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Compulsory Health Insurance: Fraud is a sad reality in the sector, according to Abdou A. Touré

28/06/2021
Categories: Sectors

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During the training on Compulsory Health Insurance (AMO) fraud organized by the Citizen Action for the Republic Journalists Network (JCAR), Abdou A. Touré, Deputy Director General of the General Directorate of the Malian Health Insurance Fund (CANAM) has acknowledged that fraud is a sad reality in the Compulsory Health Insurance (AMO) sector. According to him, it remains difficult to know how much the cases of fraud have cost the operation of the National Health Insurance Fund.

CANAM, in the implementation of agreements that bind it to healthcare providers, is increasingly seeing various cases of fraud, in particular: identity fraud; document fraud; fictitious acts billed by service providers; contribution fraud. In partnership with CANAM, the training on AMO fraud for publication directors and editors had the theme: "Challenges and issues of the negative impact of fraud in the field of AMO ". The objective is to better equip journalists on AMO fraud, in order to help CANAM officials in their fight against this scourge which tends to undermine all management efforts. The opening ceremony was chaired by the DGA of CANAM, Abdou A. Touré, in the presence of the president of JCAR, Abdrahamane Maiga and about twenty directors of publication and editors-in-chief.

The DGA of CANAM believes that at the current state of implementation of the Compulsory Health Insurance Scheme, it remains difficult to know how much the cases of fraud have cost the operation of the National Health Insurance Fund. According to Abdou A. Touré, there are different forms of fraud attributable to the multiplicity of actors involved in the management of AMO, thus making their detection more complex. Faced with this situation, the DGA revealed that measures to fight against fraud have been taken by CANAM through the action plan to fight against fraud and the establishment of bodies to fight against this practice.

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