ASIA PACIFIC HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET FORECAST 2020-2028

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ASIA PACIFIC HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET FORECAST 2020-2028

The Asia Pacific healthcare fraud analytics and detection market is projected to register a CAGR of 21.56% during the forecast years of 2020 to 2028. The need to support reliable enterprise mobility practices within enterprises is likely to increase the demand for fraud detection and prevention solutions. The Asia Pacific healthcare fraud analytics and detection market growth is assessed across China, India, South Korea, Vietnam, Thailand, Australia & New Zealand, Japan, and the rest of Asia Pacific.

ASIA PACIFIC HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET FORECAST 2020-2028

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The Asia Pacific healthcare fraud analytics and detection market is projected to register a CAGR of 21.56% during the forecast years of 2020 to 2028. The need to support reliable enterprise mobility practices within enterprises is likely to increase the demand for fraud detection and prevention solutions.
Asia Pacific Healthcare Fraud Analytics and Detection Market

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The Asia Pacific healthcare fraud analytics and detection market growth is assessed across China, India, South Korea, Vietnam, Thailand, Australia & New Zealand, Japan, and the rest of Asia Pacific. There has been a considerable increase in deceptive activities owing to the growing penetration of the internet and an increase in the use of mobile internet. According to a survey conducted on 18 provinces in China, it was speculated that medical insurance fraud is ever-present in every province. Moreover, the fraud occurs from the collection up to the payment stage. The country’s efforts to cut back healthcare frauds and seek legal measures is hampered by the inability to accurately measure the problem. It is getting more difficult to prevent and detect fraudulent practices as the absence of strong internal controls increases the potential for fraud in China. Thus, the market is anticipated to optimistically grow during the forecast period. In India, there have been many instances of healthcare fraud, wherein the money reserved for the treatment of non-existent patients was fraudulently pocketed by the government doctors. Similar cases have been on a constant rise all over the country, and the government has initiated several programs to curb fraud claims. However, the use and adoption of healthcare fraud software are very limited in India. As digitalization solutions increase in the country over the years, the market is anticipated to grow through the forecast years.

Being headquartered in New York, International Business Machines Corporation (IBM) is an integrated information technology enterprise. It offers services like consulting, delivery, financial solution, and implementation, among others. The company operates across Asia Pacific, America, Africa, the Middle East, and Europe. In February 2018, IBM Watson Health invested in research collaborations with prominent medical centers, to develop the implementation of artificial intelligence in the healthcare sectors.

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  1. RESEARCH SCOPE & METHODOLOGY
    • STUDY OBJECTIVES
    • SCOPE OF STUDY
    • METHODOLOGY
    • ASSUMPTIONS & LIMITATIONS
  2. EXECUTIVE SUMMARY
    • MARKET SIZE & ESTIMATES
    • MARKET OVERVIEW
  3. MARKET DYNAMICS
    • MARKET DEFINITION
    •    KEY DRIVERS
      • RISE IN HEALTHCARE EXPENDITURE
      • SURGE IN THE NUMBER OF PATIENTS OPTING FOR HEALTH INSURANCE
      • RISE IN FABRICATED ACTIVITIES IN HEALTHCARE
    •    KEY RESTRAINTS
      • RELUCTANCE TO ADOPT HEALTHCARE FRAUD ANALYTICS
  1. KEY ANALYTICS
    • KEY INVESTMENT INSIGHTS
    •    PORTER’S FIVE FORCE ANALYSIS
      • BUYER POWER
      • SUPPLIER POWER
      • SUBSTITUTION
      • NEW ENTRANTS
      • INDUSTRY RIVALRY
    • OPPORTUNITY MATRIX
    • VENDOR LANDSCAPE
  2. MARKET BY TYPE
    • DESCRIPTIVE ANALYSIS
    • PREDICTIVE ANALYSIS
    • PRESCRIPTIVE ANALYSIS
  3. MARKET BY APPLICATION
    • REVIEW OF INSURANCE CLAIMS
    • PAYMENT INTEGRITY
  4. MARKET BY END-USER
    • PRIVATE INSURANCE PAYERS
    • GOVERNMENT AGENCIES
    • OTHER END-USERS
  5. GEOGRAPHICAL ANALYSIS
    •    ASIA PACIFIC
      • CHINA
      • JAPAN
      • INDIA
      • SOUTH KOREA
      • INDONESIA
      • THAILAND
      • VIETNAM
      • AUSTRALIA & NEW ZEALAND
      • REST OF ASIA PACIFIC
  1. COMPANY PROFILES
    • CGI INC
    • DXC TECHNOLOGY
    • EXL
    • IBM
    • MCKESSON
    • NORTHROP GRUMMAN
    • OSP LABS
    • SAS INSTITUTE
    • RELX GROUP PLC
    • UNITED HEALTH GROUP INCORPORATED (OPTUM INC)
    • COTIVITI HOLDINGS INC
    • CHANGE HEALTHCARE
    • FAIR ISSAC CORPORATION
    • PONDERA SOLUTIONS

