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挖好医保数据“富矿” 激发医药产业活力
Zheng Quan Ri Bao· 2025-08-06 16:26
Core Insights - The 2025 National Smart Medical Insurance Competition has been officially launched, featuring an open model that does not set specific tracks but divides by fields, and for the first time attempts cross-regional integration of medical insurance data [1] Group 1: Medical Insurance Data Utilization - Medical insurance data encompasses critical information such as disease patterns and clinical medication needs, characterized by large volume, broad dimensions, and strong continuity, representing a "data goldmine" [1] - The competition aims to extend the value of medical insurance data beyond reimbursement and fund supervision to broader applications, accelerating the potential for empowering the pharmaceutical industry [1] Group 2: Innovation in Drug Development - The entire lifecycle of innovative drugs includes target screening, clinical trials, and post-market real-world studies, where analyzing vast amounts of treatment and medication data can help identify disease trends and unmet clinical needs [2] - Real-world data can significantly enhance trial efficiency and success rates by assisting in patient recruitment and establishing more reasonable control groups [2] - Post-launch, larger-scale medical insurance data allows for comprehensive evaluations of drug efficacy, safety, and economic viability in real medical environments, providing solid evidence for insurance negotiations and clinical guidelines [2] Group 3: Challenges in Data Integration - The "medical insurance data island" phenomenon needs to be addressed, as vast amounts of healthcare information are fragmented due to technical barriers, institutional obstacles, and security concerns, hindering effective integration and value release [3] - The competition's attempt at cross-regional integration of medical insurance data aims to create a new paradigm for open data utilization, which could pave the way for broader applications [3] Group 4: Data Security and Compliance - Ensuring data security and compliance is fundamental for empowering the industry with medical insurance data, as it involves sensitive personal information [3] - The competition employs technologies such as blockchain, data encryption, and artificial intelligence, ensuring data is anonymized and secure while unlocking its value [4] - Continuous investment in privacy computing and blockchain technologies is necessary to safely utilize data while fostering a skilled workforce proficient in both pharmaceutical and data technologies [4] Group 5: Future Directions - The transition from pilot competitions to comprehensive empowerment of the industry through medical insurance data requires collaborative efforts from government, enterprises, and research institutions, while maintaining strict safety standards [4] - The potential activation effect of safely and efficiently "mining" the medical insurance data goldmine on the pharmaceutical industry is expected to accelerate [4]