Click here to close now.

Welcome!

Web 2.0 Authors: Leon Fayer, Elizabeth White, Esmeralda Swartz, Carmen Gonzalez, Pat Romanski

News Feed Item

El coste financiero del fraude sanitario en 2014

LONDRES, March 25, 2014 /PRNewswire/ --


- Los fraudes y errores cuestan al sector sanitario global 487.000 millones de dólares (313.00 millones de libras) al año

  • Desde 2008 las pérdidas globales medias por error y fraude en el sector sanitario han aumentado un 25%, desde el 5,59% de gasto al 6,99%
  • Reducción en pérdidas por fraude y error de hasta el 40% posibles en un año, liberando hasta 195.000 millones de dólares (125.000 millones de libras) globalmente
  • Las tasas de pérdidas medias globales sugieren pérdidas en el servicio nacional de salud del Reino Unido de 7.000 millones de libras

El mundo está perdiendo unos 487.000 millones de dólares por fraudes y errores anualmente según el nuevo informe "The Financial Cost of Healthcare Fraud 2014" de BDO LLP, la firma de consultoría y asesoría empresarial en asociación con el Centre for Counter Fraud Studies de la Universidad de Portsmouth.

Los hallazgos muestran que las pérdidas medias globales dentro del sector sanitario han ascendido desde 2008 un 25%, al 6,99%. Cuando se toman como un porcentaje del gasto sanitario global de 6,97 billones de dólares (4,48 billones de libras) esto es igual a 487.000 millones de dólares (313.000 millones de libras) perdidos en un año equivalente a:

  • Más de tres veces el presupuesto del sistema nacional de salud del Reino Unido para 2011/12
  • Dos veces y media el gasto sanitario total de Canadá para 2011
  • Casi un quinto del gasto sanitario total de Estados Unidos para 2011 y más del 27% del gasto sanitario total de los países de la Unión Europea para el mismo periodo  

Afortunadamente los ejercicios de medición del fraude han mostrado que es posible reducir significativamente las pérdidas con una reducción del 40% en 12 meses, lo que se considera una expectativa muy razonable. Esto a su vez supondría un aumento de los recursos sanitarios globales de 195.000 millones de dólares (125.000 millones de libras).

Estudio de caso

En el servicio nacional de salud del Reino Unido (la segunda mayor organización del mundo) entre 1998 y 2006 las pérdidas se redujeron hasta el 60%. Las estadísticas del National Fraud Authority Indicator 2013 del Reino Unido sugieren que el fraude en el sistema nacional de salud fueron de 229 millones de libras en 2013; sin embargo, aplicando la tasa de pérdida de porcentaje medio global se sugiere que si el sistema nacional de salud estaba en línea con el resto del mundo, sería más probable una cifra cercana a los 7.000 millones de libras. Aceptar la cifra de 229 millones de libras sería aceptar que el sistema nacional de salud está haciéndolo más de 30 veces mejor que el resto del mundo en la prevención y detección de fraudes y errores. El doctor David Evans, director de Financiación de sistemas sanitarios para la Organización Mundial de la Salud (OMS) describe las conclusiones del informe como "convincentes" en su prólogo, mientras que el doctor Simon Peck, fundador del Health Insurance Counter Fraud Group (HICFG), un grupo industrial del Reino Unido de 29 compañías de seguros sanitarios líderes, escribe en su prefacio que "los que tienen el poder de marcar la diferencia" deberían leer el informe.  

Jim Gee, director de Counter Fraud Services en BDO LLP, añadió:

"La crisis financiera global ha tenido un importante impacto en la capacidad de los gobiernos, corporaciones y personas para cubrir el creciente coste de sus requisitos sanitarios. Estas restricciones presupuestarias podrían, sin embargo, mejorarse ampliamente con un esfuerzo concertado para medir, gestionar y minimizar el coste de los fraudes y errores dentro de las organizaciones relevantes, particularmente si se respaldada por requisitos legislativos. Nuestra estimación conservadora es que abordando este problema seriamente, las organizaciones sanitarias globales podrían liberar hasta 195.000 millones de dólares que actualmente se pierden. Esto podría suponer una diferencia material para las vidas de millones de personas en todo el mundo".

