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Healthcare Fraud Analytics Market – By Solution Type (Descriptive, Prescriptive, Predictive), Deployment Mode (On-premises, Cloud-based), Application (Insurance Claims Review, Pharmacy Billing Issue, Payment Integrity), End-use & Forecast, 2024 – 2032

  • Report ID: GMI11010
  • Published Date: Aug 2024
  • Report Format: PDF

Report Content

Chapter 1   Methodology & Scope

1.1    Market scope & definitions

1.2    Research design

1.2.1    Research approach

1.2.2    Data collection methods

1.3    Base estimates & calculations

1.3.1    Base year calculation

1.3.2    Key trends for market estimation

1.4    Forecast model

1.5    Primary research and validation

1.5.1    Primary sources

1.5.2    Data mining sources

Chapter 2   Executive Summary

2.1    Industry 3600 synopsis

Chapter 3   Industry Insights

3.1    Industry ecosystem analysis

3.2    Industry impact forces

3.2.1    Growth drivers

3.2.1.1    Rising incidence of healthcare fraud

3.2.1.2    Growing awareness and focus on fraud prevention

3.2.1.3    Technological advancements

3.2.2    Industry pitfalls & challenges

3.2.2.1    High implementation costs

3.2.2.2    Lack of skilled professionals

3.3    Growth potential analysis

3.4    Regulatory landscape

3.5    Reimbursement scenario

3.6    Porter's analysis

3.7    PESTEL analysis

3.8    Policy outlook

3.9    Gap analysis

3.10    Future market trends

Chapter 4   Competitive Landscape, 2023

4.1    Introduction

4.2    Company matrix analysis

4.3    Competitive analysis of major market players

4.4    Competitive positioning matrix

4.5    Strategy dashboard

Chapter 5   Market Estimates and Forecast, By Solution Type, 2021 – 2032 ($ Mn)

5.1    Key trends

5.2    Descriptive analytics

5.3    Prescriptive analytics

5.4    Predictive analytics

Chapter 6   Market Estimates and Forecast, By Deployment Mode, 2021 – 2032 ($ Mn)

6.1    Key trends

6.2    On-premises

6.3    Cloud-based

Chapter 7   Market Estimates and Forecast, By Application, 2021 – 2032 ($ Mn)

7.1    Key trends

7.2    Insurance claims review

7.2.1    Postpayment review

7.2.2    Prepayment review

7.3    Pharmacy billing issue

7.4    Payment integrity

7.5    Other applications

Chapter 8   Market Estimates and Forecast, By End-Use, 2021 – 2032 ($ Mn)

8.1    Key trends

8.2    Healthcare providers

8.3    Insurance companies

8.4    Government organizations

8.5    Other end-users

Chapter 9   Market Estimates and Forecast, By Region, 2021 – 2032 ($ Mn)

9.1    Key trends

9.2    North America

9.2.1    U.S.

9.2.2    Canada

9.3    Europe

9.3.1    Germany

9.3.2    UK

9.3.3    France

9.3.4    Spain

9.3.5    Italy

9.3.6    Netherlands

9.3.7    Rest of Europe

9.4    Asia Pacific

9.4.1    China

9.4.2    Japan

9.4.3    India

9.4.4    Australia

9.4.5    South Korea

9.4.6    Rest of Asia Pacific

9.5    Latin America

9.5.1    Brazil

9.5.2    Mexico

9.5.3    Argentina

9.5.4    Rest of Latin America

9.6    Middle East and Africa

9.6.1    South Africa

9.6.2    Saudi Arabia

9.6.3    UAE

9.6.4    Rest of Middle East and Africa

Chapter 10   Company Profiles

10.1    CGI Inc.

10.2    Change Healthcare

10.3    Conduent Incorporated

10.4    Cotiviti, Inc.

10.5    DXC Technology Company

10.6    EPIC

10.7    ExlService Holdings, Inc.

10.8    Fair Isaac Corporation

10.9    HCL Technologies Limited

10.10    IBM Corporation

10.11    LexisNexis Risk Solutions.

10.12    Optum Inc.

10.13    Qlarant Commercial Solutions, Inc.

10.14    SAS Institute Inc.

10.15    WIPRO LIMITED
 

Authors: Mariam Faizullabhoy, Gauri Wani

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Premium Report Details

  • Base Year: 2023
  • Companies covered: 15
  • Tables & Figures: 181
  • Countries covered: 23
  • Pages: 100
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