>> There’s obviously very little the govt can do to check or know
This is exactly why the government should not sponsor billion dollar projects. If they had a direct relationship between patients and medical providers and insurer and insured it would be much harder to create these sort of schemes.
"The idea is to help insurers lower the damage suffered by fraudulent claims, an amount of 11 million euros last year. According to Privacy Barometer, the vast majority of that damage can be attributed to fraud committed by healthcare providers or intermediaries. Patients themselves are only responsible for 1.4 million of the 11 million euros in health insurance fraud."
This is exactly why the government should not sponsor billion dollar projects. If they had a direct relationship between patients and medical providers and insurer and insured it would be much harder to create these sort of schemes.
Netherlands has interesting progress:
https://nltimes.nl/2016/09/14/netherlands-gives-insurers-acc...
"The idea is to help insurers lower the damage suffered by fraudulent claims, an amount of 11 million euros last year. According to Privacy Barometer, the vast majority of that damage can be attributed to fraud committed by healthcare providers or intermediaries. Patients themselves are only responsible for 1.4 million of the 11 million euros in health insurance fraud."