Assurance Maladie Deconventions Seven Health Centers for 6.6 Million Euros in Fraud
The centers, part of a single network across France, were found guilty of billing irregularities and unnecessary treatments, highlighting systemic vulnerabilities under the 100% health reform.
- Assurance Maladie has deconventioned seven health centers across Bourgogne-Franche-Comté, Grand-Est, Bretagne, Ile-de-France, and Normandie for fraudulent practices.
- Fraudulent activities included billing for unperformed procedures, unnecessary treatments, and systematic billing unrelated to patients' medical conditions.
- The financial loss from these practices exceeded 6.6 million euros, with investigations conducted in collaboration with law enforcement and regulatory bodies.
- Two of the health centers have closed—one voluntarily and another after losing its operating authorization.
- The case underscores vulnerabilities in the healthcare payment system under the 100% health reform, which introduced generalized third-party payment, enabling large-scale fraud.
Marianne 
Sud Ouest 