Welcome!

Web 2.0 Authors: Elizabeth White, Roger Strukhoff, Kevin Benedict, Carmen Gonzalez, Yeshim Deniz

News Feed Item

Le rapport 2014 relatif au coût financier de la fraude aux soins de santé

LONDRES, March 25, 2014 /PRNewswire/ --

La fraude et les erreurs coûtent chaque année au secteur mondial des soins de santé 487 milliards de dollars (soit 313 milliards de livres sterling).

  • Depuis 2008, les pertes moyennes découlant de la fraude et des erreurs dans le secteur mondial des soins de santé sont en hausse de 25 %, les dépenses passant de 5,59 % à 6,99 %.
  • Il est possible de réduire jusqu'à 40 % ces pertes liées à la fraude et aux erreurs, et ce, dans un délai d'une année afin de dégager jusqu'à 195 milliards de dollars (soit 125 milliards de livres sterling) à l'échelle mondiale.
  • D'après le taux moyen des pertes à l'échelle mondiale, le système de santé britannique National Health Services (NHS) subirait des pertes à hauteur de 7 milliards de livres sterling.

Chaque année, les pertes mondiales découlant de la fraude et des erreurs s'élèvent à quelque 487 milliards de dollars, d'après le nouveau rapport « Financial Cost of Healthcare Fraud 2014 » publié par BDO LLP, cabinet de services-conseils aux entreprises et de services de comptabilité, en partenariat avec le Centre for Counter Fraud Studies de l'université de Portsmouth.

Les résultats indiquent que les pertes moyennes du secteur mondial des soins de santé sont en hausse de 25 % depuis 2008, les dépenses passant à 6,99 %. Au prorata des dépenses mondiales du secteur des soins de santé, à savoir 6,97 billions de dollars (soit 4,48 billions de livres sterling), cela équivaut à une perte annuelle de 487 milliards de dollars (soit 313 milliards de livres sterling), ce qui représente :

  • Plus de trois fois le budget du système de santé britannique (NHS) pour 2011/2012.
  • Deux fois et demi les dépenses totales du Canada en matière de soins de santé pour l'année 2011.
  • Près d'un cinquième des dépenses totales des États-Unis en matière de soins de santé pour l'année 2011 et plus de 27 % des dépenses totales des pays de l'Union européenne en matière de soins de santé pour la même période.

Heureusement, les exercices relatifs à la lutte contre la fraude ont indiqué qu'il était possible de réduire de manière considérable les pertes avec, comme espoir très raisonnable, une diminution de 40 % dans un délai de 12 mois. Cela permettrait en soi d'observer une augmentation des ressources mondiales du secteur des soins de santé à hauteur de 195 milliards de dollars (soit 125 milliards de livres sterling).

Étude de cas

Au sein du système de santé britannique (le deuxième organisme au monde), les pertes ont diminué jusqu'à 60 % entre 1998 et 2006. D'après les statistiques de l'indice 2013 publié par la National Fraud Authority du Royaume-Uni, la fraude au sein du système NHS s'élevait à 229 millions de livres sterling en 2013. Néanmoins, en appliquant le taux moyen en pourcentage des pertes mondiales, on observe que, si le NHS était aligné sur le reste du monde, ce chiffre avoisinerait davantage les 7 milliards de livres sterling. Accepter le chiffre de 229 millions de livres sterling reviendrait à accepter le fait que le système NHS s'en sort 30 fois mieux que le reste du monde en matière de prévention et de détection de la fraude et des erreurs. Le Dr. David Evans, Directeur du service de financement des systèmes de santé de l'Organisation mondiale de la santé (OMS), a qualifié les conclusions du rapport de « convaincantes » dans son Avant-propos. Quant au Dr. Simon Peck, fondateur du groupe HICFG (Health Insurance Counter Fraud Group) qui représente un groupe industriel britannique composé de 29 grandes compagnies d'assurances santé, a écrit dans sa préface que ceux « qui détiennent le pouvoir de faire la différence » devraient consulter ce rapport.

Jim Gee, Directeur des services de lutte contre la fraude chez BDO LLP, a ajouté :

« La crise financière mondiale a eu un impact considérable sur la capacité des gouvernements, entreprises et individus à faire face à la hausse des coûts liés à leurs besoins de santé. Ces contraintes budgétaires pourraient néanmoins être sensiblement allégées grâce à un effort commun visant à mesurer, gérer et minimiser le coût de la fraude et des erreurs au sein des organisations concernées, notamment avec le soutien de dispositions législatives. Selon nos estimations prudentes, si le problème était abordé sérieusement, les organismes de soins de santé du monde entier pourraient dégager jusqu'à 195 milliards de dollars actuellement perdus. Cela aurait des effets considérables sur la vie de millions d'individus partout dans le monde ».

