{"id":5696,"date":"2017-01-25T10:54:56","date_gmt":"2017-01-25T10:54:56","guid":{"rendered":"https:\/\/stage2.eisep.si\/?p=5696"},"modified":"2020-08-18T10:56:55","modified_gmt":"2020-08-18T10:56:55","slug":"goljufanje-zdravstvene-blagajne-in-29-milionov-evrov-za-zvizgacki","status":"publish","type":"post","link":"https:\/\/www.eisep.si\/en\/blog\/goljufanje-zdravstvene-blagajne-in-29-milionov-evrov-za-zvizgacki\/","title":{"rendered":"Cheating the health fund and \u20ac 29 million for whistleblowers"},"content":{"rendered":"
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CHEATING HEALTH TREASURY AND 29 MILLION FOR WHISTLEBLOWERS<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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In my work, I often meet individuals who know about irregularities in various organizations, including the public sector. Especially when it comes to public procurement and big money. They often talk about matters, but do not choose to make a formal application or provide more detailed information. Such a man is afraid that it will become known that he was the one who filed the complaint and that he will become the object of revenge. I have heard all kinds of fears - from fear of losing a job, to fear for the life or safety of the family.<\/span><\/p>

I was always frustrated because I could offer nothing to such people except my promise to protect their identity. Most of the time, that promise didn\u2019t help either. \"Very few of us know about this thing and they will know that I told you because I was already critical of it at work,\" is a very common answer you will hear.
When I was still working on the Commission for Prevention corruption, we contacted an individual (I will use a male gender, although this person may also have been a woman - the applicant's identity is still protected today), who had information that the prosecutor from Murska Sobota, Robert Stojko, demanded a bribe in one of the criminal cases. matters. The applicant feared what would happen if it became known that he was? What if influential individuals or institutions take revenge on him? It took a lot of meetings and a lot of assurances that we would really protect his identity when he finally just decided to cooperate. At the time, we involved the police, who carried out an operative combination and arrested the prosecutor at a restaurant at the time he was receiving the bribe.
I was shocked by what followed. Some media outlets competed in guessing who was the one who \u201cbetrayed\u201d the prosecutor. Until we as a CCP were threatened with a fine (ZIntPK allows this) for trying to reveal the identity of the applicant, this did not stop. In the end, the prosecutor was sentenced to prison, and the identity of the applicant is still known to only a few individuals. I could say that this is a success story.
In Slovenia, we still do not have a systemic opportunity to offer adequate incentives at least to those applicants who are afraid of losing their job or losing their job because they will cooperate with the competent authorities. But the solutions are quite simple.
I have in mind a current case from the USA. Two nurses from the chain of private therapy centers Life Care Centers of America (LCCA) have revealed to the U.S. government that the LCCA has been issuing false claims for therapies to the Medicare public coffers for years. The applicants revealed that between 2006 and 2013, the LCCA \"made a systematic effort to increase Medicare bills\". Simply put, the LCCA included patients in therapies they did not need and extended the duration of therapies when they were no longer needed. An investigation was launched and the LCCA eventually settled with the U.S. Department of Justice as part of a lawsuit in which both nurses were also involved based on qui. The LCCA paid $ 145 million under this settlement. Both nurses received an award as applicants of $ 29 million. I conclude that they don't care about their existence today.
If they cheated on Medicare like that, is it really impossible for them to cheat on our Health Insurance Institute? Given all the procedures for corruption in healthcare, of course, there is no room for naivety. What about incentives for applicants?
The US MoD's message in this case can be found at this link<\/em><\/a>.<\/p>

Rok Praprotnik<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"

GOLJUFANJE ZDRAVSTVENE BLAGAJNE IN 29 MILIJONOV ZA \u017dVI\u017dGA\u010cKI Pri svojem delu se pogosto sre\u010dujem s posamezniki, ki vedo za nepravilnosti v razli\u010dnih organizacijah, tudi v javnem sektorju. Predvsem, ko gre […]<\/p>\n","protected":false},"author":1,"featured_media":5490,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[6,9,10],"tags":[],"class_list":["post-5696","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-compliance","category-corruption-risk","category-ethics"],"yoast_head":"\nGoljufanje zdravstvene blagajne in 29 milionov evrov za \u017evi\u017ega\u010dki - EISEP<\/title>\n<meta name=\"description\" content=\"Evropski in\u0161titut za skladnost in etiko poslovanja povezuje in izobra\u017euje strokovnjake za skladnost v Sloveniji in Adria - Sava regiji.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.eisep.si\/en\/blog\/goljufanje-zdravstvene-blagajne-in-29-milionov-evrov-za-zvizgacki\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Goljufanje zdravstvene blagajne in 29 milionov evrov za \u017evi\u017ega\u010dki - 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