The invention provides a medical insurance fund health monitoring method and
system based on a neural network, and a medium. Comprising the steps that multi-source heterogeneous medical insurance data are collected and input into a two-channel neural
network model in parallel after space-time normalization
processing, a
time sequence prediction channel predicts a fund
sustainability index through a long and short-
term memory network in combination with an attention mechanism, an
anomaly detection channel calculates a medical fund abuse
risk probability and a regional circulation balance degree through a graph neural network, and the medical fund abuse
risk probability and the regional circulation balance degree are calculated. And finally, fusing the indexes to generate a
health index, comparing the
health index with a dynamically adjusted threshold value to realize three-level early warning, constructing a
medical risk propagation network, generating a
sensitivity coefficient based on a
clustering coefficient, betweenness centrality and historical risk intensity, dynamically optimizing an early warning threshold value, and enabling the
system to support anti-factual
causal analysis and generate policy intervention suggestions. According to the method, the problems of insufficient medical insurance fund space-time heterogeneity modeling,
neglect of a risk conduction mechanism and poor static threshold adaptability of a traditional method are solved, and accurate monitoring and active prevention and control of fund health are realized.