With high value in personal health and medical data, medical insurance data plays a crucial role in the sharing of medical insurance and commercial insurance data. The open and shared high-quality medical insurance data can help drive the rapid development of the commercial health insurance industry and improve the overall health level of the public. Under the background of the mixed use of data and information, the traditional "triple authorization principle" for obtaining medical insurance data faces challenges such as high authorization costs for enterprises, conflicts among the triple authorizations, and suppression of data competition and innovation. In light of these issues, the authorization concept in the current sharing of medical insurance data should be reformed based on the characteristics of medical insurance data. Legal relationships should be identified from the conceptual differentiation between data and information. Legal interests should be weighed at different stages of authorization, the ownership of medical insurance data rights should be clarified, the authorization process of medical insurance data should be optimized, and the application of the scenario theory in medical insurance data scenarios should be deepened.