Time to shift away from the traditional FWA detection approach

ACCORDING TO the National Office of Statistics healthcare spend in the UK was in excess of £280B in 2021, this amounts to £4,188 per person including both NHS and private healthcare spending. The NHS counter fraud authority found and prevented £500M in healthcare fraud between the years 2020 and 2023, with prescription charge evasion contributing upwards of £93M to the figure. For private healthcare the figures are just as alarming. The Association of British Insurers estimated at least 5% of private medical healthcare claims are fraudulent and accelerating year on year.

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