Payment Integrity Market

Global Payment Integrity Market Size, Trends & Analysis - Forecasts to 2027 By Deployment Mode (Cloud-Based, On-Premise), By End-User (Public & Government Payers, Private Insurance Payers), By Region (North America, Asia Pacific, Central & South America, Europe, and the Middle East & Africa), End-User Landscape Analysis, Company Market Share Analysis, and Competitor Analysis

Category Healthcare
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This report was recently updated on July 16 2024 with the latest and most recent market numbers

Global Payment Integrity Market Size

The Global Payment Integrity Market is projected to grow at a CAGR value of 27.6% from 2022 to 2027.

Payers are facing increasing cost-cutting challenges as healthcare markets expand and the insurance payment landscape changes. Digital technologies are becoming more integrated into commercial and government health care systems, resulting in more innovative payment solutions. As a result of these new technologies, there is a higher risk of fraudulent payments. Several complex value-based payment mechanisms are included in these solutions.

Users gain from integration between health care payers, direct care provider networks, pharmacies, and pharmacies, but it adds to the financial complexity, making cost management even more difficult. Despite the fact that multiple internal and third-party automated systems are creating more data than ever before, combining data systems to offer relevant analytical insights for users across the company is becoming increasingly difficult.

The growing number of people opting for insurance coverage has led to greater stress on the payer’s payment infrastructure necessitating the need for payment integrity solutions. Government regulation on mandatory healthcare insurance for workers and employment mandates have led to the growing demand for insurance payment solutions. In the United States, the share of full-time workers who have insurance coverage increased from 85.2% in 2020 to around 87% in 2021, as per the National Health Statistics Report.

Growing instances of insurance fraud in the healthcare insurance industry have led to the growing demand for secure payment solutions. The National Health Care Anti-Fraud Association estimates that tens of billions of dollars are wasted each year due to health care fraud out of the $3.6 trillion spent on health care. In today's increasingly tech-driven healthcare market, there are several potentials for errors, fraud, and abuse. Those looking to benefit from dubious claims have easier access to tools and information that enhance the risk of losses and costs to organizations.

The market is expected to be hampered by the growing shortage of skilled professionals capable of developing complex integrated payment solutions. The growing complexities in data collection and integrating data into payment solutions are increasing the cost and complexity of integrated payment solutions.

global payment integrity market

COVID-19 Impact on Global Payment Integrity Market

The COVID-19 pandemic has seen the demand for insurance payments owing to the pandemic and OCIVD-related complications among patients. The large number of patients suffering from COVID, the increasing number of people opting for insurance coverage stemming from fear of catching COVID, and the rising number of claims has led to an increase in the adoption of payment integrity solutions.

Ukraine-Russia War Impact on Healthcare Insurance Industry

The conflict between Russia and Ukraine will have a significant impact on the demand for insurance solutions. Suspension of business activities and increased focus on the provision of free healthcare by the Ukrainian government to the people suffering from the impact of war has led to lower demand for insurance solutions. Restrictions on Russian financial intuitions and backing out of private organizations from conducting business in Russia are expected to negatively impact the healthcare insurance market.

Global Payment Integrity Market: By Deployment Mode

The cloud-based segment is expected to be the largest payment integrity market segment based on the deployment mode. The growing adoption of cloud technology, increasing demand for remote operation and monitoring, and growing number of digital payment solutions have led to the domination of the cloud-based segment. The cloud-based segment is also expected to be the fastest-growing segment in the market. Cloud-based solutions are becoming increasingly popular as COVID restrictions have led to the rapid adoption of cloud solutions due to the adoption of work-from-home and remote working practices.

Global Payment Integrity Market: By End-User

The private insurance payers segment is expected to be the most prominent market segment based on the end-user. Private companies have zero tolerance for insurance fraud and fraudulent claims which have led to the large demand for payment integrity solutions from private insurance payers.

