허위입원을 통한 보험사기

• 영문명: Insurance Fraud through False Hospitalization
• 발행기관: 이화여자대학교 생명의료법연구소
• 저자명: 유정은(Jung-eun Yu)
• 간행물 정보: 『생명윤리정책연구(제 9권 제 3호 이전)』제7권 제1호, 107~124쪽, 전체 18쪽
• 주제분류: 법학 > 법학
• 파일형태: PDF
• 발행일자: 2013.06.30

영문 초록

The aim of this paper is to analyze the reason that Korean specific medical insurance system augments insurance fraud and the legal theory which impose criminal responsibility to doctors and patients in false hospitalization cases. Korean dual medical insurance system positions private insurance into a supplementary role; public insurance precedes private one. The payments system that National Health Insurance Corporation pays a certain part of medical treatment fee to medical providers implicates them into insurance fraud. The structure of false hospitalization is very complicated, since patients can get benefit not only from National Health Insurance Corporation but also from private insurance company. Furthermore, court’s decision on whether doctors can be principal offender and whether complicity between patients and doctors can be presumed is not coherent. Since insurance fraud crimes are prevalent in Korea, more consideration on legal theories about insurance fraud should be established is needed.

목차

Ⅰ. 서론

Ⅱ. 우리나라의 의료보험제도와 보험사기

Ⅲ. 의사와 환자의 형법상 책임 검토

Ⅳ. 결론

키워드

보험사기 입원사기 가짜환자 허위입원 insurance fraud hospitalization fraud fake patient falsehospitalization