Experience, Practice and Reference of Intelligent Supervision of Medical Insurance Funds in Typical Regions

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关键词: 医保基金智能监管经验借鉴 Medical Insurance Fund Intelligent Supervision Experience and Lessons

摘要: In recent years, with the accelerated pace of building a moderately prosperous society in all respects, people’s demand for high-quality medical security has been increasing, which has posed serious challenges to medical insurance governance. Since its establishment in 2018, the National Medical Insurance Administration has always made strengthening the supervision of medical insurance funds a top priority. The “two pilot projects and one demonstration” launched in 2019 has made significant prog...更多; In recent years, with the accelerated pace of building a moderately prosperous society in all respects, people’s demand for high-quality medical security has been increasing, which has posed serious challenges to medical insurance governance. Since its establishment in 2018, the National Medical Insurance Administration has always made strengthening the supervision of medical insurance funds a top priority. The “two pilot projects and one demonstration” launched in 2019 has made significant progress in intelligent supervision work. This article summarizes the experience of intelligent supervision of medical insurance funds by reviewing the main practices in typical regions such as Chengdu, Nanjing, Xiamen, etc., providing reference for accelerating the construction of a comprehensive intelligent supervision system and assisting in the high-quality development of intelligent supervision of medical insurance funds in the new stage.收起

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