Risks (Mar 2021)

Risk Assessment for Personalized Health Insurance Based on Real-World Data

  • Aristodemos Pnevmatikakis,
  • Stathis Kanavos,
  • George Matikas,
  • Konstantina Kostopoulou,
  • Alfredo Cesario,
  • Sofoklis Kyriazakos

DOI
https://doi.org/10.3390/risks9030046
Journal volume & issue
Vol. 9, no. 3
p. 46

Abstract

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The way one leads their life is considered an important factor in health. In this paper we propose a system to provide risk assessment based on behavior for the health insurance sector. To do so we built a platform to collect real-world data that enumerate different aspects of behavior, and a simulator to augment actual data with synthetic. Using the data, we built classifiers to predict variations in important quantities for the lifestyle of a person. We offer a risk assessment service to the health insurance professionals by manipulating the classifier predictions in the long-term. We also address virtual coaching by using explainable Artificial Intelligence (AI) techniques on the classifier itself to gain insights on the advice to be offered to insurance customers.

Keywords