基于成本—收益理论的社会医疗保险欺诈问题研究

李连友; 李亮

基于成本—收益理论的社会医疗保险欺诈问题研究

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引用本文：李连友,李亮.基于成本—收益理论的社会医疗保险欺诈问题研究[J].财经理论与实践,2010,(1):

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李连友李亮

湖南大学金融学院;

基金项目:教育部“新世纪优秀人才支持计划”资助

中文摘要:通过引入成本—收益理论,对社会医疗保险制度中的欺诈问题进行研究,比较该制度中各参与主体的成本、收益构成,分析各影响因子对欺诈与反欺诈行为的影响,研究表明:欺诈与反欺诈行为受行为成本、行为收益大小的制约,且有其相应的约束条件。在此基础上,提出了相应的反欺诈对策。

中文关键词:社会医疗保险欺诈行为成本—收益分析

The Study of Social Medical Insurance Fraud Based on Cost-Benefit Theory

LI Lian-you LI Liang

College of Finance;Hunan University;Changsha;Hunan 410079;China

Abstract:Introducing the cost-benefit theory to analyze the social medical insurance fraud,this paper compares the components of each participant's cost and benefit in medical insurance system,and analyzes the effect of influencing factor on fraudulent behavior and anti-fraud behavior. It is founded that fraudulent behavior and anti-fraud behavior were restricted by behavior's cost and benefit,and moreover,these behaviors have corresponding constraint conditions. Based on the above,this paper presents the correspond...

keywords:Social Medical Insurance Fraudulent Behavior Cost-benefit Analysis

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