EPRD16 - Paul Vincke - European Healthcare fraud and corruption network
-
Upload
cittadinanzattiva-onlus -
Category
Health & Medicine
-
view
81 -
download
0
Transcript of EPRD16 - Paul Vincke - European Healthcare fraud and corruption network
![Page 1: EPRD16 - Paul Vincke - European Healthcare fraud and corruption network](https://reader034.fdocuments.us/reader034/viewer/2022051006/58ec13f21a28abe03c8b46d5/html5/thumbnails/1.jpg)
www.ehfcn.org
1
![Page 2: EPRD16 - Paul Vincke - European Healthcare fraud and corruption network](https://reader034.fdocuments.us/reader034/viewer/2022051006/58ec13f21a28abe03c8b46d5/html5/thumbnails/2.jpg)
2
30%
healthcare expenditure
waste
![Page 3: EPRD16 - Paul Vincke - European Healthcare fraud and corruption network](https://reader034.fdocuments.us/reader034/viewer/2022051006/58ec13f21a28abe03c8b46d5/html5/thumbnails/3.jpg)
Healthcare “Waste” defined
“healthcare spending that can be eliminated without reducing the quality of care” The New England Health Institute (NEHI)
3
![Page 4: EPRD16 - Paul Vincke - European Healthcare fraud and corruption network](https://reader034.fdocuments.us/reader034/viewer/2022051006/58ec13f21a28abe03c8b46d5/html5/thumbnails/4.jpg)
4
waste
waste with intention
40%40%
![Page 5: EPRD16 - Paul Vincke - European Healthcare fraud and corruption network](https://reader034.fdocuments.us/reader034/viewer/2022051006/58ec13f21a28abe03c8b46d5/html5/thumbnails/5.jpg)
Integrity violations
5
fraud
waste with intention
15%
40%corruptio
n45%abuse
![Page 6: EPRD16 - Paul Vincke - European Healthcare fraud and corruption network](https://reader034.fdocuments.us/reader034/viewer/2022051006/58ec13f21a28abe03c8b46d5/html5/thumbnails/6.jpg)
Patients are exposed to:
– Physical harm due to low value care as the result of
• Underuse (capitation) – substandard medical devices or incomplete DRG’s
• Over(use)consumption (unnecessary and or to expensive care) (fee for service)- lots of invasive tests with no added value (lack of legal basis for the development and enforcement of clinical guidelines)
– Financial harm due to• Informal payments• Refusal of reimbursement by payer (non compliant
billing) 6
![Page 7: EPRD16 - Paul Vincke - European Healthcare fraud and corruption network](https://reader034.fdocuments.us/reader034/viewer/2022051006/58ec13f21a28abe03c8b46d5/html5/thumbnails/7.jpg)
Healthcare spending without waste• Patients must be
– Informed– Educated– Made responsible
• Healthcare professionals must be – Informed– Educated– Made responsible
7
![Page 8: EPRD16 - Paul Vincke - European Healthcare fraud and corruption network](https://reader034.fdocuments.us/reader034/viewer/2022051006/58ec13f21a28abe03c8b46d5/html5/thumbnails/8.jpg)
www.ehfcn.org
8