California
This expert has over 30 years of experience with healthcare and health insurance. She gained her PhD in sociology and health policy at the University of California, Santa Cruz and directed research at the Institute of Health and Aging at UC San Francisco before leading the White House's Health Care Reform Task Force. Since, she has continued to contribute to the private and public sectors,...
Specialties:
A health insurance expert witness provides specialized knowledge on health insurance policies, claims, and regulations. They can clarify complex issues, provide informed opinions, and testify in court.
Cases involving denied claims, policy disputes, bad faith claims, underwriting practices, or regulatory compliance often require the expertise of a health insurance expert witness.
In medical malpractice cases, a health insurance expert can analyze coverage issues, determine if proper procedures were followed, and assess the reasonableness of medical costs.
Yes, some experts specialize in areas like Medicare/Medicaid, private insurance policies, managed care systems, or healthcare finance and economics.
An expert with experience in claim denials can provide insight into whether the denial was justified based on policy terms and industry standards. This can be crucial evidence in such cases.
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