Breaking Through Information Barriers and Reconstructing Mechanisms in the Credit Supervision of the Basic Medical Insurance Fund: A Collaborative Governance Path Using Procuratorial Supervision Information as an External Resource

China Health Insurance ›› 2026, Vol. 0 ›› Issue (9) : 36-42.

China Health Insurance ›› 2026, Vol. 0 ›› Issue (9) : 36-42. DOI: 10.19546/j.issn.1674-3830.2026.9.005
Observation & Discussion

Breaking Through Information Barriers and Reconstructing Mechanisms in the Credit Supervision of the Basic Medical Insurance Fund: A Collaborative Governance Path Using Procuratorial Supervision Information as an External Resource

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Abstract

Credit management has been established as a foundational institution for the supervision of the basic medical insurance fund. The effectiveness of credit evaluation depends heavily on the sufficiency of information sources. The current model, which relies primarily on information concerning administrative penalties, has limitations in terms of coverage, timeliness, and the dimensions of information. Determinations of violation facts made by procuratorial organs in handling public interest litigation cases and confirmed through statutory procedures are reliable, relevant, and accessible. The factual information underlying these determinations constitutes an information resource for credit evaluation that has not yet been institutionally utilized. To incorporate procuratorial supervision information into the credit evaluation system for the basic medical insurance fund, it is necessary to clarify the scope of information linkage and the criteria for acceptance, establish a closed-loop process encompassing receipt, verification, adoption, and feedback, and improve procedures for handling objections raised by evaluated entities and safeguards for credit repair. This approach aligns with the normative space reserved by existing policies for diversified information supply.

Key words

basic medical insurance fund / credit supervision / information supply / procuratorial supervision / collaborative governance

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Breaking Through Information Barriers and Reconstructing Mechanisms in the Credit Supervision of the Basic Medical Insurance Fund: A Collaborative Governance Path Using Procuratorial Supervision Information as an External Resource[J]. China Health Insurance. 2026, 0(9): 36-42 https://doi.org/10.19546/j.issn.1674-3830.2026.9.005

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