“个人医保云”下月开始试点建设

Core Insights - The article discusses the pilot program for the "Personal Medical Insurance Cloud" aimed at creating dynamic personal health records for insured individuals, promoting a new model of smart medical insurance management that covers the entire population, lifecycle, and various scenarios [1] Group 1: Pilot Program Overview - The pilot program will be conducted from February to December this year in certain regions, establishing a "Personal Medical Insurance Cloud" system that integrates health data from various sources [1] - The system will gather data from designated medical institutions, including diagnosis, settlement, and usage of medical supplies, and will connect with wearable devices and home monitoring equipment [1] Group 2: Data Integration and Management - The pilot regions will utilize a unified national medical insurance information platform to comprehensively and real-time aggregate core business data from local medical institutions, while also exploring the integration of public health and health management data [1] - The program aims to effectively merge in-hospital medical settlement data with external health sensor data, enhancing the overall healthcare management process [1] Group 3: Multi-Dimensional Health Profiles - The initiative will employ data analysis techniques to create multi-dimensional personal profiles for insured individuals, which will be dynamically updated [2] - The personal health profile will include historical medical records, treatment history, allergy information, and health monitoring data, supporting health risk alerts and medical reference [2] - Financial profiles will summarize insurance payments, medical expenses, and account transactions, providing cost analysis and protection recommendations for insured individuals [2] - Information profiles will compile basic personal information, family relationships, and credit records, supporting service connections and credit system development [2]