El informe completo "BDO Financial Cost of Healthcare 2014" puede consultarse en http://www.bdo.co.uk/services/forensic-accounting/fraud-and-financial-investigations/counter-fraud-services

Acerca del informe

El informe Financial Cost of Healthcare Fraud 2014 renueva la investigación realizada primero en 2009 y repetida en 2011, cotejando la última información precisa y estadísticamente válida de todo el mundo sobre el coste financiero real de los fraudes y errores del sistema sanitario (frente al coste del fraude detectado o notificado). En total, el informe evalúa 92 ejercicios de medición de pérdidas independientes que cubren 14 tipos distintos de gasto sanitario, haciendo un total de más de 2,99 billones de dólares (1,93 billones de libras) en 33 organizaciones de 6 países. Los datos que forman sus conclusiones se sitúan en la mayor base de datos de medición de pérdidas del mundo con datos recogidos de más de 15 años. Los datos se derivan de ejercicios de medición de pérdidas precisos y estadísticamente válidos, no solo lo que se ha detectado o notificado, que es solo un pequeño porcentaje del coste total.  

El informe representa otro resultados de la colaboración fructífera entre BDO LLP, la principal firma de servicios de asesoría contable y empresarial, y el Centre for Counter Fraud Studies de la Universidad de Portsmouth (CCFS), el principal centro de investigación del fraude de Europa.

Nota a los redactores

Acerca de BDO

El aprovisionamiento de servicios dentro de la red BDO internacional de firmas miembro independientes ("la red BDO") está coordinada por el Brussels Worldwide Services BVBA, una compañía de responsabilidad limitada incorporada en Bélgica con su posición estatutoria en Bruselas.  

La BDO International Limited (entidad gobernadora de la red BDO), Brussels Worldwide Services BVBA y las firmas miembros son entidades legales independientes y no tienen responsabilidad de los actos u omisiones de las otras entidades. Nada en las disposiciones o normas de la red BDO contribuirá o implicará una relación de agencia o una asociación entre BDO International Limited, Brussels Worldwide Services BVBA y/o las firmas miembro de la red BDO. 

BDO es el nombre comercial de la red BDO y de cada una de las firmas miembro de BDO.  

Los ingresos procedentes de tasas combinados de todas las firmas miembro BDO, incluyendo los miembros de sus exclusivas alianzas, fueron de 6.450 millones de dólares en 2013. La red global ofrece servicios de asesoría en 147 países, con más de 56.000 personas trabajando en 1.264 oficinas en todo el mundo.

Contactos en el Reino Unido
Jim Gee, BDO LLP
Tel: +44(0)20-7893-2830
E-mail: [email protected]

