May 19, 2018
By Harish Pai
Consider a 30-year-old individual weighing 130 pounds, who exercises regularly and has no chronic ailments or insurance claims. Health insurance providers categorize him as “low risk.” However, the following year, he gains 40 pounds, which now raise health concerns, and this makes him a “high-risk” patient. For this type of patient profile how can healthcare insurers provide a healthcare plan that is both relevant and competitively priced? At the same time, there is currently much uncertainty around affordable healthcare, driven by rising insurance payouts. So how can healthcare insurance organizations plan offerings that remain both competitively priced and realistic?
Today, the innovation that makes this possible is artificial intelligence (AI). AI has enabled new possibilities for healthcare plans and brought in improvements to the healthcare cycle.