US Healthcare Fraud Analytics Market

Historic Data: 2017-2018   |   Base Year: 2019   |   Forecast Period: 2020-2027

No. of Pages: 77
Report Code: TIPRE00009215
Category: Technology, Media and Telecommunications
US Healthcare Fraud Analytics Market

1. Introduction

1.1 Report Guidance
1.2 Market Segmentation

2. Executive Summary

2.1 Key Market Insights
2.2 Market Attractiveness

3. Research Methodology

3.1 Secondary Research
3.2 Primary Research
  • 3.2.1 Data Triangulation and Validation

4. US Healthcare Fraud Analytics Market Landscape

4.1 Overview
4.3 Ecosystem Analysis
  • 4.3.1 List of Vendors in the Value Chain

5. US Healthcare Fraud Analytics Market – Key Market Dynamics

5.1 Market Drivers
5.2 Market Restraints
5.3 Market Opportunities
5.4 Future Trends
5.5 Impact of Drivers and Restraints

6. US Healthcare Fraud Analytics Market Regional Analysis

6.2 US Healthcare Fraud Analytics Market Revenue 2017-2027 (US$ Million)
6.3 US Healthcare Fraud Analytics Market Forecast Analysis

7. US Healthcare Fraud Analytics Market Analysis – by Solution

7.1 Predictive Analytics
  • 7.1.1 Overview
  • 7.1.2 Predictive Analytics: US Healthcare Fraud Analytics Market – Revenue and Forecast, 2017-2027 (US$ Million)
7.2 Descriptive Analytics
  • 7.2.1 Overview
  • 7.2.2 Descriptive Analytics: US Healthcare Fraud Analytics Market – Revenue and Forecast, 2017-2027 (US$ Million)
7.3 Prescriptive Analytics
  • 7.3.1 Overview
  • 7.3.2 Prescriptive Analytics: US Healthcare Fraud Analytics Market – Revenue and Forecast, 2017-2027 (US$ Million)

8. US Healthcare Fraud Analytics Market Analysis – by Mode of Delivery

8.1 On-Premise Delivery Models
  • 8.1.1 Overview
  • 8.1.2 On-Premise Delivery Models: US Healthcare Fraud Analytics Market – Revenue and Forecast, 2017-2027 (US$ Million)
8.2 Cloud-Based Delivery Models
  • 8.2.1 Overview
  • 8.2.2 Cloud-Based Delivery Models: US Healthcare Fraud Analytics Market – Revenue and Forecast, 2017-2027 (US$ Million)

9. US Healthcare Fraud Analytics Market Analysis – by Application

9.1 Insurance Claims Review
  • 9.1.1 Overview
  • 9.1.2 Insurance Claims Review: US Healthcare Fraud Analytics Market – Revenue and Forecast, 2017-2027 (US$ Million)
9.2 Pharmacy Billing Misuse
  • 9.2.1 Overview
  • 9.2.2 Pharmacy Billing Misuse: US Healthcare Fraud Analytics Market – Revenue and Forecast, 2017-2027 (US$ Million)
9.3 Payment Integrity
  • 9.3.1 Overview
  • 9.3.2 Payment Integrity: US Healthcare Fraud Analytics Market – Revenue and Forecast, 2017-2027 (US$ Million)
9.4 Medical Identity Theft
  • 9.4.1 Overview
  • 9.4.2 Medical Identity Theft: US Healthcare Fraud Analytics Market – Revenue and Forecast, 2017-2027 (US$ Million)
9.5 Other Applications
  • 9.5.1 Overview
  • 9.5.2 Other Applications: US Healthcare Fraud Analytics Market – Revenue and Forecast, 2017-2027 (US$ Million)

10. US Healthcare Fraud Analytics Market Analysis – by End User

10.1 Government Agencies
  • 10.1.1 Overview
  • 10.1.2 Government Agencies: US Healthcare Fraud Analytics Market – Revenue and Forecast, 2017-2027 (US$ Million)
10.2 Private Insurance Payers
  • 10.2.1 Overview
  • 10.2.2 Private Insurance Payers: US Healthcare Fraud Analytics Market – Revenue and Forecast, 2017-2027 (US$ Million)
10.3 Third-party Service Providers
  • 10.3.1 Overview
  • 10.3.2 Third-party Service Providers: US Healthcare Fraud Analytics Market – Revenue and Forecast, 2017-2027 (US$ Million)
10.4 Employers
  • 10.4.1 Overview
  • 10.4.2 Employers : US Healthcare Fraud Analytics Market – Revenue and Forecast, 2017-2027 (US$ Million)

