Healthcare costs are skyrocketing. In 2016, healthcare costs in the US are estimated at nearly 18 percent of the GDP! Healthcare is becoming less affordable worldwide, and a serious chasm is widening between those that can afford healthcare and those that cannot. There are many factors driving the high cost of healthcare, one of them is fraud.
In healthcare, there are several types of fraud including prescription fraud, medical identity fraud, financial fraud, and occupational fraud. The National Health Care Anti-Fraud Association estimates conservatively that health care fraud costs the US about $68 billion annually, which is about three percent of the US total $2.26 trillion in overall healthcare spending. There are two root vulnerabilities in healthcare organizations: insufficient protection of data integrity, and a lack of transparency.