Health systems are highly vulnerable to integrity violations. Government-sponsored health insurance schemes (GSHISs) in India have received a major policy focus with the Government of India launching the Ayushman Bharat - Pradhan Mantri Jan Arogya Yojana (PM-JAY) in September 2018. The unprecedented population coverage and scope of services in the PM-JAY is likely to pose immense challenges for fraud management. The Insurance Regulatory Development...
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详细
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2018/11/01
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报告
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AUS0000676
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1
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1
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2019/04/17
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Disclosed
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India - Case Study on Institutional Arrangement for Detecting Fraud in Government Health Insurance Program : Anti-Fraud Efforts in Government-Sponsored Health Insurance Schemes in Four Indian States
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investment in human resources