List of Figures

FIGURE 1 HEALTHCARE FRAUD DETECTION MARKET 16
FIGURE 2 RESEARCH DESIGN 18
FIGURE 3 BREAKDOWN OF PRIMARY INTERVIEWS: BY COMPANY TYPE, DESIGNATION, AND REGION 23
FIGURE 4 DATA TRIANGULATION 24
FIGURE 5 DESCRIPTIVE ANALYTICS SEGMENT TO DOMINATE THE MARKET, BY TYPE, DURING THE FORECAST PERIOD 26
FIGURE 6 SERVICES SEGMENT TO DOMINATE THE MARKET IN 2017 27
FIGURE 7 ON-DEMAND DELIVERY MODELS TO GROW AT THE HIGHEST RATE DURING THE FORECAST PERIOD 27
FIGURE 8 PRIVATE INSURANCE PAYERS SEGMENT TO HOLD THE LARGEST MARKET SHARE IN 2017 28
FIGURE 9 NORTH AMERICA TO HOLD THE LARGEST SHARE OF THE GLOBAL MARKET DURING 2017 TO 2022 29
FIGURE 10 LARGE NUMBER OF FRAUDULENT ACTIVITIES IN HEALTHCARE TO DRIVE THE GROWTH OF THE MARKET 30
FIGURE 11 SERVICES SEGMENT TO GROW AT THE HIGHEST CAGR OVER THE FORECAST PERIOD (2017 -2022) 31
FIGURE 12 PRESCRIPTIVE ANALYTICS TO WITNESS HIGH GROWTH RATE FROM 2017 TO 2022 31
FIGURE 13 ON-PREMISE MODELS TO ACCOUNT FOR THE LARGEST SHARE OF THE HEALTHCARE FRAUD DETECTION IN 2017 32
FIGURE 14 HEALTHCARE FRAUD DETECTION MARKET: DRIVERS, RESTRAINTS, OPPORTUNITIES, AND CHALLENGES 33
FIGURE 15 HEALTHCARE SPENDING AS A PERCENTAGE OF THE GDP, BY COUNTRY, 2015 35
FIGURE 16 SERVICES SEGMENT TO DOMINATE THE HEALTHCARE FRAUD DETECTION MARKET IN 2017 40
FIGURE 17 ON-DEMAND SEGMENT TO REGISTER HIGHEST GROWTH RATE DURING THE FORECAST PERIOD (2017–2022) 48
FIGURE 18 NORTH AMERICA TO DOMINATE THE GLOBAL HEALTHCARE FRAUD DETECTION MARKET FOR ON-PREMISE DELIVERY MODELS (2017–2022) 49
FIGURE 19 PRESCRIPTIVE ANALYTICS TO WITNESS HIGHEST GROWTH DURING THE FORECAST PERIOD 55
FIGURE 20 NORTH AMERICA IS EXPECTED TO DOMINATE THE GLOBAL DESCRIPTIVE ANALYTICS MARKET (2017–2022) 56
FIGURE 21 INSURANCE CLAIMS REVIEW SEGMENT TO DOMINATE THE HEALTHCARE FRAUD DETECTION MARKET IN 2017 64
FIGURE 22 PAYERS TO DOMINATE THE HEALTHCARE FRAUD DETECTION MARKET DURING THE FORECAST PERIOD 72
FIGURE 23 NORTH AMERICA TO WITNESS THE HIGHEST GROWTH IN THE HEALTHCARE FRAUD DETECTION MARKET DURING THE FORECAST PERIOD 79
FIGURE 24 NORTH AMERICA: HEALTHCARE FRAUD DETECTION MARKET SNAPSHOT 81
FIGURE 25 EUROPE: HEALTHCARE FRAUD DETECTION MARKET SNAPSHOT 92
FIGURE 26 ASIA: HEALTHCARE FRAUD DETECTION MARKET SNAPSHOT 105
FIGURE 27 ROW: HEALTHCARE FRAUD DETECTION MARKET SNAPSHOT 109
FIGURE 28 MARKET EVOLUTION FRAMEWORK 113
