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Healthcare Fraud Analytics Market

Healthcare Fraud Analytics Market Size, Share & Trends Analysis Report By Solution Type (Descriptive Analytics, Prescriptive Analytics, Predictive Analytics), By Delivery Model (On-premises, Cloud-based), By Applications (Insurance Claim Review, Pharmacy Billing Issue, Payment Integrity, Others), By End-User (Public and Government Agencies, Private Insurance Payers, Third-party Service Providers, Employers) and By Region(North America, Europe, APAC, Middle East and Africa, LATAM) Forecasts, 2025-2033

Report Code: SRHI55596DR
Last Updated : January 31, 2025
Author : Debashree Bora
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Table Of Content

  1. Executive Summary
    1. Research Objectives
    2. Limitations & Assumptions
    3. Market Scope & Segmentation
    4. Currency & Pricing Considered
    1. Emerging Regions / Countries
    2. Emerging Companies
    3. Emerging Applications / End Use
    1. Drivers
    2. Market Warning Factors
    3. Latest Macro Economic Indicators
    4. Geopolitical Impact
    5. Technology Factors
    1. Porters Five Forces Analysis
    2. Value Chain Analysis
    1. North America
    2. Europe
    3. APAC
    4. Middle East and Africa
    5. LATAM
  2. ESG Trends
    1. Global Healthcare Fraud Analytics Market Introduction
    2. By Solution Type
      1. Introduction
        1. Solution Type By Value
      2. Descriptive Analytics
        1. By Value
      3. Prescriptive Analytics
        1. By Value
      4. Predictive Analytics
        1. By Value
    3. By Delivery Model
      1. Introduction
        1. Delivery Model By Value
      2. On-premises
        1. By Value
      3. Cloud-based
        1. By Value
    4. By Applications
      1. Introduction
        1. Applications By Value
      2. Insurance Claim Review
        1. By Value
      3. Pharmacy Billing Issue
        1. By Value
      4. Payment Integrity
        1. By Value
      5. Others
        1. By Value
    5. By End-User
      1. Introduction
        1. End-User By Value
      2. Public and Government Agencies
        1. By Value
      3. Private Insurance Payers
        1. By Value
      4. Third-party Service Providers
        1. By Value
      5. Employers
        1. By Value
    1. Introduction
    2. By Solution Type
      1. Introduction
        1. Solution Type By Value
      2. Descriptive Analytics
        1. By Value
      3. Prescriptive Analytics
        1. By Value
      4. Predictive Analytics
        1. By Value
    3. By Delivery Model
      1. Introduction
        1. Delivery Model By Value
      2. On-premises
        1. By Value
      3. Cloud-based
        1. By Value
    4. By Applications
      1. Introduction
        1. Applications By Value
      2. Insurance Claim Review
        1. By Value
      3. Pharmacy Billing Issue
        1. By Value
      4. Payment Integrity
        1. By Value
      5. Others
        1. By Value
    5. By End-User
      1. Introduction
        1. End-User By Value
      2. Public and Government Agencies
        1. By Value
      3. Private Insurance Payers
        1. By Value
      4. Third-party Service Providers
        1. By Value
      5. Employers
        1. By Value
    6. U.S.
      1. By Solution Type
        1. Introduction
          1. Solution Type By Value
        2. Descriptive Analytics
          1. By Value
        3. Prescriptive Analytics
          1. By Value
        4. Predictive Analytics
          1. By Value
      2. By Delivery Model
        1. Introduction
          1. Delivery Model By Value
        2. On-premises
          1. By Value
        3. Cloud-based
          1. By Value
      3. By Applications
        1. Introduction
          1. Applications By Value
        2. Insurance Claim Review
          1. By Value
        3. Pharmacy Billing Issue
          1. By Value
        4. Payment Integrity
          1. By Value
        5. Others
          1. By Value
      4. By End-User
        1. Introduction
          1. End-User By Value
        2. Public and Government Agencies
          1. By Value
        3. Private Insurance Payers
          1. By Value
        4. Third-party Service Providers
          1. By Value
        5. Employers
          1. By Value
    7. Canada
    1. Introduction
    2. By Solution Type
      1. Introduction
        1. Solution Type By Value
      2. Descriptive Analytics
        1. By Value
      3. Prescriptive Analytics
        1. By Value
      4. Predictive Analytics
        1. By Value
    3. By Delivery Model
      1. Introduction
