Search

# T/508/0495, Analysis of Claims

## Introduction

Malpractices in medical has been increased as per the study published in US news and World Report. The medical malpractice in United States accounts for \$55.6 billion a year (Sachs, 2018). In accordance with this context, the report aid in examining the data collated by The UnitedHealth Group of America, a health insurance provider. The aim is to develop a better understanding of claim paid out for medical malpractice lawsuit. Preliminary analysis of the collected data will be made in order to produce an effective report showing which hypothesis are supported and which are rejected.

ASSIGNMENT HELP AU We Aim At:
• Offering the best assignment writing help
• Delivering the orders as fast as possible
• Providing maximum satisfaction at affordable rates
Call Now : +61 363 612 345

## 1

The total Claim payment amount was \$14.7 million. The overall summary of the data is provided below in the table:

Table 1: Overall summary of claims

 Amount Mean 73457.49 Standard Error 2275.36 Median 72571.3 Mode 5400 Standard Deviation 32178.49 Sample Variance 1035455635.00 Kurtosis 5.99 Skewness 1.15 Range 227177.8 Minimum 1547 Maximum 228724.8 Sum 14691498.71 Count 200 Confidence Level(95.0%) 4486.91

The mean amount of the claim was \$73457.49. Standard Deviation was 32178.49. The maximum amount of claim taken by the claimants was \$228724 and minimum was \$1547. The data was collected from 200 claimants who have taken claims in order to get medical support. Skewness is a measure of the symmetry in a distribution. The Skewness was 1.15 and Kurtosis value was 5.99.

## 2

1. a) The average age of claimants

Out of 200 claimants the average age of claimant identified was 44.5 years.

1. b) The proportion of claimants with “No Insurance”.

Table 2: The proportion of claimants with “No Insurance”.

 Insurance Medicare/Medicaid 20 No Insurance 18 Private 95 Unknown 60 Workers Compensation 7 Total Result 200

From the above table it can be understood that out of total claimants 18 claims were No Insurance. Thus, overall proportion of the No Insurance was 9%.

## 3.a

An industry report suggest that the average amount of paid claims has dropped below \$77500. The evidence to support this argument is provided below:

Table 3: One sample Test

 One-Sample Test Test Value = 77500 t df Sig. (2-tailed) Mean Difference 95% Confidence Interval of the Difference Lower Upper Amount -1.777 199 .077 -4042.506 -8529.42 444.41

From the above table it was identified that significant value is 0.077 i.e. (p > 0.05). Thus, this implied that industry report statement is true as majority of claims were under \$77500. The mean amount of the claim was \$73457.49. Standard Deviation was 32178.49. The maximum amount of claim taken by the claimants was \$228724 and minimum was \$1547.

## 3.b

Table 4: Number of Claims on the basis of severity

 Severity Number of Claims Mild 26 Medium 128 Severe 46 Total 200

From the above table it can be understood that out of 200 claims, 26 were taken for mild case, 128 for medium and 46 for severe case.

Table 5: Confidence Interval for mean

 Confidence Interval for mean Data Sample Standard Deviation 0.8398970983 Sample Mean 1.59 Sample Size 200 Confidence Level 95% Intermediate Calculations Standard Error of the Mean 0.0594 Degrees of Freedom 199 t Value 1.9720 Margin of Error 0.1171 Confidence Interval Interval Lower Limit 1.47 Interval Upper Limit 1.71

From the table it can be understood that sample mean value is 1.59 and t value is 1.9720. As the t value is greater than significance value it can be concluded that null hypothesis is supported which means that it is true that 3 out 4 claims were taken for mild or medium severity conditions.

Table 6: Confidence Interval for proportion

 Confidence Interval for proportion Data Sample Size 200 Count of Successes 0.75 Confidence Level 95% Intermediate Calculations Sample Proportion 0.00375 Z Value 1.9600 Standard Error of the Proportion 0.0043220004 Margin of Error 0.0085 Confidence Interval Interval Lower Limit -0.47% Interval Upper Limit 1.22%

The count of success rate is 0.75 and z value is 1.96 which is greater than our significance value (0.05). Thus, in this case null hypothesis is supported.

## 3.c

Out of 200 claimants it was identified that 121 claims made by females and 79 claims were made by males which include all severity level. For Mild or Medium claimants, the difference between the amount of claim made by female and male is provided below in the table:

 Case Processing Summary Cases Valid Missing Total N Percent N Percent N Percent gender * Severity 40 20.0% 160 80.0% 200 100.0%

 gender * Severity Crosstabulation Count Total gender Female 21 2 23 Male 13 4 17 Total 34 6 40

From the above table, it can be understood that there is no significance association between claims taken by females and claims taken by male under mild and medium severity. Female under mild severity made 2 claims and under medium severity made 21 claims whereas males under mild severity made 4 cases and under medium severity made 13 claims. This implies that females made more cases than male and thus null hypothesis is supported which is that there is significance difference in the proportion of Mild or Medium claims by female patients as compared to that of male patients.

