraud Shield LLC, HMS Holdings corp, IBM Corp, MultiPlan Corp, Northrop Grumman Corp, Optum Inc, OSP Labs LLc, Pondera Solutions Inc, Qlarant Inc, RELX Inc, SAS Institute Inc, Sharecare Inc, Wipro Ltd.
Recent Healthcare Fraud Analytics Market Developments
The global Healthcare Fraud Analytics market study presents recent market news and developments including new product launches, mergers, acquisitions, expansions, product approvals, and other updates in the industry.
Healthcare Fraud Analytics Market Report Scope
Parameters: Revenue, Volume Price
Study Period: 2023 (Base Year); 2018- 2023 (Historic Period); 2024- 2032 (Forecast Period)
Currency: USD; (Upon request, can be provided in Euro, JPY, GBP, and other Local Currency)
Qualitative Analysis
- Pricing Analysis
- Value Chain Analysis
- SWOT Profile
- Market Dynamics- Trends, Drivers, Challenges
- Porter’s Five Forces Analysis
- Macroeconomic Impact Analysis
- Case Scenarios- Low, Base, High
By Solution
Descriptive Analytics
Predictive Analytics
Prescriptive Analytics
By Delivery Model
On-premise
On-demand
By Application
Insurance Claims Review
-Post payment Review
-Pre payment Review
Pharmacy Billing Misuse
Payment Integrity
Others
By End-User
Public & Government Agencies
Private Insurance Payers
Third-party service providers
Employers
Geographical Segmentation:
- North America (3 markets)
- Europe (6 markets)
- Asia Pacific (6 markets)
- Latin America (3 markets)
- Middle East Africa (5 markets)
CGI Inc
Change Healthcare Inc
Codoxo Inc
Conduent Inc
Cotiviti Holdings Inc
DXC Technology Company
EXLService Holdings Inc
Fair Isaac Corp
FraudLens Inc
FraudScope Inc
FRISS Inc
H2O.ai Inc
HCL Technologies Ltd
Healthcare Fraud Shield LLC
HMS Holdings corp
IBM Corp
MultiPlan Corp
Northrop Grumman Corp
Optum Inc
OSP Labs LLc
Pondera Solutions Inc
Qlarant Inc
RELX Inc
SAS Institute Inc
Sharecare Inc
Wipro Ltd
Formats Available: Excel, PDF, and PPT
1. EXECUTIVE SUMMARY
1.1 Healthcare Fraud Analytics Market Overview and Key Findings, 2024
1.2 Healthcare Fraud Analytics Market Size and Growth Outlook, 2021- 2030
1.3 Healthcare Fraud Analytics Market Growth Opportunities to 2030
1.4 Key Healthcare Fraud Analytics Market Trends and Challenges
1.4.1 Healthcare Fraud Analytics Market Drivers and Trends
1.4.2 Healthcare Fraud Analytics Market Challenges
1.5 Competitive Landscape and Key Players
1.6 Competitive Analysis- Growth Strategies Adopted by Leading Healthcare Fraud Analytics Companies
2. HEALTHCARE FRAUD ANALYTICS MARKET SIZE OUTLOOK TO 2030
2.1 Healthcare Fraud Analytics Market Size Outlook, USD Million, 2021- 2030
2.2 Healthcare Fraud Analytics Incremental Market Growth Outlook, %, 2021- 2030
2.3 Segment Snapshot, 2024
3. HEALTHCARE FRAUD ANALYTICS MARKET- STRATEGIC ANALYSIS REVIEW
3.1 Porter's Five Forces Analysis
* Threat of New Entrants
* Threat of Substitutes
* Intensity of Competitive Rivalry
