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数字化医疗服务
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平均理赔周期缩至24小时内
Liao Ning Ri Bao· 2025-08-28 01:27
Core Insights - The Liaoning Province's commercial health insurance one-stop medical expense settlement service platform has been recognized as a typical case for enhancing digital literacy and skills by 2025, showcasing the province's efforts in "Internet + Healthcare" digital construction [1] - The platform has integrated over 50 medical institutions and 20 insurance companies, covering 9 prefecture-level cities, and has provided fast and direct compensation services to nearly one million commercial insurance patients [1] Group 1 - The platform was developed in 2016 as the first provincial-level medical commercial insurance settlement system in China, aiming to address the pain points of medical claims and enhance the digital level of medical services [1] - The average claim processing time has been significantly reduced from 10-15 days to within 24 hours, with some services allowing for real-time settlement at the window [1] - The platform enables a seamless data sharing mechanism between medical and commercial insurance information systems, allowing patients to initiate claims through various online channels and achieve real-time settlement upon discharge [1] Group 2 - The provincial health service center plans to continue advancing the platform's development, aiming for comprehensive access for secondary hospitals and enhancing digital medical services for more citizens [2]
集采试点!服务型耗材首次纳入省级集中采购
思宇MedTech· 2025-07-23 03:01
Core Viewpoint - The article discusses the launch of the first provincial-level bulk procurement project for "cloud film" medical consumables in Guizhou, marking a significant step towards the institutionalization and standardization of digital medical services in China [1][2]. Group 1: Service-Type Consumables Procurement - The "cloud film" procurement aims to reduce digital imaging service costs through a price linkage mechanism while enhancing the precision of medical insurance payments and the coordination of medical services [2]. - This initiative is a key measure in the construction of Guizhou's "medical imaging cloud storage base" [2]. - The procurement will cover public medical institutions in the province, with a minimum completion guarantee of 80% based on the declared procurement volume [1]. Group 2: Definition and Standards of Cloud Film Products - "Cloud film" is defined as a digital imaging service system based on cloud computing technology, replacing traditional medical films and local PACS [3]. - It must comply with DICOM standards and long-term storage requirements, ensuring data security and accessibility for both hospitals and patients [3][14]. - The service includes capabilities such as data collection, encrypted transmission, cloud storage, and AI diagnostic interfaces, meeting the requirements for second-class medical devices [5]. Group 3: Market Landscape and Competition - Approximately 30 companies have registered for "cloud film" related second-class medical devices, with notable players including United Imaging, Neusoft, and Sinoway [9]. - The selection of the winning company will be based on a combination of scoring and bidding, with criteria including price, technical solutions, and performance certifications [9]. - The procurement process emphasizes the need for companies to demonstrate robust platform capabilities and compliance with data security standards [12]. Group 4: Structural Impact of Procurement - The policy is expected to create structural changes in the industry, providing opportunities for companies with strong platform capabilities while posing challenges for those lacking foundational technology [12]. - The procurement is not just a price competition but a test of "medical digital infrastructure" capabilities [12]. Group 5: Future Prospects and National Promotion - The Guizhou cloud film project may serve as a model for other provinces, accelerating the deployment of localized digital imaging services [15]. - The integration of cloud services, AI imaging platforms, and medical insurance payment policies is anticipated to reshape the boundaries of the medical device service market in China [15].