Architecture Design of Risk Control System for Social Medical Insurance

Author

Qin Delin ; Gao Zhenyao

Author_Institution

Shanghai Med. Insurance Inf. Center, Shanghai, China

fYear

2010

fDate

24-26 Aug. 2010

Firstpage

1

Lastpage

4

Abstract

In this paper, it has been analyzed for risk factors and control framework. The technology of the risk control system of social medical insurance is studied. The system adopts SOA, active data warehouse and data mining technology, and is based on model base, method base and rule base of risk control of medical insurance fund. The system will realize real-time data exaction, massive data integration and heterogeneous system integration. The study and implementation of this system will give strong support for risk control of medical insurance fund, ensuring basic medical care, and promoting sustainable development of medical insurance.

Keywords

data mining; data warehouses; insurance data processing; medical administrative data processing; risk management; software architecture; SOA; active data warehouse; architecture design; data mining technology; heterogeneous system integration; massive data integration; medical insurance fund; method base; model base; real-time data exaction; risk control system; rule base; service oriented architecture; social medical insurance; Business; Control systems; Data mining; Data warehouses; Databases; Insurance; Real time systems;

fLanguage

English

Publisher

ieee

Conference_Titel

Management and Service Science (MASS), 2010 International Conference on

Conference_Location

Wuhan

Print_ISBN

978-1-4244-5325-2

Electronic_ISBN

978-1-4244-5326-9

Type

conf

DOI

10.1109/ICMSS.2010.5576850

Filename

5576850