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Start Date

16-8-2018 12:00 AM

Description

The purpose of this study is to understand how developing countries can deploy biometric technology to fight fraud in national health insurance. Information systems research has discussed the use and impact of ICTs in fighting corruption. However, little is known about biometric technology and national health insurance fraud. To fill this knowledge gap, this paper draws on interpretive case study methodology and sociomateriality theory to investigate Ghana’s experience in using biometric technology to fight national health insurance fraud. The findings show that health insurance fraud can be reduced by employing an integrated solution of social and technical systems comprising: 1) online biometric enrollment of members and verification at the point of health service delivery; 2) use of complementary technologies such as e-claims and 3) operational policies such as the use clinicians in vetting service providers' claims.

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Aug 16th, 12:00 AM

Biometric Technology for Fighting Fraud in National Health Insurance: Ghana's Experience

The purpose of this study is to understand how developing countries can deploy biometric technology to fight fraud in national health insurance. Information systems research has discussed the use and impact of ICTs in fighting corruption. However, little is known about biometric technology and national health insurance fraud. To fill this knowledge gap, this paper draws on interpretive case study methodology and sociomateriality theory to investigate Ghana’s experience in using biometric technology to fight national health insurance fraud. The findings show that health insurance fraud can be reduced by employing an integrated solution of social and technical systems comprising: 1) online biometric enrollment of members and verification at the point of health service delivery; 2) use of complementary technologies such as e-claims and 3) operational policies such as the use clinicians in vetting service providers' claims.