Implementing real-time dynamic intelligent monitoring of big data, weaving and tightening the supervision and prevention network of medical insurance fund

The medical insurance fund is the people’s "medical money" and "life-saving money", and the CPC Central Committee and the State Council attach great importance to the safety of the medical insurance fund.

Before the end of this year, the national intelligent monitoring "one network" will be initially realized-the Notice on Further Deepening the Intelligent Audit and Monitoring of Medical Insurance Funds issued by the National Medical Insurance Bureau (hereinafter referred to as the "Notice") proposes to accelerate the intelligent audit and monitoring of medical insurance funds, implement real-time dynamic intelligent monitoring of big data, build a fund safety prevention and control mechanism that is supervised before, during and after the event, and further weave the fund supervision and control network.

Strengthen the real-time dynamic tracking of the use behavior of medical insurance funds

At present, the supervision of medical insurance fund is faced with many supervision objects, huge amount of funds and massive settlement data. The past tactics of people’s sea, manual audit and manual supervision can no longer meet the needs of the new situation. The relevant person in charge of the National Medical Insurance Bureau said that it is very necessary to comprehensively establish an intelligent monitoring system, promote the normalization of intelligent monitoring, and strengthen the real-time dynamic tracking of the use of medical insurance funds. Intelligent audit and monitoring of medical insurance funds is an essential tool for daily audit and settlement of medical insurance departments, an important means for supervision of medical insurance funds in the information age, and an important technical support for effectively protecting people’s "medical expenses".

It is understood that the progress of the construction and application of intelligent supervision subsystem in different places is uneven, and the application results are quite different. The application progress of the national version 1.0 intelligent audit and monitoring knowledge base and rule base (hereinafter referred to as "two databases") is different. It is necessary to issue the Notice, increase the work, and promote local medical insurance departments to accelerate the application of the national version 1.0 "two databases" framework system.

Accelerating the intelligent audit and monitoring work has good information conditions and business foundation. On the one hand, the national unified medical insurance information platform has been fully established. Relying on the platform, the intelligent supervision subsystem empowers and enhances the supervision work and promotes the safe, efficient and rational use of funds. On the other hand, since 2019, intelligent audit and monitoring demonstration sites have been built in 32 cities; In March 2022, the Measures for the Administration of Knowledge Base and Rule Base for Intelligent Audit and Monitoring of Medical Security Fund (Trial) was formulated and issued; In May 2023, a national unified and standardized framework system of "two databases" was formed, and it was deployed and applied in the intelligent supervision subsystem of the medical insurance information platform. All these work have laid a solid foundation for further accelerating the intelligent audit and monitoring of medical insurance funds.

By the end of 2025, the intelligent audit and monitoring system will be basically established.

The "Notice" clarifies that by the end of 2023, all regional online intelligent supervision subsystems will be co-ordinated, intelligent audit and monitoring data will be accurately uploaded to the national medical insurance information platform, comprehensive intelligent audit will be carried out, the service behavior of designated medical institutions will be standardized, and agreement handling and administrative supervision will be strengthened, and the connection between handling verification and administrative law enforcement will be realized, and the "one network" of national intelligent monitoring will be initially realized. By the end of 2025, a standardized, scientific and normalized intelligent auditing and monitoring system will be basically established, and the construction and application of "two databases", intelligent auditing and anti-fraud big data intelligent monitoring and analysis will be more mature and perfect. Informatization, digitalization and intelligence will fully empower medical insurance auditing and fund supervision, forming a normalized supervision system that handles daily auditing and on-site verification, big data analysis, and intelligent monitoring of the whole scene.

The "Notice" requires strengthening the construction and application of the "two databases". All localities are required to accurately grasp the key points of the construction of the "two databases", and give medical insurance departments at all levels full autonomy. Under the framework system of the national "two databases", combined with local realities, rules and knowledge are supplemented, and rules parameters, indicators, thresholds, application scenarios, etc. are independently set.

Intelligent supervision subsystem for encouraging the docking of designated medical institutions

The "Notice" requires that the intelligent audit and monitoring of medical insurance funds should be combined with the agreement management, and effective measures should be taken to encourage designated medical institutions to actively dock the intelligent supervision subsystem, and the docking of the system should be linked to the annual assessment of designated medical institutions. Explore policies such as reducing the frequency of on-site inspections for medical institutions that actively strengthen the application of intelligent supervision systems and carry out self-examination and self-correction. The relevant person in charge of the National Medical Insurance Bureau said that the supervision of designated medical institutions by the medical insurance department and its internal management promote each other. Intelligent audit and monitoring is only a means of supervision and inspection, which is basically to urge medical institutions to make reasonable and standardized diagnosis and treatment, and to ensure that every penny of medical insurance funds is spent on the "cutting edge" of medical treatment for the people.

For example, the pre-warning focuses on strict real-name medical treatment, standardized diagnosis and treatment behavior, standardized billing and charging, early warning of excessive prescription of drugs, and early warning fee declaration. Through identification and video surveillance, the real-name medical treatment and drug purchase system is strictly implemented to ensure that the person’s certificate is consistent. Reminding in advance can help hospitals find deep-seated problems in internal control management, medical behavior and charging methods. For the whole medical industry, it is conducive to standardizing the practice behavior, creating a clean and upright industry environment, preventing illegal expenditures of medical insurance funds, and promoting the comprehensive strength and high-quality development of hospitals.

