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Assurés, cliniques, pharmaciens Qui sont les principaux fraudeurs repérés par l’Assurance maladie ?
In 2024, detected fraud against the French Assurance Maladie (health insurance) reached €628 million, more than doubling in five years. The majority (€416 million) originated from healthcare professionals, followed by insured individuals (€109 million), and hospitals/clinics (€14%). Pharmacists, nurses, and transport providers also contributed significantly. Fraudulent sick leave claims among insured individuals totaled €42 million, a 2.4x increase from 2023, attributed to fake sick leave certificates sold online. The Assurance Maladie is responding by enhancing its digital tools and increasing staff to combat increasingly organized and sophisticated fraud.
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