Healthcare professional fraud in France

Reports from the General Inspectorates of Finance (IGF) and Social Affairs (IGAS) have identified healthcare professionals as primary contributors to social fraud in France. In 2024, detected fraud involving these professionals amounted to 433 million euros, accounting for approximately 68.9% of total identified fraud despite representing only 27% of processed files.

Subsequent data indicates that while individual fraud accounts for a high volume of cases, a small number of high-value files involving practitioners represent the majority of financial losses. In 2025, fraud involving liberal healthcare professionals or those posing as such represented 73.5% of the 723 million euros in fraud detected and stopped by the health insurance fund.

To address these losses and the growing deficits in the social security system, inspectors recommend shifting anti-fraud efforts away from small-scale individual cases toward healthcare professionals. Proposed measures include tightening third-party payment procedures and strengthening requirements for the use of the Vitale card to ensure the sustainability of the Assurance Maladie.