To inform the Malian press about the reform of the Universal Health Insurance scheme (Ramu) and the problem of fraud in the Compulsory Health Insurance scheme (Amo), the Information, Communication and Advocacy initiative sur la protection sociale au Mali (ICP-Mali), in partnership with the Caisse nationale d’assurance maladie CANAM, organized a day of exchanges at the Maison du partenariat, this Thursday, September 9.
According to CANAM’s technical advisor, the law establishing the insurance scheme provides for sanctions that may be civil, criminal, conventional or even ordinal. Mentioned in articles 60 and 61, the perpetrator of the fraud may be punished by a fine of 65 000 to 325 000 F CFA and repayment of sums wrongly received under the AMO.
Healthcare providers guilty of fraud or misrepresentation are liable to fines ranging from 130 000 to 650 000 F CFA.
Workshop participants are expected to act as ambassadors for the fight against compulsory health insurance fraud, and for the gradual introduction of a universal health insurance scheme.
