The Europe Healthcare Fraud Analytics Market would witness market growth of 22.8% CAGR during the forecast period (2022-2028).
The growing amount of fraud instances in the healthcare business, as well as the increasing adoption of health insurance, are driving market expansion. Additionally, the increased focus on reducing healthcare expenses, as well as technical improvements that allow for the introduction of improved analytical procedures, is likely to propel market expansion.
Despite an overall drop in the number of breach occurrences throughout private and public sectors, the number of compromised records and the complexity of these breaches surged tremendously during the COVID-19 pandemic. During the pandemic, this resulted in the use of healthcare fraud analytics software and services.
According to the National Healthcare Anti-Fraud Association, each year in the United States, payers spend almost USD 68 billion on fraud. The risk of receiving a nonexistent or needless medical service as a result of provider or patient deception becomes a costly investment. Rather than focusing on finding the problem areas, doctors and medical consultants should concentrate on enhancing access to resources for acute and urgent care, which can improve the quality of care by utilizing machine learning, data science, and artificial intelligence-based solutions. As an outcome, the market expansion is fueled by the implementation of technologically advanced solutions.
Only 11 of Europe's 46 countries are members of the international non-profit organization, and many of member either don't see the need or claim that members can't afford the high start-up costs of setting up anti-fraud units. The battle over healthcare corruption has become more intense in recent years. According to statistics from the European Healthcare Fraud and Corruption Network, corruption costs Europe an estimated €56 billion every year.
The Germany market dominated the Europe Healthcare Fraud Analytics Market by Country in 2021, and would continue to be a dominant market till 2028; thereby, achieving a market value of $448.2 million by 2028. The UK market is anticipated to grow at a CAGR of 21.7% during (2022 - 2028). Additionally, The France market would display a CAGR of 23.7% during (2022 - 2028).
Based on Delivery Model, the market is segmented into On-premise and Cloud. Based on Application, the market is segmented into Insurance Claim Review, Pharmacy billing Issue, Payment Integrity, and Others. Based on End User, the market is segmented into Public & Government Agencies, Private Insurance Payers, Third-party Service Providers, and Employers. Based on Solution Type, the market is segmented into Descriptive Analytics, Predictive Analytics, and Prescriptive Analytics. Based on countries, the market is segmented into Germany, UK, France, Russia, Spain, Italy, and Rest of Europe.
Free Valuable Insights: The Global Healthcare Fraud Analytics Market will Hit $6.6 Billion by 2028, at a CAGR of 23%
The market research report covers the analysis of key stake holders of the market. Key companies profiled in the report include Wipro Limited, IBM Corporation, DXC Technology Company, SAS Institute, Inc., Conduent, Incorporated, HCL Technologies Ltd., UnitedHealth Group, Inc. (Optum, Inc.), OSP Labs, Cotiviti, Inc., and ExlService Holdings, Inc.
Scope of the Study
Market Segments Covered in the Report:
By Delivery Model
By Application
- Insurance Claim Review
- Pharmacy billing Issue
- Payment Integrity
- Others
By End User
- Public & Government Agencies
- Private Insurance Payers
- Third-party Service Providers
- Employers
By Solution Type
- Descriptive Analytics
- Predictive Analytics
- Prescriptive Analytics
By Country
- Germany
- UK
- France
- Russia
- Spain
- Italy
- Rest of Europe
Key Market Players
List of Companies Profiled in the Report:
- Wipro Limited
- IBM Corporation
- DXC Technology Company
- SAS Institute, Inc.
- Conduent, Incorporated
- HCL Technologies Ltd.
- UnitedHealth Group, Inc. (Optum, Inc.)
- OSP Labs
- Cotiviti, Inc.
- ExlService Holdings, Inc.
