Betrug im Gesundheitswesen aus Sicht der gesetzlichen Krankenkassen

Empirische Befunde zur Tätigkeit der Fehlverhaltensbekämpfungsstellen

authored by

B. D. Meier, D. Homann

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.

Organisation(s)

Chair in Criminal Law, Criminal Procedural Law and Criminology

Type

Article

Journal

Das Gesundheitswesen

Volume

72

Pages

404-411

No. of pages

8

ISSN

0941-3790

Publication date

2010

Publication status

Published

Peer reviewed

Yes

ASJC Scopus subject areas

Public Health, Environmental and Occupational Health

Sustainable Development Goals

SDG 3 - Good Health and Well-being

Electronic version(s)

https://doi.org/10.1055/s-0029-1234097 (Access: Closed)