Welcome!

Agile Computing Authors: Yeshim Deniz, Rishi Bhargava, William Schmarzo, Liz McMillan, Elizabeth White

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
SYS-CON Events announced today that MobiDev, a client-oriented software development company, will exhibit at SYS-CON's 20th International Cloud Expo®, which will take place June 6-8, 2017, at the Javits Center in New York City, NY, and the 21st International Cloud Expo®, which will take place October 31-November 2, 2017, at the Santa Clara Convention Center in Santa Clara, CA. MobiDev is a software company that develops and delivers turn-key mobile apps, websites, web services, and complex softw...
DevOps is often described as a combination of technology and culture. Without both, DevOps isn't complete. However, applying the culture to outdated technology is a recipe for disaster; as response times grow and connections between teams are delayed by technology, the culture will die. A Nutanix Enterprise Cloud has many benefits that provide the needed base for a true DevOps paradigm.
What sort of WebRTC based applications can we expect to see over the next year and beyond? One way to predict development trends is to see what sorts of applications startups are building. In his session at @ThingsExpo, Arin Sime, founder of WebRTC.ventures, will discuss the current and likely future trends in WebRTC application development based on real requests for custom applications from real customers, as well as other public sources of information,
China Unicom exhibit at the 19th International Cloud Expo, which took place at the Santa Clara Convention Center in Santa Clara, CA, in November 2016. China United Network Communications Group Co. Ltd ("China Unicom") was officially established in 2009 on the basis of the merger of former China Netcom and former China Unicom. China Unicom mainly operates a full range of telecommunications services including mobile broadband (GSM, WCDMA, LTE FDD, TD-LTE), fixed-line broadband, ICT, data communica...
SYS-CON Events announced today that Ocean9will 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. Ocean9 provides cloud services for Backup, Disaster Recovery (DRaaS) and instant Innovation, and redefines enterprise infrastructure with its cloud native subscription offerings for mission critical SAP workloads.
Things are changing so quickly in IoT that it would take a wizard to predict which ecosystem will gain the most traction. In order for IoT to reach its potential, smart devices must be able to work together. Today, there are a slew of interoperability standards being promoted by big names to make this happen: HomeKit, Brillo and Alljoyn. In his session at @ThingsExpo, Adam Justice, vice president and general manager of Grid Connect, will review what happens when smart devices don’t work togethe...
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.
SYS-CON Events announced today that Auditwerx 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. Auditwerx specializes in SOC 1, SOC 2, and SOC 3 attestation services throughout the U.S. and Canada. As a division of Carr, Riggs & Ingram (CRI), one of the top 20 largest CPA firms nationally, you can expect the resources, skills, and experience of a much larger firm combined with the accessibility and attent...
SYS-CON Events announced today that CA Technologies has been named “Platinum Sponsor” of 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, and the 21st International Cloud Expo®, which will take place October 31-November 2, 2017, at the Santa Clara Convention Center in Santa Clara, CA. CA Technologies helps customers succeed in a future where every business – from apparel to energy – is being rewritten by software. From ...
SYS-CON Events announced today that Technologic Systems Inc., an embedded systems solutions company, 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. Technologic Systems is an embedded systems company with headquarters in Fountain Hills, Arizona. They have been in business for 32 years, helping more than 8,000 OEM customers and building over a hundred COTS products that have never been discontinued. Technologic Systems’ pr...
SYS-CON Events announced today that HTBase 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. HTBase (Gartner 2016 Cool Vendor) delivers a Composable IT infrastructure solution architected for agility and increased efficiency. It turns compute, storage, and fabric into fluid pools of resources that are easily composed and re-composed to meet each application’s needs. With HTBase, companies can quickly prov...
SYS-CON Events announced today that Loom Systems 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 2015, Loom Systems delivers an advanced AI solution to predict and prevent problems in the digital business. Loom stands alone in the industry as an AI analysis platform requiring no prior math knowledge from operators, leveraging the existing staff to succeed in the digital era. With offices in S...
Buzzword alert: Microservices and IoT at a DevOps conference? What could possibly go wrong? In this Power Panel at DevOps Summit, moderated by Jason Bloomberg, the leading expert on architecting agility for the enterprise and president of Intellyx, panelists peeled away the buzz and discuss the important architectural principles behind implementing IoT solutions for the enterprise. As remote IoT devices and sensors become increasingly intelligent, they become part of our distributed cloud enviro...
SYS-CON Events announced today that T-Mobile 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. As America's Un-carrier, T-Mobile US, Inc., is redefining the way consumers and businesses buy wireless services through leading product and service innovation. The Company's advanced nationwide 4G LTE network delivers outstanding wireless experiences to 67.4 million customers who are unwilling to compromise on ...
SYS-CON Events announced today that Infranics 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. Since 2000, Infranics has developed SysMaster Suite, which is required for the stable and efficient management of ICT infrastructure. The ICT management solution developed and provided by Infranics continues to add intelligence to the ICT infrastructure through the IMC (Infra Management Cycle) based on mathemat...
SYS-CON Events announced today that Interoute, owner-operator of one of Europe's largest networks and a global cloud services platform, has been named “Bronze Sponsor” of SYS-CON's 20th Cloud Expo, which will take place on June 6-8, 2017 at the Javits Center in New York, New York. Interoute is the owner-operator of one of Europe's largest networks and a global cloud services platform which encompasses 12 data centers, 14 virtual data centers and 31 colocation centers, with connections to 195 add...
SYS-CON Events announced today that Cloudistics, an on-premises cloud computing company, has been named “Bronze Sponsor” of 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. Cloudistics delivers a complete public cloud experience with composable on-premises infrastructures to medium and large enterprises. Its software-defined technology natively converges network, storage, compute, virtualization, and management into a ...
In his session at @ThingsExpo, Eric Lachapelle, CEO of the Professional Evaluation and Certification Board (PECB), will provide an overview of various initiatives to certifiy the security of connected devices and future trends in ensuring public trust of IoT. Eric Lachapelle is the Chief Executive Officer of the Professional Evaluation and Certification Board (PECB), an international certification body. His role is to help companies and individuals to achieve professional, accredited and worldw...
In his General Session at 16th Cloud Expo, David Shacochis, host of The Hybrid IT Files podcast and Vice President at CenturyLink, investigated three key trends of the “gigabit economy" though the story of a Fortune 500 communications company in transformation. Narrating how multi-modal hybrid IT, service automation, and agile delivery all intersect, he will cover the role of storytelling and empathy in achieving strategic alignment between the enterprise and its information technology.
Microservices are a very exciting architectural approach that many organizations are looking to as a way to accelerate innovation. Microservices promise to allow teams to move away from monolithic "ball of mud" systems, but the reality is that, in the vast majority of organizations, different projects and technologies will continue to be developed at different speeds. How to handle the dependencies between these disparate systems with different iteration cycles? Consider the "canoncial problem" ...