International Journal For Multidisciplinary Research

E-ISSN: 2582-2160   •   Impact Factor: 9.24

A Widely Indexed Open Access Peer Reviewed Multidisciplinary Bi-monthly Scholarly International Journal

Call for Paper Volume 8, Issue 5 (September-October 2026) Submit your research before last 3 days of October to publish your research paper in the issue of September-October.

A Machine Learning-Based Analysis of Health Insurance Expenditures in Rwanda

Author(s) Mr. Ephraim UYISENGA, Dr. Roger MUREMYI
Country Rwanda
Abstract Background: Rising healthcare costs among elderly insured members present
sustainability challenges for Rwanda’s health insurance schemes. This study applies machine learning (ML) to predict healthcare expenditures for elderly members, identify key cost drivers, and develop a deployable actuarial decision-making tool.
Objective: To analyze and predict health expenditure patterns of elderly insured
members using ML, compare predictive models, and provide policy-relevant insights.
Methods: Claims data (2022–2024) from the Military Medical Insurance (MMI) scheme were analyzed using Multiple Linear Regression, Random Forest, Gradient Boosting, and XGBoost. Data were split into training (80%) and testing (20%) sets. Models were evaluated using R², MAE, and RMSE. SHAP values were used for interpretability. Results: Ensemble models outperformed linear models; Random Forest achieved the highest accuracy (R² = 0.74). Age, BMI, and service categories (Acts, imaging, and hospitalization) were major predictors. NCDs affected costs indirectly through increased use of high-cost services. Conclusion: ML can improve risk adjustment, preventive targeting, and pricing strategies in Rwanda’s health insurance.
Keywords Machine Learning, Health Insurance, Elderly, Healthcare Expenditure Prediction, Rwanda, Actuarial Science, Random Forest, XGBoost
Field Computer > Data / Information
Published In Volume 8, Issue 5, September-October 2026
Published On 2026-10-21
DOI https://doi.org/10.36948/ijfmr.2026.v08i05.87218

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