* Bargaining Power of Buyers
* Bargaining Power of Suppliers
3.2 Value Chain Analysis
3.3 SWOT Analysis
4. HEALTHCARE FRAUD ANALYTICS MARKET SEGMENTATION ANALYSIS AND OUTLOOK
4.1 Market Segmentation and Scope
4.2 Market Breakdown by Type, Application, and Other Segments, 2021-2030
By Solution
Descriptive Analytics
Predictive Analytics
Prescriptive Analytics
By Delivery Model
On-premise
On-demand
By Application
Insurance Claims Review
-Post payment Review
-Pre payment Review
Pharmacy Billing Misuse
Payment Integrity
Others
By End-User
Public & Government Agencies
Private Insurance Payers
Third-party service providers
Employers
4.3 Growth Prospects and Niche Opportunities, 2023- 2030
4.4 Regional comparison of Market Growth, CAGR, 2023-2030
5. REGION-WISE MARKET OUTLOOK TO 2030
5.1 Key Findings for Asia Pacific Healthcare Fraud Analytics Market, 2025
5.2 Asia Pacific Healthcare Fraud Analytics Market Size Outlook by Type, 2021- 2030
5.3 Asia Pacific Healthcare Fraud Analytics Market Size Outlook by Application, 2021- 2030
5.4 Key Findings for Europe Healthcare Fraud Analytics Market, 2025
5.5 Europe Healthcare Fraud Analytics Market Size Outlook by Type, 2021- 2030
5.6 Europe Healthcare Fraud Analytics Market Size Outlook by Application, 2021- 2030
5.7 Key Findings for North America Healthcare Fraud Analytics Market, 2025
5.8 North America Healthcare Fraud Analytics Market Size Outlook by Type, 2021- 2030
5.9 North America Healthcare Fraud Analytics Market Size Outlook by Application, 2021- 2030
5.10 Key Findings for South America Healthcare Fraud Analytics Market, 2025
5.11 South America Pacific Healthcare Fraud Analytics Market Size Outlook by Type, 2021- 2030
5.12 South America Healthcare Fraud Analytics Market Size Outlook by Application, 2021- 2030
5.13 Key Findings for Middle East and Africa Healthcare Fraud Analytics Market, 2025
5.14 Middle East Africa Healthcare Fraud Analytics Market Size Outlook by Type, 2021- 2030
5.15 Middle East Africa Healthcare Fraud Analytics Market Size Outlook by Application, 2021- 2030
6. COUNTRY-WISE MARKET SIZE OUTLOOK TO 2030
6.1 US Healthcare Fraud Analytics Market Size Outlook and Revenue Growth Forecasts
6.2 US Healthcare Fraud Analytics Industry Drivers and Opportunities
6.3 Canada Market Size Outlook and Revenue Growth Forecasts
6.4 Canada Healthcare Fraud Analytics Industry Drivers and Opportunities
6.6 Mexico Market Size Outlook and Revenue Growth Forecasts
6.6 Mexico Healthcare Fraud Analytics Industry Drivers and Opportunities
6.7 Germany Market Size Outlook and Revenue Growth Forecasts
6.8 Germany Healthcare Fraud Analytics Industry Drivers and Opportunities
6.9 France Market Size Outlook and Revenue Growth Forecasts
6.10 France Healthcare Fraud Analytics Industry Drivers and Opportunities
6.11 UK Market Size Outlook and Revenue Growth Forecasts
6.12 UK Healthcare Fraud Analytics Industry Drivers and Opportunities