Chapter 1. Market Scope & Methodology
1.1 Market Definition
1.2 Objectives
1.3 Market Scope
1.4 Segmentation
1.4.1 Europe Healthcare Fraud Analytics Market, by Delivery Model
1.4.2 Europe Healthcare Fraud Analytics Market, by Application
1.4.3 Europe Healthcare Fraud Analytics Market, by End User
1.4.4 Europe Healthcare Fraud Analytics Market, by Solution Type
1.4.5 Europe Healthcare Fraud Analytics Market, by Country
1.5 Methodology for the research
Chapter 2. Market Overview
2.1 Introduction
2.1.1 Overview
2.1.1.1 Market Composition and Scenario
2.2 Key Factors Impacting the Market
2.2.1 Market Drivers
2.2.2 Market Restraints
Chapter 3. Competition Analysis - Global
3.1 Market Share Analysis, 2021
3.2 Strategies Deployed in Healthcare Fraud Analytics Market
Chapter 4. Europe Healthcare Fraud Analytics Market by Delivery Model
4.1 Europe On-premise Market by Country
4.2 Europe Cloud Market by Country
Chapter 5. Europe Healthcare Fraud Analytics Market by Application
5.1 Europe Insurance Claim Review Market by Country
5.2 Europe Pharmacy billing Issue Market by Country
5.3 Europe Payment Integrity Market by Country
5.4 Europe Others Market by Country
Chapter 6. Europe Healthcare Fraud Analytics Market by End User
6.1 Europe Public & Government Agencies Market by Country
6.2 Europe Private Insurance Payers Market by Country
6.3 Europe Third-party Service Providers Market by Country
6.4 Europe Employers Market by Country
Chapter 7. Europe Healthcare Fraud Analytics Market by Solution Type
7.1 Europe Descriptive Analytics Market by Country
7.2 Europe Predictive Analytics Market by Country
7.3 Europe Prescriptive Analytics Market by Country
Chapter 8. Europe Healthcare Fraud Analytics Market by Country
8.1 Germany Healthcare Fraud Analytics Market
8.1.1 Germany Healthcare Fraud Analytics Market by Delivery Model
8.1.2 Germany Healthcare Fraud Analytics Market by Application
8.1.3 Germany Healthcare Fraud Analytics Market by End User
8.1.4 Germany Healthcare Fraud Analytics Market by Solution Type
8.2 UK Healthcare Fraud Analytics Market
8.2.1 UK Healthcare Fraud Analytics Market by Delivery Model
8.2.2 UK Healthcare Fraud Analytics Market by Application
8.2.3 UK Healthcare Fraud Analytics Market by End User
8.2.4 UK Healthcare Fraud Analytics Market by Solution Type
8.3 France Healthcare Fraud Analytics Market
8.3.1 France Healthcare Fraud Analytics Market by Delivery Model
8.3.2 France Healthcare Fraud Analytics Market by Application
8.3.3 France Healthcare Fraud Analytics Market by End User
8.3.4 France Healthcare Fraud Analytics Market by Solution Type
8.4 Russia Healthcare Fraud Analytics Market
8.4.1 Russia Healthcare Fraud Analytics Market by Delivery Model
8.4.2 Russia Healthcare Fraud Analytics Market by Application
8.4.3 Russia Healthcare Fraud Analytics Market by End User
8.4.4 Russia Healthcare Fraud Analytics Market by Solution Type
8.5 Spain Healthcare Fraud Analytics Market
8.5.1 Spain Healthcare Fraud Analytics Market by Delivery Model
8.5.2 Spain Healthcare Fraud Analytics Market by Application
8.5.3 Spain Healthcare Fraud Analytics Market by End User
8.5.4 Spain Healthcare Fraud Analytics Market by Solution Type
8.6 Italy Healthcare Fraud Analytics Market
8.6.1 Italy Healthcare Fraud Analytics Market by Delivery Model
8.6.2 Italy Healthcare Fraud Analytics Market by Application
8.6.3 Italy Healthcare Fraud Analytics Market by End User
8.6.4 Italy Healthcare Fraud Analytics Market by Solution Type
8.7 Rest of Europe Healthcare Fraud Analytics Market
8.7.1 Rest of Europe Healthcare Fraud Analytics Market by Delivery Model
8.7.2 Rest of Europe Healthcare Fraud Analytics Market by Application
8.7.3 Rest of Europe Healthcare Fraud Analytics Market by End User
8.7.4 Rest of Europe Healthcare Fraud Analytics Market by Solution Type
Chapter 9. Company Profiles
9.1 Wipro Limited
