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China will establish a unified medical insurance information system to provide more convenience for

on June 27, the "dynamic maintenance of medical insurance business coding standards" window of the National Medical Insurance Bureau was put into trial operation, which means that the construction of China's unified medical insurance information system has entered the implementation stage. With the completion of the unified information system, the insured residents across the country are expected to gradually use the national unified medical insurance electronic voucher and provide a third-party payment platform interface. At the same time, it will be more convenient to query personal medical insurance information, transfer and connection of medical insurance participation relationship, and settlement of medical treatment in different places.

The national medical insurance information platform adopts the technical scheme of "cloud + middle platform", enables the national unified business code for 15 information such as medical insurance disease diagnosis, medical services, drugs and medical consumables, and builds a unified, efficient, compatible, convenient and safe information system. Four core coding standards for medical insurance disease diagnosis and surgery, drugs, medical consumables and medical service items have been completed, and the remaining 11 coding standards and rules have been basically determined. Most of the bidding work of the information platform has been completed, and then it enters the implementation stage. By 2020, it will gradually realize the implementation and use of 15 Information Service coding standards.

After more than 20 years of development, China has established a multi-level medical security system covering the whole people, and the scale of medical insurance fund has been expanding. Medical insurance informatization and standardization are the basis and support of medical insurance management. Problems such as inconsistent medical insurance standards, non mutual recognition of data, system segmentation, difficult sharing and regional closure affect the improvement of medical insurance service level and governance ability. It is not so convenient for insured residents to query medical insurance information, transfer and continue medical insurance relationship, medical settlement and medical treatment in other places; Excessive drug use, excessive medical treatment and excessive inspection, lack of 'benchmarking' standards, affect the rational use of medical insurance funds, and lack of effective means to control expenses; Various types and specifications of drugs and consumables, inconsistent standards, resulting in management difficulties and blind spots, and the price is not open and transparent enough; Lack of information-based supervision means, it is difficult to effectively curb the phenomenon of fraud and insurance fraud, and so on.

Experts believe that a unified medical insurance information system will help to improve the handling and governance capacity of medical insurance, promote the openness and transparency of the prices of drugs and medical consumables across the country, formulate unified payment standards for medical service projects, deepen the reform of medical insurance payment methods, promote the reform of drug recruitment and purchase system, and leverage the reform of "three medical linkage". At the same time, through big data analysis and artificial intelligence technology, it will help to strengthen medical insurance supervision and combat fraud.