How the Sécu detected 316 million euros in fraud
DECRYPTION – Thanks to cross-checking of files and big data, it wants to accelerate and is aiming for the 500 million mark in 2024.
While the fight against social fraud has become a very political subject, theHealth Insurance congratulated itself on Thursday for having detected and stopped in 2022 “an unprecedented amount of fraudof 315.8 million euros.
The figure is up 44% compared to 2021 and 10% compared to 2019, which was so far the record year with 286.8 million detected. While controls had slowed down in 2020 during the Covid, resulting in a drop in damage identified to only 127.7 million euros, “results resumed their upward trajectory from 2021“, provides Medicare. Litigation actions initiated are also on the rise with 8,817 cases in 2022, up more than 12% year-on-year. Nearly two-thirds of these disputes consist of criminal proceedings (2,944) and financial penalties (2,648) for 16 million euros.
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Of the 315.8 million euros in damage detected and stopped last year, nearly three quarters relate to…