Healthcare Sector Fraud and Corruption

Abstract

Health sector corruption and fraud are rising not only in developing countries but also in well-developed countries. Up-coding of bills, identity theft, and quackery are some of the major kinds of fraud in this sector. In this chapter, major causes and types of healthcare fraud have been discussed, and how they are affecting the society, with special reference to Pakistan’s conditions. Moreover, a gist of methods to reduce this issue has been proposed. The data suggests that the foremost issue conducive to the poor impact of public investments in the healthcare sector seems to be corruption and an observation system based on butcherly. The need is to overcome the dilemma through diverse approaches that necessitate collaboration and mutual work among politicians, citizens, policymakers, and every person within the community. Only then the cults of health sector fraud and corruption could be curtailed.

Keywords: Anti-Fraud association, Corruption, Current procedural terminology (CPT) codes, Embezzlement, Fraud, Healthcare sector, Millennium declaration, Public health, Whistle-blowing.