New Business Strategies for Healthcare Fraud Detection
Healthcare fraud are difficult to detect and are generally go unnoticed, therefore detection of such fraudulent claims is necessary, as they increase burden on the society. The use of fraud detection solution enable healthcare firms in accounting, and auditing by predictive data methodologies. Careful account auditing can reveal suspicious providers and policy holders and detect potential fraudulent cases before it occurs.
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Healthcare fraud detection helps to prevent healthcare fraud, waste and abuse. Medical fraud can lead to unauthorized payments or benefits by making a false statement or misrepresentation by a healthcare professional or patient. This includes Increased fraud activity in healthcare, increased number of patients seeking health insurance, increased abuse of fraud, waste and healthcare spending, and increased return on investment are some factors that are expected to accelerate market growth.
Most Eminent Key Vendors Operating in this Study:
Verscend Technologies, Inc., Fair Isaac Corporation, SAS Institute Inc., SCIOInspire, Corp., Wipro Limited, IBM Corporation, Conduent, Inc., HCL Technologies Limited, CGI Group Inc., and McKesson Corporation
The report also includes the profiles of key healthcare fraud detection companies along with their SWOT analysis and market strategies. In addition, the report focuses on leading industry players with information such as company profiles, products and services offered, financial information of last 3 years, key development in past five years.
Large number of fraudulent activities in healthcare, rising number of patients opting health insurance, prepayment review model, increasing pressure of fraud and abuse on healthcare spending is expected to drive the growth of the market. Moreover, increasing adoption of cloud-based analytics, emergence of social media and its impact on the healthcare industry, artificial intelligence (AI) in healthcare fraud detection is expected to provide opportunity for the growth of healthcare fraud detection market during the forecast period.
The report aims to provide an overview of global healthcare fraud detection market with detailed market segmentation by delivery model, component, type, application, end user, and geography. The global healthcare fraud detection market is expected to witness high growth during the forecast period. The report provides key statistics on the market status of the leading market players and offers key trends and opportunities in the market.
The report analyzes factors affecting market from both demand and supply side and further evaluates market dynamics effecting the market during the forecast period i.e., drivers, restraints, opportunities, and future trend. The report also provides exhaustive PEST analysis for all five regions namely; North America, Europe, APAC, MEA and South & Central America after evaluating political, economic, social and technological factors effecting the market in these regions.