The Current Situation and Suggestions of Healthcare Security Credit Management——Taking Hunan Province as an Example

China Health Insurance ›› 2025, Vol. 0 ›› Issue (10) : 80-89.

China Health Insurance ›› 2025, Vol. 0 ›› Issue (10) : 80-89. DOI: 10.19546/j.issn.1674-3830.2025.10.009
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The Current Situation and Suggestions of Healthcare Security Credit Management——Taking Hunan Province as an Example

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Abstract

Objective: The paper attempts to promote the optimization of credit supervision in the field of healthcare security, ensure the safe and efficient use of medical insurance funds and the legitimate rights and interests of citizens' healthcare security, and provide reference for the local exploration of healthcare security credit supervision in China. Methods: Taking the practice of healthcare security credit supervision in Hunan Province as the research object, combined with policy documents, acceptance reports of pilot cities and special investigation data, the current situation was analyzed from three aspects of system, platform and application of results, and the problems were analyzed and countermeasures were proposed. Results: Hunan Province has established a healthcare security credit management system, built a data sharing platform and carried out multi-city pilots, but there are still problems such as insufficient system refinement and weak information support in the links of pre-prevention, in-process control and post-handling. Conclusion: It is necessary to strengthen the system and education before the event, consolidate data and supervision during the event, and improve the reward, punishment and repair system after the event, so as to improve the scientificity and effectiveness of healthcare security credit supervision.

Key words

healthcare security / credit supervision / hierarchical and classified supervision / credit repair

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The Current Situation and Suggestions of Healthcare Security Credit Management——Taking Hunan Province as an Example[J]. China Health Insurance. 2025, 0(10): 80-89 https://doi.org/10.19546/j.issn.1674-3830.2025.10.009

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