        1. Delivery Model By Value
      2. On-premises
        1. By Value
      3. Cloud-based
        1. By Value
    4. By Applications
      1. Introduction
        1. Applications By Value
      2. Insurance Claim Review
        1. By Value
      3. Pharmacy Billing Issue
        1. By Value
      4. Payment Integrity
        1. By Value
      5. Others
        1. By Value
    5. By End-User
      1. Introduction
        1. End-User By Value
      2. Public and Government Agencies
        1. By Value
      3. Private Insurance Payers
        1. By Value
      4. Third-party Service Providers
        1. By Value
      5. Employers
        1. By Value
    6. U.K.
      1. By Solution Type
        1. Introduction
          1. Solution Type By Value
        2. Descriptive Analytics
          1. By Value
        3. Prescriptive Analytics
          1. By Value
        4. Predictive Analytics
          1. By Value
      2. By Delivery Model
        1. Introduction
          1. Delivery Model By Value
        2. On-premises
          1. By Value
        3. Cloud-based
          1. By Value
      3. By Applications
        1. Introduction
          1. Applications By Value
        2. Insurance Claim Review
          1. By Value
        3. Pharmacy Billing Issue
          1. By Value
        4. Payment Integrity
          1. By Value
        5. Others
          1. By Value
      4. By End-User
        1. Introduction
          1. End-User By Value
        2. Public and Government Agencies
          1. By Value
        3. Private Insurance Payers
          1. By Value
        4. Third-party Service Providers
          1. By Value
        5. Employers
          1. By Value
    7. Germany
    8. France
    9. Spain
    10. Italy
    11. Russia
    12. Nordic
    13. Benelux
    14. Rest of Europe
    1. Introduction
    2. By Solution Type
      1. Introduction
        1. Solution Type By Value
      2. Descriptive Analytics
        1. By Value
      3. Prescriptive Analytics
        1. By Value
      4. Predictive Analytics
        1. By Value
    3. By Delivery Model
      1. Introduction
        1. Delivery Model By Value
      2. On-premises
        1. By Value
      3. Cloud-based
        1. By Value
    4. By Applications
      1. Introduction
        1. Applications By Value
      2. Insurance Claim Review
        1. By Value
      3. Pharmacy Billing Issue
        1. By Value
      4. Payment Integrity
        1. By Value
      5. Others
        1. By Value
    5. By End-User
      1. Introduction
        1. End-User By Value
      2. Public and Government Agencies
        1. By Value
      3. Private Insurance Payers
        1. By Value
      4. Third-party Service Providers
        1. By Value
      5. Employers
        1. By Value
    6. China
      1. By Solution Type
        1. Introduction
          1. Solution Type By Value
        2. Descriptive Analytics
          1. By Value
        3. Prescriptive Analytics
          1. By Value
        4. Predictive Analytics
          1. By Value
      2. By Delivery Model
        1. Introduction
          1. Delivery Model By Value
        2. On-premises
          1. By Value
        3. Cloud-based
          1. By Value
      3. By Applications
        1. Introduction
          1. Applications By Value
        2. Insurance Claim Review
          1. By Value
        3. Pharmacy Billing Issue
          1. By Value
        4. Payment Integrity
          1. By Value
        5. Others
          1. By Value
      4. By End-User
        1. Introduction
          1. End-User By Value
        2. Public and Government Agencies
          1. By Value
        3. Private Insurance Payers
          1. By Value
        4. Third-party Service Providers
          1. By Value
        5. Employers
          1. By Value
    7. Korea
    8. Japan
    9. India
    10. Australia
    11. Singapore
    12. Taiwan
    13. South East Asia
    14. Rest of Asia-Pacific
    1. Introduction
    2. By Solution Type
      1. Introduction
        1. Solution Type By Value
      2. Descriptive Analytics
        1. By Value
      3. Prescriptive Analytics
        1. By Value
      4. Predictive Analytics
        1. By Value
    3. By Delivery Model
      1. Introduction
        1. Delivery Model By Value
      2. On-premises
        1. By Value
      3. Cloud-based
        1. By Value
    4. By Applications
      1. Introduction
        1. Applications By Value
      2. Insurance Claim Review
        1. By Value
      3. Pharmacy Billing Issue
        1. By Value
      4. Payment Integrity
        1. By Value
      5. Others