FIGURE 29 IBM: COMPANY SNAPSHOT 118
FIGURE 30 MCKESSON: COMPANY SNAPSHOT 126
FIGURE 31 FICO: COMPANY SNAPSHOT 129
FIGURE 32 SAS INSTITUTE: COMPANY SNAPSHOT 132
FIGURE 33 WIPRO: COMPANY SNAPSHOT 136
FIGURE 34 CONDUENT: COMPANY SNAPSHOT 138
FIGURE 35 HCL: COMPANY SNAPSHOT 140
FIGURE 36 CGI GROUP: COMPANY SNAPSHOT 142
FIGURE 37 DXC TECHNOLOGY: COMPANY SNAPSHOT 144
FIGURE 38 NORTHROP GRUMMAN: COMPANY SNAPSHOT 146
FIGURE 39 RELX GROUP: COMPANY SNAPSHOT 148

 

List of Tables

TABLE 1 HEALTHCARE FRAUD DETECTION MARKET, BY COMPONENT 2015–2022 (USD MILLION) 40
TABLE 2 HEALTHCARE FRAUD DETECTION SERVICES MARKET, BY REGION 2015–2022 (USD MILLION) 41
TABLE 3 NORTH AMERICA: HEALTHCARE FRAUD DETECTION SERVICES MARKET BY COUNTRY, 2015–2022 (USD MILLION) 42
TABLE 4 EUROPE: HEALTHCARE FRAUD DETECTION SERVICES MARKET BY COUNTRY, 2015–2022 (USD MILLION) 42
TABLE 5 HEALTHCARE FRAUD DETECTION SOFTWARE MARKET, BY REGION 2015–2022 (USD MILLION) 44
TABLE 6 NORTH AMERICA: HEALTHCARE FRAUD DETECTION SOFTWARE MARKET BY COUNTRY, 2015–2022 (USD MILLION) 44
TABLE 7 EUROPE: HEALTHCARE FRAUD DETECTION SOFTWARE MARKET BY COUNTRY, 2015–2022 (USD MILLION) 45
TABLE 8 HEALTHCARE FRAUD DETECTION MARKET, BY DELIVERY MODEL 2015–2022 (USD MILLION) 47
TABLE 9 HEALTHCARE FRAUD DETECTION MARKET FOR ON-PREMISE DELIVERY MODELS, BY REGION, 2015–2022 (USD MILLION) 49
TABLE 10 NORTH AMERICA: HEALTHCARE FRAUD DETECTION MARKET FOR ON-PREMISE DELIVERY MODELS, BY COUNTRY, 2015–2022 (USD MILLION) 50
TABLE 11 EUROPE: HEALTHCARE FRAUD DETECTION MARKET FOR ON-PREMISE DELIVERY MODELS, BY COUNTRY, 2015–2022 (USD MILLION) 50
TABLE 12 HEALTHCARE FRAUD DETECTION MARKET FOR ON-DEMAND DELIVERY MODELS, BY REGION, 2015–2022 (USD MILLION) 51
TABLE 13 NORTH AMERICA: HEALTHCARE FRAUD DETECTION MARKET FOR ON-DEMAND DELIVERY MODELS, BY COUNTRY, 2015–2022 (USD MILLION) 52
TABLE 14 EUROPE: HEALTHCARE FRAUD DETECTION MARKET FOR ON-DEMAND DELIVERY MODELS, BY COUNTRY, 2015–2022 (USD MILLION) 52
TABLE 15 HEALTHCARE FRAUD DETECTION MARKET, BY TYPE, 2015–2022 (USD MILLION) 54
TABLE 16 DESCRIPTIVE ANALYTICS MARKET, BY REGION, 2015–2022 (USD MILLION) 56
TABLE 17 NORTH AMERICA: DESCRIPTIVE ANALYTICS MARKET, BY COUNTRY 2015–2022 (USD MILLION) 57
TABLE 18 EUROPE: DESCRIPTIVE ANALYTICS MARKET, BY COUNTRY 2015–2022 (USD MILLION) 57
TABLE 19 PREDICTIVE ANALYTICS MARKET, BY REGION, 2015–2022 (USD MILLION) 59
