世界の医療不正分析市場予測(~2028):コンポーネント別、ソリューションタイプ別、地域別

◆英語タイトル:Healthcare Fraud Analytics Market Forecasts to 2028 – Global Analysis By Component (Services, Software), Solution Type (Descriptive Analytics, Predictive Analytics Prescriptive Analytics) and By Geography

Stratistics MRCが発行した調査報告書(SMRC21DC187)◆商品コード:SMRC21DC187
◆発行会社(リサーチ会社):Stratistics MRC
◆発行日:2021年8月
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◆レポート形式:英語 / PDF
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❖ レポートの概要 ❖

本調査レポートでは、医療不正分析の世界市場を広く調査し、エグゼクティブサマリー、序論、市場動向分析、ファイブフォース分析、コンポーネント別(サービス、ソフトウェア)分析、ソリューションタイプ別(記述分析、予測分析、処方分析)分析、配信モード別(オンプレミス、オンデマンド/クラウドベース)分析、エンドユーザー別(雇用主、民間保険会社、公的機関&政府機関、サードパーティサービス提供者)分析、地域別分析、主要市場開拓、企業情報などの項目を掲載しています。
・エグゼクティブサマリー
・序論
・市場動向分析
・ファイブフォース分析
・医療不正分析の世界市場規模:コンポーネント別(サービス、ソフトウェア)
・医療不正分析の世界市場規模:ソリューションタイプ別(記述分析、予測分析、処方分析)
・医療不正分析の世界市場規模:配信モード別(オンプレミス、オンデマンド/クラウドベース)
・医療不正分析の世界市場規模:エンドユーザー別(雇用主、民間保険会社、公的機関&政府機関、サードパーティサービス提供者)
・医療不正分析の世界市場規模:地域別
・主要市場開拓
・企業情報

According to Stratistics MRC, the Global Healthcare Fraud Analytics Market is accounted for $1.18 billion in 2020 and is expected to reach $8.40 billion by 2028 growing at a CAGR of 27.8% during the forecast period. Rising number of healthcare fraud instances related with healthcare insurance claims across the world and growing government efforts to limit frauds are driving the market growth. However, high return on investments and increase in pharmacy claim related frauds is hampering the growth of the market.

Healthcare fraud revealing is a set of analytical solutions that help in finding issues such as mistakes in duplication/repetition of claims and claim submission forms. Healthcare fraud revealing of claims is necessary as fraud claims rise load on the healthcare industry and society. The usage of fraud detection solutions permits healthcare firms to check and account for analytical data methodologies. Conventionally cautious account checking was followed that exposed numerous doubtful providers and policyholders but with technological advancements classifying potential fraudulent cases before it occurs boosts the healthcare fraud analytics.

Based on the delivery mode, the on-premise segment is going to have lucrative growth during the forecast period. Services are executed in-house and inside the IT facilities of an association in an on-premises deployment. It is the part of the organization to achieve these solutions and all related operations. These are important for the data canter’s on-going expenses, resource use, and space for corporations that install applications on site.

By geography, North America is going to have high growth during the forecast period. The, rising requirement for reduced healthcare costs, technological developments, growing number of people looking for health insurance , and improved accessibility of products and facilities are aspects accountable for dominance of the province in the global market.

Some of the key players profiled in the Healthcare Fraud Analytics Market include CGI Inc., Conduent Inc., Cotiviti Holdings, Inc., DXC Technology Co, ExlService Holdings, Inc., FraudScope, Inc. ,HCL Technologies Limited, International Business Machines Corporation (IBM), LexisNexis (A Part of Relx Group), Northrop Grumman Corporation, Pondera Solutions, LLC, SAS Institute, Wipro Limited.