6.13 Spain Market Size Outlook and Revenue Growth Forecasts
6.14 Spain Healthcare Fraud Analytics Industry Drivers and Opportunities
6.16 Italy Market Size Outlook and Revenue Growth Forecasts
6.16 Italy Healthcare Fraud Analytics Industry Drivers and Opportunities
6.17 Rest of Europe Market Size Outlook and Revenue Growth Forecasts
6.18 Rest of Europe Healthcare Fraud Analytics Industry Drivers and Opportunities
6.19 China Market Size Outlook and Revenue Growth Forecasts
6.20 China Healthcare Fraud Analytics Industry Drivers and Opportunities
6.21 India Market Size Outlook and Revenue Growth Forecasts
6.22 India Healthcare Fraud Analytics Industry Drivers and Opportunities
6.23 Japan Market Size Outlook and Revenue Growth Forecasts
6.24 Japan Healthcare Fraud Analytics Industry Drivers and Opportunities
6.26 South Korea Market Size Outlook and Revenue Growth Forecasts
6.26 South Korea Healthcare Fraud Analytics Industry Drivers and Opportunities
6.27 Australia Market Size Outlook and Revenue Growth Forecasts
6.28 Australia Healthcare Fraud Analytics Industry Drivers and Opportunities
6.29 South East Asia Market Size Outlook and Revenue Growth Forecasts
6.30 South East Asia Healthcare Fraud Analytics Industry Drivers and Opportunities
6.31 Rest of Asia Pacific Market Size Outlook and Revenue Growth Forecasts
6.32 Rest of Asia Pacific Healthcare Fraud Analytics Industry Drivers and Opportunities
6.33 Brazil Market Size Outlook and Revenue Growth Forecasts
6.34 Brazil Healthcare Fraud Analytics Industry Drivers and Opportunities
6.36 Argentina Market Size Outlook and Revenue Growth Forecasts
6.36 Argentina Healthcare Fraud Analytics Industry Drivers and Opportunities
6.37 Rest of South America Market Size Outlook and Revenue Growth Forecasts
6.38 Rest of South America Healthcare Fraud Analytics Industry Drivers and Opportunities
6.39 Middle East Market Size Outlook and Revenue Growth Forecasts
6.40 Middle East Healthcare Fraud Analytics Industry Drivers and Opportunities
6.41 Africa Market Size Outlook and Revenue Growth Forecasts
6.42 Africa Healthcare Fraud Analytics Industry Drivers and Opportunities
7. HEALTHCARE FRAUD ANALYTICS MARKET OUTLOOK ACROSS SCENARIOS
7.1 Low Growth Case
7.2 Reference Growth Case
7.3 High Growth Case
8. HEALTHCARE FRAUD ANALYTICS COMPANY PROFILES
8.1 Profiles of Leading Healthcare Fraud Analytics Companies in the Market
8.2 Business Descriptions, SWOT Analysis, and Growth Strategies
8.3 Financial Performance and Key Metrics
CGI Inc
Change Healthcare Inc
Codoxo Inc
Conduent Inc
Cotiviti Holdings Inc
DXC Technology Company
EXLService Holdings Inc
Fair Isaac Corp
FraudLens Inc
FraudScope Inc
FRISS Inc
H2O.ai Inc
HCL Technologies Ltd
Healthcare Fraud Shield LLC
HMS Holdings corp
IBM Corp
MultiPlan Corp
Northrop Grumman Corp
Optum Inc
OSP Labs LLc
Pondera Solutions Inc
Qlarant Inc
RELX Inc
SAS Institute Inc
Sharecare Inc
Wipro Ltd.
