Now showing 1 - 6 of 6
No Thumbnail Available
Publication

Catastrophic Health Spending by COVID-19 in the Mexican Insurance Sector

2024-01-01 , Domínguez-Gutiérrez, Ulises , Rodríguez Aguilar, Román

The COVID-19 pandemic that the world has been suffering for 3 years has generated major impacts worldwide, both in public health systems and in the private insurance industry. The high costs of care derived from cases with complications have likewise generated a great impact on the private insurance industry. In the case of Mexico, the mortality rates observed are among the first places, in addition to generating a great impact on private insurance. This work deals with the measurement of the impact of catastrophic expenses derived from COVID-19 in an insurance company; using a set of machine learning models, the key variables in the estimation of patients with potential catastrophic expenses were determined. The results show that the estimated classification model has a positive performance in addition to allowing the identification of the main risk factors of the insured as well as their potentially catastrophic impact on insurance companies.© 2024 Springer Nature

No Thumbnail Available
Publication

A machine learning-based analytical intelligence system for forecasting demand of new products based on chlorophyll : a hybrid approach

2024 , Rodríguez Aguilar, Román , Marmolejo Saucedo, José Antonio , Garcia-Llamas, Eduardo , Rodríguez-Aguilar, Miriam , Marmolejo-Saucedo, Liliana

This manuscript addresses the problem of forecasting the demand for innovative products with limited and inhomogeneous sales data over time. The main objective of the study is to use the information available from a group of innovative chlorophyll-based food products to build a coherent demand forecasting system. From a transactional database, time series were constructed for each group of products, analyzing the stationarity and seasonality of the time series through the Dickey–Fuller and Canova–Hansen tests. Likewise, an ARIMA model, a long short-term memory (LSTM) recurrent deep neural network, and a support vector machine (SVM) were trained to select the best model for each product based on a forecast performance metric. A comparison between classical forecasting techniques and machine learning models is shown. The LSTM neural network was the best model for most products because the internal architecture of the network allows not only to capture non-linear relationships between variables but is also capable of controlling the flow of information to preserve characteristics over time that are relevant for forecasts. The second-best model was the SVM, which allows capturing non-linear behaviors through kernel functions and uses a smaller amount of data for its estimation. Finally, the ARIMA model presented the lowest performance for all products. The objective of having various methodologies is that the system allows the best forecast to be selected according to the type of product, availability of information and methodology used, which will allow the company to integrate new products into the system over time. ©Springer

No Thumbnail Available
Publication

Identification of Trading Strategies Using Markov Chains and Statistical Learning Tools

2021 , Rodríguez Aguilar, Román , Marmolejo Saucedo, José Antonio

Technological advances have modified many operational and strategic areas in companies, the financial sector has been one of the sectors highly influenced by the methods of artificial intelligence and machine learning. The operation in the stock exchanges have used more technological tools to process information and be able to make investment decisions. The main objective is to be able to detect buying and selling opportunities at the right time. Stock markets have traditionally based their decisions on two major approaches, technical analysis and fundamental analysis, with new machine learning and artificial intelligence technologies, these paradigms have been updated making use of additional tools for their analysis. The present work is a proposal for the detection of trading signals in the markets through the use of Markov models and generalized additive models. In order to identify investment opportunities in the stock markets. © 2021, The Author(s), under exclusive license to Springer Nature Switzerland AG.

No Thumbnail Available
Publication

Machine Learning for Digital Shadow Design in Health Insurance Sector

2024 , Rodríguez Aguilar, Román , Marmolejo Saucedo, José Antonio , Rodríguez-Aguilar, Miriam , Marmolejo-Saucedo, Liliana

The digital transformation process in organizations has accelerated significantly in recent years; the COVID-19 pandemic was a catalyst that highlighted the need for digitalization in all sectors. In the case of the health sector, this process is complex due to the processes inherent in health care as well as the integration of multiple sectors that allow the provision of health services. A first approach towards the construction of a Digital Twin in health organizations is a Digital Shadow that allows an orderly transition towards digital operation in real time. This paper presents a first approach to the design of a Digital Shadow for the health insurance sector and specifically for the care of patients diagnosed with COVID-19 through the implementation of an analytical intelligence system based on machine learning models to forecast and monitor to patients who represent catastrophic cases for the insurer. © 2024 Springer Nature

No Thumbnail Available
Publication

Machine Learning Applied to the Measurement of Quality in Health Services in Mexico: The Case of the Social Protection in Health System

2018 , Rodríguez Aguilar, Román , Marmolejo Saucedo, José Antonio , Vasant, Pandian

To propose a satisfaction indicator of users of health services affiliated to the Social Protection System in Health (SPSS). Identify the effect of the main factors that are directly related to the satisfaction level and perception of quality of health services. A machine-learning model based on Logistic Models and Principal Components was developed to estimate a satisfaction index. The survey data collected for the “SPSS 2014 User’s Satisfaction Study” was used, considering a sample of 28,290 users. The proposed model shows, in general, the positive perception of quality of health services (national average 0.0756). There are factors statistically significant that influence these results, the good perception of infrastructure (OR:2.12; CI 95%:1.9–2.36); the gratuity of the service provided (OR:1.98; CI 95%: 1.42–2.76); and full medicines supply (OR:1.81; CI 95%:1.91–2.36). The proposed index can be used as an indicator for improving health care quality of the population covered by the SPSS. © 2019, Springer Nature Switzerland AG.

No Thumbnail Available
Publication

Demand prediction using a soft-computing approach : a case study of automotive industry

2020 , Salais-Fierro, Tomás Eloy , Saucedo-Martínez, Jania , Rodríguez Aguilar, Román , Vela-Haro, Jose Manuel

According to the literature review performed, there are few methods focused on the study of qualitative and quantitative variables when making demand projections by using fuzzy logic and artificial neural networks. The purpose of this research is to build a hybrid method for integrating demand forecasts generated from expert judgements and historical data and application in the automotive industry. Demand forecasts through the integration of variables; expert judgements and historical data using fuzzy logic and neural network. The methodology includes the integration of expert and historical data applying the Delphi method as a means of collecting fuzzy date. The result according to proposed methodology shows how fuzzy logic and neural networks is an alternative for demand planning activity. Machine learning techniques are techniques that generate alternatives for the tools development for demand forecasting. In this study, qualitative and quantitative variables are integrated through the implementation of fuzzy logic and time series artificial neural networks. The study aims to focus in manufacturing industry factors in conjunction time series data. © 2019 by the authors.