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Method and System for Medical Malpractice Insurance Underwriting Using Value-Based Care Data

机译:使用基于价值的护理数据的医疗保障保险保障的方法和系统

摘要

A method and system for automated computer-based medical malpractice insurance underwriting using value-based care data is disclosed. A machine-learning based predictive model is trained to predict a risk of a medical malpractice claim from a provider data set including value-based care data and social factor data. A provider data set including value-based care data and social factor data for a provider is retrieved. The provider data set is input into the trained machine-learning based predictive model. A risk score indicating a risk of a medical malpractice claim for the provider is predicted based on the input provider data set using the trained machine-learning based predictive model. A premium for medical malpractice insurance is determined for the provider based on the predicted risk score. The predictive modeling method can also be used to predict stop loss risk and determine a combined premium for medical malpractice and stop loss insurance.
机译:公开了一种使用基于价值的护理数据的自动基于计算机的医疗疾病保险保险保险的方法和系统。培训基于机器学习的预测模型,以预测来自包括基于价值的护理数据和社会因子数据的提供商数据集的医疗医疗事故索赔的风险。检索包括基于价值的护理数据和提供商的社交因数数据的提供商数据集。提供商数据集输入到培训的基于机器学习的预测模型中。基于使用经过培训的计算机学习的预测模型,基于输入提供商数据集预测指示对提供商的医疗疾病索赔的风险的风险评分。基于预测的风险评分,为提供商确定了医疗保障保险保险费。预测性建模方法也可用于预测止损风险,并确定医疗保健和止损保险的组合保费。

著录项

  • 公开/公告号US2021103991A1

    专利类型

  • 公开/公告日2021-04-08

    原文格式PDF

  • 申请/专利权人 CAMILLE CHICKLIS;ACADIA PROFESSIONAL LLC;

    申请/专利号US201916595864

  • 发明设计人 BRIAN KERN;CAMILLE CHICKLIS;

    申请日2019-10-08

  • 分类号G06Q40/08;G06N20;G06N5/02;

  • 国家 US

  • 入库时间 2022-08-24 17:23:57

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