{"id":987792411,"date":"2025-11-24T07:07:54","date_gmt":"2025-11-24T06:07:54","guid":{"rendered":"https:\/\/p4h.world\/?post_type=documents&#038;p=987792411"},"modified":"2025-12-01T08:32:43","modified_gmt":"2025-12-01T07:32:43","slug":"rebuilding-trust-combating-fraud-waste-and-abuse-in-indias-health-insurance-ecosystem","status":"publish","type":"documents","link":"https:\/\/p4h.world\/en\/documents\/rebuilding-trust-combating-fraud-waste-and-abuse-in-indias-health-insurance-ecosystem\/","title":{"rendered":"Rebuilding Trust: Combating Fraud, Waste, and Abuse in India\u2019s Health Insurance Ecosystem"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; admin_label=&#8221;!!! PLEASE DO NOT EDIT !!!&#8221; _builder_version=&#8221;4.16&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_row admin_label=&#8221;!!! PLEASE DO NOT EDIT !!!&#8221; _builder_version=&#8221;4.16&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text admin_label=&#8221;TO BE EDITED &#8211; TEXT &#8211; Click on the WHEEL icon to open the text-area where you can type your text. Add a paragraph to introduce the Document&#8221; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>The report highlights the urgent need to curb Fraud, Waste, and Abuse (FWA) in India\u2019s health insurance sector, where annual losses of \u20b98,000\u201310,000 crore threaten financial sustainability and public trust. It proposes a three-pillar strategy\u2014<strong>Prevention, Detection, and Deterrence<\/strong>\u2014supported by standardized pricing, AI-driven analytics, legal enforcement, and interoperable digital platforms. By embedding transparency, accountability, and technology-enabled integrity, the roadmap aims to reduce FWA leakage to below 1% by 2047 and strengthen the foundations of a universal, trustworthy health financing system.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>The report highlights the urgent need to curb Fraud, Waste, and Abuse (FWA) in India\u2019s health insurance sector, where annual losses of \u20b98,000\u201310,000 crore threaten financial sustainability and public trust. It proposes a three-pillar strategy\u2014Prevention, Detection, and Deterrence\u2014supported by standardized pricing, AI-driven analytics, legal enforcement, and interoperable digital platforms. By embedding transparency, accountability, and technology-enabled&#8230;<\/p>\n","protected":false},"author":2098,"featured_media":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":""},"categories":[],"tags":[115,134],"document_type":[2336],"acf":[],"_links":{"self":[{"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/documents\/987792411"}],"collection":[{"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/documents"}],"about":[{"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/types\/documents"}],"author":[{"embeddable":true,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/users\/2098"}],"replies":[{"embeddable":true,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/comments?post=987792411"}],"version-history":[{"count":4,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/documents\/987792411\/revisions"}],"predecessor-version":[{"id":987792435,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/documents\/987792411\/revisions\/987792435"}],"wp:attachment":[{"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/media?parent=987792411"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/categories?post=987792411"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/tags?post=987792411"},{"taxonomy":"document_type","embeddable":true,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/document_type?post=987792411"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}