Welcome!

Agile Computing Authors: Yeshim Deniz, Pat Romanski, ManageEngine IT Matters, Stackify Blog, Liz McMillan

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
Most technology leaders, contemporary and from the hardware era, are reshaping their businesses to do software in the hope of capturing value in IoT. Although IoT is relatively new in the market, it has already gone through many promotional terms such as IoE, IoX, SDX, Edge/Fog, Mist Compute, etc. Ultimately, irrespective of the name, it is about deriving value from independent software assets participating in an ecosystem as one comprehensive solution.
SYS-CON Events announced today that EARP will exhibit at SYS-CON's 20th International Cloud Expo®, which will take place on June 6-8, 2017, at the Javits Center in New York City, NY. "We are a software house, so we perfectly understand challenges that other software houses face in their projects. We can augment a team, that will work with the same standards and processes as our partners' internal teams. Our teams will deliver the same quality within the required time and budget just as our partn...
SYS-CON Events announced today that delaPlex will exhibit at SYS-CON's @ThingsExpo, which will take place on June 6-8, 2017, at the Javits Center in New York City, NY. delaPlex pioneered Software Development as a Service (SDaaS), which provides scalable resources to build, test, and deploy software. It’s a fast and more reliable way to develop a new product or expand your in-house team.
SYS-CON Events announced today that Tappest will exhibit MooseFS at SYS-CON's 20th International Cloud Expo®, which will take place on June 6-8, 2017, at the Javits Center in New York City, NY. MooseFS is a breakthrough concept in the storage industry. It allows you to secure stored data with either duplication or erasure coding using any server. The newest – 4.0 version of the software enables users to maintain the redundancy level with even 50% less hard drive space required. The software func...
In his keynote at @ThingsExpo, Chris Matthieu, Director of IoT Engineering at Citrix and co-founder and CTO of Octoblu, focused on building an IoT platform and company. He provided a behind-the-scenes look at Octoblu’s platform, business, and pivots along the way (including the Citrix acquisition of Octoblu).
SYS-CON Events announced today that Systena America will exhibit at SYS-CON's 20th International Cloud Expo®, which will take place on June 6-8, 2017, at the Javits Center in New York City, NY. Systena Group has been in business for various software development and verification in Japan, US, ASEAN, and China by utilizing the knowledge we gained from all types of device development for various industries including smartphones (Android/iOS), wireless communication, security technology and IoT serv...
SYS-CON Events announced today that Outscale will exhibit at SYS-CON's 20th International Cloud Expo®, which will take place on June 6-8, 2017, at the Javits Center in New York City, NY. Outscale's technology makes an automated and adaptable Cloud available to businesses, supporting them in the most complex IT projects while controlling their operational aspects. You boost your IT infrastructure's reactivity, with request responses that only take a few seconds.
DevOps at Cloud Expo – being held October 31 - November 2, 2017, at the Santa Clara Convention Center in Santa Clara, CA – announces that its Call for Papers is open. Born out of proven success in agile development, cloud computing, and process automation, DevOps is a macro trend you cannot afford to miss. From showcase success stories from early adopters and web-scale businesses, DevOps is expanding to organizations of all sizes, including the world's largest enterprises – and delivering real r...
SYS-CON Events announced today that delaPlex will exhibit at SYS-CON's @CloudExpo, which will take place on June 6-8, 2017, at the Javits Center in New York City, NY. delaPlex pioneered Software Development as a Service (SDaaS), which provides scalable resources to build, test, and deploy software. It’s a fast and more reliable way to develop a new product or expand your in-house team.
Five years ago development was seen as a dead-end career, now it’s anything but – with an explosion in mobile and IoT initiatives increasing the demand for skilled engineers. But apart from having a ready supply of great coders, what constitutes true ‘DevOps Royalty’? It’ll be the ability to craft resilient architectures, supportability, security everywhere across the software lifecycle. In his keynote at @DevOpsSummit at 20th Cloud Expo, Jeffrey Scheaffer, GM and SVP, Continuous Delivery Busine...
