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Health insurance fraud: what the first evaluations reveal

05/12/2022 by wishnplan.com




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The damage is estimated at 176 million euros for complementary health insurance and between 286 million and 393 million for private nurses.

Bourgoin-Jallieu health insurance agency.  In September 2020, the Court of Auditors requested an assessment of the fraud from the National Health Insurance Fund.
Bourgoin-Jallieu health insurance agency. The Court of Auditors requested, in September 2020, an assessment of the fraud from the National Health Insurance Fund.
© ALLILI MOURAD / MAXPPP




By Marc Vignaud

Published on 05/12/2022 at 5:59 p.m.

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VSow does Social Security fraud represent? Under pressure from parliamentary committees and the Court of Auditors, which had published a fairly critical report in September 2020, the National Health Insurance Fund (Cnam) embarked on a vast work of evaluating the amounts at stake. for the moment, there is no point in hoping for a lump sum. “Our objective is not to come up with a figure by saying the fraud in the Health Insurance, it is so much, we immediately assume at the Cnam. The reality of health insurance fraud is measured subject by subject: whether we are talking about false work stoppages, false declarations of resources to obtain complementary health insurance, false billings from a health professional, these subjects have nothing to do with each other. »

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