The North America healthcare fraud analytics and detection market is projected to register a CAGR of 21.06%, during the forecast period, 2020-2028. The growing healthcare expenditure and competent healthcare infrastructure are among the most important factors fueling the growth of the market. The countries analyzed for the North America healthcare fraud analytics and detection market growth assessment are the United States and Canada.

NORTH AMERICA HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET FORECAST 2020-2028

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The North America healthcare fraud analytics and detection market is projected to register a CAGR of 21.06%, during the forecast period, 2020-2028. The growing healthcare expenditure and competent healthcare infrastructure are among the most important factors fueling the growth of the market.
North America Healthcare Fraud Analytics and Detection Market

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The countries analyzed for the North America healthcare fraud analytics and detection market growth assessment are the United States and Canada. According to the Organization for Economic Co-operation and Development (OECD), the United States harbors the highest healthcare spending per capita, around 18% of the GDP. There was a switch from volume-based payment to value-based payment by the Accountable Care Organization (ACO), which resulted in providers opting for healthcare fraud detection. Most healthcare providers of the country are subject to constantly changing state, local, and federal laws and regulations, with regard to healthcare fraud and abuse. Several organizations are deploying new analytical solutions to comply with the regulations of the fraudulent claim for payment. The country houses the leading national organization, the National Health Care Anti-Fraud Association (NHCAA), that aims at tackling healthcare fraud. As a result, the presence of advanced healthcare infrastructure, and various government initiatives with respect to various healthcare programs, are estimated to contribute to the growth of the market.

CGI Group Inc. (CGI or ‘the company) provides IT services. The company also provides systems integration, business consulting, and IT sourcing. It majorly operates in Europe, Asia Pacific, and Europe. The company partnered with the National Association of State Boards of Accountancy (NASBA) in December 2018, for a long-term agreement for IT management and software services. The company has its headquarters in Quebec, Canada.

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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
      •    NORTH AMERICA
        • UNITED STATES
        • CANADA
    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: NORTH AMERICA HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, BY TYPE, HISTORICAL YEARS, 2016-2019 (IN $ MILLION)

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

    TABLE 4: NORTH AMERICA HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, BY APPLICATION, HISTORICAL YEARS, 2016-2019 (IN $ MILLION)

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

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

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

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

    TABLE 9: NORTH AMERICA 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: NORTH AMERICA HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, GROWTH POTENTIAL, BY TYPE, IN 2019

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

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

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

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

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

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

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

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

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

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

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

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

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

    1. GEOGRAPHICAL ANALYSIS
      •    NORTH AMERICA
        • UNITED STATES
        • CANADA
    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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