SYS-CON Events announced today that Outscale, a global pure play Infrastructure as a Service provider and strategic partner of Dassault Systèmes, will exhibit at SYS-CON's 20th International Cloud Expo®, which will take place on June 6-8, 2017, at the Javits Center in New York City, NY. Founded in 2010, Outscale simplifies infrastructure complexities and boosts the business agility of its customers. Outscale delivers a secure, reliable and industrial strength solution for its customers, which in...
In order to meet the rapidly changing demands of today’s customers, companies are continually forced to redefine their business strategies in order to meet these needs, stay relevant and continue to see profitable growth. IoT deployment and development is integral in this transformation, and today businesses are increasingly seeing the value of investing their resources into IoT deployments. These technologies are able increase ROI through projects such as connecting supply chains or enabling sm...
SYS-CON Events announced today that CollabNet, a global leader in enterprise software development, release automation and DevOps solutions, will be a Bronze Sponsor of SYS-CON's 20th International Cloud Expo®, taking place from June 6-8, 2017, at the Javits Center in New York City, NY. CollabNet offers a broad range of solutions with the mission of helping modern organizations deliver quality software at speed. The company’s latest innovation, the DevOps Lifecycle Manager (DLM), supports Value S...
A strange thing is happening along the way to the Internet of Things, namely far too many devices to work with and manage. It has become clear that we'll need much higher efficiency user experiences that can allow us to more easily and scalably work with the thousands of devices that will soon be in each of our lives. Enter the conversational interface revolution, combining bots we can literally talk with, gesture to, and even direct with our thoughts, with embedded artificial intelligence, whic...
Everywhere we turn in our industry we can find strong opinions about the direction, type and nature of cloud’s impact on computing and business. Another word that is used in every context in our industry is “hybrid.” In his session at 20th Cloud Expo, Alvaro Gonzalez, Director of Technical, Partner and Field Marketing at Peak 10, will use a combination of a few conceptual props and some research recently commissioned by Peak 10 to offer a real-world consideration of how the various categories of...
SYS-CON Events announced today that Peak 10, Inc., a national IT infrastructure and cloud services provider, will exhibit at SYS-CON's 20th International Cloud Expo®, which will take place on June 6-8, 2017, at the Javits Center in New York City, NY. Peak 10 provides reliable, tailored data center and network services, cloud and managed services. Its solutions are designed to scale and adapt to customers’ changing business needs, enabling them to lower costs, improve performance and focus intern...
SYS-CON Events announced today that Super Micro Computer, Inc., a global leader in compute, storage and networking technologies, will exhibit at SYS-CON's 20th International Cloud Expo®, which will take place on June 6-8, 2017, at the Javits Center in New York City, NY. Supermicro (NASDAQ: SMCI), the leading innovator in high-performance, high-efficiency server technology, is a premier provider of advanced server Building Block Solutions® for Data Center, Cloud Computing, Enterprise IT, Hadoop/...
Multiple data types are pouring into IoT deployments. Data is coming in small packages as well as enormous files and data streams of many sizes. Widespread use of mobile devices adds to the total. In this power panel at @ThingsExpo, moderated by Conference Chair Roger Strukhoff, panelists will look at the tools and environments that are being put to use in IoT deployments, as well as the team skills a modern enterprise IT shop needs to keep things running, get a handle on all this data, and deli...
In his opening keynote at 20th Cloud Expo, Michael Maximilien, Research Scientist, Architect, and Engineer at IBM, will motivate why realizing the full potential of the cloud and social data requires artificial intelligence. By mixing Cloud Foundry and the rich set of Watson services, IBM's Bluemix is the best cloud operating system for enterprises today, providing rapid development and deployment of applications that can take advantage of the rich catalog of Watson services to help drive insigh...
SYS-CON Events announced today that SoftLayer, an IBM Company, has been named “Gold Sponsor” of SYS-CON's 18th Cloud Expo, which will take place on June 7-9, 2016, at the Javits Center in New York, New York. SoftLayer, an IBM Company, provides cloud infrastructure as a service from a growing number of data centers and network points of presence around the world. SoftLayer’s customers range from Web startups to global enterprises.