摘要
我国医保覆盖范围逐渐扩大,但医保欺诈问题频发,给医保基金造成了巨大损失。加强大数据的应用,加快推进医保信息化建设,建立和完善医保智能监控系统,对于防范医保欺诈具有重要意义。本文分析了大数据用于防范医保欺诈面临的挑战,并提出了相应的对策,对于促进大数据在防范医保欺诈中的应用具有重要意义。
The coverage of medical insurance in China is gradually expanding,but the cases of medical insurance fraud are frequent,which has caused huge losses to the medical insurance fund.It is of great significance to strengthen the application of big data,accelerate the informatization construction,establish and complete the intelligent monitoring system of medical insurance for preventing medical insurance fraud.This paper analyzes the challenges of preventing medical insurance fraud under big data and puts forward corresponding countermeasures,which are of great significance for promoting the application of big data in preventing medical insurance fraud.
作者
刘佳颖
LIU Jia-ying(School of Economics and Management,Hebei University of Technology,Tianjin 300401,China)
出处
《价值工程》
2021年第19期153-154,共2页
Value Engineering
关键词
大数据
医疗保险
智能监控
big data
medical insurance
intelligent monitoring
