MEDICAL INSURANCE COST ANALYSIS AND PREDICTION USINGEXTREME GRADIENT BOOSTING ALGORITHM
DOI:
https://doi.org/10.29121/shodhkosh.v5.i6.2024.2595Keywords:
Medical Insurance, Machine Learning, Model Build, Gradient Boosting, Data Science, EngineeringAbstract [English]
An insurance policy lowers or completely removes the costs related to declining returns caused by different risks. A variety of things affect the cost of insurance. These elements have an impact on how insurance plans are made. In the insurance industry, machine learning (ML) has promise for increasing the effectiveness of insurance policy terms. Actual modelling of insurance claims has emerged as a major field of study in the health insurance industry in recent years, primarily for the purpose of determining appropriate rates. This is essential for drawing in new insured’s, keeping the ones you already have, and managing current plan participants well. However, it can be difficult to create an accurate forecast model for medical insurance prices because of the multitude of factors that influence them and their inherent complexities. The expected costs of health insurance could be greatly impacted by a number of factors, such as provider characteristics, lifestyle decisions, health status, accessibility in a given area, and demographic information. Actuarial research into predictive modeling in healthcare is still going strong, as more insurance companies look to leverage ML technologies to increase productivity and efficiency. Regression-based ensemble machine learning models that incorporate different Extreme Gradient Boosting (XGBoost) techniques are used in this study to forecast medical insurance expenses.
References
Bhatia, Kashish, et al. "Health Insurance Cost Prediction using Machine Learning." 2022 3rd International Conference for Emerging Technology (INCET). IEEE, 2022. DOI: https://doi.org/10.1109/INCET54531.2022.9824201
enita, Jonelle Angelo S., Paul Richie F. Asuncion, and Jayson M. Victoriano. "Performance Evaluation of Regression Models in Predicting the Cost of Medical Insurance." arXiv preprint arXiv:2304.12605 (2023).
hreekar, Chinthala, et al. "Cost Prediction of Health Insurance." International Research Journal of Engineering and Technology 10.01 (2023).
eshav Kaushik,Akashdeep Bhardwaj, “Machine Learning-Based Regression Framework to Predict Health Insurance Premiums”International Journal of Environmental Research and Public Health, 2022 DOI: https://doi.org/10.3390/ijerph19137898
ohamed hanafy, Omar M. A. Mahmoud, “Predict Health Insurance Cost by using Machine Learning and DNN Regression Models” International Journal of Innovative Technology and Exploring Engineering (IJITEE) ISSN: 2278-3075 (Online), Volume-10 Issue-3, January 2021 DOI: https://doi.org/10.35940/ijitee.C8364.0110321
hreekar, Chinthala, et al. "Cost Prediction of Health Insurance." International Research Journal of Engineering and Technology 10.01 (2023).
alyani, G. Satya Mounika. "By contrasting decision trees with logistic regression, a novel categorization-based cost prediction method for health insurance may be developed under supervision." Journal of Survey in Fisheries Sciences 10.1S (2023): 1468-1477.
ijayalakshmi, V., A. Selvakumar, and K. Panimalar. "Implementation of Medical Insurance Price Prediction System using Regression Algorithms." 2023 5th International Conference on Smart Systems and Inventive Technology (ICSSIT). IEEE, 2023. DOI: https://doi.org/10.1109/ICSSIT55814.2023.10060926
emp, James, et al. "Context discovery and cost prediction for detection of anomalous medical claims, with ontology structure providing domain knowledge." Proceedings of the 16th International Joint Conference on Biomedical Engineering Systems and Technologies (BIOSTEC 2023). SCITEPRESS, California, USA, (to appear). Google Scholar Google Scholar Cross Ref Cross Ref. 2023. DOI: https://doi.org/10.5220/0011611000003414
Izmie, A. A., et al. "Healthcare Management and Medical Insurance with Predictive Analytics Using Machine Learning." International Research Journal of Innovations in Engineering and Technology 7.10 (2023): 49.
Izmie, A. A., et al. "Healthcare Management and Medical Insurance with Predictive Analytics Using Machine Learning." International Research Journal of Innovations in Engineering and Technology 7.10 (2023): 49.
Cenita, Jonelle Angelo S., Paul Richie F. Asuncion, and Jayson M. Victoriano. "Performance Evaluation of Regression Models in Predicting the Cost of Medical Insurance." arXiv preprint arXiv:2304.12605 (2023).
Li, Zhengxiao, Yifan Huang, and Yang Cao. "Analyzing covariate clustering effects in healthcare cost subgroups: insights and applications for prediction." arXiv preprint arXiv:2303.05793 (2023).
Nalluri, Venkateswarlu, et al. "Building prediction models and discovering important factors of health insurance fraud using machine learning methods." Journal of Ambient Intelligence and Humanized Computing 14.7 (2023): 9607-9619. DOI: https://doi.org/10.1007/s12652-023-04633-6
Lyu, Yuwen, et al. "Prediction of patient choice tendency in medical decision-making based on machine learning algorithm." Frontiers in Public Health 11 (2023): 1087358. DOI: https://doi.org/10.3389/fpubh.2023.1087358
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Dr S G Balakrishnan, Abdulla N, Hari Krishnan S, Gokul V, Amizhthan S P

This work is licensed under a Creative Commons Attribution 4.0 International License.
With the licence CC-BY, authors retain the copyright, allowing anyone to download, reuse, re-print, modify, distribute, and/or copy their contribution. The work must be properly attributed to its author.
It is not necessary to ask for further permission from the author or journal board.
This journal provides immediate open access to its content on the principle that making research freely available to the public supports a greater global exchange of knowledge.