The public & government payers segment is expected to be the fastest-growing segment in the payment integrity market, based on the end-user.

asia pacific payment integrity market

Global Payment Integrity Market: By Region

North America (the United States, Canada, and Mexico) will dominate the Payment Integrity market from 2022 to 2027. Growing government regulations improving insurance coverage, and greater adoption of payment integrity solutions by insurance providers in the region have led to the large demand for payment integration solutions in the North American region.

The United States is expected to have the lion's share in the North American payment integrity market. Stringent government regulations on healthcare provision, a large number of insurance companies in the country, and increasing instances of fraud in the country have led to the large demand in the United States for payment integrity solutions.

However, the Asia-Pacific region is expected to be the fastest-growing region in the Payment Integrity market during the forecast period. The growing adoption of insurance policies, increasing provision of insurance by employers, and the growing instances of fraudulent insurance claims in the region have led to the rapid growth of the Asia Pacific payment integrity market.

China is expected to hold the largest share in the Asia Pacific payment integrity market. Favorable government regulations that support insurance companies, growing regulations on improving worker conditions, and the growing insurance of fraudulent insurance claims have led to the rapid growth of the Chinese payment integrity market.

Global Payment Integrity Market Share and Competitor Analysis

ClarisHealth, Everest Group, ClaimLogiq, Exela Technologies, Optum, Cotiviti, FICO, Alivia Analytics, SAS, Health Edge (Payment Integrity Solutions), Conduent, Burgess, Cognizant, HGS Healthcare, Machinify, SyTrue, ChangeHealthcare, Infostride, A&G Healthcare, and Wipro, among others, are the some of the key players in the payment integrity market.

Please note: This is not an exhaustive list of companies profiled in the report.

Chapter 1   Research Methodology

1.1    Research Assumptions

1.2    Research Methodology

1.2.1    Estimates and Forecast Timeline

1.3    Information Procurement

1.3.1    Purchased Database

1.3.2    GME’s Internal Database

1.3.3    Primary Research

1.3.4    Secondary Sources & Third-Party Perspectives

            1.3.4.1    Company Information Sources: Annual Reports, Investor Presentation, Press Release, SEC Filing, Company Blogs & Website

1.3.4.2 Secondary Data Sources: World Health Organization, USFDA, National Cancer Institute, National Health Society, CDC, IMF, and the World Bank, among others

