Healthcare fraud constitutes a significant source of economic waste which affects healthcare systems across the world. Despite increased awareness of the problem and the application of sophisticated anti-fraud mechanisms, individual actors and agencies continue to defraud public health systems, leading to fewer health resources for patients and higher premiums for consumers. It is commonly assumed that healthcare professionals who commit fraud are fundamentally motivated by economic imperatives and career goals.<\/p>\n
This research article will examine this assumption in greater depth. It shows that healthcare fraud is a staple form of white-collar crime committed by powerful and privileged actors against weak and vulnerable health systems. Nevertheless, ethical justifications for health fraud persistent. Greater emphasis must be placed upon understanding how organizational pressures shape the actions and decisions of practitioners.<\/p>\n
Download the FULL CASE STUDY for FREE, HERE!<\/a><\/strong><\/p>\n Who is CRI<\/span><\/strong>\u00ae<\/span>\u00a0Group?<\/span><\/strong><\/p>\n Based in London, CRI\u00ae Group works with companies across the Americas, Europe, Africa, Middle East and Asia-Pacific as a one-stop international\u00a0<\/span>Risk Management<\/span><\/a>,\u00a0<\/span>Employee Background Screening<\/span><\/a>,\u00a0<\/span>Business Intelligence<\/span><\/a>,\u00a0<\/span>TPRM<\/span><\/a>,\u00a0<\/span>Due Diligence<\/span><\/a>,\u00a0<\/span>Compliance Solutions<\/span><\/a>\u00a0and other professional\u00a0<\/span>Investigative Research<\/span><\/a>\u00a0solutions provider. We have the largest proprietary network of background-screening analysts and investigators across the Middle East and Asia. Our global presence ensures that no matter how international your operations are, we have the network needed to provide you with all you need, wherever you happen to be. CRI\u00ae Group also holds\u00a0<\/span>BS 102000:2013<\/span><\/strong>\u00a0and\u00a0<\/span>BS 7858:2012 Certifications<\/span><\/strong>, is an HRO certified provider and partner with Oracle.<\/span><\/p>\n In 2016, CRI\u00ae Group launched\u00a0<\/span>the Anti-Bribery Anti-Corruption (ABAC\u00ae) Center of Excellence<\/span><\/a> \u2013 an independent certification body that provides education and certification services for individuals and organizations on a wide range of disciplines and ISO standards, including\u00a0<\/span>ISO 31000:2018 Risk Management- Guidelines<\/span><\/a>;\u00a0<\/span>ISO 37000:2021 Governance of Organisations<\/span><\/a>;\u00a0<\/span>ISO 37002:2021 Whistleblowing Management System<\/span><\/a>;\u00a0<\/span>ISO 37301:2021 (formerly ISO 19600) Compliance Management system (CMS)<\/span><\/a>;\u00a0<\/span>Anti-Money Laundering (AML)<\/span><\/a>; and\u00a0<\/span>ISO 37001:2016 Anti-Bribery Management Systems ABMS<\/span><\/a>. ABAC\u00ae offers a complete suite of solutions designed to help organizations mitigate the internal and external risks associated with operating in multi-jurisdiction and multi-cultural environments while assisting in developing frameworks for strategic compliance programs. <\/span>Contact ABAC\u00ae for more<\/span><\/a>\u00a0on ISO Certification and training.<\/span><\/p>\n","protected":false},"featured_media":10504,"template":"","categories":[24,16,12,36],"tags":[],"class_list":["post-9904","case-study","type-case-study","status-publish","has-post-thumbnail","hentry","category-all-regions","category-compliance-solution","category-due-diligence","category-pharmaceutical-healthcare"],"yoast_head":"\n\n\n\n\n\n\n\n\n\n\n\n\n\t\n\t\n\n\n\n\t\n