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Machine Learning-Based Regression Framework to Predict Health Insurance Premiums
Keshav Kaushik1, Akashdeep Bhardwaj1, Ashutosh Dhar Dwivedi2
1School of Computer Science, University of Petroleum and Energy Studies, Dehradun 248007, India.
Artificial intelligence (AI) and machine learning (ML) accurately predict health insurance premiums using patient data. This technology enhances efficiency and accuracy in health insurance, benefiting both insurers and policyholders.
Area of Science:
- Health Informatics
- Artificial Intelligence
- Machine Learning
Background:
- Artificial intelligence (AI) and machine learning (ML) are transforming healthcare by improving disease prediction and diagnosis.
- Digital health insurance, powered by AI/ML, reduces the gap between insurers and consumers, streamlining services.
- AI/ML enable insurers to create more accurate and efficient health insurance policies.
Purpose of the Study:
- To train and evaluate an AI network-based regression model for predicting health insurance premiums.
- To forecast individual health insurance costs based on specific user features.
- To assess the model's performance using key performance metrics.
Main Methods:
- An artificial neural network model was developed and trained.
- The model utilized various parameters including age, gender, BMI, number of children, smoking habits, and geolocation.
- The model's accuracy and performance were evaluated using established metrics.
Main Results:
- The AI model achieved a prediction accuracy of 92.72%.
- The study demonstrated the feasibility of using AI for precise health insurance premium calculation.
- Performance analysis confirmed the model's effectiveness in predicting insurance costs.
Conclusions:
- AI and ML models can accurately predict health insurance premiums.
- The developed model offers a data-driven approach to health insurance cost estimation.
- This technology has the potential to enhance the efficiency and accuracy of the health insurance industry.
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