发挥医保数据监测和警示作用的创新之路——基于成都市医保大数据挖掘的实践

Seeking a Innovation Road of Playing the Role of Monitoring and Warning of Medical Insurance Data

以"大数据"理念对医保数据进行深度挖掘和分析,及时发现医保经办、服务和基金运行过程中存在的突出问题,及时采取整改措施;对医保制度运行进行分析预警,为及时调整政策提供决策支持。这是全民医保从制度全覆盖向为"健康中国"提供更为坚实的基础性作用转变的有效路径。本文总结了成都市近年来在医保大数据应用方面进行的积极探索,并对医保大数据应用的前景进行了思考。

Chengdu uses the concept of big data deep excavation and analysis of medical insurance data, timely detects the problems in medical insurance services and in the process of fund operations, and timely takes corrective measures. Chengdu analyzes the early warning system for the operation of the medical insurance system to provide policy support. In this paper, the author summarizes the positive exploration of the application of big data in Chengdu in recent years, and discusses the prospect of the application of big data.