Health insurance system defrauded of NT$300 million in 2015: NHIA

Focus Taiwan
Date: 2016/03/07
By: Chang Ming-hsuan and Elizabeth Hsu

Taipei, March 7 (CNA) A total of 383 hospitals, clinics and pharmacies defrauded Taiwan’s health insurance system of more than NT$300 million (US$9.16 million) in 2015, the most ever in a single year, the National Health Insurance Administration (NHIA) said Monday.

Kao Shih-hao (高世豪), a senior NHIA official, said that the funds have been recovered and the institutions involved punished, including having their contracts with the NHIA revoked.

Some 171 institutions involved in the more serious cases of fraud have been turned over to prosecutors.

The NHIA conducted surprise inspections of 803 medical institutions last year and found 383 filing false reimbursement claims to defraud the national health insurance system, Kao said.

The amount that was found to be collected through false claims was three times more than was uncovered the previous year and the most ever in any single year, Kao said.     [FULL  STORY]