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What Legal Frameworks Should Govern Use of Genetic Test Results by Private Health Insurers in New Zealand?

Journal of law and medicine
The rising cost of private health insurance and constraints within public health systems are global concerns. Genetic testing presents a transformative opportunity for health care to enhance health outcomes and optimise resource allocation through pe...

Evaluating the performance of a predictive modeling approach to identifying members at high-risk of hospitalization.

Journal of medical economics
To evaluate the risk-of-hospitalization (ROH) models developed at Blue Cross Blue Shield of Louisiana (BCBSLA) and compare this approach to the DxCG risk-score algorithms utilized by many health plans. Time zero for this study was December 31, 2016....

Machine Learning-Based Regression Framework to Predict Health Insurance Premiums.

International journal of environmental research and public health
Artificial intelligence (AI) and machine learning (ML) in healthcare are approaches to make people's lives easier by anticipating and diagnosing diseases more swiftly than most medical experts. There is a direct link between the insurer and the polic...

[Guidelines in historical perspective].

Nederlands tijdschrift voor geneeskunde
The role of clinical practice guidelines has changed dramatically the past 50 years. Both beneficial, as also having some disadvantageous effects. Considering the international developments, such as a growing body of evidence and evolving methodologi...

[Implementing new interventions and indications: the possible role for real world data].

Nederlands tijdschrift voor geneeskunde
In advising the preferred therapy for the individual patient the expected results of the proposed intervention and possible side effects are the most relevant considerations. However, predicting the results of an intervention is difficult, especially...