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Health policyholder clustering using medical consumption

Recurso electrónico / Electronic resource
MARC record
Tag12Value
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001  MAP20220013406
003  MAP
005  20220504130529.0
008  220504e20201207esp|||p |0|||b|spa d
040  ‎$a‎MAP‎$b‎spa‎$d‎MAP
084  ‎$a‎344.1
1001 ‎$0‎MAPA20220004602‎$a‎Gauchon, Romain
24510‎$a‎Health policyholder clustering using medical consumption‎$c‎Romain Gauchon, Stéphane Loisel, Jean-Louis Rullière
520  ‎$a‎On paper, prevention appears to be a good complement to health insurance. However, its implementation is often costly. To maximize the impact and efficiency of prevention plans, plans should target particular groups of policyholders. In this article, we propose a way of clustering policyholders that could be a starting point for the targeting of prevention plans. This two-step method considers mainly policyholder health consumption for classification. The dimension is first reduced using a nonnegative matrix factorization algorithm, producing intermediate health product clusters. Policyholders are then clustered using Kohonen's map algorithm. This leads to a natural visualization of the results, allowing the simple comparison of results from different databases. The method is applied to two real French health insurer datasets. The method is shown to be easily understandable and able to cluster most policyholders efficiently.
650 4‎$0‎MAPA20080573867‎$a‎Seguro de salud
650 4‎$0‎MAPA20210014192‎$a‎Prevención
650 4‎$0‎MAPA20080579258‎$a‎Cálculo actuarial
7001 ‎$0‎MAPA20100059609‎$a‎Loisel, Stéphane
7001 ‎$0‎MAPA20220004619‎$a‎Rullière, Jean-Louis
7730 ‎$w‎MAP20220007085‎$g‎07/12/2020 Número 2 - diciembre 2020 , p. 599-626‎$t‎European Actuarial Journal‎$d‎Cham, Switzerland : Springer Nature Switzerland AG, 2021-2022