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Lutte anti-fraude : moyens de maîtrise envisageables dans le secteur des mutuelles

Author

Listed:
  • Emmanuel Laffort

    (CREG - Centre de recherche et d'études en gestion - UPPA - Université de Pau et des Pays de l'Adour)

  • Nicolas Dufour Docteur En Gestion

    (PSB - Paris School of Business - HESAM - HESAM Université - Communauté d'universités et d'établissements Hautes écoles Sorbonne Arts et métiers université)

Abstract

Les mutuelles santé ont pris conscience tardivement de l'enjeu financier et d'image que représente la fraude aux prestations santé. Ce risque opérationnel, situé sur le coeur de métier des mutuelles, fait aujourd'hui l'objet d'une réelle attention dans la déclinaison des politiques de contrôle interne et de gestion des risques. L'objet de cet article est de mieux cerner les enjeux associés à ce type de fraudes et les actions de maîtrise possibles pour des mutuelles et assureurs de personnes confrontés à l'enjeu de la fraude.

Suggested Citation

  • Emmanuel Laffort & Nicolas Dufour Docteur En Gestion, 2018. "Lutte anti-fraude : moyens de maîtrise envisageables dans le secteur des mutuelles," Post-Print hal-03335990, HAL.
    • Handle: RePEc:hal:journl:hal-03335990
    Note: View the original document on HAL open archive server: https://hal.science/hal-03335990
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