South Africa: Healthcare fraud is ‘not a victimless crime’

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May 13 2017
Imagine finding out that your pharmacist or doctor has been arrested for submitting an account for care that was not administered, or for over-billing for supplies and services. Imagine finding out that he or she falsified patient data to obtain a higher payments from medical schemes, or had been paid kickbacks to refer patients to a specific specialist or clinic.  The loss of funds not only compromises the financial integrity of medical schemes, but also undermines their ability to provide healthcare services to the more than nine million people who depend on schemes.