TABLE 20 NORTH AMERICA: PREDICTIVE ANALYTICS MARKET, BY COUNTRY 2015–2022 (USD MILLION) 59
TABLE 21 EUROPE: PREDICTIVE ANALYTICS MARKET, BY COUNTRY 2015–2022 (USD MILLION) 60
TABLE 22 PRESCRIPTIVE ANALYTICS MARKET, BY REGION, 2015–2022 (USD MILLION) 61
TABLE 23 NORTH AMERICA: PRESCRIPTIVE ANALYTICS MARKET, BY COUNTRY 2015–2022 (USD MILLION) 61
TABLE 24 EUROPE: PRESCRIPTIVE ANALYTICS MARKET, BY COUNTRY 2015–2022 (USD MILLION) 62
TABLE 25 HEALTHCARE FRAUD DETECTION MARKET, BY APPLICATION 2015–2022 (USD MILLION) 64
TABLE 26 HEALTHCARE FRAUD DETECTION MARKET FOR INSURANCE CLAIMS REVIEW BY TYPE, 2015–2022 (USD MILLION) 65
TABLE 27 HEALTHCARE FRAUD DETECTION MARKET FOR INSURANCE CLAIMS REVIEW BY REGION, 2015–2022 (USD MILLION) 66
TABLE 28 NORTH AMERICA: HEALTHCARE FRAUD DETECTION MARKET FOR INSURANCE CLAIMS REVIEW, BY COUNTRY, 2015–2022 (USD MILLION) 66
TABLE 29 HEALTHCARE FRAUD DETECTION MARKET FOR POSTPAYMENT REVIEW BY REGION, 2015–2022 (USD MILLION) 67
TABLE 30 HEALTHCARE FRAUD DETECTION MARKET FOR PREPAYMENT REVIEW BY REGION, 2015–2022 (USD MILLION) 68
TABLE 31 HEALTHCARE FRAUD DETECTION MARKET FOR PAYMENT INTEGRITY BY REGION, 2015–2022 (USD MILLION) 69
TABLE 32 HEALTHCARE FRAUD DETECTION MARKET FOR OTHER APPLICATIONS BY REGION, 2015–2022 (USD MILLION) 70
TABLE 33 HEALTHCARE FRAUD DETECTION MARKET, BY END USER 2015–2022 (USD MILLION) 72
TABLE 34 HEALTHCARE FRAUD DETECTION MARKET FOR PRIVATE INSURANCE PAYERS BY REGION, 2015–2022 (USD MILLION) 73
TABLE 35 NORTH AMERICA: HEALTHCARE FRAUD DETECTION MARKET FOR PRIVATE INSURANCE PAYERS, BY COUNTRY, 2015–2022 (USD MILLION) 74
TABLE 36 HEALTHCARE FRAUD DETECTION MARKET FOR PUBLIC/GOVERNMENT AGENCIES, BY REGION, 2015–2022 (USD MILLION) 75
TABLE 37 NORTH AMERICA: HEALTHCARE FRAUD DETECTION MARKET FOR PUBLIC/GOVERNMENT AGENCIES, BY COUNTRY, 2015–2022 (USD MILLION) 75
TABLE 38 HEALTHCARE FRAUD DETECTION MARKET FOR THIRD-PARTY SERVICE PROVIDERS, BY REGION, 2015–2022 (USD MILLION) 76
TABLE 39 NORTH AMERICA: HEALTHCARE FRAUD DETECTION MARKET FOR THIRD-PARTY SERVICE PROVIDERS, BY COUNTRY, 2015–2022 (USD MILLION) 76
TABLE 40 HEALTHCARE FRAUD DETECTION MARKET FOR EMPLOYERS, BY REGION 2015–2022 (USD MILLION) 77
TABLE 41 NORTH AMERICA: HEALTHCARE FRAUD DETECTION MARKET FOR EMPLOYERS BY COUNTRY, 2015–2022 (USD MILLION) 77
TABLE 42 HEALTHCARE FRAUD DETECTION MARKET, BY REGION 2015–2022 (USD MILLION) 79
