Medical benefit fund actuarial prediction method and device

A technology for medical insurance and funds, applied in the computer field, can solve the problems of high labor intensity, low prediction accuracy and low prediction efficiency.

Inactive Publication Date: 2018-03-06
PING AN MEDICAL & HEALTHCARE MANAGEMENT CO LTD
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  • Abstract
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Problems solved by technology

[0003] Based on this, it is necessary to provide a medical insurance fund actuarial forecasting method and device for the technical problems of high manual lab

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  • Medical benefit fund actuarial prediction method and device
  • Medical benefit fund actuarial prediction method and device
  • Medical benefit fund actuarial prediction method and device

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Embodiment Construction

[0050] In order to make the object, technical solution and advantages of the present invention clearer, the present invention will be further described in detail below in conjunction with the accompanying drawings and embodiments. It should be understood that the specific embodiments described here are only used to explain the present invention, not to limit the present invention.

[0051] The medical insurance fund actuarial forecasting method provided in the embodiment of the present invention can be applied to such as figure 1shown in the application environment. A plurality of terminals 102 are connected to a server 104 via a network. The terminal 102 may be a smart device such as a computer, a notebook computer, a tablet computer, or a smart phone. The medical insurance fund actuarial forecasting module is deployed in the server 104, and the terminal 102 sends historical basic medical insurance structure data, historical insured population data and historical medical ex...

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Abstract

The invention relates to a medical benefit fund actuarial prediction method and device. The method comprises the steps that historical basic medical insurance structure data, historical insured demographic data and historical medical expense data sent by a terminal are received; base year insured demographic data is acquired according to the historical insured demographic data, a historical insured demographic average growth rate is calculated, and a predicted year insured population is calculated according to the base year insured demographic data and the historical insured demographic average growth rate; predicted year medical benefit fund inflow is determined according to the predicted year insured population and the historical basic medical insurance structure data; predicted year medical benefit fund outflow is determined according to the predicted year insured population and the historical medical expense data; and when the predicted year medical benefit fund inflow is smaller than the predicted year medical benefit fund outflow, risk prompt information is sent to the terminal. Through the medical benefit fund actuarial prediction, medical benefit fund actuarial early warning analysis efficiency is greatly improved, and prediction precision is effectively guaranteed.

Description

technical field [0001] The invention relates to the field of computer technology, in particular to a medical insurance fund actuarial forecasting method and device. Background technique [0002] Medical insurance is an important part of social insurance. Forecasting the balance of income and expenditure of the medical insurance fund in the future can make timely adjustments to the income and expenditure policy of the medical insurance fund to avoid the risk of a shortage of the medical insurance fund and ensure the balance of the income and expenditure of the medical insurance fund. Traditional medical insurance fund revenue and expenditure forecasting is to manually predict the future medical insurance fund revenue and expenditure balance based on historical medical insurance fund data. This kind of medical insurance fund revenue and expenditure balance forecasting method requires manual collection, sorting, and analysis of complex medical insurance income data and medical i...

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Application Information

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IPC IPC(8): G06Q10/06G06Q40/08
CPCG06Q10/0635G06Q40/08
Inventor 陈明东许燕潘佶琦
Owner PING AN MEDICAL & HEALTHCARE MANAGEMENT CO LTD
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