Vous pouvez consulter l'intégralité du rapport 2014 « Financial Cost of Healthcare » de BDO à l'adresse http://www.bdo.co.uk/services/forensic-accounting/fraud-and-financial-investigations/counter-fraud-services.

À propos du rapport

Le rapport 2014 « Financial Cost of Healthcare Fraud » (le  coût  financier  de  la  fraude  aux  soins  de  santé) permet de renouveler les recherches menées dans un premier temps en 2009, puis reprises en 2011, en compilant les dernières informations précises et valides sur le plan statistique en provenance du monde entier à propos du coûts financier réel engendré par la fraude et les erreurs dans le secteur des soins de santé (comparativement au coût engendré par les cas de fraude signalés ou détectés). Le rapport examine ainsi 92 exercices distincts de mesure des pertes couvrant 14 types différents de dépenses relatives aux soins de santé pour un total dépassant les 2,99 billions de dollars (soit 1,93 billion de livres sterling) dans 33 organismes issus de 6 pays. Les données à l'origine des conclusions du rapport sont conservées dans la plus grande base de données mondiale dédiée à la mesure des pertes découlant de cas de fraude, les données ayant été compilées pendant 15 ans. Les données proviennent d'exercices de mesure des pertes qui sont précis et valides sur le plan statistique. Ces données font référence aux pertes totales, pas uniquement aux pertes détectées ou signalées qui représentent une petite fraction seulement du coût total.

Le présent rapport est le résultat d'une nouvelle collaboration fructueuse entre BDO LLP, le plus grand cabinet de services-conseils aux entreprises et de services de comptabilité, et le Centre for Counter Fraud Studies de l'université de Portsmouth (CCFS), le plus grand centre de recherche contre la fraude en Europe.

Note aux rédacteurs

À propos de BDO

La prestation de services au sein du réseau international BDO composé d'entreprises indépendantes (« le réseau BDO ») est coordonnée par Brussels Worldwide Services BVBA, entreprise à responsabilité limitée de droit belge dont le siège statutaire se trouve à Bruxelles.

BDO International Limited (instance dirigeante du réseau BDO), Brussels Worldwide Services BVBA et les entreprises membres sont des entités juridiques distinctes et ne peuvent être tenues responsables des actes ou omissions des autres entités. Aucune disposition des arrangements ou règlements du réseau BDO ne constitue ou n'implique une relation de mandataire ou un partenariat entre BDO International Limited, Brussels Worldwide Services BVBA et/ou les entreprises membres du réseau BDO.

BDO est le nom de marque du réseau BDO et de toutes les entreprises membres du réseau BDO.

Les revenus découlant des droits versés par l'ensemble des entreprises membres du réseau BDO, y compris les membres de leurs alliances exclusives, représentaient 6,45 milliards de dollars en 2013. Ce réseau mondial propose des services de conseil dans 147 pays et emploie plus de 56 000 personnes au sein de 1 264 bureaux à travers le monde.

Contacts britanniques
Jim Gee, BDO LLP
Tél : +44(0)20-7893-2830
Email : [email protected]

http://www.bdo.co.uk/press
http://twitter.com/BDOaccountant

Ged Brumby, Smithfield Consultants
Tél : +44(0)20-7903-0674
Téléphone portable : +44(0)7540-412-301
Email : [email protected]


More Stories By PR Newswire

Copyright © 2007 PR Newswire. All rights reserved. Republication or redistribution of PRNewswire content is expressly prohibited without the prior written consent of PRNewswire. PRNewswire shall not be liable for any errors or delays in the content, or for any actions taken in reliance thereon.

