Details
| Translated title of the contribution | Fraud in the health-care system from the perspective of the public health insurance companies: Empirical findings on the work of anti-fraud agencies |
|---|---|
| Original language | German |
| Pages (from-to) | 404-411 |
| Number of pages | 8 |
| Journal | Das Gesundheitswesen |
| Volume | 72 |
| Issue number | 7 |
| Early online date | 4 Nov 1009 |
| Publication status | Published - 2010 |
Abstract
The article summarises the results of a study on the activities of the German public health insurance companies to fight fraudulent behaviour in the system. The study is based on the analysis of 140 activity reports of the years 2004 and 2005 which the companies had to deliver to the Federal Social Insurance Authority as well as on the results of an additional survey. The article deals with the number of cases, the phenomenology of the delinquent acts, the referral of the suspicious cases to the law enforcement agencies, and the cooperation with other insurance companies. Finally, the article presents some considerations on an improved prevention of fraud in the public health care system.
ASJC Scopus subject areas
- Medicine(all)
- Public Health, Environmental and Occupational Health
Sustainable Development Goals
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In: Das Gesundheitswesen, Vol. 72, No. 7, 2010, p. 404-411.
Research output: Contribution to journal › Article › Research › peer review
}
TY - JOUR
T1 - Betrug im Gesundheitswesen aus Sicht der gesetzlichen Krankenkassen
T2 - Empirische Befunde zur Tätigkeit der Fehlverhaltensbekämpfungsstellen
AU - Meier, B. D.
AU - Homann, D.
PY - 2010
Y1 - 2010
N2 - The article summarises the results of a study on the activities of the German public health insurance companies to fight fraudulent behaviour in the system. The study is based on the analysis of 140 activity reports of the years 2004 and 2005 which the companies had to deliver to the Federal Social Insurance Authority as well as on the results of an additional survey. The article deals with the number of cases, the phenomenology of the delinquent acts, the referral of the suspicious cases to the law enforcement agencies, and the cooperation with other insurance companies. Finally, the article presents some considerations on an improved prevention of fraud in the public health care system.
AB - The article summarises the results of a study on the activities of the German public health insurance companies to fight fraudulent behaviour in the system. The study is based on the analysis of 140 activity reports of the years 2004 and 2005 which the companies had to deliver to the Federal Social Insurance Authority as well as on the results of an additional survey. The article deals with the number of cases, the phenomenology of the delinquent acts, the referral of the suspicious cases to the law enforcement agencies, and the cooperation with other insurance companies. Finally, the article presents some considerations on an improved prevention of fraud in the public health care system.
KW - fraud
KW - health care system
KW - public health insurance
KW - referral to the law enforcement agencies
UR - http://www.scopus.com/inward/record.url?scp=77954988293&partnerID=8YFLogxK
U2 - 10.1055/s-0029-1234097
DO - 10.1055/s-0029-1234097
M3 - Artikel
C2 - 19890808
AN - SCOPUS:77954988293
VL - 72
SP - 404
EP - 411
JO - Das Gesundheitswesen
JF - Das Gesundheitswesen
SN - 0941-3790
IS - 7
ER -