Proactive Shields: Strengthening Preventive Strategies Against Product Diversion in India’s Pharma Industry

Proactive Shields: Strengthening Preventive Strategies Against Product Diversion in India’s Pharma Industry

The Indian pharmaceutical sector is increasingly facing a formidable challenge — the diversion of institutional drugs to retail markets. This issue, predominantly orchestrated by sales representatives and stockiest, is eroding market integrity and posing risks to public health and ethics.

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Fraud, Waste and Abuse Schemes in the Addiction Treatment Industry

Fraud, Waste and Abuse Schemes in the Addiction Treatment Industry

With addiction being the most severe form of Substance use disorder (SUD), symptoms can range from moderate to severe. In 2021, drug abuse was added to the list of high-risk situations by the Government Accountability Office (GAO). GAO high-risk list are areas susceptible to increased fraud, waste and abuse.  

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Case Study: Florida Nurse Convicted of $200 million Medicare Fraud 

Case Study: Florida Nurse Convicted of $200 million Medicare Fraud 

Medicare fraud poses a significant threat to the integrity and sustainability of the Medicare program. Various estimates suggest Medicare fraud drains up to $60 billion from the healthcare system each year. This massive level of fraud not only harms taxpayers but also jeopardizes medical care for the 59 million Americans who rely on Medicare. With 10,000 new Medicare enrollees daily and rising healthcare costs, addressing fraud is crucial for Medicare's future solvency and ability to deliver service

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Common Telehealth Fraud Schemes You Should Know About

Common Telehealth Fraud Schemes You Should Know About

Traditionally, telehealth has been used to treat patients who cannot consult with a physician in an office setting. Such patients often live in rural areas that lack nearby physicians. Technological advances have led to new types of telehealth services, which are now used for public education, administrative functions and other purposes. Additionally, as the coronavirus pandemic demonstrates, the demand for telehealth services will continue to grow because these services can be more convenient and safe. These factors have caused rapid growth in the telehealth industry, as well as new types of fraud.

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