
A real-world case study on how health plans can advance their underwriting strategies by embracing AI and machine learning. Discover how, by adopting this innovative approach, health plans can access more credible data points and achieve more precise claim projections. AI/ML enables more accurate individual-level financial risk scoring, improved predictions of high-cost claimants, and the identification of group-specific trends and characteristics. • Charles Bloss, FSA, MAAA, FCAEVP, Chief Actuary/Advisory & Consulting, Certilytics • John Horvath, VP of Actuarial, Consulting & Advisory, Anthem