9. APPENDIX
9.1 Scope of the Report
9.2 Research Methodology and Data Sources
9.3 Glossary of Terms
9.4 Market Definitions
9.5 Contact Information
1.1 Healthcare Fraud Analytics Market Overview and Key Findings, 2024
1.2 Healthcare Fraud Analytics Market Size and Growth Outlook, 2021- 2030
1.3 Healthcare Fraud Analytics Market Growth Opportunities to 2030
1.4 Key Healthcare Fraud Analytics Market Trends and Challenges
1.4.1 Healthcare Fraud Analytics Market Drivers and Trends
1.4.2 Healthcare Fraud Analytics Market Challenges
1.5 Competitive Landscape and Key Players
1.6 Competitive Analysis- Growth Strategies Adopted by Leading Healthcare Fraud Analytics Companies
2. HEALTHCARE FRAUD ANALYTICS MARKET SIZE OUTLOOK TO 2030
2.1 Healthcare Fraud Analytics Market Size Outlook, USD Million, 2021- 2030
2.2 Healthcare Fraud Analytics Incremental Market Growth Outlook, %, 2021- 2030
2.3 Segment Snapshot, 2024
3. HEALTHCARE FRAUD ANALYTICS MARKET- STRATEGIC ANALYSIS REVIEW
3.1 Porter's Five Forces Analysis
* Threat of New Entrants
* Threat of Substitutes
* Intensity of Competitive Rivalry
* Bargaining Power of Buyers
* Bargaining Power of Suppliers
3.2 Value Chain Analysis
3.3 SWOT Analysis
4. HEALTHCARE FRAUD ANALYTICS MARKET SEGMENTATION ANALYSIS AND OUTLOOK
4.1 Market Segmentation and Scope
4.2 Market Breakdown by Type, Application, and Other Segments, 2021-2030
By Solution
Descriptive Analytics
Predictive Analytics
Prescriptive Analytics
By Delivery Model
On-premise
On-demand
By Application
Insurance Claims Review
-Post payment Review
-Pre payment Review
Pharmacy Billing Misuse
Payment Integrity
Others
By End-User
Public & Government Agencies
Private Insurance Payers
Third-party service providers
Employers
4.3 Growth Prospects and Niche Opportunities, 2023- 2030
4.4 Regional comparison of Market Growth, CAGR, 2023-2030
5. REGION-WISE MARKET OUTLOOK TO 2030
5.1 Key Findings for Asia Pacific Healthcare Fraud Analytics Market, 2025
5.2 Asia Pacific Healthcare Fraud Analytics Market Size Outlook by Type, 2021- 2030
5.3 Asia Pacific Healthcare Fraud Analytics Market Size Outlook by Application, 2021- 2030
5.4 Key Findings for Europe Healthcare Fraud Analytics Market, 2025
5.5 Europe Healthcare Fraud Analytics Market Size Outlook by Type, 2021- 2030
5.6 Europe Healthcare Fraud Analytics Market Size Outlook by Application, 2021- 2030
5.7 Key Findings for North America Healthcare Fraud Analytics Market, 2025
5.8 North America Healthcare Fraud Analytics Market Size Outlook by Type, 2021- 2030
5.9 North America Healthcare Fraud Analytics Market Size Outlook by Application, 2021- 2030
5.10 Key Findings for South America Healthcare Fraud Analytics Market, 2025
5.11 South America Pacific Healthcare Fraud Analytics Market Size Outlook by Type, 2021- 2030
5.12 South America Healthcare Fraud Analytics Market Size Outlook by Application, 2021- 2030
5.13 Key Findings for Middle East and Africa Healthcare Fraud Analytics Market, 2025
5.14 Middle East Africa Healthcare Fraud Analytics Market Size Outlook by Type, 2021- 2030
5.15 Middle East Africa Healthcare Fraud Analytics Market Size Outlook by Application, 2021- 2030
6. COUNTRY-WISE MARKET SIZE OUTLOOK TO 2030
6.1 US Healthcare Fraud Analytics Market Size Outlook and Revenue Growth Forecasts
6.2 US Healthcare Fraud Analytics Industry Drivers and Opportunities
6.3 Canada Market Size Outlook and Revenue Growth Forecasts
6.4 Canada Healthcare Fraud Analytics Industry Drivers and Opportunities
6.6 Mexico Market Size Outlook and Revenue Growth Forecasts
