Overview of Anti-Fraud and Anti-Corruption Tendencies in European Healthcare Systems

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Published on December 4, 2016

Author: arnasNarbutas

Source: slideshare.net

1. 1 Overview of Anti-Fraud and Anti- Corruption Tendencies in European Healthcare Systems René Jansen President EHFCN Lithuanian International Conference Vilnius, 25 November 2016

2. The European Healthcare Fraud and Corruption Network

3. • • Outcomes • Strengths • Best practices • Future challenges Healthcare Fraud, Corruption and Waste in Europe: National and Academic Perspectives March 2017 April 2017

4. Outcomes (2015) Country Amounts Types of fraud and investigation UK 11,9 mio £ 2,4 £ “fraud, bribery, corruption” amount recovered France 23,1 mio € (average) “fraud, wrongful activities” based on 651 legal actions Netherlands 449 mio € 18,7 mio € “revealed incorrect declarations” “fraud” Belgium 11,6 mio € 6,2 mio € “unjust billing” “fraud” Greece 1,14 mio € “loss and penalties” based on 267 audits performed Poland 32 mio € “unduly paid funds“ 1721 patient notifications justified Portugal 9,1 mio € “irregular expenditure” (detected)

5. Strengths Organizational Structural Legal Public support

6. Best practices - Accredited counter fraud specialists - Wast typology matrix - Notification of anomalies - E- billing - Whistle blower monitor

7. The way forward •Modernizing organizations •Structural improvements

8. Final remarks

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