CONTACT US
Home > Health Insurance

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. Healthcare experts are often retained in order to lend their expertise to issues related to malpractice, negligence, medical errors, and more. Our healthcare 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 healthcare 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.

View Profile

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.

View Profile

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.

View Profile

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.

View Profile

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.

View Profile

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.

View Profile

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…

View Profile

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.

View Profile

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.

View Profile

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.

View Profile

FIND THE RIGHT EXPERT WITNESS

Spend your time preparing your experts, not searching for them. 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 clearly disclosed hourly rate if you retain one of our experts.

REQUEST A FREE SEARCH

Or call 202-908-4500