Value-Based Healthcare Driven by Digital Intelligence Promoting the Coordination and High-Quality Development of Medical Services, Medical Insurance, and Pharmaceuticals

doi:10.19546/j.issn.1674-3830.2025.2.005

China Health Insurance ›› 2025, Vol. 0 ›› Issue (2) : 37-44. DOI: 10.19546/j.issn.1674-3830.2025.2.005

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Abstract

Value-based healthcare driven by digital intelligence, as one of the cutting-edge concepts in the current international healthcare field, is expected to promote the coordination of medical services, medical insurance and pharmaceuticals and high-quality development to a new level by leveraging systematic mechanism optimization and whole-process model innovation. Starting from the problems and challenges faced by the current coordination of medical services, medical insurance and pharmaceuticals and high-quality development, this paper discussed the relationship between value-based healthcare driven by digital intelligence and the coordination of medical services, medical insurance and pharmaceuticals, as well as the paths and conditions for it to play a role. Combining specific scenarios and typical cases, it also looked forward to the application prospects of digital health technologies and the concept of value-based healthcare in promoting the coordination of medical services, medical insurance and pharmaceuticals and high-quality development, with a focus on the intelligent tools for the allocation of health resources that integrate multi-source heterogeneous data based on Geographic Information System (GIS), the determination of medical insurance disease costs and payment standards based on artificial intelligence actuarial simulation, the selection of new drugs empowered by digital intelligence and the post-marketing multi-dimensional value evaluation based on real-world data, and the deep coordination of medical services, medical insurance and pharmaceuticals oriented by value consensus and the innovative development of digital and intelligent integration.

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coordination of medical services / medical insurance and pharmaceuticals / digital intelligence drive / digital health

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Value-Based Healthcare Driven by Digital Intelligence Promoting the Coordination and High-Quality Development of Medical Services, Medical Insurance, and Pharmaceuticals[J]. China Health Insurance. 2025, 0(2): 37-44 https://doi.org/10.19546/j.issn.1674-3830.2025.2.005

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