Components Covered:
• Services
• Software

Solution Types Covered:
• Descriptive Analytics
• Predictive Analytics
• Prescriptive Analytics

Delivery Modes Covered:
• On-Premise
• On-Demand/ Cloud-Based Delivery Mode

Applications Covered:
• Insurance Claims Review
• Medical Identity Theft
• Payment Integrity
• Pharmacy Billing Misuse
• Case Management

End Users Covered:
• Employers
• Private Insurance Payers
• Public & Government Agencies
• Third-Party Service Providers

Regions Covered:
• North America
o US
o Canada
o Mexico
• Europe
o Germany
o UK
o Italy
o France
o Spain
o Rest of Europe
• Asia Pacific
o Japan
o China
o India
o Australia
o New Zealand
o South Korea
o Rest of Asia Pacific
• South America
o Argentina
o Brazil
o Chile
o Rest of South America
• Middle East & Africa
o Saudi Arabia
o UAE
o Qatar
o South Africa
o Rest of Middle East & Africa

❖ レポートの目次 ❖

1 Executive Summary

2 Preface
2.1 Abstract
2.2 Stake Holders
2.3 Research Scope
2.4 Research Methodology
2.4.1 Data Mining
2.4.2 Data Analysis
2.4.3 Data Validation
2.4.4 Research Approach
2.5 Research Sources
2.5.1 Primary Research Sources
2.5.2 Secondary Research Sources
2.5.3 Assumptions

3 Market Trend Analysis
3.1 Introduction
3.2 Drivers
3.3 Restraints
3.4 Opportunities
3.5 Threats
3.6 Application Analysis
3.7 End User Analysis
3.8 Emerging Markets
3.9 Impact of Covid-19

4 Porters Five Force Analysis
4.1 Bargaining power of suppliers
4.2 Bargaining power of buyers
4.3 Threat of substitutes
4.4 Threat of new entrants
4.5 Competitive rivalry

5 Global Healthcare Fraud Analytics Market, By Component
5.1 Introduction
5.2 Services
5.3 Software

6 Global Healthcare Fraud Analytics Market, By Solution Type
6.1 Introduction
6.2 Descriptive Analytics
6.3 Predictive Analytics
6.4 Prescriptive Analytics

7 Global Healthcare Fraud Analytics Market, By Delivery Mode
7.1 Introduction
7.2 On-Premise
7.3 On-Demand/ Cloud-Based Delivery Mode

8 Global Healthcare Fraud Analytics Market, By Application
8.1 Introduction
8.2 Insurance Claims Review
8.2.1 Postpayment Review
8.2.2 Prepayment Review
8.3 Medical Identity Theft
8.4 Payment Integrity
8.5 Pharmacy Billing Misuse
8.6 Case Management

9 Global Healthcare Fraud Analytics Market, By End User
9.1 Introduction
9.2 Employers
9.3 Private Insurance Payers
9.4 Public & Government Agencies
9.5 Third-Party Service Providers

10 Global Healthcare Fraud Analytics Market, By Geography
10.1 Introduction
10.2 North America
10.2.1 US
10.2.2 Canada
10.2.3 Mexico
10.3 Europe
10.3.1 Germany
10.3.2 UK
10.3.3 Italy
10.3.4 France
10.3.5 Spain
10.3.6 Rest of Europe
10.4 Asia Pacific
10.4.1 Japan
10.4.2 China
10.4.3 India
10.4.4 Australia
10.4.5 New Zealand
10.4.6 South Korea
10.4.7 Rest of Asia Pacific
10.5 South America
10.5.1 Argentina
10.5.2 Brazil
10.5.3 Chile
10.5.4 Rest of South America
10.6 Middle East & Africa
10.6.1 Saudi Arabia
10.6.2 UAE
10.6.3 Qatar
10.6.4 South Africa
10.6.5 Rest of Middle East & Africa

11 Key Developments
11.1 Agreements, Partnerships, Collaborations and Joint Ventures
11.2 Acquisitions & Mergers
11.3 New Product Launch
11.4 Expansions
11.5 Other Key Strategies

12 Company Profiling
12.1 CGI Inc.
12.2 Conduent Inc.
12.3 Cotiviti Holdings, Inc.
12.4 DXC Technology Co
12.5 ExlService Holdings, Inc.
12.6 FraudScope, Inc.
12.7 HCL Technologies Limited
12.8 International Business Machines Corporation (IBM)
12.9 LexisNexis (A Part of Relx Group)
12.10 Northrop Grumman Corporation
12.11 Pondera Solutions, LLC
12.12 SAS Institute
12.13 Wipro Limited



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