Paul Vincke, Managing director of European Healthcare fraud and corruption network

1. www.ehfcn.org
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2. 2
30%waste

3. Healthcare “Waste” defined
“healthcare spending that can be
eliminated without reducing the
quality of care”
The New England Health Institute (NEHI)
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4. 4
waste
waste with
intention
40%
40%

5. Integrity violations
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fraud
waste with intention
15%
40%
corruption
45%
abuse

6. Patients are exposed to:
– Physical harm due to low value care as the result of
• Underuse (capitation) – substandard medical devices or
incomplete DRG’s
• Over(use)consumption (unnecessary and or to expensive
care) (fee for service)- lots of invasive tests with no added
value (lack of legal basis for the development and
enforcement of clinical guidelines)
– Financial harm due to
• Informal payments
• Refusal of reimbursement by payer (non compliant billing)
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7. Healthcare spending without waste
• Patients must be
– Informed
– Educated
– Made responsible
• Healthcare professionals must be
– Informed
– Educated
– Made responsible
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8. www.ehfcn.org
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