TABLE 43 NORTH AMERICA: HEALTHCARE FRAUD DETECTION MARKET, BY COUNTRY 2015–2022 (USD MILLION) 82
TABLE 44 NORTH AMERICA: HEALTHCARE FRAUD DETECTION MARKET, BY COMPONENT, 2015–2022 (USD MILLION) 82
TABLE 45 NORTH AMERICA: HEALTHCARE FRAUD DETECTION SOFTWARE MARKET BY DELIVERY MODEL, 2015–2022 (USD MILLION) 82
TABLE 46 NORTH AMERICA: HEALTHCARE FRAUD DETECTION MARKET, BY TYPE 2015–2022 (USD MILLION) 83
TABLE 47 NORTH AMERICA: HEALTHCARE FRAUD DETECTION MARKET, BY APPLICATION, 2015–2022 (USD MILLION) 83
TABLE 48 NORTH AMERICA: INSURANCE CLAIMS REVIEW MARKET, BY TYPE 2015–2022 (USD MILLION) 84
TABLE 49 NORTH AMERICA: HEALTHCARE FRAUD DETECTION MARKET BY END USER, 2015–2022 (USD MILLION) 84
TABLE 50 US: HEALTHCARE FRAUD DETECTION MARKET, BY COMPONENT 2015–2022 (USD MILLION) 86
TABLE 51 US: HEALTHCARE FRAUD DETECTION SOFTWARE MARKET BY DELIVERY MODEL, 2015–2022 (USD MILLION) 86
TABLE 52 US: HEALTHCARE FRAUD DETECTION MARKET, BY TYPE 2015–2022 (USD MILLION) 87
TABLE 53 US: HEALTHCARE FRAUD DETECTION MARKET, BY APPLICATION 2015–2022 (USD MILLION) 87
TABLE 54 US: INSURANCE CLAIMS REVIEW MARKET, BY TYPE, 2015–2022 (USD MILLION) 87
TABLE 55 US: HEALTHCARE FRAUD DETECTION MARKET, BY END USER 2015–2022 (USD MILLION) 88
TABLE 56 CANADA: HEALTHCARE FRAUD DETECTION MARKET, BY COMPONENT 2015–2022 (USD MILLION) 89
TABLE 57 CANADA: HEALTHCARE FRAUD DETECTION SOFTWARE MARKET BY DELIVERY MODEL, 2015–2022 (USD MILLION) 89
TABLE 58 CANADA: HEALTHCARE FRAUD DETECTION MARKET, BY TYPE 2015–2022 (USD MILLION) 89
TABLE 59 CANADA: HEALTHCARE FRAUD DETECTION MARKET, BY APPLICATION 2015–2022 (USD MILLION) 90
TABLE 60 CANADA: HEALTHCARE FRAUD DETECTION MARKET, BY END USER 2015–2022 (USD MILLION) 90
TABLE 61 EUROPE: HEALTHCARE FRAUD DETECTION MARKET, BY COUNTRY 2015–2022 (USD MILLION) 93
TABLE 62 EUROPE: HEALTHCARE FRAUD DETECTION MARKET, BY COMPONENT 2015–2022 (USD MILLION) 93
TABLE 63 EUROPE: HEALTHCARE FRAUD DETECTION SOFTWARE MARKET BY DELIVERY MODEL, 2015–2022 (USD MILLION) 94
TABLE 64 EUROPE: HEALTHCARE FRAUD DETECTION MARKET, BY TYPE 2015–2022 (USD MILLION) 94
TABLE 65 EUROPE: HEALTHCARE FRAUD DETECTION MARKET, BY APPLICATION 2015–2022 (USD MILLION) 94
TABLE 66 EUROPE: HEALTHCARE FRAUD DETECTION MARKET, BY END USER 2015–2022 (USD MILLION) 95
TABLE 67 GERMANY: HEALTHCARE FRAUD DETECTION MARKET, BY COMPONENT 2015–2022 (USD MILLION) 96