11. US Healthcare Fraud Analytics Market – United States Analysis

11.1 Overview

11.2 United States
  • 11.2.1 US Healthcare Fraud Analytics Market Breakdown, by Key Country, 2020 and 2027 (%)
  • 11.2.1.1 US Healthcare Fraud Analytics Market – Revenue and Forecast Analysis – by Country
  • 11.2.1.1 United States : US Healthcare Fraud Analytics Market – Revenue and Forecast to 2027 (US$ Million)
    • 11.2.1.1.1 United States : US Healthcare Fraud Analytics Market Breakdown, by Solution
    • 11.2.1.1.2 United States : US Healthcare Fraud Analytics Market Breakdown, by Mode of Delivery
    • 11.2.1.1.3 United States : US Healthcare Fraud Analytics Market Breakdown, by Application
    • 11.2.1.1.4 United States : US Healthcare Fraud Analytics Market Breakdown, by End User

12. Competitive Landscape

12.1 Heat Map Analysis
12.2 Company Positioning and Concentration

13. Industry Landscape

13.1 Overview
13.2 Market Initiative
13.3 Partnerships and Collaborations
13.4 Other Developments

14. Company Profiles

14.1 Conduent Inc.
  • 14.1.1 Key Facts
  • 14.1.2 Business Description
  • 14.1.3 Products and Services
  • 14.1.4 Financial Overview
  • 14.1.5 SWOT Analysis
  • 14.1.6 Key Developments
14.2 DXC Technology
  • 14.2.1 Key Facts
  • 14.2.2 Business Description
  • 14.2.3 Products and Services
  • 14.2.4 Financial Overview
  • 14.2.5 SWOT Analysis
  • 14.2.6 Key Developments
14.3 Scioinspire, Corp.
  • 14.3.1 Key Facts
  • 14.3.2 Business Description
  • 14.3.3 Products and Services
  • 14.3.4 Financial Overview
  • 14.3.5 SWOT Analysis
  • 14.3.6 Key Developments
14.4 FICO
  • 14.4.1 Key Facts
  • 14.4.2 Business Description
  • 14.4.3 Products and Services
  • 14.4.4 Financial Overview
  • 14.4.5 SWOT Analysis
  • 14.4.6 Key Developments
14.5 Optum, Inc.
  • 14.5.1 Key Facts
  • 14.5.2 Business Description
  • 14.5.3 Products and Services
  • 14.5.4 Financial Overview
  • 14.5.5 SWOT Analysis
  • 14.5.6 Key Developments
14.6 SAS Institute
  • 14.6.1 Key Facts
  • 14.6.2 Business Description
  • 14.6.3 Products and Services
  • 14.6.4 Financial Overview
  • 14.6.5 SWOT Analysis
  • 14.6.6 Key Developments
14.7 Pondera Solutions
  • 14.7.1 Key Facts
  • 14.7.2 Business Description
  • 14.7.3 Products and Services
  • 14.7.4 Financial Overview
  • 14.7.5 SWOT Analysis
  • 14.7.6 Key Developments
14.8 Lexisnexis Risk Solutions
  • 14.8.1 Key Facts
  • 14.8.2 Business Description
  • 14.8.3 Products and Services
  • 14.8.4 Financial Overview
  • 14.8.5 SWOT Analysis
  • 14.8.6 Key Developments
14.9 Whitehatai
  • 14.9.1 Key Facts
  • 14.9.2 Business Description
  • 14.9.3 Products and Services
  • 14.9.4 Financial Overview
  • 14.9.5 SWOT Analysis
  • 14.9.6 Key Developments
14.10 Cotiviti, Inc
  • 14.10.1 Key Facts
  • 14.10.2 Business Description
  • 14.10.3 Products and Services
  • 14.10.4 Financial Overview
  • 14.10.5 SWOT Analysis
  • 14.10.6 Key Developments

15. Appendix

15.1 About Business Market Insights
15.2 List of Abbreviations

The List of Companies - US Healthcare Fraud Analytics Market

  • Conduent Inc.
  • DXC Technology
  • Scioinspire, Corp.
  • FICO
  • Optum, Inc.
  • SAS Institute
  • Pondera Solutions
  • Lexisnexis Risk Solutions
  • Whitehatai
  • Cotiviti, Inc
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