DIGITAL EXPANSION AND WHITE-COLLAR CRIME: EXAMINING FRAUD AND REGULATORY FAILURES IN INDIA’S HEALTHCARE SYSTEM

AUTHOR – NUR NAHAR AMIN, SYMBIOSIS LAW SCHOOL HYDERABAD

BEST CITATION – NUR NAHAR AMIN, DIGITAL EXPANSION AND WHITE-COLLAR CRIME: EXAMINING FRAUD AND REGULATORY FAILURES IN INDIA’S HEALTHCARE SYSTEM, INDIAN JOURNAL OF LEGAL REVIEW (IJLR), 6 (8) OF 2026, PG. 426-433, APIS – 3920 – 0001 & ISSN – 2583-2344.

Abstract

White collar crime within the healthcare sector has become apparent as an outstanding governance concern in India as healthcare fraud is a serious issue, and when it is committed by customers, it becomes a more serious issue in India’s healthcare system, which not only affects its stability but also efficiency and quality of services. Now there is an expansion of digital health records, government insurance schemes, private healthcare institutions, and even opportunities for activities that are fraudulent such as false insurance claims, manipulated medical bills, and there is an increase in unnecessary treatments. This study examines how fraud like this is common as it takes different forms and how it impacts healthcare institutions. However, there are government initiatives like Ayushman Bharat and the National Digital Health Mission which was introduced for the purpose to improve transparency and access and also existing preventive mechanisms still remain inadequate. The study suggests that advanced technologies such as Artificial Intelligence, Machine learning, and blockchain, and with these technologies, there are stronger regulatory frameworks, increased public awareness, and improved public-private collaboration which are essential in order to prevent fraud. Overall, the research emphasises the need for comprehensive policy reforms in order to ensure a more transparent, reliable, and sustainable healthcare system in India.

Keywords: White-Collar Crime, Healthcare Fraud, Digital Healthcare, Insurance Fraud, Artificial Intelligence