Die Untreuerisiken der Ausgabenträger im Gesundheitswesen

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Abstract: Cost bearers in the healthcare sector have to prevent fraudulent invoicing by third parties at their expense so as not to expose themselves to breach of trust under German law. However, not all of them are equally committed to protecting the money of insured people and taxpayers against fraudulent practices. In this book, the author, whose investigation of a nationwide healthcare fraud scandal was extensively covered by the media, draws attention to this issue. Starting with a description of Germany’s dual healthcare system and typical manipulations regarding the invoicing of healthcare services, he highlights the risks under criminal law that cost bearers face in connection with fraudulent invoicing. He vividly combines the highly complex issues of health law and criminal law with reference to current legal practice. The book makes for insightful reading, not just for health insurance professionals but also for healthcare providers and legal practitioners.