Gartner Research

Healthcare Payer Market Guide for Fraud, Waste and Abuse Detection and Prevention Solutions

Published: 05 March 2015

ID: G00272875

Analyst(s): Constance Sjoquist, Manav Sachdeva

Summary

Healthcare payers in the U.S. have conventionally relied on postpayment fraud investigation efforts, leading to increased administrative expenses and inefficient recovery. Newer fraud, waste and abuse approaches shift the focus to prepayment detection and investigative solutions and services.

Table Of Contents

Market Definition

Market Direction

Market Analysis

  • Fraud Prevention and Detection
  • Fraud Investigation and Recovery

Representative Vendors

  • FWA Vendors' Key Capabilities

Market Recommendations

Gartner Recommended Reading

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