TABLE 68 GERMANY: HEALTHCARE FRAUD DETECTION SOFTWARE MARKET BY DELIVERY MODEL, 2015–2022 (USD MILLION) 96
TABLE 69 GERMANY: HEALTHCARE FRAUD DETECTION MARKET, BY TYPE 2015–2022 (USD MILLION) 97
TABLE 70 GERMANY: HEALTHCARE FRAUD DETECTION MARKET, BY END USER 2015–2022 (USD MILLION) 97
TABLE 71 UK: HEALTHCARE FRAUD DETECTION MARKET, BY COMPONENT 2015–2022 (USD MILLION) 98
TABLE 72 UK: HEALTHCARE FRAUD DETECTION SOFTWARE MARKET BY DELIVERY MODEL, 2015–2022 (USD MILLION) 99
TABLE 73 UK: HEALTHCARE FRAUD DETECTION MARKET, BY TYPE 2015–2022 (USD MILLION) 99
TABLE 74 UK: HEALTHCARE FRAUD DETECTION MARKET, BY END USER 2015–2022 (USD MILLION) 99
TABLE 75 FRANCE: HEALTHCARE FRAUD DETECTION MARKET, BY COMPONENT 2015–2022 (USD MILLION) 100
TABLE 76 FRANCE: HEALTHCARE FRAUD DETECTION SOFTWARE MARKET BY DELIVERY MODEL, 2015–2022 (USD MILLION) 101
TABLE 77 FRANCE: HEALTHCARE FRAUD DETECTION MARKET, BY TYPE 2015–2022 (USD MILLION) 101
TABLE 78 FRANCE: HEALTHCARE FRAUD DETECTION MARKET, BY END USER 2015–2022 (USD MILLION) 101
TABLE 79 ROE: HEALTHCARE FRAUD DETECTION MARKET, BY COMPONENT 2015–2022 (USD MILLION) 102
TABLE 80 ROE: HEALTHCARE FRAUD DETECTION SOFTWARE MARKET BY DELIVERY MODEL, 2015–2022 (USD MILLION) 102
TABLE 81 ROE: HEALTHCARE FRAUD DETECTION MARKET, BY TYPE 2015–2022 (USD MILLION) 103
TABLE 82 ROE: HEALTHCARE FRAUD DETECTION MARKET, BY END USER 2015–2022 (USD MILLION) 103
TABLE 83 ASIA: HEALTHCARE FRAUD DETECTION MARKET, BY COMPONENT 2015–2022 (USD MILLION) 106
TABLE 84 ASIA: HEALTHCARE FRAUD DETECTION SOFTWARE MARKET BY DELIVERY MODEL, 2015–2022 (USD MILLION) 106
TABLE 85 ASIA: HEALTHCARE FRAUD DETECTION MARKET, BY TYPE 2015–2022 (USD MILLION) 106
TABLE 86 ASIA: HEALTHCARE FRAUD DETECTION MARKET, BY APPLICATION 2015–2022 (USD MILLION) 107
TABLE 87 ASIA: HEALTHCARE FRAUD DETECTION MARKET, BY END USER 2015–2022 (USD MILLION) 107
TABLE 88 ROW: HEALTHCARE FRAUD DETECTION MARKET, BY COMPONENT 2015–2022 (USD MILLION) 110
TABLE 89 ROW: HEALTHCARE FRAUD DETECTION SOFTWARE MARKET BY DELIVERY MODEL, 2015–2022 (USD MILLION) 110
TABLE 90 ROW: HEALTHCARE FRAUD DETECTION MARKET, BY TYPE 2015–2022 (USD MILLION) 110
TABLE 91 ROW: HEALTHCARE FRAUD DETECTION MARKET, BY END USER 2015–2022 (USD MILLION) 111
TABLE 92 HEALTHCARE FRAUD DETECTION RANKING ANALYSIS, BY KEY PLAYER, 2016 113