HOW TO PREVENT AND REDUCE FRAUD IN THE HEALTH INSURANCE INDUSTRY

CEGEDIM | August 25, 2017

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Fraud, abuse and waste represent key challenges for any Healthcare Insurer looking to address cost management. Such practices may be witnessed across the Health Insurance industry, from patients to healthcare providers and organisations. But observation cannot be passive: it must lead to action. Fraudulent payments hit the bottom line of all stakeholders, public and private. As a consequence, it is essential that insurers implement a fraud control model: one that will apply in the treatment phase, but, critically, one that will also serve prevention and dissuasion purposes.

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