@ThingsExpo Stories
Software AG helps organizations transform into Digital Enterprises, so they can differentiate from competitors and better engage customers, partners and employees. Using the Software AG Suite, companies can close the gap between business and IT to create digital systems of differentiation that drive front-line agility. We offer four on-ramps to the Digital Enterprise: alignment through collaborative process analysis; transformation through portfolio management; agility through process automation and integration; and visibility through intelligent business operations and big data.
There will be 50 billion Internet connected devices by 2020. Today, every manufacturer has a propriety protocol and an app. How do we securely integrate these "things" into our lives and businesses in a way that we can easily control and manage? Even better, how do we integrate these "things" so that they control and manage each other so our lives become more convenient or our businesses become more profitable and/or safe? We have heard that the best interface is no interface. In his session at Internet of @ThingsExpo, Chris Matthieu, Co-Founder & CTO at Octoblu, Inc., will discuss how these devices generate enough data to learn our behaviors and simplify/improve our lives. What if we could connect everything to everything? I'm not only talking about connecting things to things but also systems, cloud services, and people. Add in a little machine learning and artificial intelligence and now we have something interesting...
Last week, while in San Francisco, I used the Uber app and service four times. All four experiences were great, although one of the drivers stopped for 30 seconds and then left as I was walking up to the car. He must have realized I was a blogger. None the less, the next car was just a minute away and I suffered no pain. In this article, my colleague, Ved Sen, Global Head, Advisory Services Social, Mobile and Sensors at Cognizant shares his experiences and insights.
We are reaching the end of the beginning with WebRTC and real systems using this technology have begun to appear. One challenge that faces every WebRTC deployment (in some form or another) is identity management. For example, if you have an existing service – possibly built on a variety of different PaaS/SaaS offerings – and you want to add real-time communications you are faced with a challenge relating to user management, authentication, authorization, and validation. Service providers will want to use their existing identities, but these will have credentials already that are (hopefully) irreversibly encoded. In his session at Internet of @ThingsExpo, Peter Dunkley, Technical Director at Acision, will look at how this identity problem can be solved and discuss ways to use existing web identities for real-time communication.
Can call centers hang up the phones for good? Intuitive Solutions did. WebRTC enabled this contact center provider to eliminate antiquated telephony and desktop phone infrastructure with a pure web-based solution, allowing them to expand beyond brick-and-mortar confines to a home-based agent model. It also ensured scalability and better service for customers, including MUY! Companies, one of the country's largest franchise restaurant companies with 232 Pizza Hut locations. This is one example of WebRTC adoption today, but the potential is limitless when powered by IoT. Attendees will learn real-world benefits of WebRTC and explore future possibilities, as WebRTC and IoT intersect to improve customer service.
From telemedicine to smart cars, digital homes and industrial monitoring, the explosive growth of IoT has created exciting new business opportunities for real time calls and messaging. In his session at Internet of @ThingsExpo, Ivelin Ivanov, CEO and Co-Founder of Telestax, will share some of the new revenue sources that IoT created for Restcomm – the open source telephony platform from Telestax. Ivelin Ivanov is a technology entrepreneur who founded Mobicents, an Open Source VoIP Platform, to help create, deploy, and manage applications integrating voice, video and data. He is the co-founder of TeleStax, an Open Source Cloud Communications company that helps the shift from legacy IN/SS7 telco networks to IP-based cloud comms. An early investor in multiple start-ups, he still finds time to code for his companies and contribute to open source projects.
The Internet of Things (IoT) promises to create new business models as significant as those that were inspired by the Internet and the smartphone 20 and 10 years ago. What business, social and practical implications will this phenomenon bring? That's the subject of "Monetizing the Internet of Things: Perspectives from the Front Lines," an e-book released today and available free of charge from Aria Systems, the leading innovator in recurring revenue management.
The Internet of Things will put IT to its ultimate test by creating infinite new opportunities to digitize products and services, generate and analyze new data to improve customer satisfaction, and discover new ways to gain a competitive advantage across nearly every industry. In order to help corporate business units to capitalize on the rapidly evolving IoT opportunities, IT must stand up to a new set of challenges.
There’s Big Data, then there’s really Big Data from the Internet of Things. IoT is evolving to include many data possibilities like new types of event, log and network data. The volumes are enormous, generating tens of billions of logs per day, which raise data challenges. Early IoT deployments are relying heavily on both the cloud and managed service providers to navigate these challenges. In her session at 6th Big Data Expo®, Hannah Smalltree, Director at Treasure Data, to discuss how IoT, Big Data and deployments are processing massive data volumes from wearables, utilities and other machines.
All major researchers estimate there will be tens of billions devices – computers, smartphones, tablets, and sensors – connected to the Internet by 2020. This number will continue to grow at a rapid pace for the next several decades. With major technology companies and startups seriously embracing IoT strategies, now is the perfect time to attend @ThingsExpo in Silicon Valley. Learn what is going on, contribute to the discussions, and ensure that your enterprise is as "IoT-Ready" as it can be!
