National Healthcare Security Administration: Promoting the Application of Artificial Intelligence, Big Data and Other Technologies in Healthcare Security
2025-08-04
After desensitization, the medical insurance data of the three provinces and one city in the Yangtze River Delta will be stored in a fully enclosed and trusted space for the final teams to simulate and practice. "At the press conference of the 2025 National Smart Medical Insurance Competition held by the National Medical Insurance Bureau on August 1, Huang Huabo, Deputy Director of the National Medical Insurance Bureau, introduced that in addition to the data within the medical insurance system, Shanghai will also provide some transparent and desensitized public basic data. The R&D team will obtain high-quality, high-level, and rich cross industry integrated data in the trusted data space of the competition. In recent years, the National Healthcare Security Administration has continued to promote the application of technologies such as artificial intelligence and big data in the medical insurance field, and has shifted fund supervision from a "human wave tactic" to "intelligent precision". The construction of the intelligent supervision system for medical insurance is helping to move the threshold of fund supervision forward. For example, big data analysis models such as "abnormal hospitalization", "medical insurance drug reselling", and "key drug monitoring" can accurately identify illegal and irregular behaviors; The departments of medical insurance, health, and drug supervision share the "driver's license style scoring" of designated medical institutions' violators, forming a regulatory synergy... Medical insurance information data covers medical insurance related information of 1.33 billion insured persons, 50 million employers, 1.14 million hospitals and pharmacies, 17900 drug consuming enterprises, and 376000 drug consumables nationwide, supporting the annual income, expenditure, and real-time settlement of about 3 trillion yuan and 10 billion medical insurance expenses in China. Fu Chaoqi, Director of the Big Data Center of the National Healthcare Security Administration, stated that these data are one of the industry data with the best quality, widest coverage, and most unified standards in the country, highly isomorphic to economic and social development. Huang Huabo stated that in order to fully tap into the potential value of medical insurance data elements and promote the integration of data elements with the real economy, the 2025 National Smart Medical Insurance Competition adopts an open model of "no track, only divided into fields", and sets competition content for more than ten fields such as medical health, innovative drug research and development, finance and insurance, government services, and academic research. In the competition, participants receive real data on patients' medical treatment, settlement, fund operation, and use of drugs and consumables, rather than virtual idealized scenarios. The competition plan must consider practical challenges such as regional collaboration, policy adaptation, resource optimization, and mobile population services, laying the foundation for the feasibility and practicality of the plan. This is the first cross regional collection of medical insurance data, and also the first attempt to integrate medical insurance data with data outside of medical insurance across industries. ”Huang Huabo said that this will help to achieve data interconnection between medical insurance and other industries, further attracting medical institutions, research institutes, universities, enterprise research and development centers, and promoting the empowerment of medical insurance data for thousands of industries. The exploration of breaking down data silos has made fusion analysis possible, and the competition platform provides a more comprehensive "training ground" for innovative applications of cutting-edge technologies such as artificial intelligence, big data analysis, privacy computing, and blockchain. If the participating projects hope to achieve landing and conversion in Shanghai, they will obtain a secure and compliant local medical insurance data verification environment and computing resources. ”Xia Kejia, Deputy Secretary General of the Shanghai Municipal Government and Director of the Shanghai Medical Insurance Bureau, stated that the team can carry out technology transformation work such as algorithm optimization, model debugging, and local adaptation in Shanghai. They will also have the opportunity to connect with enterprises, incubators, industrial parks, and investment and financing institutions in Shanghai, accelerating the pace of transforming innovative achievements from laboratories to applications. Xia Kejia introduced that Shanghai has "crossed over" and drawn professional forces from Shanghai Medical Insurance Bureau, Shanghai Data Bureau, China Academy of Information and Communications Technology Shanghai Innovation Center, and other units to form a preparatory team covering medical insurance, medical care, innovative medicine, information technology, and data security technology. It fully utilizes the existing trusted data space in Pudong New Area and presses the "shortcut key" for incubating and transforming medical insurance data innovation projects. (New Society)
Edit:Momo Responsible editor:Chen zhaozhao
Source:Xinhua News Agency
Special statement: if the pictures and texts reproduced or quoted on this site infringe your legitimate rights and interests, please contact this site, and this site will correct and delete them in time. For copyright issues and website cooperation, please contact through outlook new era email:lwxsd@liaowanghn.com