New Public Health Study Results Reported from Shanghai University of Political Science and Law (A study on the path of governance in health insurance fraud considering moral hazard): Health and Medicine – Public Health

2023 OCT 02 (NewsRx) -- By a News Reporter-Staff News Editor at Health Policy and Law Daily -- Fresh data on public health are presented in a new report. According to news reporting out of Shanghai, People’s Republic of China, by NewsRx editors, research stated, “Combating health insurance fraud is of utmost importance to physicians, patients, and health insurers.”

The news editors obtained a quote from the research from Shanghai University of Political Science and Law: “To delve into the mechanisms of health insurance fraud between doctors and patients, this study employed evolutionary game theory to construct a model that comprehensively considers moral hazard, fraud cost, reward, punishment, bribes from patients, and other factors. Through theoretical analysis and numerical simulation of the model, the study discovered that the evolution of governance behavior in health insurance fraud is closely linked to its initial construction of the payment matrix and the initial selection of parameters for the payment matrix. Additionally, increasing penalties for fraudulent behavior, increasing the cost of fraud for both doctors and patients, and reducing moral hazard for both can effectively drive the final strategy of the system toward a non-fraudulent state.”

According to the news editors, the research concluded: “The study aims to provide valuable insights and recommendations to doctors, patients, and medical insurance institutions in establishing a sound governance environment for managing fraud behavior in health insurance.”

For more information on this research see: A study on the path of governance in health insurance fraud considering moral hazard. Frontiers in Public Health, 2023,11. (Frontiers in Public Health - http://journal.frontiersin.org/journal/public-health). The publisher for Frontiers in Public Health is Frontiers Media S.A.

A free version of this journal article is available at https://doi.org/10.3389/fpubh.2023.1199912.

Our news journalists report that additional information may be obtained by contacting Jusheng Liu, School of Economics and Management, Shanghai University of Political Science and Law, Shanghai, People’s Republic of China. Additional authors for this research include Yuan Wang, Jiali Yu.

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