P2P RTC will impact the landscape of communications, shifting from traditional telephony style communications models to OTT (Over-The-Top) cloud assisted & PaaS (Platform as a Service) communication services. The P2P shift will impact many areas of our lives, from mobile communication, human interactive web services, RTC and telephony infrastructure, user federation, security and privacy implications, business costs, and scalability. In his session at Internet of @ThingsExpo, Erik Lagerway, Co-founder of Hookflash, will walk through the shifting landscape of traditional telephone and voice services to the modern P2P RTC era of OTT cloud assisted services.
While great strides have been made relative to the video aspects of remote collaboration, audio technology has basically stagnated. Typically all audio is mixed to a single monaural stream and emanates from a single point, such as a speakerphone or a speaker associated with a video monitor. This leads to confusion and lack of understanding among participants especially regarding who is actually speaking. Spatial teleconferencing introduces the concept of acoustic spatial separation between conference participants in three dimensional space. This has been shown to significantly improve comprehension and conference efficiency.
The Internet of Things is tied together with a thin strand that is known as time. Coincidentally, at the core of nearly all data analytics is a timestamp. When working with time series data there are a few core principles that everyone should consider, especially across datasets where time is the common boundary. In his session at Internet of @ThingsExpo, Jim Scott, Director of Enterprise Strategy & Architecture at MapR Technologies, will discuss single-value, geo-spatial, and log time series data. By focusing on enterprise applications and the data center, he will use OpenTSDB as an example to explain some of these concepts including when to use different storage models.
SYS-CON Events announced today that Gridstore™, the leader in software-defined storage (SDS) purpose-built for Windows Servers and Hyper-V, will exhibit at SYS-CON's 15th International Cloud Expo®, which will take place on November 4–6, 2014, at the Santa Clara Convention Center in Santa Clara, CA. Gridstore™ is the leader in software-defined storage purpose built for virtualization that is designed to accelerate applications in virtualized environments. Using its patented Server-Side Virtual Controller™ Technology (SVCT) to eliminate the I/O blender effect and accelerate applications Gridstore delivers vmOptimized™ Storage that self-optimizes to each application or VM across both virtual and physical environments. Leveraging a grid architecture, Gridstore delivers the first end-to-end storage QoS to ensure the most important App or VM performance is never compromised. The storage grid, that uses Gridstore’s performance optimized nodes or capacity optimized nodes, starts with as few a...
The Transparent Cloud-computing Consortium (abbreviation: T-Cloud Consortium) will conduct research activities into changes in the computing model as a result of collaboration between "device" and "cloud" and the creation of new value and markets through organic data processing High speed and high quality networks, and dramatic improvements in computer processing capabilities, have greatly changed the nature of applications and made the storing and processing of data on the network commonplace. These technological reforms have not only changed computers and smartphones, but are also changing the data processing model for all information devices. In particular, in the area known as M2M (Machine-To-Machine), there are great expectations that information with a new type of value can be produced using a variety of devices and sensors saving/sharing data via the network and through large-scale cloud-type data processing. This consortium believes that attaching a huge number of devic...
Innodisk is a service-driven provider of industrial embedded flash and DRAM storage products and technologies, with a focus on the enterprise, industrial, aerospace, and defense industries. Innodisk is dedicated to serving their customers and business partners. Quality is vitally important when it comes to industrial embedded flash and DRAM storage products. That’s why Innodisk manufactures all of their products in their own purpose-built memory production facility. In fact, they designed and built their production center to maximize manufacturing efficiency and guarantee the highest quality of our products.
Can call centers hang up the phones for good? Intuitive Solutions did. WebRTC enabled this contact center provider to eliminate antiquated telephony and desktop phone infrastructure with a pure web-based solution, allowing them to expand beyond brick-and-mortar confines to a home-based agent model. Download Slide Deck: ▸ Here
All major researchers estimate there will be tens of billions devices - computers, smartphones, tablets, and sensors - connected to the Internet by 2020. This number will continue to grow at a rapid pace for the next several decades. Over the summer Gartner released its much anticipated annual Hype Cycle report and the big news is that Internet of Things has now replaced Big Data as the most hyped technology. Indeed, we're hearing more and more about this fascinating new technological paradigm. Every other IT news item seems to be about IoT and its implications on the future of digital business.
BSQUARE is a global leader of embedded software solutions. We enable smart connected systems at the device level and beyond that millions use every day and provide actionable data solutions for the growing Internet of Things (IoT) market. We empower our world-class customers with our products, services and solutions to achieve innovation and success. For more information, visit www.bsquare.com.
With the iCloud scandal seemingly in its past, Apple announced new iPhones, updates to iPad and MacBook as well as news on OSX Yosemite. Although consumers will have to wait to get their hands on some of that new stuff, what they can get is the latest release of iOS 8 that Apple made available for most in-market iPhones and iPads. Originally announced at WWDC (Apple’s annual developers conference) in June, iOS 8 seems to spearhead Apple’s newfound focus upon greater integration of their products into everyday tasks, cross-platform mobility and self-monitoring. Before you update your device, here is a look at some of the new features and things you may want to consider from a mobile security perspective.