LIST OF TABLES

TABLE 1: MARKET SNAPSHOT – HEALTHCARE FRAUD ANALYTICS AND DETECTION

TABLE 2: ASIA PACIFIC HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, BY TYPE, HISTORICAL YEARS, 2016-2019 (IN $ MILLION)

TABLE 3: ASIA PACIFIC HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, BY TYPE, FORECAST YEARS, 2020-2028 (IN $ MILLION)

TABLE 4: ASIA PACIFIC HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, BY APPLICATION, HISTORICAL YEARS, 2016-2019 (IN $

TABLE 5: ASIA PACIFIC HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, BY APPLICATION, FORECAST YEARS, 2020-2028 (IN $ MILLION)

TABLE 6: ASIA PACIFIC HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, BY END-USER, HISTORICAL YEARS, 2016-2019 (IN $ MILLION)

TABLE 7: ASIA PACIFIC HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, BY END-USER, FORECAST YEARS, 2020-2028 (IN $ MILLION)

TABLE 8: ASIA PACIFIC HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, BY COUNTRY, HISTORICAL YEARS, 2016-2019 (IN $ MILLION)

TABLE 9: ASIA PACIFIC HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, BY COUNTRY, FORECAST YEARS, 2020-2028 (IN $ MILLION)

LIST OF FIGURES

FIGURE 1: KEY INVESTMENT INSIGHTS

FIGURE 2: PORTER’S FIVE FORCE ANALYSIS

FIGURE 3: OPPORTUNITY MATRIX

FIGURE 4: VENDOR LANDSCAPE

FIGURE 5: ASIA PACIFIC HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, GROWTH POTENTIAL, BY TYPE, IN 2019

FIGURE 6: ASIA PACIFIC HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, BY DESCRIPTIVE ANALYSIS, 2020-2028 (IN $ MILLION)

FIGURE 7: ASIA PACIFIC HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, BY PREDICTIVE ANALYSIS, 2020-2028 (IN $ MILLION)

FIGURE 8: ASIA PACIFIC HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, BY PRESCRIPTIVE ANALYSIS, 2020-2028 (IN $ MILLION)

FIGURE 9: ASIA PACIFIC HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, GROWTH POTENTIAL, BY APPLICATION, IN 2019

FIGURE 10: ASIA PACIFIC HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, BY REVIEW OF INSURANCE CLAIMS, 2020-2028 (IN $ MILLION)

FIGURE 11: ASIA PACIFIC HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, BY PAYMENT INTEGRITY, 2020-2028 (IN $ MILLION)

FIGURE 12: ASIA PACIFIC HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, GROWTH POTENTIAL BY END-USER, IN 2019

FIGURE 13: ASIA PACIFIC HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, BY PRIVATE INSURANCE PAYERS, 2020-2028 (IN $ MILLION)

FIGURE 14: ASIA PACIFIC HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, BY GOVERNMENT AGENCIES, 2020-2028 (IN $ MILLION)

FIGURE 15: ASIA PACIFIC HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, BY OTHER END-USERS, 2020-2028 (IN $ MILLION)

FIGURE 16: ASIA PACIFIC HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, REGIONAL OUTLOOK, 2019 & 2028 (IN %)

FIGURE 17: CHINA HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, 2020-2028 (IN $ MILLION)

FIGURE 18: JAPAN HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, 2020-2028 (IN $ MILLION)

FIGURE 19: INDIA HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, 2020-2028 (IN $ MILLION)

FIGURE 20: SOUTH KOREA HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, 2020-2028 (IN $ MILLION)

FIGURE 21: INDONESIA HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, 2020-2028 (IN $ MILLION)

FIGURE 22: THAILAND HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, 2020-2028 (IN $ MILLION)

FIGURE 23: VIETNAM HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, 2020-2028 (IN $ MILLION)

FIGURE 24: AUSTRALIA & NEW ZEALAND HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, 2020-2028 (IN $ MILLION)

FIGURE 25: REST OF ASIA PACIFIC HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, 2020-2028 (IN $ MILLION)

  1. GEOGRAPHICAL ANALYSIS
    •    ASIA PACIFIC
      • CHINA
      • JAPAN
      • INDIA
      • SOUTH KOREA
      • INDONESIA
      • THAILAND
      • VIETNAM
      • AUSTRALIA & NEW ZEALAND
      • REST OF ASIA PACIFIC
  1. MARKET BY TYPE
    • DESCRIPTIVE ANALYSIS
    • PREDICTIVE ANALYSIS
    • PRESCRIPTIVE ANALYSIS
  2. MARKET BY APPLICATION
    • REVIEW OF INSURANCE CLAIMS
    • PAYMENT INTEGRITY
  3. MARKET BY END-USER
    • PRIVATE INSURANCE PAYERS
    • GOVERNMENT AGENCIES
    • OTHER END-USERS

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