Legal Issue of Medical Expense Insurance

Detection of Health Insurance Fraud with Discrete Choice Model: Evidence from Medical Expense Insurance in China

Health insurance fraud increases the inefficiency and inequality in our society. To address the widespread problem, cost effect techniques are in need to detect fraudulent claims. With a dataset from medical expense insurance in China, we propose a discrete choice model to identify predicting factors of fraudulent claims, and we address the major limitations of discrete choice model by consider...

Legal Errors and Liability Insurance

Health insurance exchanges: legal issues.

Legal Solutions in Health Reform is a project funded by The RobeRT Wood Johnson FoundaTion Prepared for The o'neill insTiTuTe FoR naTional and Global healTh laW aT GeoRGeToWn univeRsiTy 600 new Jersey avenue, nW Washington, dC 20001 is the premier center for health law, scholarship and policy. Housed at Georgetown University Law Center, in the heart of the nation's capital, the Institute has th...

Legal Issue Spotting - First Phase Legal Analysis Recommendations

Legal analysis is a multistep process that performs the complex tasks of disambiguation of comported real world activities through the lens of a predefined legal code and sets of laws. These activities often may instantiate multiple separate as well as overlapping legal stipulations and criteria thus creating a potential for contextually significant interpretations of how a given code or law ap...

Legal expenses insurance , risk aversion and litigation ∗

The risks involved in litigation are well documented; they include the risk of incurring legal expenses. While much literature focuses on contingent fees as a mechanism for litigants to shift this risk, there is little work on legal expenses insurance—the dominant means of shifting this risk in Europe. In our model, a risk averse plaintiff may purchase legal expenses insurance. The defendant ma...