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Merit Medicine Learning Center
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White Paper: Using AI-Led Predictive Analytics to Improve Underwriting Outcomes
A Retrospective Case Study on Improving Risk Selection, Pricing Discipline, and Capital Efficiency Across Risk-Bearing Health Insurance Portfolios Applicable to stop-loss carriers, MGUs, primary carriers, and reinsurance partners Authored by Merit Medicine, Inc. | February 2026 Validated By: Joshua W. Axene FSA, FCA, MAAA (Axene Health Partners) Executive Summary Group health underwriting, including stop loss, level funding, captive, and excess of loss reinsurance, remains one of the most...
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