Research on the Motivation and Governance of Medical Insurance Fraud in

doi:10.19546/j.issn.1674-3830.2022.12.017

China Health Insurance ›› 2022, Vol. 0 ›› Issue (12) : 92-94. DOI: 10.19546/j.issn.1674-3830.2022.12.017

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Research on the Motivation and Governance of Medical Insurance Fraud in

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Abstract

This paper takes the fraud case of a designated private hospital in Sichuan Province as an example, analyzes the causes of medical insurance fraud in designated private hospitals from four perspectives of greed, demand, opportunity and exposure based on GONE theory, and puts forward suggestions accordingly.

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medical fraud / GONE theory / designated private hospital

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Research on the Motivation and Governance of Medical Insurance Fraud in[J]. China Health Insurance. 2022, 0(12): 92-94 https://doi.org/10.19546/j.issn.1674-3830.2022.12.017

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