Click here to access this article. AI is transforming medical record reviews by handling labor-intensive, repetitive tasks with unmatched precision. Discriminative models excel at extracting and classifying critical details, while generative models provide dynamic,...

Click here to access this article. Insurance fraud is nothing new; it has existed since the advent of insurance. Our environment and risks, however, have changed dramatically in recent years, and these changes have emboldened bad actors to revisit and even target...

Click here to access this article. Metastatic melanoma, an aggressive cancer originating from melanocytes, has historically posed significant treatment challenges. Recent advancements, including immune checkpoint inhibitors (ICIs) and targeted therapies, have...

Click here to access this article. Kawasaki disease (KD) is a systemic vasculitis, characterized by inflammation in the walls of the small- to medium-sized blood vessels. The disease affects predominantly, but not exclusively, young children. Without early and...

Click here to access this article. The electronic health records (EHR) landscape is evolving rapidly. In a recent series of studies, Munich Re underwriters reviewed over 800 cases to quantify the impact on the cost, quality, and speed of underwriting decisions with...

Click here to access this article. Risk selection is a key consideration in the life insurance industry. While some conditions in underwriting manuals are well-defined, other important factors may be overlooked, falling through the cracks. This is particularly the...

Click here to access this article. Production pressures can create time issues when reviewing laboratory tests, including weight trends, in the APS. However, neglecting to detect deteriorating trends toward abnormal within the normal range can lead to missing...

Click here to access this article. Within the AHOU leadership team and volunteer committees, excitement and anticipation are building as we look forward to welcoming you to our 2025 annual conference in Anaheim, CA in a few months! As you can imagine, it takes...

Click here to access this article. Effective underwriting has always hinged on the ability of underwriters to interpret and organize vast amounts of data, from medical records to diagnostic findings. This data structuring in underwriting has traditionally been a...

Click here to access this article. In recent years, mental health has received increasing attention in the media, prompting the insurance industry to make efforts to ensure individuals with mental health conditions have fair access to insurance products at...