Health insurance fraud and its impact on the health care system Wherever it’s found, fraud and corruption cost more than just the money some get away with. Like a stone dropped into a pond, the effects of fraud and corruption in a health care system can send ripples outwards, nudging everything in its wake from costs and resources in the sector.

In 2011, $2.27 trillion was spent on health care and more than four billion health insurance claims were processed in the United States. It is an undisputed reality that some of these health insurance claims are fraudulent. Although they constitute only a small fraction, those fraudulent claims carry a very high price tag. The National Health Care Anti-Fraud Association (NHCAA) estimates that the financial losses due to health care fraud are in the tens of billions of dollars each year.

The most common types of fraud committed by dishonest providers include:

The EHFCN Waste Typology Matrix enables to describe precisely the issues of mistakes, misuse, fraud and corruptions in Health  and the type of situation  (invoicing rule violated, needlessly expensive or unnecessary service).

Les Echos (12.06.2018) La prévision de déficit pour 2018 de cette branche de la Sécurité sociale a été ramenée à 500 millions d'euros. Le régime général et le Fonds de solidarité vieillesse frôlent également l'équilibre grâce à des cotisations sociales plus fortes que prévu

opengovasia.com (31.05.2018) The 71st World Health Assembly has adopted a resolution on Digital Health initiated by India, to recognise the potential of digital technologies for the development of digital healthcare services and to advance the Sustainable Development Goals.

NCBI (April 2018) The present study aimed to explore using popular technology that people already have/use as a health promotion tool, in a campus wide social media health promotion initiative, entitled #LancerHealth. During a two-week period the university community was asked to share photos on Twitter and Instagram of What does being healthy on campus look like to you?, while tagging the image with #LancerHealth.

lemonde.fr (26.01.2018) Afin de réduire les taux d’absentéisme, la « Sécu » communique aux entreprises la part d’arrêts de travail liés aux lombalgies, aux TMS et aux risques psychosociaux.

The Guardian (23.05.2018) Workers across Europe, including 70,000 in UK, to be offered pay protections under new insurance policy The ride-hailing service said a new insurance policy, to be provided free to its drivers, would give them “peace of mind while preserving the flexibility they value”.

WHO/Europe  (May 2018) What are “public health services”? Countries across Europe understand what they are, or what they should include, differently. This study describes the experiences of nine countries, detailing the ways they have opted to organize and finance public health services and train and employ their public health workforce.