Optimizing Health Financing: Digital Solutions Against Health Care Inefficiencies, Waste, Abuse, and Fraud
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Publication Type:
Publisher:
Asian Development Bank (ADB)
Publication:
January 2025
This report explores the complexities of identifying and managing fraud, waste, and abuse within health systems and highlights the need for digital solutions to address inefficiencies.
Addressing fraud, waste, and abuse remains a significant challenge of maintaining the efficiency and effectiveness of healthcare systems.
This report explores the complexities of identifying and managing fraud, waste, and abuse within health systems, drawing on extensive quantitative and qualitative research conducted from April 2023 to March 2024. The findings highlight the necessity of robust government actions, advanced analytics, and innovative technology to detect and manage fraud, waste, and abuse effectively.
Contents
- What is Fraud, Waste, and Abuse, and Why is it Important?
- Major Challenges of Addressing Fraud, Waste, and Abuse in Health Insurance
- The Use of Technology to Address Fraud, Waste, and Abuse
- Lessons from Around the Globe: Successful Efforts to Address Fraud, Waste, and Abuse
- Conclusions
