Centre for Excellence

  • ISSA Guidelines:
  • Error, Evasion and Fraud in Social Security Systems

Centre for Excellence

  • ISSA Guidelines:
  • Error, Evasion and Fraud in Social Security Systems

Error, Evasion and Fraud in Social Security Systems -
Guideline 25. Detection and deterrence

The institution establishes a roadmap as well as operational plans for the detection and deterrence of error, evasion and fraud in health services covering the main actors such as beneficiaries, employers and health providers.

There should be a national programme for risk analysis, detection and the organization of fraud deterrence. It should cover benefits, recipients of benefits, enterprises, employers and health providers.