 Chi-Square Tests Value df Asymp. Sig. (2-sided) Exact Sig. (2-sided) Exact Sig. (1-sided) Pearson Chi-Square 1.687a 1 .194 Continuity Correctionb .724 1 .395 Likelihood Ratio 1.676 1 .195 Fisher's Exact Test .373 .197 Linear-by-Linear Association 1.645 1 .200 N of Valid Cases 40 a. 2 cells (50.0%) have expected count less than 5. The minimum expected count is 2.55. b. Computed only for a 2x2 table

The value of test statistics is 1.687. From the Chi-Square test it can be understood that there is significance difference in the proportion of Mild or Medium claims by female patients as compared to that of male patients as the p-value is greater than choosen significance level (α= 0.05).

## 3. d

In this case two hypothesis is formulated which are

H0: The average claim when a private attorney involved is not higher.

H1: The average cliam when a private attorney involved is higher.

 t-Test: Two-Sample Assuming Equal Variances Private Attorney Amount Mean 1.68 73457.49 Variance 0.21 1035455635.0 Observations 200 200 Pooled Variance 517727817.61 Hypothesized Mean Difference 0 df 398 t Stat -32.28 P(T<=t) one-tail 1.66 t Critical one-tail 1.6486911745 P(T<=t) two-tail 3.32 t Critical two-tail 1.96

The abvoe t test was Two-Sample Assuming Equal Variances. The p-value is 1.66 which is greater than the significance value which (α= 0.05). Thus, it can be concluded that null hypothesis is supported in this case.

 t-Test: Two-Sample Assuming Unequal Variances Private Attorney Amount Mean 1.68 73457.49 Variance 0.21 1035455635.00 Observations 200 200 Hypothesized Mean Difference 0 df 199 t Stat -32.28 P(T<=t) one-tail 2.43 t Critical one-tail 1.65 P(T<=t) two-tail 4.87 t Critical two-tail 1.97

The abvoe t test was Two-Sample Assuming Unequal Variances. The p-value is 2.43 which is greater than the significance value which (α= 0.05). Thus, it can be concluded that null hypothesis is supported in this case.

Thus, from both the table it can be understood that The average claim when a private attorney involved is not higher. Hence, Null hupothesis which is H0 is supported in this case.

## 3.e

In this case two hypothesis is formulating which are :

H1: Private Attorney representation is higher for Severe Claims.

H2: Private Attorney representation is higher for Medium Claims

Table 7: Two-Sample Assuming Unequal Variances (Severe Condition)

 Two-Sample Assuming Unequal Variances (Severe Condition) Private Attorney Severity Mean 1.685 1.59 Variance 0.2168592965 0.7054271357 Observations 200 200 Hypothesized Mean Difference 0 df 311 t Stat 1.3989612763 P(T<=t) one-tail 0.081410546 t Critical one-tail 1.6497679229 P(T<=t) two-tail 0.162821092 t Critical two-tail 1.9676210677

Table 8: Two-Sample Assuming Unequal Variances (Medium Condition)

 Two-Sample Assuming Unequal Variances (Medium Condition) Private Attorney Severity Mean 1.685 1.5829145729 Variance 0.2168592965 0.6988985331 Observations 200 200 Hypothesized Mean Difference 0 df 310 t Stat 1.5057651179 P(T<=t) one-tail 0.0665728591 t Critical one-tail 1.6497838232 P(T<=t) two-tail 0.1331457183 t Critical two-tail 1.9676458633

From the above tables it has been identified that that p value for Sever Condition was 0.081 which is greater than the p value for Medium condition which was 0.06. This implied that our first hypothesis is supported which is Private Attorney representation is higher for Severe Claims.

## 4.a

Table 9: Percentage of severe claim with the involvement of Specialised surgeon

 SEDV * SPEC Crosstabulation SPEC Total Anesthesiologists Dermatologists Orthopaedic surgeons OTHER Severe Count 21 11 8 6 46 % within SEDV 45.7% 23.9% 17.4% 13.0% 100.0% % within SPEC 25.0% 24.4% 16.7% 26.1% 23.0% % of Total 10.5% 5.5% 4.0% 3.0% 23.0%

From the above table it can be understood that percentage of 'Severe' claim with the involvement of an Orthopaedic surgeon (16.7 %) is lower than that of other specialist.

## 4.b

Table 10: Average claim of orthopedic and other surgeon

 Specialisation Average Claim in Severe condition amount in US\$ Orthopaedic surgeon 118944.27 Others 61522.03

Thus, from the above table it can be understood that the average claim amount for Severe claim is higher when an Orthopaedic surgeon is involved than the other specialisation. (118944.27>61522.03 )

You may also like to read:

If your dream is to get top grades, get a rewarding assignment service from us.

Brilliant Assignment Services
##### Toll Free: +61 363 612 345
help@instantassignmenthelp.com.au
Order Now »

## References

Sachs, C.J., 2018. Malpractice Claims: It’sa Crapshoot—Time to Stop the Self-Blame and Ask Different Questions.Annals of emergency medicine,71(2), pp.165-167.

Cite This Work To export references to this sample, select the desired referencing style below:
Copy to Clipboard
Copy to Clipboard
Copy to Clipboard
Instant Assignment Help. (Instant Assignment Help, 2021)https://www.instantassignmenthelp.com.au/t5080495-analysis-of-claims
Copy to Clipboard
Copy to Clipboard

Share Your Requirements Now for Customized Solutions.

Lowest Price
6

Delivered on-time or your money back

100+ Qualified Writers

For Best Health Assignment Help

View All Writers
FREE Tools