1.             Introduction

1.1       Scope of the Study

1.2       The Insight Partners Research Report Guidance

1.3       Market Segmentation

1.3.1        US Healthcare Fraud Analytics Market – By Solution

1.3.2        US Healthcare Fraud Analytics Market – By Mode of Delivery

1.3.3        US Healthcare Fraud Analytics Market – By Application

1.3.4        US Healthcare Fraud Analytics Market – By End User

2.             Healthcare Fraud Analytics Market – Key Takeaways

3.             Research Methodology

3.1       Coverage

3.2       Secondary Research

3.3       Primary Research

4.             Healthcare Fraud Analytics– Market Landscape

4.1       Overview

4.2       Pest Analysis

4.2.1        Healthcare Fraud Analytics Market in US: PEST Analysis

4.3       Expert Opinion

5.             Healthcare Fraud Analytics Market – Key Dynamics

5.1       Drivers

5.1.1        Increasing Number of Healthcare Fraudulent Cases in the US

5.1.2        Growing Health Insurance Industry in the US

5.2       Restraints

5.2.1        Concerns Regarding Healthcare Fraud Analytics

5.3       Opportunities

5.3.1        Growing Hospital Industry

5.4       Future Trends

5.4.1        AI in Healthcare Fraud Detection

5.5       Impact Analysis

6.             Healthcare Fraud Analytics Market – US Analysis

6.1       US Healthcare Fraud Analytics Market Revenue Forecast And Analysis

6.2       Positioning of Key Players

6.2.1        Fair, Isaac and Company (FICO)

6.2.2        Conduent Inc.

7.             Healthcare Fraud Analytics Market Analysis and Forecast to 2027 – Solution

7.1       Overview

7.2       Healthcare Fraud Analytics Market, By Solution, 2019 & 2027 (%)

7.3       US Healthcare Fraud Analytics Market, Revenue and Forecast to 2027, By Solution (US$ Mn)

7.4       Predictive Analytics

7.4.1        Overview

7.4.2        Predictive Analytics Market Revenue and Forecast to 2027 (US$ Mn)

7.5       Descriptive Analytics

7.5.1        Overview

7.5.2        Descriptive Analytics Market Revenue and Forecast to 2027 (US$ Mn)

7.6       Prescriptive Analytics

7.6.1        Overview

7.6.2        Prescriptive Analytics Market Revenue and Forecast to 2027 (US$ Mn)

8.             Healthcare Fraud Analytics Market Analysis and Forecast to 2027 – Mode of Delivery

8.1       Overview

8.2       Healthcare Fraud Analytics Market, By Mode of Delivery, 2019 & 2027 (%)

8.3       US Healthcare Fraud Analytics Market, Revenue and Forecast to 2027, By Mode Of Delivery (US$ Mn)

8.4       On-Premise Delivery Models

8.4.1        Overview

8.4.2        On-Premise Delivery Models Market Revenue and Forecast to 2027 (US$ Mn)

8.5       Cloud-Based Delivery Mode

8.5.1        Overview

8.5.2        Cloud-Based Delivery Mode Market Revenue and Forecast to 2027 (US$ Mn)

9.             Healthcare Fraud Analytics Market Analysis and Forecast to 2027 –Application

9.1       Overview

9.2       Healthcare Fraud Analytics Market, By Application, 2019 & 2027 (%)

9.3       US Healthcare Fraud Analytics Market, Revenue and Forecast to 2027, By Application (US$ Mn)

9.4       Insurance Claims Review

9.4.1        Overview

9.4.2        Insurance Claims Review Market Revenue and Forecast to 2027 (US$ Mn)

9.5       Pharmacy Billing Misuse

9.5.1        Overview

9.5.2        Pharmacy Billing Misuse Market Revenue and Forecast to 2027 (US$ Mn)

9.6       Payment Integrity

9.6.1        Overview

9.6.2        Payment Integrity Market Revenue and Forecast to 2027 (US$ Mn)

9.7       Medical Identity Theft

9.7.1        Overview

9.7.2        Medical Identity Theft Market Revenue and Forecast to 2027 (US$ Mn)

9.8       Other Applications

9.8.1        Overview

9.8.2        Other Applications Market Revenue and Forecast to 2027 (US$ Mn)

10.          Healthcare Fraud Analytics Market Analysis and Forecast to 2027 – End User

10.1    Overview

10.2    Healthcare Fraud Analytics Market, By End User, 2019 & 2027 (%)

10.3    US Healthcare Fraud Analytics Market, Revenue and Forecast to 2027, End User (US$ Mn)

10.4    Government Agencies

10.4.1     Overview

10.4.2     Government Agencies Review Market Revenue and Forecast to 2027 (US$ Mn)

10.5    Private Insurance Payers

10.5.1     Overview

10.5.2     Private Insurance Payers Market Revenue and Forecast to 2027 (US$ Mn)

10.6    Third-party Service Providers

10.6.1     Overview

10.6.2     Third-party Service Providers Market Revenue and Forecast to 2027 (US$ Mn)

10.7    Employers

10.7.1     Overview

10.7.2     Employers Market Revenue and Forecast to 2027 (US$ Mn)

11.          Healthcare Fraud Analytics Market to 2027 – Industry Landscape

11.1    Overview

11.2    Growth Strategies Done By The Companies In The Market, (%)

11.3    Organic Developments Done By The Companies In The Market

11.4    Inorganic Developments Done By The Companies In The Market

12.          Healthcare Fraud Analytics Market – Key Company Profiles

12.1    Conduent, Inc.

12.1.1     Key Facts

12.1.2     Business Description

12.1.3     Products and Services

12.1.4     Financial Overview

