September 03, 2021
According to the report titled ‘Global Healthcare Fraud Analytics and Detection Market 2019-2028’, available with Market Study Report, global healthcare fraud analytics and detection market is anticipated to record 23.63% CAGR during 2019-2028.
Increasing healthcare expenditure, resulting in rise in insurance facilities, coupled with surge in number of people applying for healthcare insurance are propelling the growth of global healthcare fraud analytics and detection market. Also, healthcare fraudulent activities have skyrocketed in recent year, encouraging the adoption of these solutions
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On the contrary, reluctancy to adopt healthcare fraud analytics and detection systems in developing and underdeveloped countries due to high cost of these solutions is likely to impede the industry progress.
By type, the market sphere is bifurcated into descriptive analysis, prescriptive analysis, and predictive analysis. Whereas on the basis of application, the industry is split into review of insurance claims, and payment integrity. The segmentation of the market based on end user terrain includes private insurance payers, government insurance payers, and others.
Moving on to geographical terrain, North America, Asia Pacific, Europe, Latin America, and Middle East & Africa are considered to understand the dynamics of global healthcare fraud analytics and detection industry.
The report cites that Asia Pacific market size is expected to expand significantly during 2019-2028, owing to government led initiatives to improve healthcare infrastructure in the region. Rising cases of frauds in medical sector leading to monetary loss for insurers is further creating demand for fraud analytics and detection services. Besides, presence of major players in the region is also aiding the development of industry outlook.
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Pondera Solutions, LLC, CGI Group, Inc., Fair Isaac Corporation, DXC Technology Co., Change Healthcare, Inc., EXL Service, Cotiviti Corporation, International Business Machines Corporation, UnitedHealth Group (Optum, Inc.), McKesson Corporation, RELX Group PLC, Northrop Grumman Corporation, SAS Institute, Inc., and OSP Labs Pvt. Ltd. are the leading firms in global healthcare fraud analytics and detection marketplace.