How to Solve the Problem of China's Medical Insurance Fund Supervision——Analysisases Based on the"Three-Medical-Reform"and Artificial Intelligence Review in Lvliang City,Shanxi Province
Medical insurance fund is"life-saving money"of the people.Effectively managing and utilizing medical insurance fund is crucial for the sustainable development of China's healthcare security system and the well-being of the general public.In recent years,the contradictions have become increasingly prominent between the large scale of medical insurance fund,the complexity of the business chain,the multitude of stakeholders,the numerous risk factors,and the challenges in supervision due to insufficient specialized regulatory personnel,limited regulatory tools,and an imperfect institutional framework.The security of medical insurance fund is under threat.Therefore,solving the supervision problem of medical insurance fund and ensuring the prudent and efficient use of this"life-saving money"have become significant social concerns.Lvliang City in Shanxi Province has actively explored the supervision of medical insurance fund,employing Artificial Intelligence(AI)technology,innovating mechanisms,employing a combination of regulatory measures,and building a secure"firewall"for fund usage.Significant progress has been made in enhancing intelligent supervision of medical insurance fund.It can be said that a series of innovative explorations have created the"Lvliang Practice"of medical insurance fund supervision,providing a"Lvliang Solution"to the challenges of medical insurance fund supervision and offering the"Lvliang Experience"for promoting the supervision of medical insurance fund.
medical insurance fundsupervision method"three-medical-reform"intelligent
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