Health Shield – the award-winning corporate health cash plan provider − has combined forces with the industry’s biggest players to tackle the growing problem of healthcare fraud.
The Health Insurance Counter Fraud Group (HICFG) is designed to stamp out fraud through joint working and shared intelligence. It provides members with a technical platform to distribute information, in order to prevent and detect fraudulent behaviour within the healthcare market.
The non-profit making Friendly Society has become an Associate Member of the group, which meets regularly to highlight issues, such as medical negligence, benefit cheats and scams.
Jonathan Burton, chief executive at Health Shield, commented: “Our members’ interests are always at the forefront of everything that we do. We are acutely aware that the widespread issue of fraud within the industry can impact heavily upon them if decisive action is not taken against the problem.”
Health Shield’s decision to join the industry-wide group, follows the introduction earlier this year of a new provision to protect its members against fraudulent claims and misuse – activity that it strongly believes has a negative effect on the interests of its members generally.
The Friendly Society is taking a firm stance on the issue by promising to remove any member who attempts to make a fraudulent claim. The bold move will ensure that all claims are genuine, and allow Health Shield to continue paying out over 80 per cent of its contributions to members in the form of benefits.
Melanie Price, claims manager at Health Shield, added: “We believe it is essential to tackle fraudulent behaviour head on, to ensure the majority of our members do not suffer because of certain individuals abusing the system. By proactively addressing this problem, the Steering Committee aims to regain control and ensure that healthcare fraud is quashed.”
The HICFG – in partnership with the Association of British Insurers (ABI) – is subscribed to by 29 health-related insurance companies, including 10 of the largest private medical insurers. The membership also comprises serious and critical illness insurers, re-insurers, health-related expat insurers and health cash plan insurers.