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FRAUD PREVENTION IN HEALTHCARE
- Health care fraud: Medicare fraud worth over $6.5 billion exposed as Justice Department announces criminal charges against 455 peopleHealthcare fraud has been a long-running Justice Department priority and news conferences announcing roundups and crackdowns have been comm...
453 Nepali nationals rescued from alleged networking fraud operation in UPThe Embassy of Nepal in India announced the rescue of 453 Nepali citizens from an alleged networking fraud operation in India's Kushinagar ...- After 50 hearings, court reserves judgement in Daiichi-Fortis caseThe Delhi High Court has reserved its judgment in a significant arbitration case. Japanese drug maker Daiichi Sankyo is seeking to enforce ...
- Welcome to Trump’s America, where the visa dream is getting harder to keep alivePresident Trump's second term is tightening legal immigration pathways, including student visas and green card applications. New policies r...
- Health insurance works only when everyone contributesA small group of health insurance customers accounts for most hospitalisation costs. The remaining 95% must pay premiums to keep the system...
- Are you affected? Medicare breach may expose Social Security Numbers — steps to check nowThe Medicare data leak has triggered fresh fears around Social Security number exposure and identity theft across the United States. A publ...
- Will your hospital bills fall with new IRDAI move? Know how policyholders will be impacted with the formation of this new panelPolicyholders facing rising premiums, slow claims, and opaque hospital pricing will soon see changes. IRDAI's new sub-committee aims to sim...
- Why healthcare access still depends on affordability in India, and how universal insurance may change thatIndia's healthcare system faces affordability challenges despite infrastructure advancements, with out-of-pocket spending causing financial...
- Raksha Summit 2025: Shaping a borderless future for healthcare accessRaksha Summit 2025 addresses critical healthcare challenges. The event highlights efforts to combat fraud, waste, and abuse. It also tackle...
- Fraud is bleeding Rs 10,000 crore from India’s health insurance systemIndia's health insurance sector is losing Rs 8,000-10,000 crore annually due to fraud and waste, as highlighted by a BCG and Medi Assist re...
- Why should all health insurance claimants face painfully stringent claims processes due to a few fraud cases?The broader lesson extends beyond health insurance to all financial services. Basic systems that people depend on should be designed to wor...
- Govt has zero tolerance to fraud in Ayushman Bharat scheme: MoS Health in LSThe Ayushman Bharat PM-JAY scheme operates with zero tolerance for fraud and has a three-tier grievance system. An FIR has been lodged agai...
- Healthcare access for all Indians by 2047: AI and health data have roles to playIndia aims for universal healthcare access by 2047. A new report proposes a tiered system. This system uses data and AI. It categorizes the...
- Eyeing a healthcare career? Here are the trending roles, skills and pay brackets you should knowThe Indian healthcare sector is booming, becoming an economic backbone with opportunities in healthtech and insurtech. High-end technology ...
- Action taken against 1.6 lakh claims worth Rs 287 crores under AB-PMJAY till August 5, says Union Minister MandaviyaOver 1.6 lakh claims worth INR 287 crore have been acted upon by state health agencies under Ayushman Bharat Pradhan Mantri Jan Arogya Yoja...
- AI, machine learning being used to detect potential frauds under Ayushman Bharat, Rajya Sabha toldThese technologies are used for prevention, detection and deterrence of healthcare frauds in the scheme implementation and are helpful in e...
- 57% of all fraud incidents in India are platform frauds: PwC IndiaPlatform fraud is a novel form of economic crime that involves fraudulent activities associated with social media, ecommerce, enterprise an...
- PM Modi to launch National Digital Health Mission and a unique identity numberAs first reported by ET on August 1, Modi is likely to unveil a national digital health ecosystem which would digitise personal medical rec...
- SAS partners NHA for fraud detection, prevention through data analyticsSAS will provide end-to-end framework to ensure claim processing with specific components for fraud detection, alert management and case ha...
- Govt seeks help from IT biggies to make Ayushman insurance scheme fraud freeIT firms have been called on to build a shield that can identify "suspicious" PMJAY transactions.
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