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US Healthcare Fraud Analytics Market Future Prospects and Opportunity Assessment Upto 2027
US Healthcare Fraud Analytics Market
The US Healthcare Fraud Analytics market is growing along with the healthcare industry, but the market is likely to slow down its growth due to the shortage of skilled professionals, suggests the Business Market Insights report.
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Market Insights
Increasing Number of Healthcare Fraudulent Cases in the US
Most of the healthcare frauds are committed by the small number of fraudulent healthcare providers, and in some cases, by people who are pretending to be legitimate healthcare providers. Unfortunately, the actions of these few deceitful individuals ultimately harms the reputation of the most trusted and respected healthcare professionals. The number of healthcare frauds is increasing in the US. The Department of Justice (DoJ) in January 2019, announced that around US$2.5 billion of the total US$2.8 billion were recovered under the False Claims Act in the US. The most significant monetary recoveries in the year 2018 were from medical device and drug industries. Also, the National Health Care Anti-Fraud Association (NHCAA) estimated that every year, losses due to healthcare frauds are in the tens of billions of dollars. Some government and law enforcement agencies also estimated that healthcare frauds cost around 10% of the total annual health expenditure, which could be around US$ 300 billion. Thus, an increasing number of fraudulent healthcare cases is likely to demand healthcare fraud analytics solutions.These factors are expected to offer broad growth opportunities in the healthcare industry and this is expected to cause the demand for US Healthcare Fraud Analytics in the market.
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US Healthcare Fraud Analytics – MARKET SEGMENTATION
US Healthcare Fraud Analytics Market – By Solution
Predictive Analytics
Descriptive Analytics
Prescriptive Analytics
US Healthcare Fraud Analytics Market – By Mode of Delivery
On-Premise Delivery Models
Cloud Based Delivery Models
US Healthcare Fraud Analytics Market – By Application
Insurance Claims Review
Pharmacy Billing Misuse
Payment Integrity
Identity Theft
Other Applications
Companies Mentioned
Conduent Inc.
DXC Technology
Scioinspire, Corp.
FICO
Optum, Inc.
SAS Institute
Pondera Solutions
Lexisnexis Risk Solutions
Whitehatai
Cotiviti, Inc
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