The government is determined to fight against profiteers of all stripes. Gabriel Attal, Minister of Public Accounts unveiled this Monday, May 29, 2023 the details of the plan to fight against social fraud.
According to Gabriel Attal, in 70% of cases, the fraud is initiated by a healthcare professional by over-invoicing or by invoicing for fictitious acts”. For the French State, this represents a shortfall in the order of 6 to 8 billion euros. A real abyss that, according to the Court of Auditors, needs to be filled urgently.
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In a document published in September 2022 and titled “The fight against health insurance fraud”, Social Security investigators declare that “nearly 2/3 of fraud detected is concentrated among professionals health. Nurses, pharmacists, suppliers of medical services and equipment and carriers represent a significant part of the damage. The main grievances relate to non-compliance with regulations or nomenclature, fictitious acts or prescription fraud “. A statistic corroborated by the Court of Auditors, which, according to France Info, estimates that 80% of fraud comes from professionals.
The French will have to report by SMS the inconsistencies observed in their care
How to unmask these cheaters? Mr. Attal explains in the columns of Le Parisien that “from 2025, French people treated in a dental or ophthalmological center will receive by SMS the list of treatments billed to Health Insurance. If they identify inconsistencies, they can report them “. The information provided by patients will then be checked by Social Security employees, who will decide what action to take in the event of a discrepancy.
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In any case, for the Minister, “these reports will make it possible to target professionals or health centers that pose problems “. Among the other measures taken to avoid social fraud, the government has announced that it wants to merge the national identity card and the vital card, or even impose conditions in order to be able to access various allowances.