Medical Insurance Audit Based On Large Data

In recent years,China's information technology has developed,large data and other technologies have become more and more mature.In 2014,the State Council's opinions on strengthening audit work clearly pointed out that we should build our national audit data system,use big data technology and other related contents as important methods to improve our government auditing capability.This shows that data analysis software and data analysis are no longer auxiliary parts of traditional audit work,but gradually become very important links in promoting the development of auditing informatization.Therefore,in this context,our government auditing of medical insurance funds is also constantly seeking technical integration and quality improvement under the condition of large data.This paper selects the specific object of study is F Province medical insurance big data audit.On the one hand,F Province has good information technology and big data application environment.On the other hand,in recent years,the F province government has implement some plans and policies for big data developing.Thus,this study would be a valuable practical experience.The structure of the article is roughly based on the idea of “background introduction-exampleanalysis-summary and induction”.Through analyzing the medical insurance data audit case and combined with the big data development in F province,we know that the advantages of using big data in medical insurance audit.However,there also have some problems that we should focus on in the big data audit,like data collecting and associated data sharing,loopholes in the information system laws and regulations related to big data audit are not perfect,and the quality of the audit staff needs to be improved.After that,this paper puts forward the corresponding countermeasures and solutions for the problems in medical insurance big data audit,like data sharing achieved by data standardization,strengthened professional ethics and skills by training for auditors.The research indicates that the big data technology application in F province has improved the social governance,promoted the local economic transformation audit,improved the efficiency and quality of the F Provincial People's Government in the management of medical insurance funds and the audit services.Finally,this research provides some suggestions for improving the medical insurance big data audit in F Province and provides some useful experiences or practices for the application of big data in the medical insurance fund audit.