Error, Evasion and Fraud in Social Security Systems - E.2. Health Benefits
The financing of health benefits is an important element of social security expenditure.
Addressing error, evasion and fraud in health benefits should focus on several specific risks:
- In terms of error and evasion, to ensure the correct enrolment of individuals and the compliance with healthcare regulations;
- In terms of fraud, the diversion of monetary payments, instigated by employers or employees;
- Fraud related to in-kind payments, instigated by health providers and patients.