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

Ged Brumby, Smithfield Consultants
Tel: +44(0)20-7903-0674
Móvil: +44(0)7540-412-301
E-mail: [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
The world's leading Cloud event, Cloud Expo has launched Microservices Journal on the SYS-CON.com portal, featuring over 19,000 original articles, news stories, features, and blog entries. DevOps Journal is focused on this critical enterprise IT topic in the world of cloud computing. Microservices Journal offers top articles, news stories, and blog posts from the world's well-known experts and guarantees better exposure for its authors than any other publication. Follow new article posts on Twitter at @MicroservicesE
SYS-CON Events announced today that Litmus Automation will exhibit at SYS-CON's 16th International Cloud Expo®, which will take place on June 9-11, 2015, at the Javits Center in New York City, NY. Litmus Automation’s vision is to provide a solution for companies that are in a rush to embrace the disruptive Internet of Things technology and leverage it for real business challenges. Litmus Automation simplifies the complexity of connected devices applications with Loop, a secure and scalable cloud platform.
Internet of Things (IoT) will be a hybrid ecosystem of diverse devices and sensors collaborating with operational and enterprise systems to create the next big application. In their session at @ThingsExpo, Bramh Gupta, founder and CEO of robomq.io, and Fred Yatzeck, principal architect leading product development at robomq.io, will discuss how choosing the right middleware and integration strategy from the get-go will enable IoT solution developers to adapt and grow with the industry, while at the same time reduce Time to Market (TTM) by using plug and play capabilities offered by a robust I...
SYS-CON Events announced today the IoT Bootcamp – Jumpstart Your IoT Strategy, being held June 9–10, 2015, in conjunction with 16th Cloud Expo and Internet of @ThingsExpo at the Javits Center in New York City. This is your chance to jumpstart your IoT strategy. Combined with real-world scenarios and use cases, the IoT Bootcamp is not just based on presentations but includes hands-on demos and walkthroughs. We will introduce you to a variety of Do-It-Yourself IoT platforms including Arduino, Raspberry Pi, BeagleBone, Spark and Intel Edison. You will also get an overview of cloud technologies s...
Containers and microservices have become topics of intense interest throughout the cloud developer and enterprise IT communities. Accordingly, attendees at the upcoming 16th Cloud Expo at the Javits Center in New York June 9-11 will find fresh new content in a new track called PaaS | Containers & Microservices Containers are not being considered for the first time by the cloud community, but a current era of re-consideration has pushed them to the top of the cloud agenda. With the launch of Docker's initial release in March of 2013, interest was revved up several notches. Then late last...
The WebRTC Summit 2014 New York, to be held June 9-11, 2015, at the Javits Center in New York, NY, announces that its Call for Papers is open. Topics include all aspects of improving IT delivery by eliminating waste through automated business models leveraging cloud technologies. WebRTC Summit is co-located with 16th International Cloud Expo, @ThingsExpo, Big Data Expo, and DevOps Summit.
SOA Software has changed its name to Akana. With roots in Web Services and SOA Governance, Akana has established itself as a leader in API Management and is expanding into cloud integration as an alternative to the traditional heavyweight enterprise service bus (ESB). The company recently announced that it achieved more than 90% year-over-year growth. As Akana, the company now addresses the evolution and diversification of SOA, unifying security, management, and DevOps across SOA, APIs, microservices, and more.
Wearable technology was dominant at this year’s International Consumer Electronics Show (CES) , and MWC was no exception to this trend. New versions of favorites, such as the Samsung Gear (three new products were released: the Gear 2, the Gear 2 Neo and the Gear Fit), shared the limelight with new wearables like Pebble Time Steel (the new premium version of the company’s previously released smartwatch) and the LG Watch Urbane. The most dramatic difference at MWC was an emphasis on presenting wearables as fashion accessories and moving away from the original clunky technology associated with t...
SYS-CON Events announced today that robomq.io will exhibit at SYS-CON's @ThingsExpo, which will take place on June 9-11, 2015, at the Javits Center in New York City, NY. robomq.io is an interoperable and composable platform that connects any device to any application. It helps systems integrators and the solution providers build new and innovative products and service for industries requiring monitoring or intelligence from devices and sensors.
The list of ‘new paradigm’ technologies that now surrounds us appears to be at an all time high. From cloud computing and Big Data analytics to Bring Your Own Device (BYOD) and the Internet of Things (IoT), today we have to deal with what the industry likes to call ‘paradigm shifts’ at every level of IT. This is disruption; of course, we understand that – change is almost always disruptive.
