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Overview of Anti-Fraud and Anti-Corruption Tendencies in European

Healthcare Systems

René JansenPresident EHFCN

Lithuanian International ConferenceVilnius, 25 November 2016

The European Healthcare Fraud and Corruption Network

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• Outcomes• Strengths• Best practices • Future challenges

Healthcare Fraud, Corruption and Waste in Europe: National and Academic

Perspectives March

2017April 2017

Outcomes (2015)Country Amounts Types of fraud and investigation

UK 11,9 mio £2,4 £

“fraud, bribery, corruption”amount recovered

France 23,1 mio € (average) “fraud, wrongful activities” based on 651 legal actions

Netherlands 449 mio € 18,7 mio €

“revealed incorrect declarations”“fraud”

Belgium 11,6 mio €6,2 mio €

“unjust billing” “fraud”

Greece 1,14 mio € “loss and penalties”based on 267 audits performed

Poland 32 mio € “unduly paid funds“1721 patient notifications justified

Portugal 9,1 mio € “irregular expenditure” (detected)

Strengths

Organizational

Structural

Legal

Public support

Best practices

- Accredited counter fraud specialists

- Wast typology matrix- Notification of

anomalies- E- billing- Whistle blower

monitor

The way forward

•Modernizing organizations

•Structural improvements

Final remarks