1.4    Information or Data Analysis

1.4.1    Data Analysis Models

1.5    Market Formulation & Data Visualization

1.6    Data Validation & Publishing

1.7 Market Model

1.6.1    Model Details

1.6.1.1   Top-Down Approach

1.6.1.2   Bottom-Up Approach

1.8    Market Segmentation & Scope

1.9    Market Definition

Chapter 2   Executive Summary

2.1.    Global Market Outlook

2.2    Deployment Mode Outlook

2.3    End-User Outlook

2.4    Regional Outlook

Chapter 3   Global Payment Integrity Market Trend Analysis

3.1. Market Introduction

3.2 Penetration & Growth Prospect Mapping

3.3 Impact of COVID-19 on the Payment Integrity Market

3.4 Metric Data on Payment Integrity Industry

3.5 Market Driver Analysis

3.5.1 Market Driver Analysis

3.5.2 Market Restraint Analysis

3.5.3 Industry Challenges

3.5.4 Industry Opportunities

3.6  Porter’s Five Analysis

3.6.1 Supplier Power

3.6.2 Buyer Power

3.6.3 Substitution Threat

3.6.4 Threat from New Entrant

3.7 Market Entry Strategies

Chapter 4   Payment Integrity Market: Deployment Mode Trend Analysis

4.1    Deployment Mode: Historic Data vs. Forecast Data Analysis, 2021 vs. 2027

4.2    Cloud-based

4.2.1    Market Estimates & Forecast Analysis of Cloud-based Segment, By Region, 2019-2027 (USD Billion)

4.3   On-Premise

4.3.1    Market Estimates & Forecast Analysis of On-Premise Segment, By Region, 2019-2027 (USD Billion)

Chapter 5   Payment Integrity Market: End-User Trend Analysis

5.1   End-User: Historic Data vs. Forecast Data Analysis, 2021 vs. 2027

5.2    Public & Government Payers

5.2.1    Market Estimates & Forecast Analysis of Public & Government Payers Segment, By Region, 2019-2027 (USD Billion)

5.3   Private Insurance Payers

5.3.1    Market Estimates & Forecast Analysis of Private Insurance Payers Segment, By Region, 2019-2027 (USD Billion)

Chapter 6   Payment Integrity Market, By Region

6.1    Regional Outlook

6.2    North America

6.2.1    Market Estimates & Forecast Analysis, By Country 2019-2027 (USD Billion)

6.2.2    Market Estimates & Forecast Analysis, By Deployment Mode, 2019-2027 (USD Billion)

6.2.3    Market Estimates & Forecast Analysis, By End-User, 2019-2027 (USD Billion)

6.2.5    U.S.

6.2.5.1    Market Estimates & Forecast Analysis, By Deployment Mode, 2019-2027 (USD Billion)

6.2.5.2    Market Estimates & Forecast Analysis, By End-User, 2019-2027 (USD Billion)

6.2.6    Canada

6.2.6.1    Market Estimates & Forecast Analysis, By Deployment Mode, 2019-2027 (USD Billion)

6.2.6.2    Market Estimates & Forecast Analysis, By End-User, 2019-2027 (USD Billion)

6.5.7    Mexico

6.5.5.1    Market Estimates & Forecast Analysis, By Deployment Mode, 2019-2027 (USD Billion)

6.5.5.2    Market Estimates & Forecast Analysis, By End-User, 2019-2027 (USD Billion)

6.3    Europe

6.3.1    Market Estimates & Forecast Analysis, By Country 2019-2027 (USD Billion)

6.3.2    Market Estimates & Forecast Analysis, By Deployment Mode, 2019-2027 (USD Billion)

6.3.3    Market Estimates & Forecast Analysis, By End-User, 2019-2027 (USD Billion)

6.3.5    Germany

6.3.5.1    Market Estimates & Forecast Analysis, By Deployment Mode, 2019-2027 (USD Billion)

6.3.5.2    Market Estimates & Forecast Analysis, By End-User, 2019-2027 (USD Billion)

6.3.6    UK

6.3.6.1    Market Estimates & Forecast Analysis, By Deployment Mode, 2019-2027 (USD Billion)

6.3.6.2    Market Estimates & Forecast Analysis, By End-User, 2019-2027 (USD Billion)

6.3.7    France

6.3.7.1    Market Estimates & Forecast Analysis, By Deployment Mode, 2019-2027 (USD Billion)

6.3.7.2    Market Estimates & Forecast Analysis, By End-User, 2019-2027 (USD Billion)

6.3.8    Russia

6.3.8.1    Market Estimates & Forecast Analysis, By Deployment Mode, 2019-2027 (USD Billion)

6.3.8.2    Market Estimates & Forecast Analysis, By End-User, 2019-2027 (USD Billion)

6.3.9    Italy

