推进医保数据与医疗数据更好联通（无影灯）

Core Insights - The integration of medical insurance data and healthcare institution data is transforming the relationship from a regulatory one to a collaborative one, enhancing both fund security and service quality [1][2][3] Group 1: Data Integration and Collaboration - The connection between medical insurance data and healthcare data creates a dual governance digital engine, improving the efficiency of medical services while safeguarding insurance funds [1][2] - Medical insurance data serves as a barometer for healthcare needs, while healthcare data provides detailed insights into treatment processes and patient behaviors [2][3] - The establishment of data workgroups by the National Medical Insurance Administration aims to enhance transparency and communication regarding fund operations and service quality [3] Group 2: Impact on Healthcare Institutions - Healthcare institutions can optimize resource allocation by accessing real-time medical insurance payment data and patient flow information, moving away from a one-sided data access model [2][3] - Data sharing initiatives in regions like Dalian and Fuzhou have enabled hospitals to adopt data-driven decision-making, improving management and operational strategies [3] Group 3: Benefits to Insured Individuals - The ultimate goal of enhanced data flow and communication between medical insurance and healthcare providers is to benefit insured individuals, ensuring that medical services are more efficient and aligned with insurance regulations [4]