Starting from seminal neglected work by Rappeport (Rappeport 1968 Algorithms and computational procedures for the application of order statistics to queuing problems. PhD thesis, New York University), we revisit and expand on the exact algorithms to compute the distribution of the maximum, the minimum, the range and the sum of the J largest order statistics of a multinomial random vector under the hypothesis of equiprobability. Our exact results can be useful in all those situations in which the multinomial distribution plays an important role, from goodness-of-fit tests to the study of Poisson processes, with applications spanning from biostatistics to finance. We describe the algorithms, motivate their use in statistical testing and illustrate two applications. We also provide the codes and ready-to-use tables of critical values.@en

Starting from an extensive database, pooling 9 years of data from the top three insurance brokers in Italy, and containing 38125 reported claims due to alleged cases of medical malpractice, we use an inhomogeneous Poisson process to model the number of medical malpractice claims in Italy. The intensity of the process is allowed to vary over time, and it depends on a set of covariates, like the size of the hospital, the medical department and the complexity of the medical operations performed. We choose the combination medical department by hospital as the unit of analysis. Together with the number of claims, we also model the associated amounts paid by insurance companies, using a two-stage regression model. In particular, we use logistic regression for the probability that a claim is closed with a zero payment, whereas, conditionally on the fact that an amount is strictly positive, we make use of lognormal regression to model it as a function of several covariates. The model produces estimates and forecasts that are relevant to both insurance companies and hospitals, for quality assurance, service improvement and cost reduction.@en