6.3.9.1    Market Estimates & Forecast Analysis, By Deployment Mode, 2019-2027 (USD Billion)

6.3.9.2    Market Estimates & Forecast Analysis, By End-User, 2019-2027 (USD Billion)

6.3.10    Spain

6.3.10.1    Market Estimates & Forecast Analysis, By Deployment Mode, 2019-2027 (USD Billion)

6.3.10.2    Market Estimates & Forecast Analysis, By End-User, 2019-2027 (USD Billion)

6.3.11    Rest of Europe

6.3.11.1    Market Estimates & Forecast Analysis, By Deployment Mode, 2019-2027 (USD Billion)

6.3.11.2    Market Estimates & Forecast Analysis, By End-User, 2019-2027 (USD Billion)

6.4    Asia Pacific

6.4.1    Market Estimates & Forecast Analysis, By Country 2019-2027 (USD Billion)

6.4.2    Market Estimates & Forecast Analysis, By Deployment Mode, 2019-2027 (USD Billion)

6.4.5    China

6.4.5.1    Market Estimates & Forecast Analysis, By Deployment Mode, 2019-2027 (USD Billion)

6.4.5.2    Market Estimates & Forecast Analysis, By End-User, 2019-2027 (USD Billion)

6.4.6    India

6.4.6.1    Market Estimates & Forecast Analysis, By Deployment Mode, 2019-2027 (USD Billion)

6.4.6.2    Market Estimates & Forecast Analysis, By End-User, 2019-2027 (USD Billion)

6.4.7    Japan

6.4.7.1    Market Estimates & Forecast Analysis, By Deployment Mode, 2019-2027 (USD Billion)

6.4.7.2    Market Estimates & Forecast Analysis, By End-User, 2019-2027 (USD Billion)

6.4.8    Australia

6.4.8.1    Market Estimates & Forecast Analysis, By Deployment Mode, 2019-2027 (USD Billion)

6.4.8.2    Market Estimates & Forecast Analysis, By End-User, 2019-2027 (USD Billion)

6.4.9    South Korea

6.4.9.1    Market Estimates & Forecast Analysis, By Deployment Mode, 2019-2027 (USD Billion)

6.4.9.2    Market Estimates & Forecast Analysis, By End-User, 2019-2027 (USD Billion)

6.3.10    Rest of Asia Pacific

6.3.10.1    Market Estimates & Forecast Analysis, By Deployment Mode, 2019-2027 (USD Billion)

6.3.10.2    Market Estimates & Forecast Analysis, By End-User, 2019-2027 (USD Billion)

6.5    Central & South America

6.5.1    Market Estimates & Forecast Analysis, By Country 2019-2027 (USD Billion)

6.5.2    Market Estimates & Forecast Analysis, By Deployment Mode, 2019-2027 (USD Billion)

6.5.3    Market Estimates & Forecast Analysis, By End-User, 2019-2027 (USD Billion)

6.5.5    Brazil

6.5.5.1    Market Estimates & Forecast Analysis, By Deployment Mode, 2019-2027 (USD Billion)

6.5.5.2    Market Estimates & Forecast Analysis, By End-User, 2019-2027 (USD Billion)

6.5.6    Rest of Central & South America

6.5.6.1    Market Estimates & Forecast Analysis, By Deployment Mode, 2019-2027 (USD Billion)

6.5.6.2    Market Estimates & Forecast Analysis, By End-User, 2019-2027 (USD Billion)

6.6    Middle East & Africa

6.6.1    Market Estimates & Forecast Analysis, By Country 2019-2027 (USD Billion)

6.6.2    Market Estimates & Forecast Analysis, By Deployment Mode, 2019-2027 (USD Billion)

6.6.5    Saudi Arabia

6.6.5.1    Market Estimates & Forecast Analysis, By Deployment Mode, 2019-2027 (USD Billion)

6.6.5.2    Market Estimates & Forecast Analysis, By End-User, 2019-2027 (USD Billion)

6.6.6    United Arab Emirates

6.6.6.1    Market Estimates & Forecast Analysis, By Deployment Mode, 2019-2027 (USD Billion)

6.6.6.2    Market Estimates & Forecast Analysis, By End-User, 2019-2027 (USD Billion)

6.6.7    South Africa

6.6.7.1    Market Estimates & Forecast Analysis, By Deployment Mode, 2019-2027 (USD Billion)

6.6.67.2    Market Estimates & Forecast Analysis, By End-User, 2019-2027 (USD Billion)

6.5.8    Rest of Middle East & Africa

6.5.8.1    Market Estimates & Forecast Analysis, By Deployment Mode, 2019-2027 (USD Billion)

6.5.8.2    Market Estimates & Forecast Analysis, By End-User, 2019-2027 (USD Billion)

Chapter 7   Competitive Analysis

7.1    Key Global Players, Recent Developments & their Impact on the Industry

7.2    Four Quadrant Competitor Positioning Matrix

