Health Insurance Expert Witnesses in California

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Health insurance expert witnesses practice in a variety of fields, including healthcare administration, medical billing, health policy, insurance fraud investigation, and risk management. Some of the most common specialties among health insurance expert witnesses also include managed care, health economics, health informatics, insurance underwriting, and claims handling. They can opine on the effects of policy coverage disputes, fraudulent claims, improper denial of coverage, standard of care in healthcare delivery, and the impact of healthcare legislation.

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Average Health Insurance Expert Witnesses Court Fees

Review Fee

Deposition Fee

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Health Insurance Experts in California

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Review Fee $500/hr
Deposition Fee $500/hr
Court Fee $500/hr

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, working as a principal at William M. Mercer, Inc, the vice president of the Lewin Group, an associate professor of research at UC Santa Cruz, and the consumer representative to the Medicare Coverage Advisory Committee. Her most recent roles include consulting for Watson Wyatt Worldwide, the Center for Medical Technology Policy, and Bain & Company. Currently she is an independent health care consultant.

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Consultant, A healthcare consultancy in California

Doctor of Philosophy (PhD), UC Santa Cruz

Westlake Village |

California

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FAQs for Health Insurance Expert Witnesses

What is the role of a health insurance expert witness in legal proceedings?

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.

What types of cases might require a health insurance expert witness?

Cases involving denied claims, policy disputes, bad faith claims, underwriting practices, or regulatory compliance often require the expertise of a health insurance expert witness.

How can a health insurance expert witness help in a medical malpractice case?

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.

Are there subspecialties within the field of health insurance that an expert witness may focus on?

Yes, some experts specialize in areas like Medicare/Medicaid, private insurance policies, managed care systems, or healthcare finance and economics.

Why is it important to hire a health insurance expert witness with experience in claim denials?

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.

How does Expert Institute select its Health Insurance expert witnesses?

Expert Institute offers a personalized approach to help you find the highest quality experts. We source actively-practicing professionals who match all your requirements for specialty areas, work experience, litigation history, fee range, certifications, location, and more.

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