The private healthcare insurance sector is rarely the subject of criminological analysis unless seen as corrupt. It is even more unusual that it is the subject of analysis as a victim of fraud. This paper is thus different in that it establishes a picture of international private healthcare insurance sectors approach in preventing fraud and providing healthcare services. We start by explaining why the private health insurance markets exist. This is followed by the methods employed to secure innovative data from the private health insurance sector. The results of the research conducted in collaboration with the International Federation of Health Plans are then presented. A discussion on key aspects of this research is then examined before we lastly, consider a way forward and the development of fraud resilience in the private insurance healthcare market.

除非被视为腐败，否则私人医疗保险部门很少成为犯罪学分析的对象。更不寻常的是，它是作为欺诈受害者进行分析的对象。因此，本文的不同之处在于它描绘了国际私营医疗保险部门在防止欺诈和提供医疗服务方面的方法。我们首先解释为什么私人健康保险市场存在。其次是从私人健康保险部门获取创新数据所采用的方法。然后介绍与国际卫生计划联合会合作进行的研究结果。然后在我们最后之前检查对这项研究的关键方面的讨论，