9.1.1 Company Overview
9.1.2 Financial Analysis
9.1.3 Segmental and Regional Analysis
9.1.4 Research & Development Expenses
9.1.5 Recent strategies and developments:
9.1.5.1 Partnerships, Collaborations, and Agreements:
9.1.5.2 Acquisition and Mergers:
9.2 IBM Corporation
9.2.1 Company Overview
9.2.2 Financial Analysis
9.2.3 Regional & Segmental Analysis
9.2.4 Research & Development Expenses
9.2.5 Recent strategies and developments:
9.2.5.1 Partnerships, Collaborations, and Agreements:
9.2.6 SWOT Analysis
9.3 DXC Technology Company
9.3.1 Company Overview
9.3.2 Financial Analysis
9.3.3 Segmental and Regional Analysis
9.4 SAS Institute, Inc.
9.4.1 Company Overview
9.4.2 Recent strategies and developments:
9.4.2.1 Partnerships, Collaborations, and Agreements:
9.5 Conduent, Incorporated
9.5.1 Company Overview
9.5.2 Financial Analysis
9.5.3 Segmental and Regional Analysis
9.5.4 Research & Development Expense
9.6 HCL Technologies Ltd. (HCL Enterprises)
9.6.1 Company Overview
9.6.2 Financial Analysis
9.6.3 Segmental and Regional Analysis
9.6.4 Research & Development Expense
9.6.5 Recent strategies and developments:
9.6.5.1 Partnerships, Collaborations, and Agreements:
9.7 UnitedHealth Group, Inc. (Optum, Inc.)
9.7.1 Company Overview
9.7.2 Financial Analysis
9.7.3 Segmental Analysis
9.8 OSP Labs
9.8.1 Company Overview
9.9 Cotiviti, Inc.
9.9.1 Company Overview
9.10. ExlService Holdings, Inc.
9.10.1 Company Overview
9.10.2 Financial Analysis
9.10.3 Segmental and Regional Analysis
9.10.4 Research & Development Expenses
9.10.5 Recent strategies and developments:
9.10.5.1 Partnerships, Collaborations, and Agreements:
TABLE 1 Europe Healthcare Fraud Analytics Market, 2018 - 2021, USD Million
TABLE 2 Europe Healthcare Fraud Analytics Market, 2022 - 2028, USD Million
TABLE 3 Europe Healthcare Fraud Analytics Market by Delivery Model, 2018 - 2021, USD Million
TABLE 4 Europe Healthcare Fraud Analytics Market by Delivery Model, 2022 - 2028, USD Million
TABLE 5 Europe On-premise Market by Country, 2018 - 2021, USD Million
TABLE 6 Europe On-premise Market by Country, 2022 - 2028, USD Million
TABLE 7 Europe Cloud Market by Country, 2018 - 2021, USD Million
TABLE 8 Europe Cloud Market by Country, 2022 - 2028, USD Million
TABLE 9 Europe Healthcare Fraud Analytics Market by Application, 2018 - 2021, USD Million
TABLE 10 Europe Healthcare Fraud Analytics Market by Application, 2022 - 2028, USD Million
TABLE 11 Europe Insurance Claim Review Market by Country, 2018 - 2021, USD Million
TABLE 12 Europe Insurance Claim Review Market by Country, 2022 - 2028, USD Million
TABLE 13 Europe Pharmacy billing Issue Market by Country, 2018 - 2021, USD Million
TABLE 14 Europe Pharmacy billing Issue Market by Country, 2022 - 2028, USD Million
TABLE 15 Europe Payment Integrity Market by Country, 2018 - 2021, USD Million
TABLE 16 Europe Payment Integrity Market by Country, 2022 - 2028, USD Million
TABLE 17 Europe Others Market by Country, 2018 - 2021, USD Million
TABLE 18 Europe Others Market by Country, 2022 - 2028, USD Million
TABLE 19 Europe Healthcare Fraud Analytics Market by End User, 2018 - 2021, USD Million
TABLE 20 Europe Healthcare Fraud Analytics Market by End User, 2022 - 2028, USD Million
TABLE 21 Europe Public & Government Agencies Market by Country, 2018 - 2021, USD Million
TABLE 22 Europe Public & Government Agencies Market by Country, 2022 - 2028, USD Million
TABLE 23 Europe Private Insurance Payers Market by Country, 2018 - 2021, USD Million
TABLE 24 Europe Private Insurance Payers Market by Country, 2022 - 2028, USD Million
TABLE 25 Europe Third-party Service Providers Market by Country, 2018 - 2021, USD Million
TABLE 26 Europe Third-party Service Providers Market by Country, 2022 - 2028, USD Million
TABLE 27 Europe Employers Market by Country, 2018 - 2021, USD Million
TABLE 28 Europe Employers Market by Country, 2022 - 2028, USD Million
