EUROPE HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET 2019-2028

Lifesciences | Healthcare IT

EUROPE HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET 2019-2028

Market By Type, Application, End-user And Geography | Forecast 2019-2028

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An analysis by Triton Market Research concludes that the European healthcare fraud analytics and detection market is expected to grow and expand at a CAGR of 23.48% during the forthcoming period 2019-2028.



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The countries evaluated in the Europe healthcare fraud analytics and detection market are:

           Italy

           The United Kingdom

           Germany

           Russia

           France

           Spain  

           Rest of Europe

The United Kingdom developed NHSCFA (NHS Counter Fraud Authority) to fight the fraud risk involved in primary care and dental benefit eligibility checking service, among others. It is reported that the NHSCFA published the priority action areas for 2019-2020, with new commitments to detect and prevent GBP 22 million of fraud and recover around GBP 5 million from fraud losses. The escalating cases of fraud in the UK are anticipated to push the demand for health fraud detection solutions in the market, thus aiding the growth of the studied market in the next few years.

In Germany, the federal government implements national health policies. The Integrierte Versorgung Gesundes Kinzigtal model, commonly referred to as the GK model, is one of the integrated and well-developed healthcare systems initiated by the German government. The government also offers several programs regarding the improvement of healthcare conditions and primary healthcare.

It is reported that about 87.5% of the population holds policies in one of the 134 public health insurance companies, and the remaining 12% is covered by any of the 45 private insurance companies. These factors are estimated to increase the cases of fraud in the country, thereby increasing the potential of the healthcare fraud analytics and detection market.

EXL is a company that outsources business processes and provides technical support & services. The company serves customers in different sectors, including healthcare, insurance, travel, banking & financial services, among others. It operates in different regions, including Europe. EXL provides fraud monitoring and fraud system augmentation, that can be used to deploy fraud prevention strategies.

