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国家医保局:推动人工智能、大数据等技术应用于医保
Ke Ji Ri Bao·2025-08-04 00:22

Group 1 - The National Healthcare Security Administration (NHSA) is promoting the application of artificial intelligence and big data in the healthcare insurance sector, transitioning from traditional methods to intelligent and precise fund supervision [1][2] - The healthcare insurance data encompasses 1.33 billion insured individuals, 50 million employers, 1.14 million hospitals and pharmacies, 17,900 medical supply companies, and 376,000 medical products, supporting an annual revenue and expenditure of approximately 3 trillion yuan and 10 billion medical service transactions [1] - The 2025 National Smart Healthcare Insurance Competition will adopt an open model without specific tracks, focusing on various fields such as healthcare, innovative drug development, financial insurance, and academic research [2] Group 2 - Participants in the competition will have access to real patient data regarding medical treatment, settlement, fund operation, and drug usage, which will enhance the feasibility and practicality of their proposals [2] - The competition marks the first attempt to integrate healthcare insurance data with data from other industries, facilitating interconnectivity and collaboration among healthcare institutions, research institutes, universities, and corporate R&D centers [2] - The Shanghai government will provide a secure and compliant local healthcare insurance data verification environment and computational resources for projects aiming for local implementation [3]