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La fraude est-elle gérable ? Application au cas des assurances complémentaires santé

Author

Listed:
  • Nicolas Dufour

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

  • Emmanuel Laffort

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

Abstract

Fraud is a cyclical field of study while it should be a continuous one. The field is studied when fraud comes in the newspaper but — despite some isolated initiatives — become more or less neglected as time passes and until next case. Unfortunately, these initiatives are often normative and organizations may feel reasonably protected from fraud in following anti-fraud schemes. This raises the question of the capacity of organizations to adopt a structured response against fraud. Based on a case study in the field of complementary health insurance, we suggest that considering appropriation is a useful way to help managing fraud.

Suggested Citation

  • Nicolas Dufour & Emmanuel Laffort, 2018. "La fraude est-elle gérable ? Application au cas des assurances complémentaires santé," Post-Print hal-03335959, HAL.
    • Handle: RePEc:hal:journl:hal-03335959
    DOI: 10.3917/resg.126.0211
    Note: View the original document on HAL open archive server: https://hal.science/hal-03335959
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    References listed on IDEAS

    as
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    5. repec:dau:papers:123456789/9865 is not listed on IDEAS
    6. Henri Savall & Véronique Zardet, 2004. "Recherche en Sciences de Gestion : Approche Qualimétrique, observer l'objet complexe," Post-Print halshs-01853397, HAL.
    7. Mahito Okura, 2013. "The relationship between moral hazard and insurance fraud," Journal of Risk Finance, Emerald Group Publishing, vol. 14(2), pages 120-128, February.
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    Cited by:

    1. Emmanuel Laffort & Nicolas Dufour, 2021. "Prise en compte de la fraude dans les organisations : comment libérer la parole ?," Post-Print hal-03336041, HAL.

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