Automated analytics in healthcare
  • 2016 № 5 Ranking definition method of health insurance companies based on hierarchical classification.

    The official site of Federal compulsory medical insurance fund presents 21 activity indicators for the 59 health insurance organizations (HIOs) for 2015. Each indicator represents an activity efficiency criteria of HIO in the certain area as following: its larger or smaller value defines whether the company activity is successful or not. The HIO rating is defined per each of these criteria. Undoubtedly, HIO ranking definition problem on set of all the considered criteria is becoming particularly urgent. The purpose of this work is to apply the metrical approach for HIO activity efficiency assessment, based on the hierarchical classification method that assumes the distance calculation among HIOs as among the points of multidimensional space in the coordinate system corresponding to the criteria of their efficiency. The concept of reference organization that accumulates the best value of all of the HIO criteria is introduced in this paper. The ratings of insurance companies are established in accordance with the distance to the reference organization by the principle – the smaller the distance, the more efficient the company is and the higher its rating is (the place in the HIO list). The method is implemented in the environment of the STATISTICA statistical package. HIO ratings, defined by the proposed method can be used to identify promising and unpromising HIOs in order to plan their upcoming development or structural changes, they can also act as the specific navigator when choosing the health insurance company

    Authors: Khaliphyan A. A. [1] Koshkarov A. A. [1] Semenov. A. B. [1]

    Tags: classification1 criterion1 efficiency1 health insurance organizations (hios)1 object1 rating1 similarity1 the distance1

    Read more >