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Table of Content

1.    EUROPE HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET - SUMMARY

2.    INDUSTRY OUTLOOK

2.1. MARKET DEFINITION

2.2. KEY INSIGHTS

2.2.1.   PRESCRIPTIVE ANALYSIS IS ANTICIPATED TO GROW AT HIGHEST CAGR

2.2.2.   GROWING PRESSURE TO INCREASE OPERATIONAL EFFICIENCY AND REDUCE HEALTHCARE SPENDING

2.3. PORTER’S FIVE FORCE ANALYSIS

2.3.1.   THREAT OF NEW ENTRANTS

2.3.2.   THREAT OF SUBSTITUTE

2.3.3.   BARGAINING POWER OF SUPPLIERS

2.3.4.   BARGAINING POWER OF BUYERS

2.3.5.   THREAT OF COMPETITIVE RIVALRY

2.4. MARKET ATTRACTIVENESS INDEX

2.5. VENDOR SCORECARD

2.6. IMPACT OF COVID-19 ON HEALTHCARE FRAUD ANALYTICS AND DETECTION

2.7. MARKET DRIVERS

2.7.1.   SURGE IN HEALTHCARE EXPENDITURE

2.7.2.   SWELL IN THE NUMBER OF PATIENTS OPTING FOR HEALTH INSURANCE

2.8. MARKET RESTRAINTS

2.8.1.   UNWILLINGNESS TO ADOPT HEALTHCARE FRAUD ANALYTICS

2.9. MARKET OPPORTUNITIES

2.9.1.   INCREASE IN FALSE ACTIVITIES IN HEALTHCARE

2.10. MARKET CHALLENGES

2.10.1.  HIGH COST OF FRAUD DETECTION AND PREVENTION SOLUTIONS

3.    EUROPE HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET OUTLOOK - BY TYPE

3.1. DESCRIPTIVE ANALYSIS

3.2. PREDICTIVE ANALYSIS

3.3. PRESCRIPTIVE ANALYSIS

4.    EUROPE HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET OUTLOOK - BY APPLICATION

4.1. REVIEW OF INSURANCE CLAIMS

4.2. PAYMENT INTEGRITY

5.    EUROPE  HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET OUTLOOK - BY END-USER

5.1. PRIVATE INSURANCE PAYERS

5.2. GOVERNMENT AGENCIES

5.3. OTHER END-USERS

6.    EUROPE HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET – REGIONAL OUTLOOK

6.1. UNITED KINGDOM

6.2. GERMANY

6.3. FRANCE

6.4. SPAIN

6.5. ITALY

6.6. RUSSIA

6.7. REST OF EUROPE

7.    COMPETITIVE LANDSCAPE

7.1. CGI INC

7.2. DXC TECHNOLOGY COMPANY

7.3. EXL

7.4. INTELLIGENT BUSINESS MACHINES CORPORATION

7.5. MCKESSON CORPORATION

7.6. NORTHROP GRUMMAN CORPORATION

7.7. OSP LABS

7.8. SAS INSTITUTE INC

7.9. RELX GROUP PLC

7.10. UNITEDHEALTH GROUP (OPTUM INC)

7.11. COTIVITI INC

7.12. CHANGE HEALTHCARE

7.13. FAIR ISSAC CORPORATION

7.14. PONDERA SOLUTIONS

8.    METHODOLOGY & SCOPE

8.1. RESEARCH SCOPE

8.2. SOURCES OF DATA

8.3. RESEARCH METHODOLOGY

List of table

TABLE 1: EUROPE HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, BY COUNTRY, 2019-2028 (IN $ MILLION)

TABLE 2: MARKET ATTRACTIVENESS INDEX

TABLE 3: VENDOR SCORECARD

TABLE 4: EUROPE HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, BY COUNTRY, 2019-2028 (IN $ MILLION)

TABLE 5: EUROPE HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, BY TYPE, 2019-2028 (IN $ MILLION)

TABLE 6: EUROPE HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, BY APPLICATION, 2019-2028 (IN $ MILLION)

TABLE 7: EUROPE HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, BY END-USER, 2019-2028 (IN $ MILLION)

List of Figures

FIGURE 1: EUROPE HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, BY TYPE, 2018 & 2028 (IN %)

FIGURE 2: PORTER’S FIVE FORCE ANALYSIS

FIGURE 3: EUROPE HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, BY DESCRIPTIVE ANALYSIS, 2019-2028 (IN $ MILLION)

FIGURE 4: EUROPE HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, BY PREDICTIVE ANALYSIS, 2019-2028 (IN $ MILLION)

FIGURE 5: EUROPE HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, BY PRESCRIPTIVE ANALYSIS, 2019-2028 (IN $ MILLION)

FIGURE 6: EUROPE HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, BY REVIEW OF INSURANCE CLAIMS, 2019-2028 (IN $ MILLION)

FIGURE 7: EUROPE HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, BY PAYMENT INTEGRITY, 2019-2028 (IN $ MILLION)

FIGURE 8: EUROPE HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, BY PRIVATE INSURANCE PAYERS, 2019-2028 (IN $ MILLION)

FIGURE 9: EUROPE HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, BY GOVERNMENT AGENCIES, 2019-2028 (IN $ MILLION)

FIGURE 10: EUROPE HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, BY OTHER END-USERS, 2019-2028 (IN $ MILLION)

FIGURE 11: EUROPE HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, REGIONAL OUTLOOK, 2018 & 2028 (IN %)

FIGURE 12: UNITED KINGDOM HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, 2019-2028 (IN $ MILLION)

FIGURE 13: GERMANY HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, 2019-2028 (IN $ MILLION)

FIGURE 14: FRANCE HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, 2019-2028 (IN $ MILLION)

FIGURE 15: SPAIN HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, 2019-2028 (IN $ MILLION)

FIGURE 16: ITALY HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, 2019-2028 (IN $ MILLION)

FIGURE 17: RUSSIA HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, 2019-2028 (IN $ MILLION)

FIGURE 18: REST OF EUROPE HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, 2019-2028 (IN $ MILLION)

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