Method, apparatus, computer device and storage medium for estimating disease cost

Abstract

The present application relates to a method, apparatus, computer device and storage medium for estimating disease cost. The method comprises the following steps: receiving a disease type cost estimation request sent by a terminal, wherein the disease type cost estimation request carries a disease type code and an area code; Collecting disease cost sample data corresponding to disease code and areacode; Calculating a first statistical parameter of the disease type cost sample data as the actual disease type cost; obtaining The abnormal sample data by dispersion analysis of disease cost sampledata, and deleting the abnormal sample data from the disease cost sample data to obtain disease cost screening data. Calculating a second statistical parameter of the disease type cost screening dataas a reference disease type cost; Calculating the cost correlation degree between the actual disease type cost and the reference disease type cost; According to the actual disease type cost, calculating the disease type cost with reference to the disease type cost and the cost correlation degree, and returning the estimated disease type cost to the terminal. The method can improve the veracity ofthe calculation result of the payment according to the disease type.

Description

technical field [0001] The present application relates to the field of computer technology, in particular to a method, device, computer equipment and storage medium for calculating the cost of diseases. Background technique [0002] In recent years, the State Council, the Ministry of Human Resources and Social Security, the Health and Family Planning Commission and many other ministries and commissions have issued documents clarifying the implementation of multiple review-type medical insurance payment methods, focusing on the implementation of payment by disease type, and rationally formulating medical insurance payment disease payment standards and other medical reform policies. More and more medical services, medical insurance agencies and other institutions have a demand for pricing by disease type. [0003] Before the promotion of medical reform, medical insurance payment was basically based on payment according to service items, and the amount of data on medical visits...

AI Technical Summary

Problems solved by technology

[0003] Before the promotion of medical reform, medical insurance payment was basically based on payment according to service items, and the amount of data on medical visits and expenses was large, and the differences between the data were large. The current payment calculation methods often cannot effectively analyze the data. The results Often don't match up well with actual billing

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