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Assurés, cliniques, pharmaciens Qui sont les principaux fraudeurs repérés par l’Assurance maladie ?

La fraude identifiée par l’Assurance maladie a atteint 628 millions d’euros en 2024, et provient en majorité de professionnels de santé



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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