Data and calculations make Guangxi medical insurance more accurate, precise and convenient

Beijing, December 29, 2021/PRNewswire/ - How to use digital technology to better support medical security public services in the new era and new pattern, and fully support medical insurance intelligent monitoring, operation monitoring, fund supervision, internal control, and credit Management, macro decision-making and other business tasks to realize the refined governance of the entire region's medical insurance subjects, all objects, all businesses, all processes, and all data are issues that the Autonomous Region Medical Insurance Bureau has been thinking about since its establishment in 2018

Medical insurance targeted poverty alleviation, reducing the burden of medical expenses by more than 20 billion yuan

Through horizontal information sharing with rural revitalization, civil affairs and other departments, and vertical with medical insurance departments, the Medical Insurance Bureau of the Autonomous Region accurately implemented the medical insurance benefits of the poor through the "one policy, two databases, three platforms", and played an important role in the medical insurance system in preventing poverty and reducing poverty.

"The full circulation and sharing of data elements allows the medical insurance poverty prevention monitoring to move forward, and build a pre-, during, and post-event risk monitoring prevention and control barrier

Refined management of medical insurance to promote the rational allocation of medical resources

How to control the unreasonable growth of medical expenses, that is, to curb the loss of huge medical insurance expenses in the "excessive medical treatment" link, is a very important "cutting" measure for the "high-pressure operation" medical insurance fund

The refined management of medical insurance, the promotion of the rational allocation of medical resources and the deepening of the reform of medical insurance payment methods is an important starting point for promoting the reform of the medical and health supply side

In the past year, DRG payment settlement has seen a year-on-year decrease of 16% in the average hospitalization expenses of designated medical institutions that implement payment; average hospitalization days have dropped by 14% year-on-year; the personal burden of insured persons has dropped by 13% year-on-year; the district DRG paid fund expenditures are lower than the annual fund The budget and surplus will be retained by medical institutions in accordance with regulations after assessment

Wang Zhongping, director of the Medical Insurance Bureau of the Autonomous Region, said that the DRG payment reform is a measure of "benefiting the people and benefiting doctors"

Medical insurance services are handled remotely, online, and on the palm, making the "big service" of medical insurance convenient and accessible

Improving the medical insurance service experience and enhancing the people's sense of access to and well-being of medical security services is one of the core demands of the Autonomous Region Medical Insurance Bureau as a functional department of social public services

Five cities in the Beibu Gulf region (Beihai City, Fangchenggang City, Qinzhou City, Yulin City, and Chongzuo City) have taken the lead in realizing the integration of medical treatment and settlement in October this year.

At the same time, because the Shishan area (mountains above 400 meters above sea level) accounts for 39.

Digital transformation of medical insurance, smart platform support is the key

At present, the national medical security information platform has been launched in Guangxi

A huge medical insurance information platform like this involving more than 50 million people, tens of thousands of medical institutions and medical device manufacturers, and tens of thousands of insured units, any downtime risk may cause a huge social impact, and it is inseparable from it.

Inspur Information provides the Guangxi medical security information platform with intelligent computing support integrating cloud computing, big data, and artificial intelligence.

Medical insurance is essentially a social public service and pay more attention to service awareness

The digital transformation of Guangxi medical insurance has become an important epitome of the high-quality development of national medical insurance