Leveraging Quantum Machine Learning for Actuarial Predictions in Health Insurance

Abstract

Health insurance actuarial science has traditionally relied on classical statistical models to predict claims, assess risk, and set premiums. However, the growing complexity and high dimensionality of healthcare datasets challenge conventional techniques. Quantum Machine Learning (QML), integrating quantum computing and artificial intelligence, presents a promising paradigm for accelerating computations and capturing intricate correlations in insurance datasets. This paper develops a hybrid quantum-classical framework for actuarial predictions, encompassing claims forecasting, mortality and morbidity risk modeling, and dynamic premium optimization. Extensive simulation studies demonstrate QML’s ability to improve predictive accuracy, handle high-dimensional data, and enable risk-adjusted pricing strategies. The paper concludes with discussions on operational integration, ethical considerations, and future research directions.