计算机应用与软件2011，Vol.28Issue(8)：120-122,3.
一个医保基金风险防控平台中的数据挖掘技术
A DATA MINING TECHNIQUE ON THE MEDICAL INSURANCE FUND RISK PREVENTION AND CONTROL PLATFORM
摘要
Abstract
Aiming at the key steps of medical insurance fund management and the major factors of fund risks and deriving from practical medical insurance businesses, the authors have designed a corresponding data mining algorithm and constructed medical insurance fund risk prevention and control model base and method base to prevent and control political risks, operational risks, supplier-demander contradictory risks and fraud violation risks; then through the validation-revision-application cycle to influence the medical insurance business system in order to perfectly build a medical insurance fund risk prevention and control mechanism in accordance with the medical insurance revolution and management and then co-construct a healthy circulation with the daily medical insurance business system on fund operation and surveillance which is instructive to the foundation construction of the building and operation of the medical insurance fund risk prevention and control system.关键词
数据挖掘/医保/风险防控Key words
Data mining Medical insurance Risk prevention and control分类
信息技术与安全科学引用本文复制引用
高臻耀,张敬谊,林志杰,熊赟,朱扬勇..一个医保基金风险防控平台中的数据挖掘技术[J].计算机应用与软件,2011,28(8):120-122,3.基金项目
上海市科委科研计划基金项目(08511500203) （08511500203）
上海市重点学科建设项目(B114). （B114）
