Maxim Terekhov
Maxim Terekhov
Information Systems and Operations Management at University of Florida
Track: Life Science & Healthcare
Emerging Practice and Research Issues in the Health Insurance Industry
This presentation summarizes emerging practice and research issues in the health insurance industry. I provide an industry overview, epitomize business analytics applications, and outline current and emerging problems of interest to key stakeholders and researchers in information systems, operations management, and healthcare management. Specifically, I focus on three areas of research that are of importance to the health insurance industry as well as the healthcare system: (1) management and evaluation of intervention programs, (2) creation of effective provider networks, and (3) emerging issues such as the impact of a pandemic, patient communication and steering, and technological innovations in healthcare. I lay out brief details of how each of these problems can be formulated, where the data can be acquired (public and/or proprietary data sets), and provide guidance for solving them. For several of these problems, I provide models that span causal modeling, predictive modeling, and prescriptive modeling.