12.1.5     SWOT Analysis

12.1.6     Key Developments

12.2    DXC Technology Company

12.2.1     Key Facts

12.2.2     Business Description

12.2.3     Products and Services

12.2.4     Financial Overview

12.2.5     SWOT Analysis

12.2.6     Key Developments

12.3    SCIOInspire, Corp. (EXL Service Holdings, Inc.)

12.3.1     Key Facts

12.3.2     Business Description

12.3.3     Products and Services

12.3.4     Financial Overview

12.3.5     SWOT Analysis

12.3.6     Key Developments

12.4    OPTUM, INC (UnitedHealth Group)

12.4.1     Key Facts

12.4.2     Business Description

12.4.3     Products and Services

12.4.4     Financial Overview

12.4.5     SWOT Analysis

12.4.6     Key Developments

12.5    SAS Institute

12.5.1     Key Facts

12.5.2     Business Description

12.5.3     Products and Services

12.5.4     Financial Overview

12.5.5     SWOT Analysis

12.5.6     Key Developments

12.6    Pondera Solutions

12.6.1     Key Facts

12.6.2     Business Description

12.6.3     Products and Services

12.6.4     Financial Overview

12.6.5     SWOT Analysis

12.6.6     Key Developments

12.7    LexisNexis Risk Solutions (RELX plc)

12.7.1     Key Facts

12.7.2     Business Description

12.7.3     Products and Services

12.7.4     Financial Overview

12.7.5     SWOT Analysis

12.7.6     Key Developments

12.8    Fair, Isaac and Company (FICO)

12.8.1     Key Facts

12.8.2     Business Description

12.8.3     Financial Overview

12.8.4     Product Portfolio

12.8.5     SWOT Analysis

12.8.6     Key Developments

12.9    Cotiviti, Inc. (Verscend Technologies, Inc.)

12.9.1     Key Facts

12.9.2     Business Description

12.9.3     Financial Overview

12.9.4     Product Portfolio

12.9.5     SWOT Analysis

12.9.6     Key Developments

12.10 WhiteHatAI

12.10.1   Key Facts

12.10.2   Business Description

12.10.3   Financial Overview

12.10.4   Product Portfolio

12.10.5   SWOT Analysis

12.10.6   Key Developments

13.          Appendix

13.1    About The Insight Partners

13.2    Glossary Of Terms

LIST OF TABLES

Table 1.            Number of Hospitals in the US

Table 2.            US Healthcare Fraud Analytics Market, Revenue and Forecast to 2027, By Solution (US$ Mn)

Table 3.            US Healthcare Fraud Analytics Market, Revenue and Forecast to 2027, By Mode Of Delivery (US$ Mn)

Table 4.            US Healthcare Fraud Analytics Market, Revenue and Forecast to 2027, By Application (US$ Mn)

Table 5.            US Healthcare Fraud Analytics Market, Revenue and Forecast to 2027, By End User (US$ Mn)

Table 6.            Organic Developments Done by the Companies

Table 7.            Inorganic Developments Done by the Companies

Table 8.            Glossary of Terms, Healthcare Fraud Analytics Market

LIST OF FIGURES

Figure 1.          Healthcare Fraud Analytics Market Segmentation

Figure 2.          US Healthcare Fraud Analytics Market Overview

Figure 3.          Predictive Analytics Segment Held Largest Share Of Solution Segment In Healthcare Fraud Analytics Market

Figure 4.          US Healthcare Fraud Analytics Market, Industry Landscape

Figure 5.          Healthcare Fraud Analytics Market in US: PEST Analysis

Figure 6.          Healthcare Fraud Analytics Market Impact Analysis of Drivers and Restraints

Figure 7.          US Healthcare Fraud Analytics Market – Revenue Forecast And Analysis – 2019- 2027

Figure 8.          Market Positioning Of Key Player In Healthcare Fraud Analytics Market

Figure 9.          Healthcare Fraud Analytics Market, by Solution, 2019 & 2027 (%)

Figure 10.       Predictive Analytics Market Revenue and Forecast to 2027 (US$ Mn)

Figure 11.       Descriptive Analytics Market Revenue and Forecast to 2027 (US$ Mn)

Figure 12.       Surgical Lamp Market Revenue and Forecast to 2027 (US$ Mn)

Figure 13.       Healthcare Fraud Analytics Market, by Mode of Delivery, 2019 & 2027 (%)

Figure 14.       On-Premise Delivery Models Market Revenue and Forecasts to 2027 (US$ Mn)

Figure 15.       Cloud-Based Delivery Mode Market Revenue and Forecast to 2027 (US$ Mn)

Figure 16.       Healthcare Fraud Analytics Market, by Application, 2019 & 2027 (%)

Figure 17.       Insurance Claims Review Market Revenue and Forecasts to 2027 (US$ Mn)

Figure 18.       Pharmacy Billing Misuse Market Revenue and Forecasts to 2027 (US$ Mn)

Figure 19.       Payment Integrity Market Revenue and Forecasts to 2027 (US$ Mn)

Figure 20.       Medical Identity Theft Market Revenue and Forecasts to 2027 (US$ Mn)

Figure 21.       Other Applications Market Revenue and Forecasts to 2027 (US$ Mn)

Figure 22.       Healthcare Fraud Analytics Market, by End User, 2019 & 2027 (%)

Figure 23.       Government Agencies Review Market Revenue and Forecasts to 2027 (US$ Mn)

Figure 24.       Private Insurance Payers Market Revenue and Forecasts to 2027 (US$ Mn)

Figure 25.       Third-party Service Providers Market Revenue and Forecasts to 2027 (US$ Mn)

Figure 26.       Medical Identity Theft Market Revenue and Forecasts to 2027 (US$ Mn)

Figure 27.       Growth Strategies Done By the Companies in the Market, (%)