TABLE 29 Europe Healthcare Fraud Analytics Market by Solution Type, 2018 - 2021, USD Million
TABLE 30 Europe Healthcare Fraud Analytics Market by Solution Type, 2022 - 2028, USD Million
TABLE 31 Europe Descriptive Analytics Market by Country, 2018 - 2021, USD Million
TABLE 32 Europe Descriptive Analytics Market by Country, 2022 - 2028, USD Million
TABLE 33 Europe Predictive Analytics Market by Country, 2018 - 2021, USD Million
TABLE 34 Europe Predictive Analytics Market by Country, 2022 - 2028, USD Million
TABLE 35 Europe Prescriptive Analytics Market by Country, 2018 - 2021, USD Million
TABLE 36 Europe Prescriptive Analytics Market by Country, 2022 - 2028, USD Million
TABLE 37 Europe Healthcare Fraud Analytics Market by Country, 2018 - 2021, USD Million
TABLE 38 Europe Healthcare Fraud Analytics Market by Country, 2022 - 2028, USD Million
TABLE 39 Germany Healthcare Fraud Analytics Market, 2018 - 2021, USD Million
TABLE 40 Germany Healthcare Fraud Analytics Market, 2022 - 2028, USD Million
TABLE 41 Germany Healthcare Fraud Analytics Market by Delivery Model, 2018 - 2021, USD Million
TABLE 42 Germany Healthcare Fraud Analytics Market by Delivery Model, 2022 - 2028, USD Million
TABLE 43 Germany Healthcare Fraud Analytics Market by Application, 2018 - 2021, USD Million
TABLE 44 Germany Healthcare Fraud Analytics Market by Application, 2022 - 2028, USD Million
TABLE 45 Germany Healthcare Fraud Analytics Market by End User, 2018 - 2021, USD Million
TABLE 46 Germany Healthcare Fraud Analytics Market by End User, 2022 - 2028, USD Million
TABLE 47 Germany Healthcare Fraud Analytics Market by Solution Type, 2018 - 2021, USD Million
TABLE 48 Germany Healthcare Fraud Analytics Market by Solution Type, 2022 - 2028, USD Million
TABLE 49 UK Healthcare Fraud Analytics Market, 2018 - 2021, USD Million
TABLE 50 UK Healthcare Fraud Analytics Market, 2022 - 2028, USD Million
TABLE 51 UK Healthcare Fraud Analytics Market by Delivery Model, 2018 - 2021, USD Million
TABLE 52 UK Healthcare Fraud Analytics Market by Delivery Model, 2022 - 2028, USD Million
TABLE 53 UK Healthcare Fraud Analytics Market by Application, 2018 - 2021, USD Million
TABLE 54 UK Healthcare Fraud Analytics Market by Application, 2022 - 2028, USD Million
TABLE 55 UK Healthcare Fraud Analytics Market by End User, 2018 - 2021, USD Million
TABLE 56 UK Healthcare Fraud Analytics Market by End User, 2022 - 2028, USD Million
TABLE 57 UK Healthcare Fraud Analytics Market by Solution Type, 2018 - 2021, USD Million
TABLE 58 UK Healthcare Fraud Analytics Market by Solution Type, 2022 - 2028, USD Million
TABLE 59 France Healthcare Fraud Analytics Market, 2018 - 2021, USD Million
TABLE 60 France Healthcare Fraud Analytics Market, 2022 - 2028, USD Million
TABLE 61 France Healthcare Fraud Analytics Market by Delivery Model, 2018 - 2021, USD Million
TABLE 62 France Healthcare Fraud Analytics Market by Delivery Model, 2022 - 2028, USD Million
TABLE 63 France Healthcare Fraud Analytics Market by Application, 2018 - 2021, USD Million
TABLE 64 France Healthcare Fraud Analytics Market by Application, 2022 - 2028, USD Million
TABLE 65 France Healthcare Fraud Analytics Market by End User, 2018 - 2021, USD Million
TABLE 66 France Healthcare Fraud Analytics Market by End User, 2022 - 2028, USD Million
TABLE 67 France Healthcare Fraud Analytics Market by Solution Type, 2018 - 2021, USD Million
TABLE 68 France Healthcare Fraud Analytics Market by Solution Type, 2022 - 2028, USD Million
TABLE 69 Russia Healthcare Fraud Analytics Market, 2018 - 2021, USD Million
TABLE 70 Russia Healthcare Fraud Analytics Market, 2022 - 2028, USD Million
TABLE 71 Russia Healthcare Fraud Analytics Market by Delivery Model, 2018 - 2021, USD Million
TABLE 72 Russia Healthcare Fraud Analytics Market by Delivery Model, 2022 - 2028, USD Million
