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The Potential For Bias In Machine Learning And Opportunities For Health Insurers To Address It

Stephanie S. Gervasi, Irene Y. Chen, Aaron Smith–McLallen, David Sontag, Ziad Obermeyer, Michael Vennera, Ravi Chawla

2022Health Affairs59 citationsDOIOpen Access PDF

Abstract

As the use of machine learning algorithms in health care continues to expand, there are growing concerns about equity, fairness, and bias in the ways in which machine learning models are developed and used in clinical and business decisions. We present a guide to the data ecosystem used by health insurers to highlight where bias can arise along machine learning pipelines. We suggest mechanisms for identifying and dealing with bias and discuss challenges and opportunities to increase fairness through analytics in the health insurance industry.

Topics & Concepts

Health careAnalyticsEquity (law)Data scienceMachine learningComputer scienceHealth insuranceActuarial scienceBusinessArtificial intelligenceEconomicsPolitical scienceLawEconomic growthHealthcare cost, quality, practicesHealthcare Policy and ManagementHealth Systems, Economic Evaluations, Quality of Life
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