7.2.1    Key Innovators

7.2.2    Market Leaders

7.2.3    Emerging Players

7.2.4    Market Challengers

7.3    Vendor Landscape Analysis

7.4    End-User Landscape Analysis

7.5    Company Market Share Analysis, 2021

Chapter 8   Company Profile Analysis

8.1    ClarisHealth

8.1.1    Company Overview

8.1.2    Financial Analysis

8.1.3    Strategic Initiatives

8.1.4    Product Benchmarking

8.2    Everest Group

8.2.1    Company Overview

8.2.2    Financial Analysis

8.2.3    Strategic Initiatives

8.2.4    Product Benchmarking

8.3     ClaimLogiq

8.3.1    Company Overview

8.3.2    Financial Analysis

8.3.3    Strategic Initiatives

8.3.4    Product Benchmarking

8.4    Exela Technologies

8.4.1    Company Overview

8.4.2    Financial Analysis

8.4.3    Strategic Initiatives

8.4.4    Product Benchmarking

8.5    Optum

8.5.1    Company Overview

8.5.2    Financial Analysis

8.5.3    Strategic Initiatives

8.5.4    Product Benchmarking

8.6     Cotiviti

8.6.1    Company Overview

8.6.2    Financial Analysis

8.6.3    Strategic Initiatives

8.6.4    Product Benchmarking

8.7    FICO

8.6.1    Company Overview

8.6.2    Financial Analysis

8.6.3    Strategic Initiatives

8.6.4    Product Benchmarking

8.8    Alivia Analytics

8.7.1    Company Overview

8.7.2    Financial Analysis

8.7.3    Strategic Initiatives

8.7.4    Product Benchmarking

8.9    SAS

8.8.1    Company Overview

8.8.2    Financial Analysis

8.8.3    Strategic Initiatives

8.8.4    Product Benchmarking

8.10   Health Edge (Payment Integrity Solutions)

8.10.1    Company Overview

8.10.2    Financial Analysis

8.10.3    Strategic Initiatives

8.10.4    Product Benchmarking

8.11   Conduent

8.11.1    Company Overview

8.11.2    Financial Analysis

8.11.3    Strategic Initiatives

8.11.4    Product Benchmarking

8.11   Other Companies

8.12.1    Company Overview

8.12.2    Financial Analysis

8.12.3    Strategic Initiatives

8.12.4    Product Benchmarking

List of Tables

1 Technological Advancements In Payment Integrity Market

2 Global Payment Integrity Market: Key Market Drivers

3 Global Payment Integrity Market: Key Market Challenges

4 Global Payment Integrity Market: Key Market Opportunities

5 Global Payment Integrity Market: Key Market Restraints

6 Global Payment Integrity Market Estimates & Forecast Analysis, 2019-2027 (USD Billion)

7 Global Payment Integrity Market, By Deployment Mode, 2019-2027 (USD Billion)

8 Cloud-based: Global Payment Integrity Market, By Region, 2019-2027 (USD Billion)

9 On-Premise: Global Payment Integrity Market, By Region, 2019-2027 (USD Billion)

10 Global Payment Integrity Market, By End-User, 2019-2027 (USD Billion)

11 Public & Government Payers: Global Payment Integrity Market, By Region, 2019-2027 (USD Billion)

12 Private Insurance Payers: Global Payment Integrity Market, By Region, 2019-2027 (USD Billion)

13 Regional Analysis: Global Payment Integrity Market, By Region, 2019-2027 (USD Billion)

14 North America: Payment Integrity Market, By Deployment Mode, 2019-2027 (USD Billion)

15 North America: Payment Integrity Market, By End-User, 2019-2027 (USD Billion)

16 North America: Payment Integrity Market, By Country, 2019-2027 (USD Billion)

17 U.S: Payment Integrity Market, By Deployment Mode, 2019-2027 (USD Billion)

18 U.S: Payment Integrity Market, By End-User, 2019-2027 (USD Billion)

19 Canada: Payment Integrity Market, By Deployment Mode, 2019-2027 (USD Billion)

20 Canada: Payment Integrity Market, By End-User, 2019-2027 (USD Billion)

21 Mexico: Payment Integrity Market, By Deployment Mode, 2019-2027 (USD Billion)

22 Mexico: Payment Integrity Market, By End-User, 2019-2027 (USD Billion)

23 Europe: Payment Integrity Market, By Deployment Mode, 2019-2027 (USD Billion)

24 Europe: Payment Integrity Market, By End-User, 2019-2027 (USD Billion)

