A Hybrid Mining Approach to Facilitate Health Insurance Decision: Case Study of Non-Traditional Data Mining Applications in Taiwan NHI Databases

dc.contributor.author Tan, Joseph
dc.contributor.author Turel, Ofir
dc.contributor.author Dohan, Michael
dc.date.accessioned 2016-12-29T01:15:35Z
dc.date.available 2016-12-29T01:15:35Z
dc.date.issued 2017-01-04
dc.description.abstract This study examines time-sensitive applications of data mining methods to facilitate claims review processing and provide policy information for insurance decision-making vis-à-vis the Taiwan National Health Insurance databases. In order to obtain the best payment management, a hybrid mining approach, which has been grounded on the extant knowledge of data mining projects and health insurance domain knowledge, is proposed. Through the integration of data warehousing, online analytical processing, data mining techniques and traditional data analysis in the healthcare field, an easy-to-use decision support platform, which will facilitate the health insurance decision-making process, is built. Drawing from lessons learned in case study, results showed that not only is hybrid mining approach a reliable, powerful, and user-friendly platform for diversified payment decision support, but that it also has great relevance for the practice and acceptance of evidence-based medicine. Researchers should develop hybrid mining approach combined with their own application systems in the future.
dc.format.extent 10 pages
dc.identifier.doi 10.24251/HICSS.2017.394
dc.identifier.isbn 978-0-9981331-0-2
dc.identifier.uri http://hdl.handle.net/10125/41552
dc.language.iso eng
dc.relation.ispartof Proceedings of the 50th Hawaii International Conference on System Sciences
dc.rights Attribution-NonCommercial-NoDerivatives 4.0 International
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subject data mining
dc.subject health decision support
dc.subject hybrid mining
dc.subject NHI insurance payment
dc.title A Hybrid Mining Approach to Facilitate Health Insurance Decision: Case Study of Non-Traditional Data Mining Applications in Taiwan NHI Databases
dc.type Conference Paper
dc.type.dcmi Text
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