《医疗保障基金智能监管规则库、知识库（2025年版）》出版发行

Core Insights - The National Healthcare Security Administration (NHSA) is actively advancing the construction of an intelligent regulatory system to enhance the supervision and management of medical insurance fund usage, ensuring the protection of public healthcare funds [1][2] Group 1: Intelligent Regulatory System - The NHSA is leveraging modern information technology, including big data and artificial intelligence, to improve the efficiency of real-time audits and post-event supervision of medical insurance funds [1] - The system aims to address the challenges posed by the extensive and complex nature of medical insurance fund usage, enhancing the capabilities of various healthcare administrative departments and agencies [1] Group 2: Proactive Measures and Public Disclosure - Since 2025, the NHSA has publicly released eight batches of regulatory rules and nearly 20,000 knowledge points through its official website, marking a significant step in the proactive disclosure of regulatory guidelines [2] - The newly published "Intelligent Regulatory Rules and Knowledge Base for Medical Insurance Funds (2025 Edition)" includes 88 categories of intelligent regulatory rules and 247,000 knowledge points, all linked to medical insurance codes for easy access [2] Group 3: Future Developments - The NHSA plans to continue enhancing the intelligent regulatory system, focusing on the comprehensive and accurate updating of regulatory rules and knowledge points, and aims for full coverage of proactive reminders in designated medical institutions during the "14th Five-Year Plan" period [2] - The NHSA will strengthen real-time audits and post-event supervision to promptly reject and recover funds used in violation of regulations, providing precise data support for on-site inspections and administrative enforcement [2]