25 Europe: Payment Integrity Market, By Country, 2019-2027 (USD Billion)

26 Germany: Payment Integrity Market, By Deployment Mode, 2019-2027 (USD Billion)

27 Germany: Payment Integrity Market, By End-User, 2019-2027 (USD Billion)

28 UK: Payment Integrity Market, By Deployment Mode, 2019-2027 (USD Billion)

29 UK: Payment Integrity Market, By End-User, 2019-2027 (USD Billion)

30 France: Payment Integrity Market, By Deployment Mode, 2019-2027 (USD Billion)

31 France: Payment Integrity Market, By End-User, 2019-2027 (USD Billion)

32 Italy: Payment Integrity Market, By Deployment Mode, 2019-2027 (USD Billion)

33 Italy: Payment Integrity Market, By End-User Ype, 2019-2027 (USD Billion)

34 Spain: Payment Integrity Market, By Deployment Mode, 2019-2027 (USD Billion)

35 Spain: Payment Integrity Market, By End-User, 2019-2027 (USD Billion)

36 Rest Of Europe: Payment Integrity Market, By Deployment Mode, 2019-2027 (USD Billion)

37 Rest Of Europe: Payment Integrity Market, By End-User, 2019-2027 (USD Billion)

38 Asia Pacific: Payment Integrity Market, By Deployment Mode, 2019-2027 (USD Billion)

39 Asia Pacific: Payment Integrity Market, By End-User, 2019-2027 (USD Billion)

40 Asia Pacific: Payment Integrity Market, By Country, 2019-2027 (USD Billion)

41 China: Payment Integrity Market, By Deployment Mode, 2019-2027 (USD Billion)

42 China: Payment Integrity Market, By End-User, 2019-2027 (USD Billion)

43 India: Payment Integrity Market, By Deployment Mode, 2019-2027 (USD Billion)

44 India: Payment Integrity Market, By End-User, 2019-2027 (USD Billion)

45 Japan: Payment Integrity Market, By Deployment Mode, 2019-2027 (USD Billion)

46 Japan: Payment Integrity Market, By End-User, 2019-2027 (USD Billion)

47 South Korea: Payment Integrity Market, By Deployment Mode, 2019-2027 (USD Billion)

48 South Korea: Payment Integrity Market, By End-User, 2019-2027 (USD Billion)

49 Middle East & Africa: Payment Integrity Market, By Deployment Mode, 2019-2027 (USD Billion)

50 Middle East & Africa: Payment Integrity Market, By End-User, 2019-2027 (USD Billion)

51 Middle East & Africa: Payment Integrity Market, By Country, 2019-2027 (USD Billion)

52 Saudi Arabia: Payment Integrity Market, By Deployment Mode, 2019-2027 (USD Billion)

53 Saudi Arabia: Payment Integrity Market, By Platform, 2019-2027 (USD Billion)

54 UAE: Payment Integrity Market, By Deployment Mode, 2019-2027 (USD Billion)

55 UAE: Payment Integrity Market, By Platform, 2019-2027 (USD Billion)

56 Central & South America: Payment Integrity Market, By Deployment Mode, 2019-2027 (USD Billion)

57 Central & South America: Payment Integrity Market, By End-User, 2019-2027 (USD Billion)

58 Central & South America: Payment Integrity Market, By Country, 2019-2027 (USD Billion)

59 Brazil: Payment Integrity Market, By Deployment Mode, 2019-2027 (USD Billion)

60 Brazil: Payment Integrity Market, By End-User, 2019-2027 (USD Billion)

61 ClarisHealth: Products Offered

62 Everest Group: Products Offered

63 ClaimLogiq: Products Offered

64 Exela Technologies: Products Offered

65 Optum: Products Offered

66 Cotiviti: Products Offered

67 FICO: Products Offered

68 Alivia Analytics Products Offered

69 SAS: Products Offered

70 Health Edge (Payment Integrity Solutions): Products Offered

71 Conduent: Products Offered

72 Other Companies: Products Offered

List of Figures

1. Global Payment Integrity Market Segmentation & Research Scope

2. Primary Research Partners and Local Informers

3. Primary Research Process

4. Primary Research Approaches

5. Primary Research Responses

6. Global Payment Integrity Market: Penetration & Growth Prospect Mapping

7. Global Payment Integrity Market: Value Chain Analysis

8. Global Payment Integrity Market  Drivers

9. Global Payment Integrity Market  Restraints

10. Global Payment Integrity Market  Opportunities

11. Global Payment Integrity Market  Challenges

