Rene Jansen, President EHFCN

1. 1
Overview of Anti-Fraud and Anti-
Corruption Tendencies in European
Healthcare Systems
René Jansen
President EHFCN
Lithuanian International Conference
Vilnius, 25 November 2016

2. The European Healthcare Fraud and Corruption Network

3. •
• Outcomes
• Strengths
• Best practices
• Future challenges
Healthcare Fraud, Corruption
and Waste in Europe:
National and Academic
Perspectives
March 2017
April 2017

4. 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)

5. Strengths
Organizational
Structural
Legal
Public support

6. Best practices
- Accredited counter fraud
specialists
- Wast typology matrix
- Notification of anomalies
- E- billing
- Whistle blower monitor

7. The way forward
•Modernizing organizations
•Structural improvements

8. Final remarks