SYS-CON Events announced today that Solgenia will exhibit at SYS-CON's 16th International Cloud Expo®, which will take place on June 9-11, 2015, at the Javits Center in New York City, NY, and the 17th International Cloud Expo®, which will take place on November 3–5, 2015, at the Santa Clara Convention Center in Santa Clara, CA. Solgenia is the global market leader in Cloud Collaboration and Cloud Infrastructure software solutions. Designed to “Bridge the Gap” between Personal and Professional Social, Mobile and Cloud user experiences, our solutions help large and medium-sized organizations dr...
SYS-CON Events announced today that SafeLogic has been named “Bag Sponsor” of SYS-CON's 16th International Cloud Expo® New York, which will take place June 9-11, 2015, at the Javits Center in New York City, NY. SafeLogic provides security products for applications in mobile and server/appliance environments. SafeLogic’s flagship product CryptoComply is a FIPS 140-2 validated cryptographic engine designed to secure data on servers, workstations, appliances, mobile devices, and in the Cloud.
After making a doctor’s appointment via your mobile device, you receive a calendar invite. The day of your appointment, you get a reminder with the doctor’s location and contact information. As you enter the doctor’s exam room, the medical team is equipped with the latest tablet containing your medical history – he or she makes real time updates to your medical file. At the end of your visit, you receive an electronic prescription to your preferred pharmacy and can schedule your next appointment.
GENBAND has announced that SageNet is leveraging the Nuvia platform to deliver Unified Communications as a Service (UCaaS) to its large base of retail and enterprise customers. Nuvia’s cloud-based solution provides SageNet’s customers with a full suite of business communications and collaboration tools. Two large national SageNet retail customers have recently signed up to deploy the Nuvia platform and the company will continue to sell the service to new and existing customers. Nuvia’s capabilities include HD voice, video, multimedia messaging, mobility, conferencing, Web collaboration, deskt...
SYS-CON Media announced today that @WebRTCSummit Blog, the largest WebRTC resource in the world, has been launched. @WebRTCSummit Blog offers top articles, news stories, and blog posts from the world's well-known experts and guarantees better exposure for its authors than any other publication. @WebRTCSummit Blog can be bookmarked ▸ Here @WebRTCSummit conference site can be bookmarked ▸ Here
SYS-CON Events announced today that Cisco, the worldwide leader in IT that transforms how people connect, communicate and collaborate, has been named “Gold Sponsor” of SYS-CON's 16th International Cloud Expo®, which will take place on June 9-11, 2015, at the Javits Center in New York City, NY. Cisco makes amazing things happen by connecting the unconnected. Cisco has shaped the future of the Internet by becoming the worldwide leader in transforming how people connect, communicate and collaborate. Cisco and our partners are building the platform for the Internet of Everything by connecting the...
Temasys has announced senior management additions to its team. Joining are David Holloway as Vice President of Commercial and Nadine Yap as Vice President of Product. Over the past 12 months Temasys has doubled in size as it adds new customers and expands the development of its Skylink platform. Skylink leads the charge to move WebRTC, traditionally seen as a desktop, browser based technology, to become a ubiquitous web communications technology on web and mobile, as well as Internet of Things compatible devices.
Docker is an excellent platform for organizations interested in running microservices. It offers portability and consistency between development and production environments, quick provisioning times, and a simple way to isolate services. In his session at DevOps Summit at 16th Cloud Expo, Shannon Williams, co-founder of Rancher Labs, will walk through these and other benefits of using Docker to run microservices, and provide an overview of RancherOS, a minimalist distribution of Linux designed expressly to run Docker. He will also discuss Rancher, an orchestration and service discovery platf...
SYS-CON Events announced today that Vitria Technology, Inc. will exhibit at SYS-CON’s @ThingsExpo, which will take place on June 9-11, 2015, at the Javits Center in New York City, NY. Vitria will showcase the company’s new IoT Analytics Platform through live demonstrations at booth #330. Vitria’s IoT Analytics Platform, fully integrated and powered by an operational intelligence engine, enables customers to rapidly build and operationalize advanced analytics to deliver timely business outcomes for use cases across the industrial, enterprise, and consumer segments.
SYS-CON Events announced today that Liaison Technologies, a leading provider of data management and integration cloud services and solutions, has been named "Silver Sponsor" of SYS-CON's 16th International Cloud Expo®, which will take place on June 9-11, 2015, at the Javits Center in New York, NY. Liaison Technologies is a recognized market leader in providing cloud-enabled data integration and data management solutions to break down complex information barriers, enabling enterprises to make smarter decisions, faster.