12. Key Payment Integrity Market  Manufacturer Analysis

13. Global Payment Integrity Market: Porter’s Five Forces Analysis

14. PESTLE Analysis & Impact Analysis

15. ClarisHealth: Company Snapshot

16. ClarisHealth: Swot Analysis

17. Everest Group: Company Snapshot

18. Everest Group: Swot Analysis

19. ClaimLogiq: Company Snapshot

20. ClaimLogiq: Swot Analysis

21. Exela Technologies: Company Snapshot

22. Exela Technologies: Swot Analysis

23. Cotiviti: Company Snapshot

24. Cotiviti: Swot Analysis

25. Optum: Company Snapshot

26. Optum: Swot Analysis

27. FICO: Company Snapshot

28. FICO: Swot Analysis

29. Alivia Analytics Company Snapshot

30. Alivia Analytics Swot Analysis

31. SAS: Company Snapshot

32. SAS: Swot Analysis

33. Health Edge (Payment Integrity Solutions): Company Snapshot

34. Health Edge (Payment Integrity Solutions): Swot Analysis

35. Conduent: Company Snapshot

36. Conduent: Swot Analysis

37. Other Companies: Company Snapshot

38. Other Companies: Swot Analysis

The Global Payment Integrity Market has been studied from the year 2019 till 2027. However, the CAGR provided in the report is from the year 2022 to 2027. The research methodology involved three stages: Desk research, Primary research, and Analysis & Output from the entire research process.

The desk research involved a robust background study which meant referring to paid and unpaid databases to understand the market dynamics; mapping contracts from press releases; identifying the key players in the market, studying their product portfolio, competition level, annual reports/SEC filings & investor presentations; and learning the demand and supply-side analysis for the Payment Integrity Market.

The primary research activity included telephonic conversations with more than 50 tier 1 industry consultants, distributors, and end-use product manufacturers.

Finally, based on the above thorough research process, an in-depth analysis was carried out considering the following aspects: market attractiveness, current & future market trends, market share analysis, SWOT analysis of the company and customer analytics.

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Frequently Asked Questions

The global payment integrity market is projected to grow at a CAGR value of 27.6% from 2022 to 2027.
ClarisHealth, Everest Group, ClaimLogiq, Exela Technologies, Optum, Cotiviti, FICO, Alivia Analytics, SAS, Health Edge (Payment Integrity Solutions), Conduent, Burgess, Cognizant, HGS Healthcare, Machinify, SyTrue, ChangeHealthcare, Infostride, A&G Healthcare, and Wipro, among others, are the some of the key players in the payment integrity market.
The COVID-19 pandemic has seen the demand for insurance payments owing to the pandemic and OCIVD-related complications among patients. The large number of patients suffering from COVID, the increasing number of people opting for insurance coverage stemming from fear of catching COVID, and the rising number of claims has led to an increase in the adoption of payment integrity solutions.
The escalating investment in the development of novel pharmaceuticals, growing demand for outsourcing in pharmaceuticals, and stringent government regulations on pharmaceuticals are the major drivers of the pharmaceutical raw material testing & analytics market.
The conflict between Russia and Ukraine will have a significant impact on the demand for insurance solutions. Suspension of business activities and increased focus on the provision of free healthcare by the Ukrainian government to the people suffering from the impact of war has led to lower demand for insurance solutions. Restrictions on Russian financial intuitions and backing out of private organizations from conducting business in Russia are expected to negatively impact the healthcare insurance market.

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