        1. By Value
    5. By End-User
      1. Introduction
        1. End-User By Value
      2. Public and Government Agencies
        1. By Value
      3. Private Insurance Payers
        1. By Value
      4. Third-party Service Providers
        1. By Value
      5. Employers
        1. By Value
    6. UAE
      1. By Solution Type
        1. Introduction
          1. Solution Type By Value
        2. Descriptive Analytics
          1. By Value
        3. Prescriptive Analytics
          1. By Value
        4. Predictive Analytics
          1. By Value
      2. By Delivery Model
        1. Introduction
          1. Delivery Model By Value
        2. On-premises
          1. By Value
        3. Cloud-based
          1. By Value
      3. By Applications
        1. Introduction
          1. Applications By Value
        2. Insurance Claim Review
          1. By Value
        3. Pharmacy Billing Issue
          1. By Value
        4. Payment Integrity
          1. By Value
        5. Others
          1. By Value
      4. By End-User
        1. Introduction
          1. End-User By Value
        2. Public and Government Agencies
          1. By Value
        3. Private Insurance Payers
          1. By Value
        4. Third-party Service Providers
          1. By Value
        5. Employers
          1. By Value
    7. Turkey
    8. Saudi Arabia
    9. South Africa
    10. Egypt
    11. Nigeria
    12. Rest of MEA
    1. Introduction
    2. By Solution Type
      1. Introduction
        1. Solution Type By Value
      2. Descriptive Analytics
        1. By Value
      3. Prescriptive Analytics
        1. By Value
      4. Predictive Analytics
        1. By Value
    3. By Delivery Model
      1. Introduction
        1. Delivery Model By Value
      2. On-premises
        1. By Value
      3. Cloud-based
        1. By Value
    4. By Applications
      1. Introduction
        1. Applications By Value
      2. Insurance Claim Review
        1. By Value
      3. Pharmacy Billing Issue
        1. By Value
      4. Payment Integrity
        1. By Value
      5. Others
        1. By Value
    5. By End-User
      1. Introduction
        1. End-User By Value
      2. Public and Government Agencies
        1. By Value
      3. Private Insurance Payers
        1. By Value
      4. Third-party Service Providers
        1. By Value
      5. Employers
        1. By Value
    6. Brazil
      1. By Solution Type
        1. Introduction
          1. Solution Type By Value
        2. Descriptive Analytics
          1. By Value
        3. Prescriptive Analytics
          1. By Value
        4. Predictive Analytics
          1. By Value
      2. By Delivery Model
        1. Introduction
          1. Delivery Model By Value
        2. On-premises
          1. By Value
        3. Cloud-based
          1. By Value
      3. By Applications
        1. Introduction
          1. Applications By Value
        2. Insurance Claim Review
          1. By Value
        3. Pharmacy Billing Issue
          1. By Value
        4. Payment Integrity
          1. By Value
        5. Others
          1. By Value
      4. By End-User
        1. Introduction
          1. End-User By Value
        2. Public and Government Agencies
          1. By Value
        3. Private Insurance Payers
          1. By Value
        4. Third-party Service Providers
          1. By Value
        5. Employers
          1. By Value
    7. Mexico
    8. Argentina
    9. Chile
    10. Colombia
    11. Rest of LATAM
    1. Healthcare Fraud Analytics Market Share By Players
    2. M&A Agreements & Collaboration Analysis
    1. IBM
      1. Overview
      2. Business Information
      3. Revenue
      4. ASP
      5. SWOT Analysis
      6. Recent Developments
    2. Cotiviti, Inc.
    3. DXC Technology
    4. Verisk Analytics
    5. SAS Institute, Inc.
    6. EXL Service Holdings, Inc.
    7. Wipro Limited
    8. Conduent, Inc.
    9. HCL Technologies Limited
    10. OSP Labs
    1. Research Data
      1. Secondary Data
        1. Major secondary sources
        2. Key data from secondary sources
      2. Primary Data
        1. Key data from primary sources
        2. Breakdown of primaries
      3. Secondary And Primary Research
        1. Key industry insights
    2. Market Size Estimation
      1. Bottom-Up Approach
      2. Top-Down Approach
      3. Market Projection
    3. Research Assumptions
      1. Assumptions
    4. Limitations
    5. Risk Assessment
    1. Discussion Guide
    2. Customization Options
    3. Related Reports
  3. Disclaimer

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