Challenges in Managing the Risk of Money Laundering in Healthcare Organizations
DOI:
https://doi.org/10.46793/Rev26113.076MKeywords:
money laundering, risks, prevention, detection, health care organizationsAbstract
The health sector is one of the most organisationally complex systems, making it potentially vulnerable to various forms of financial abuse, including money laundering. This vulnerability is heightened by the complex flows of funds between healthcare institutions, insurance companies, medical equipment suppliers, and pharmaceutical companies. In this context, it is noted that healthcare organisations can be targeted by perpetrators who may engage in money laundering, among other abuses. This paper examines potential risks associated with money laundering in healthcare organisations and associated detection mechanisms. The theoretical foundations of money laundering are presented, along with examples of fraudulent activities that have facilitated it. The purpose of the paper is to analyse the money laundering phenomenon in healthcare organizations through the lens of risks and detection mechanisms. The results indicate the need for a multidisciplinary approach in combating money laundering, as well as for comprehensive risk management, including preventive and detective measures related to money laundering in healthcare organizations.
References
Brahce, A. Zuzek, C., liebman, J. (2026). 5 most scandalous fraud cases of 2025, Fraud Magazine, https://www.acfe.com/fraud-magazine/all-issues/issue/article?s=2026-janfeb-most-scandalous-frauds
Clemente, S., McGrady, R., Repass, R., Paul III, D. P., & Coustasse, A. (2018). Medicare and the affordable care act: fraud control efforts and results. International Journal of Healthcare Management, 11(4), 356-362.
Cvetković, D., Paunović, J., & Munižaba, M. (2020). Krivičnopravni i kriminalistički aspekti suzbijanja pranja novca sa primerom iz prakse. Uloga društva u borbi protiv korupcije, V međunarodni naučni skup, 49-62. https://iup.rs/wp-content/uploads/2021/01/2020-Uloga-dru%C5%A1tva-u-borbi-protiv-korupcije-1.pdf
Dimitrijević, D., Stanković, P., & Vržina, S. (2024). Warnings of financial fraud in travel agencies in the Republic of Serbia during the COVID-19 pandemic. Hotel and Tourism Management, 12(2). 75-88. https://doi.org/10.5937/menhottur2400003D
European Healthcare Fraud and Corruption Network, https://ehfcn.org/home/about/history/
Fresenius Medical Care, Code of Ethics & Business Conduct, https://freseniusmedicalcare.com/content/dam/fresenius-medical-care/global/en/06_about-us/pdf/FME_Code_of_Conduct_Serbia.pdf
Joksimović, M., Beke Trivunac, J., Šiljanovska, S., (2020). Pranje novca kao savremeni globalni fenomen 21. veka, Revizor, vol. 23, br. 89-90, str. 75-81. https://doi.org/10.5937/Rev2090075J
Magna Pharmacia d.o.o. Beograd, Politika usklađenosti poslovanja, Beograd, (maj 2024). https://www.magnapharmacia.rs/wp-content/uploads/2024/01/prirucnik.pdf
Matijašević, J. (2010). Pranje novca, aktuelni oblik organizovanog kriminala – manifesta cije, metodi i poslei dice, PRAVO – teorija i praksa, 5-6, 118-131.
Ministarstvo finansija, Uprava za sprečavanje pranja novca, https://www.apml.gov.rs/latinica/pranje-novca
Ministarstvo finansija, Uprava za sprečavanje pranja novca, Indikatori, https://www.apml.gov.rs/indikatori
Ministarstvo finansija, Uprava za sprečavanje pranja novca, Praktikum za polaganje stručnog ispita za obavljanje poslova ovlašćenog lica, https://www.apml.gov.rs/uploads/useruploads/Documents/Praktikumv03.pdf
Mundie, A. (2012). The human toll: International money laundering, Fraud Magazine, https://www.acfe.com/fraud-magazine/all-issues/issue/article?s=2012-mayjune-international-money-laundering-human-toll
Pavlović, Z., Laszlo Gal, I. (2020). Korupcija u zdravstvu i nova regulative: jedan korak napred, dva nazad, Uloga društva u borbi protiv korupcije, V međunarodni naučni skup, 303-316. https://iup.rs/wp-content/uploads/2021/01/2020-Uloga-dru%C5%A1tva-u-borbi-protiv-korupcije-1.pdf
Stowell, N. F., Schmidt, M., & Wadlinger, N. (2018). Healthcare fraud under the microscope: improving its prevention. Journal of Financial Crime, 25(4), 1039-1061.
The 2018 National Money Laundering Risk Assessment (2018 NMLRA) chrome-extension: https://home.treasury.gov/system/files/136/2018NMLRA_12-18.pdf
The virtual future of money laundering, (2016), Fraud Magazine, https://www.acfe.com/fraud-magazine/all-issues/issue/article?s=2016-june-money-laundering-virtual-future
Tie, R. (2012). Money laundering, 21st century-style, Fraud Magazine, https://www.acfe.com/fraud-magazine/all-issues/issue/article?s=2012-julyaug-money-laundering-21st-century-style-part-two
U.S. Department of Health & Human Services. Provider Relief Fund. Available at: https://www.hhs.gov/provider-relief/index.html
Zakon o sprečavanju pranja novca i finansiranja terorizma (“Službeni glasnik RS”, br. 113/2017, 91/2019, 153/2020, 92/2023, 94/2024 i 19/2025), https://www.paragraf.rs/propisi/zakon_o_sprecavanju_pranja_novca_i_finansiranja_terorizma.html
Zirojević, M. (2020). Korupcija i farmaceutski proizvodi: poseban odnos, Uloga društva u borbi protiv korupcije, V međunarodni naučni skup, 195-208. https://iup.rs/wp-content/uploads/2021/01/2020-Uloga-dru%C5%A1tva-u-borbi-protiv-korupcije-1.pdf
Zuzek, C., (2026). Health care fraud schemes exposed and more, Fraud Magazine, https://www.acfe.com/fraud-magazine/all-issues/issue/article?s=2026-janfeb-fraud-in-the-news-nic
