How do moral hazard behaviors lead to the waste of medical insurance funds? An empirical study from China.

ABSTRACT:

Objective

The huge loss of health insurance funds has been a topic of concern around the world. This study aims to explore the network of moral hazard activities and the attribution mechanisms that lead to the loss of medical insurance funds.

Methods

Data were derived from 314 typical cases of medical insurance moral hazards reported on Chinese government official websites. Social network analysis (SNA) was utilized to visualize the network structure of the moral hazard activities, and crisp-set qualitative comparative analysis (cs/QCA) was conducted to identify conditional configurations leading to funding loss in cases.

Results

In the moral hazard activity network of medical insurance funds, more than 50% of immoral behaviors mainly occur in medical service institut

SUBMITTER: Qin Y 

PROVIDER: S-EPMC9643743 | biostudies-literature | 2022

REPOSITORIES: biostudies-literature