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Global Healthcare Fraud Detection Market Likely To See Major Growth During 2020 – 2024 – Top Players are (IBM), UNITEDHEALTH group, SAS Institute Inc., FAIR ISAAC Corporation, McKesson Corporation and Other

February 25th, 2021 Wise Guy Research Consultants Pvt. Ltd. Releases

Market analysis

Generally, the major market performers are actively participating in business advancement in the healthcare fraud detection and related organizations. For illustration, in 2019 Optum, Inc. purchased DaVita Medical Group, one of the foremost independent medical groups in the US. Frauds in healthcare increase the burden on the healthcare industry as a rise in the healthcare cost directly involve the products and services.

The global healthcare fraud detection market is in the growing healthcare business continuum. The factors driving global healthcare fraud detection market are the rising number of patients opting for health insurance, an increase in the incidents of fraudulent activities, the escalation in healthcare expenditure, and others. However, the unwillingness of the end users to adopt healthcare fraud analytics systems in growing regions are likely to restrain the growth of the global healthcare fraud detection market during the forecast period. For example, agreeing to the National Health Care Anti-Fraud Association (NHCAA) the financial losses suffered from healthcare frauds add up to roughly USD 10 billion each year. This suggests that there is a looming need to detect fraudulent activities in healthcare business which in turn will boost the global healthcare fraud detection market. Healthcare fraud is a misrepresentation or intentional deception of facts by either healthcare specialists or patients, which can cause in illicit disbursements or advantages.

Major players

The proposed spectators in the Global Healthcare Fraud Detection Market are manufacturers, Retailers, distributors, wholesalers, Investors and trade experts, Governments, associations, industrial bodies, etc. The troupe’s operation in the global healthcare fraud exposure market are focusing on product launches, along with enlarging their global footprints by entering available markets. The major companies functioning in the Global Healthcare Fraud Detection Market are concentrating on firming their global ways by entering into untouched markets. The projected onlookers in the Global Healthcare Fraud Detection Market are companies like International Business Machines Corporation (IBM), UNITEDHEALTH group, SAS Institute Inc., FAIR ISAAC Corporation, McKesson Corporation, EXLSERVICE Holdings, Inc., DXC Technology Company, LEXISNEXIS, COTIVITI INC., WIPRO LIMITED, and CGI INC.

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Market segmentation

The Global Healthcare Fraud Detection Market is segmented based on type, component, delivery model, application, end user and region respectively. Based on component, the market has been bifurcated into services and software. By application, the global healthcare fraud detection market has been split into insurance claims review and payment integrity. Because of type healthcare fraud detection market has been separated into scientific analytics, predictive analytics, and prescriptive analytics. Descriptive analytics uses historical data to analyze the changes that have been made. It is helpful for the hospitals to analyze the total revenue produced per patient, month-over-month sales growth, and year-over-year pricing modifications, thus correctly retaining the related records. This information is used to analyze or understand the proceeds cycle during a set period. The prognostic analytics is also termed as a supervised learning technique. This model is built based on the past data which contains fraud or non-fraud indicators along with different elements such as the number of patients, bill amount, treatment characteristics, reporting lags, years of experience of the doctor, and the number of patient visits. Different organizations such as the National Health Care Anti-Fraud Association and the European Healthcare Fraud and Corruption Network (EHFCN) are involved in countering fraud in the healthcare sector. Based on end user the market has been classified as private insurance payers, public/government agencies, and third-party service sources.

Regional analysis

Geographically the Global Healthcare Fraud Detection Market is split in regions like North & South America, Europe, Asia-Pacific, Middle east and Africa and Rest of the world. The Asia-Pacific region has been labeled as China, India, Japan, and the rest of Asia-Pacific. It retains the third-largest position in the healthcare fraud detection market. Europe held the second-leading market share owing to the high recognition of healthcare fraud detection by the exclusive protection payers. The Europe region is further accounted into Western Europe and Eastern Europe. Western Europe, based on countries has been, segmented into Germany, the UK, France, Italy, Spain, and the rest of Western Europe. The Middle East & Africa is anticipated to witness a astonishing growth owing to the developments in the healthcare services, such as hospitals, clinics, and others. The Americas settled for a market share of 49.97% in 2018. Americas is sub-segmented into North America and South America. North America has been further sub-settled into the US and Canada.

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Table of Content

1 EXECUTIVE SUMMARY

2  MARKET INTRODUCTION

3  RESEARCH METHODOLOGY

4  MARKET DYNAMICS

5  MARKET FACTOR ANALYSIS

6  GLOBAL HEALTHCARE FRAUD DETECTION MARKET, BY TYPE

7  GLOBAL HEALTHCARE FRAUD DETECTION MARKET, BY COMPONENT

8  GLOBAL HEALTHCARE FRAUD DETECTION MARKET, BY DELIVERY MODEL

9  GLOBAL HEALTHCARE FRAUD DETECTION MARKET, BY APPLICATION

10  GLOBAL HEALTHCARE FRAUD DETECTION MARKET, BY END USER

11  GLOBAL HEALTHCARE FRAUD DETECTION MARKET, BY REGION

12  COMPETITIVE LANDSCAPE

13  COMPANY PROFILES

Read Other Reports from our Database :

http://www.marketwatch.com/story/diabetes-care-devices-market—global-sharetrendssupplysaleskey-players-analysisdemand-and-forecast-2025-2021-01-07

http://www.marketwatch.com/story/cosmetic-surgery-and-procedures-market-2021-global-industry-analysis-by-key-players-segmentation-trends-and-forecast-by-2025-2021-01-07

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Wise Guy Reports is part of the Wise Guy Research Consultants Pvt. Ltd. and offers premium progressive statistical surveying, market research reports, analysis & forecast data for industries and governments around the globe. Wise Guy Reports understand how essential statistical surveying information is for your organization or association. Therefore, we have associated with the top publishers and research firms all specialized in specific domains, ensuring you will receive the most reliable and up to date research data available. We also provide COTS (Commercial off the Shelf) business sector reports as custom exploration agreeing your particular needs.

 

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