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Health Insurance Expert Witnesses

The American healthcare industry is valued at $3,504 trillion, with the average citizen spending about $4,342 on healthcare in the year 2017. Health Insurance is insurance coverage that pays for medical, surgical and occasionally dental expenses for the insured. This type of insurance can reimburse the insured for medical expenses they sustained from an illness or injury. Health insurance companies often reimburse the health care provider directly. Individuals can acquire health insurance in different ways. Some individuals receive their health care insurance through their employer as part of their benefits package. Under this method, the employer pays for part of the employee’s benefits and part is deducted from the employee’s paycheck. Individuals can also purchase their health insurance through the Affordable Care Act’s Health Marketplace or directly from a specific insurance company. Medicare and the Children’s Health Insurance Plan (CHIP) are two public health programs. Medicare covers older adults and individuals with certain disabilities. The Children’s Health Insurance Plan covers children from infancy to the age of eighteen, whose parent’s income falls below a certain income limit. The healthcare insurance industry touches many areas of expertise including billing, fraud, misinformation, risk assessment and more. Health insurance experts are often retained in order to lend their expertise to issues related to malpractice, negligence, medical errors, and more. Our health insurance experts have worked as administrators, malpractice consultants, medical staff, doctors, accountants, professors, research professionals, to name a few. These experts specialize in:

  • Regulatory compliance
  • Corporate governance
  • Mergers and acquisitions
  • Hospitals
  • Banks
  • Retail
  • Systems development
  • Pricing
  • Valuation
  • Medical necessity
  • Claim reimbursement
  • Chemotherapy infusion
  • Oncology
  • Primary care
  • Chronic disease management
  • Taxation
  • Medical malpractice
  • Contract disputes
With hundreds of years of combined experience, our health insurance experts have successfully testified for both plaintiffs and defense in a variety of cases and are prolific international authors and lecturers. Their published works span topics that include interpretation, eligibility of athletes, clinical research, secured lending, risk management, forecasting, medical infusion claims, ESA (EPO/DPA), electronic medical records, healthcare software, and hospital operations.

Here are a few of our favorite Health Insurance Expert Witnesses:

Connecticut Health Insurance, Benefits Expert #12605

I have 20 years of experience, and specialize in the field of health Insurance with specific knowledge in the areas of small group plans, health underwriting and long term care.

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North Carolina Life Insurance, Health Insurance Expert #23693

I have 20 years of experience, and specialize in the field of insurance with specific knowledge in the areas of life, health and actuarial. I have published on such topics as mergers and acquisitions, bank-assurance and pandemics. I have testified on insurance valuation, product pricing and actuarial issues.

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Wisconsin Health Insurance Expert #24143

I have 25 years of experience in the field of actuarial science, with specific knowledge of health insurance, long-term disability and other employee benefits. I have published on such topics as medical stop loss insurance (reinsurance), cash flow testing and risk-based capital. I have testified on small group health legislation.

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Virginia Health Insurance, Managed Care Expert #25029

I have 28 years of experience in the field of health insurance and managed health care, with specific knowledge of managed care, utilization management, and commercial health insurance administration. I have published on such topics as health care. I have testified on health benefits administration and utilization management.

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Nevada Health Insurance, Health Care Expert #31582

I have 15 years of experience in the field of health insurance, with specific knowledge of seniors, high risk and individual health plans.

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Your Case Deserves The Best Health Insurance Expert Witnesses

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The right expert witnesses and consulting experts can make your case. That’s why we have spent so many hours over the past quarter century making sure our clients have just the right expert team — whether one expert or many, early-stage advice or expert reports and testimony. Across over 50,000 expert search assignments, we have honed a unique, customized approach to identifying, analyzing and connecting with expert talent so you can focus on winning your case.

Maryland Health Insurance, Disability Expert #33852

I have 25 years of experience in the field of employee benefits, with specific knowledge of employer sponsored health insurance, FMLA, and negotiation of benefits with unions. I have testified on coverage appeals and grievances.

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New York Health Insurance, Operations Expert #33884

I have 30 years of experience, and specialize in the field of health care administration with specific knowledge in the areas of insurance and managed care, business planning and physician practice management. I have published on such topics as HIPAA preparedness and unintended consequences, insurance, human resource case study on staffing and scheduling and impact of special interest groups on health reform, and aspects of teaching health care administrative students.

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Wisconsin Health Insurance Expert #41816

I have 10 years of experience, and specialize in the field of health insurance with specific knowledge in the areas of employee benefits, Health Savings Accounts (HSAs), Health Reimbursement Arrangements (HRAs) and creative funding strategies. I have published on such topics as HSAs and life insurance.

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Connecticut Health Insurance, Actuary Expert #42047

I have 18 years of experience, and specialize in the field of health insurance with specific knowledge in the areas of actuarial, underwriting and Medicare Part D. I have published on such topics as Medicare Part D, health insurance and retiree benefits. I have testified on underwriting.

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Kentucky Health Insurance, Underwriting Expert #42611

I have 32 years of experience, and specialize in the field of health insurance with specific knowledge in the areas of medical underwriting, insurance fraud and insurance operations.

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Put Our Health Insurance Expert Network to Work for You

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Our huge network of experts – eminent university professors and practitioners who have achieved renown as thought leaders in their fields – combined with unparalleled research capabilities puts the experts you need at your disposal when and where you need them.

If you’re a litigator or general counsel, we want to put this network to work for you and your clients. Let us know how we can help by calling us at (202) 908-4500 or filling out the form on this page. We’re so confident you’ll love what we do that unless you retain an expert we present there’s no charge!

GET STARTED FINDING THE RIGHT EXPERT WITNESS

Spend your time working with your experts, not searching for them! We're here to de-stress the process of having a great expert witness team so that it’s easy to have the right experts every time. We'll conduct a quick but thorough search and deliver a roster of top candidates for you to review. There's no charge for the custom search — you pay only the hourly rate if you retain one of our experts.

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