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基于大数据的医保费用欺诈监管智库的智慧化研究 被引量:1

Research on the Intelligence of Think Tanks of Fraud Supervision of Medical Insurance Costs Based on Big Data
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摘要 当前,我国经济进入新常态,在政治、经济、科技、文化、教育、卫生等方面发生了一系列社会变革,面临的社会问题十分复杂,迫切需要各类智库的研究和分析为政府提供理论、技术、方法、策略和政策建议。与此同时,面对即将到来的泛化智能新时代,智库建设也亟待加速向智慧化演进。论文提出,基于健康大数据、云计算、人工智能的医保费用欺诈监管策略可以实现医疗决策智库的智慧化,实现对医保费用欺诈行为的智能识别,针对政府机构和其他客户开展“预见性和预防性决策咨询”,对医疗卫生经济的发展有着重要的推动作用。 At present,China's economy has entered a new normal,and a series of social changes have taken place in politics,economy,science and technology,culture,education,health and other aspects.The social problems we faced are very complex.There is an urgent need for the research and analysis of various think tanks to provide the government with theoretical,technical,methodological,strategic and policy suggestions.At the same time,in the face of the coming new era of generalized intelligence,think tank construction also needs to accelerate the evolution to intelligence.The paper proposes that the supervision strategies of the fraud of medical insurance costs based on health big data,cloud computing and artificial intelligence can realize the intelligence of medical decision-making think tanks,realize the intelligent identification of the fraud behavior of medical insurance costs,and carry out"consultation on predictive and preventive decision-making"for government agencies and other customers,which plays an important role in promoting the development of medical and health economy.
作者 芮晨 尹淼 郭栋伟 李艳霞 RUI Chen;YIN Miao;GUO Dong-wei;LI Yan-xia(Fine Management Office,Cangzhou Central Hospital,Cangzhou 061000,China;School of Economics and Management,Hebei University of Technology,Tianjin 300401,China;School of Social Development and Public Policy,Beijing Normal University,Beijing 100875,China)
出处 《中小企业管理与科技》 2019年第34期122-123,125,共3页 Management & Technology of SME
基金 河北省社科基金项目“西方高水平大学智库发展及我省新型大学智库建设策略研究”,项目编号:H B16JY 017
关键词 智库智慧化 医保费用欺诈 大数据 决策 intelligence of think tanks fraud of medical insurance costs big data decision-making
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