MIDDLE EAST AND AFRICA HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET 2019-2028

Lifesciences | Healthcare IT

MIDDLE EAST AND AFRICA HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET 2019-2028

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

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A Triton Market Research report has determined that the healthcare fraud analytics and detection market in the Middle East and Africa is set to surge at CAGR of 22.45% during the projected period 2019-2028.



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The countries scrutinized in the Middle East and Africa market are:

           Saudi Arabia

           United Arab Emirates

           Turkey

           South Africa

           Rest of Middle East & Africa

In Turkey, there are different types of hospitals operating in the country. State-funded hospitals suffer due to over-capacity and insufficient fundings. University hospitals have a high standard of care, with a highly skilled workforce. Healthcare in the country is quite affordable as compared to western standards. Hence, in recent times, there has been a rise in the number of people traveling in order to take advantage of the cost-efficiency, turning the country into a popular medical tourist destination to take advantage of this cost disparity. With the growth in this sector, an increase in the fraudulent activities is expected, thereby pushing the demand for healthcare fraud analytics and detection market. These factors are likely to aid the growth of the studied market in the coming years.

In Saudi Arabia, insurance companies are rejecting approximately 25% of medical claims on the grounds of fraudulent activities from hospitals and other services. Health insurance companies are suffering heavy losses due to identity fraud and other fraudulent practices either by patients or service providers. It is reported that health insurance companies are losing up to $320 million annually to fraudulent claims. This is likely to create greater demand for healthcare fraud analytics and detection market, thereby helping the market growth.

SAS is a company offering its services to various industries, including health insurance, automotive, communications, banking, education, government, financial services,  healthcare providers, insurance and life sciences. The company operates in different regions, including the Middle East. It provides products SAS Fraud Management and SAS Detection and Investigation for Healthcare.

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Table of Content

1.    MIDDLE EAST AND AFRICA 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.    MIDDLE EAST AND AFRICA HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET OUTLOOK - BY TYPE

3.1. DESCRIPTIVE ANALYSIS

3.2. PREDICTIVE ANALYSIS

3.3. PRESCRIPTIVE ANALYSIS

4.    MIDDLE EAST AND AFRICA HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET OUTLOOK - BY APPLICATION

4.1. REVIEW OF INSURANCE CLAIMS

4.2. PAYMENT INTEGRITY

5.    MIDDLE EAST AND AFRICA  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.    MIDDLE EAST AND AFRICA HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET – REGIONAL OUTLOOK

6.1. MIDDLE EAST AND AFRICA

6.1.1.   UNITED ARAB EMIRATES

6.1.2.   TURKEY

6.1.3.   SAUDI ARABIA

6.1.4.   SOUTH AFRICA

6.1.5.   REST OF MIDDLE EAST & AFRICA

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: MIDDLE EAST AND AFRICA HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, BY COUNTRY, 2019-2028 (IN $ MILLION)

TABLE 2: MARKET ATTRACTIVENESS INDEX

TABLE 3: VENDOR SCORECARD

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

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

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

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

List of Figures

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

FIGURE 2: PORTER’S FIVE FORCE ANALYSIS

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

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

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

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

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

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

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

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

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

FIGURE 12: MIDDLE EAST AND AFRICA HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, 2019-2028 (IN $ MILLION)

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

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

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

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

FIGURE 17: REST OF MIDDLE EAST & AFRICA HEALTHCARE FRAUD ANALYTICS AND DETECTION MARKET, 2019-2028 (IN $ MILLION)

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