6.6 Mexico Healthcare Fraud Analytics Industry Drivers and Opportunities
6.7 Germany Market Size Outlook and Revenue Growth Forecasts
6.8 Germany Healthcare Fraud Analytics Industry Drivers and Opportunities
6.9 France Market Size Outlook and Revenue Growth Forecasts
6.10 France Healthcare Fraud Analytics Industry Drivers and Opportunities
6.11 UK Market Size Outlook and Revenue Growth Forecasts
6.12 UK Healthcare Fraud Analytics Industry Drivers and Opportunities
6.13 Spain Market Size Outlook and Revenue Growth Forecasts
6.14 Spain Healthcare Fraud Analytics Industry Drivers and Opportunities
6.16 Italy Market Size Outlook and Revenue Growth Forecasts
6.16 Italy Healthcare Fraud Analytics Industry Drivers and Opportunities
6.17 Rest of Europe Market Size Outlook and Revenue Growth Forecasts
6.18 Rest of Europe Healthcare Fraud Analytics Industry Drivers and Opportunities
6.19 China Market Size Outlook and Revenue Growth Forecasts
6.20 China Healthcare Fraud Analytics Industry Drivers and Opportunities
6.21 India Market Size Outlook and Revenue Growth Forecasts
6.22 India Healthcare Fraud Analytics Industry Drivers and Opportunities
6.23 Japan Market Size Outlook and Revenue Growth Forecasts
6.24 Japan Healthcare Fraud Analytics Industry Drivers and Opportunities
6.26 South Korea Market Size Outlook and Revenue Growth Forecasts
6.26 South Korea Healthcare Fraud Analytics Industry Drivers and Opportunities
6.27 Australia Market Size Outlook and Revenue Growth Forecasts
6.28 Australia Healthcare Fraud Analytics Industry Drivers and Opportunities
6.29 South East Asia Market Size Outlook and Revenue Growth Forecasts
6.30 South East Asia Healthcare Fraud Analytics Industry Drivers and Opportunities
6.31 Rest of Asia Pacific Market Size Outlook and Revenue Growth Forecasts
6.32 Rest of Asia Pacific Healthcare Fraud Analytics Industry Drivers and Opportunities
6.33 Brazil Market Size Outlook and Revenue Growth Forecasts
6.34 Brazil Healthcare Fraud Analytics Industry Drivers and Opportunities
6.36 Argentina Market Size Outlook and Revenue Growth Forecasts
6.36 Argentina Healthcare Fraud Analytics Industry Drivers and Opportunities
6.37 Rest of South America Market Size Outlook and Revenue Growth Forecasts
6.38 Rest of South America Healthcare Fraud Analytics Industry Drivers and Opportunities
6.39 Middle East Market Size Outlook and Revenue Growth Forecasts
6.40 Middle East Healthcare Fraud Analytics Industry Drivers and Opportunities
6.41 Africa Market Size Outlook and Revenue Growth Forecasts
6.42 Africa Healthcare Fraud Analytics Industry Drivers and Opportunities
7. HEALTHCARE FRAUD ANALYTICS MARKET OUTLOOK ACROSS SCENARIOS
7.1 Low Growth Case
7.2 Reference Growth Case
7.3 High Growth Case
8. HEALTHCARE FRAUD ANALYTICS COMPANY PROFILES
8.1 Profiles of Leading Healthcare Fraud Analytics Companies in the Market
8.2 Business Descriptions, SWOT Analysis, and Growth Strategies
8.3 Financial Performance and Key Metrics
CGI Inc
Change Healthcare Inc
Codoxo Inc
Conduent Inc
Cotiviti Holdings Inc
DXC Technology Company
EXLService Holdings Inc
Fair Isaac Corp
FraudLens Inc
FraudScope Inc
FRISS Inc
H2O.ai Inc
HCL Technologies Ltd
Healthcare Fraud Shield LLC
HMS Holdings corp
IBM Corp
MultiPlan Corp
Northrop Grumman Corp
Optum Inc
OSP Labs LLc
Pondera Solutions Inc
Qlarant Inc
RELX Inc
SAS Institute Inc
Sharecare Inc
Wipro Ltd.
9. APPENDIX
9.1 Scope of the Report
9.2 Research Methodology and Data Sources
9.3 Glossary of Terms
9.4 Market Definitions
9.5 Contact Information
