The $272 billion swindle - Why thieves love America’s health-care systemhttp://www.economist.com/news/united-states/21603078-why-thieves-love-americas-health-care-system-272-billion-swindle
The problem is equally bad in India, where most government insurance schemes and health insurers have accepted that fraud is part of the "cost " of doing business !
Sadly, this hurts honest doctors and good hospitals ( and their patients as well) , because all healthcare providers are now being treated as crooks , and payments are delayed or denied.
The good news is that health insurers have an opporunity to fix the problem by investing in technology. If they invest in Information Therapy and EMRs, the electronic trail will encourage openness and transparency, and make it much harder for cheats to perpetrate fraud.