Optimizing Health Financing: Digital Solutions Against Health Care Inefficiencies, Waste, Abuse, and Fraud
Publication | January 2025
In an era where universal health coverage is a global good that all countries must achieve, using digital technology to enhance the efficiency of national health financing systems has become essential.
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Addressing fraud, waste, and abuse (FWA) remains a significant challenge of maintaining the efficiency and effectiveness of health care systems. This report explores the complexities of identifying and managing FWA within health systems, drawing on extensive quantitative and qualitative research conducted from April 2023 to March 2024. The findings highlight the necessity of robust government actions, advanced analytics, and innovative technology to detect and manage FWA effectively.
Contents
- What is Fraud, Waste, and Abuse, and Why is it Important?
- Major Challenges of Addressing Fraud, Waste, and Abuse in Health Insurance
- The Use of Technology to Address Fraud, Waste, and Abuse
- Lessons from Around the Globe: Successful Efforts to Address Fraud, Waste, and Abuse
- Conclusions
Additional Details
Type
Subjects
- Health
- Health system development
- Health finance
- Information and Communications Technology
Pages
- 58
Dimensions
- 8.5 x 11
Publication Stock No.
- TCS250024-2
ISBN
- 978-92-9277-168-3 (print)
- 978-92-9277-169-0 (PDF)
- 978-92-9277-170-6 (ebook)
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