TABLE 73 Russia Healthcare Fraud Analytics Market by Application, 2018 - 2021, USD Million
TABLE 74 Russia Healthcare Fraud Analytics Market by Application, 2022 - 2028, USD Million
TABLE 75 Russia Healthcare Fraud Analytics Market by End User, 2018 - 2021, USD Million
TABLE 76 Russia Healthcare Fraud Analytics Market by End User, 2022 - 2028, USD Million
TABLE 77 Russia Healthcare Fraud Analytics Market by Solution Type, 2018 - 2021, USD Million
TABLE 78 Russia Healthcare Fraud Analytics Market by Solution Type, 2022 - 2028, USD Million
TABLE 79 Spain Healthcare Fraud Analytics Market, 2018 - 2021, USD Million
TABLE 80 Spain Healthcare Fraud Analytics Market, 2022 - 2028, USD Million
TABLE 81 Spain Healthcare Fraud Analytics Market by Delivery Model, 2018 - 2021, USD Million
TABLE 82 Spain Healthcare Fraud Analytics Market by Delivery Model, 2022 - 2028, USD Million
TABLE 83 Spain Healthcare Fraud Analytics Market by Application, 2018 - 2021, USD Million
TABLE 84 Spain Healthcare Fraud Analytics Market by Application, 2022 - 2028, USD Million
TABLE 85 Spain Healthcare Fraud Analytics Market by End User, 2018 - 2021, USD Million
TABLE 86 Spain Healthcare Fraud Analytics Market by End User, 2022 - 2028, USD Million
TABLE 87 Spain Healthcare Fraud Analytics Market by Solution Type, 2018 - 2021, USD Million
TABLE 88 Spain Healthcare Fraud Analytics Market by Solution Type, 2022 - 2028, USD Million
TABLE 89 Italy Healthcare Fraud Analytics Market, 2018 - 2021, USD Million
TABLE 90 Italy Healthcare Fraud Analytics Market, 2022 - 2028, USD Million
TABLE 91 Italy Healthcare Fraud Analytics Market by Delivery Model, 2018 - 2021, USD Million
TABLE 92 Italy Healthcare Fraud Analytics Market by Delivery Model, 2022 - 2028, USD Million
TABLE 93 Italy Healthcare Fraud Analytics Market by Application, 2018 - 2021, USD Million
TABLE 94 Italy Healthcare Fraud Analytics Market by Application, 2022 - 2028, USD Million
TABLE 95 Italy Healthcare Fraud Analytics Market by End User, 2018 - 2021, USD Million
TABLE 96 Italy Healthcare Fraud Analytics Market by End User, 2022 - 2028, USD Million
TABLE 97 Italy Healthcare Fraud Analytics Market by Solution Type, 2018 - 2021, USD Million
TABLE 98 Italy Healthcare Fraud Analytics Market by Solution Type, 2022 - 2028, USD Million
TABLE 99 Rest of Europe Healthcare Fraud Analytics Market, 2018 - 2021, USD Million
TABLE 100 Rest of Europe Healthcare Fraud Analytics Market, 2022 - 2028, USD Million
TABLE 101 Rest of Europe Healthcare Fraud Analytics Market by Delivery Model, 2018 - 2021, USD Million
TABLE 102 Rest of Europe Healthcare Fraud Analytics Market by Delivery Model, 2022 - 2028, USD Million
TABLE 103 Rest of Europe Healthcare Fraud Analytics Market by Application, 2018 - 2021, USD Million
TABLE 104 Rest of Europe Healthcare Fraud Analytics Market by Application, 2022 - 2028, USD Million
TABLE 105 Rest of Europe Healthcare Fraud Analytics Market by End User, 2018 - 2021, USD Million
TABLE 106 Rest of Europe Healthcare Fraud Analytics Market by End User, 2022 - 2028, USD Million
TABLE 107 Rest of Europe Healthcare Fraud Analytics Market by Solution Type, 2018 - 2021, USD Million
TABLE 108 Rest of Europe Healthcare Fraud Analytics Market by Solution Type, 2022 - 2028, USD Million
TABLE 109 Key Information – Wipro Limited
TABLE 110 Key information – IBM Corporation
TABLE 111 key information – DXC Technology Company
TABLE 112 Key information – SAS Institute, Inc.
TABLE 113 Key Information –Conduent, Incorporated
TABLE 114 Key Information – HCL Technologies Ltd.
TABLE 115 Key Information – UnitedHealth Group, Inc.
TABLE 116 Key Information – OSP Labs
TABLE 117 Key Information – Cotiviti, Inc.
TABLE 118 Key Information – ExlService Holdings, Inc.
List of Figures
FIG 1 Methodology for the research
FIG 2 Market Share Analysis, 2021
FIG 3 Swot analysis: IBM Corporation