"Overall, medical institutions can automatically remind and intercept the obvious violations of medical personnel through intelligent monitoring, and remind suspicious violations in real time." The person in charge said that at present, more and more designated hospitals actively use intelligent monitoring to realize self-examination and self-correction, reduce the occurrence of violations, and minimize being held accountable or punished afterwards. Intelligent audit and monitoring system has become the "first line of defense" for medical institutions to use medical insurance funds in a safe and standardized way.

Does the comprehensive promotion of intelligent audit and monitoring of medical insurance funds have an impact on people’s medical treatment? The person in charge said that, in general, the medical insurance department’s fund supervision work respects the clinic and does not affect the normal medical treatment. Intelligent monitoring is "insensitive" to the insured, and will not affect the normal behavior of seeing a doctor. For clear violations of laws and regulations, it is necessary to strengthen supervision and intervention, and gradually realize the automatic interception of rigid constraints on violations of laws and regulations; For problems involving medical rationality, local medical insurance departments should fully listen to the opinions and suggestions of medical institutions when demonstrating and applying the rules. After the system detects suspicious problems, it should promptly feed back to the designated medical institutions for appeal, fully listen to the complaints of medical institutions and determine whether to pay after necessary procedures such as review, collegiate bench and final review. (Reporter Sun Xiuyan)

Angry | Beyond the "national gate" and behind the network … These behaviors that endanger national security should be vigilant.

  Visiting a school abroad was lured into rebellion, lured by money to hand over confidential documents to "netizens", and secretly stole them under the banner of cooperation … … These crimes that endanger national security concern you and me!

  On the occasion of the eighth National Security Education Day, the national security organs announced a number of typical cases on the 14th to remind the broad masses of the people to enhance their awareness of national security, guard against acts endangering national security, and jointly build a solid barrier to safeguard national security.

  Beware of the trap outside the "national gate"

  Nowadays, it is becoming more and more convenient for China citizens to study, work and travel abroad. Foreign spy intelligence agencies will seize the opportunity for some people to relax their guard after going abroad and set traps, which will pose a threat to the personal safety of our citizens and bring potential risks to our national security and interests.

  Zhao Xuejun is a scientific researcher in the space field. During his visit to foreign universities as a visiting scholar, his status as an expert in the space field was focused on by foreign spy intelligence agencies, and then he was wooed and rebelled.

  How did Zhao Xuejun fall into each other’s trap step by step? At first, the other party just asked him to eat, travel and give gifts. As the relationship grew closer, the other party began to ask him some sensitive questions and paid a lot of consulting fees.

  Just before Zhao Xuejun returned to China, he made clear the identity of the spy intelligence agency in the opposite direction and turned Zhao Xuejun against him.

  After returning to China, Zhao Xuejun used the USB flash drive and website specially equipped for him to receive mission instructions and return intelligence information, and met with the personnel of the country’s spy intelligence agencies several times in many places in China, providing a large amount of confidential information to the other party.

  In June, 2019, the state security organs in Beijing took compulsory measures against Zhao Xuejun according to law. In August 2022, the people’s court sentenced Zhao Xuejun to 7 years’ imprisonment, deprived of political rights for 3 years and confiscated his personal property of RMB 200,000.

  In recent years, the state security organs have found in their work that some criminals are deceiving others under the banner of "immigration dream", but they are secretly committing illegal and criminal acts that endanger our national security.

  Zheng Fuxing and Wang Peiyue are the backbone members of an overseas "immigration service company", which operates "customers" abroad by applying for tourist visas. After the "client" went abroad, the gang immediately exposed its true face, coerced and lured the "client" to forge household registration books, compulsory summons certificates, compulsory abortion certificates and other "documents", publicly declared that it was "persecuted at home" and smeared the image of our country with the so-called "criminal evidence" of "making something out of nothing".

  In October 2021, the state security organs of Hebei Province took compulsory measures against Zheng Fuxing and Wang Peiyue according to law. In May 2022, the people’s court sentenced Zheng Fuxing and Wang Peiyue to three years and nine months’ imprisonment respectively.

  Whether tempted by petty profits or tricked into using others with ulterior motives, these acts that harm national interests and endanger national security for personal gain eventually cost themselves dearly. The state security organ reminds us that it is the duty and obligation of every China citizen to safeguard national security no matter where he is.

  The French Open cannot escape! The internet is absolutely illegal.

  Social networks are affecting people’s real life. When using social networks, we should be wary of people with ulterior motives using network technology to disguise their identities, collecting information in the name of "making friends", "consulting" and "part-time jobs", or spreading rumors and even endangering national security in the way of attracting people’s attention.

  In December 2016, Han Xiao, a grassroots civil servant in a certain place in Xinjiang, met a local "netizen" through mobile dating software while traveling abroad. Since then, Han Xiao has often shared her life with each other online, and complained from time to time that her salary is too low.

  The other party immediately introduced his cousin "Chen Yi" to Han Xiao, saying that he could provide opportunities to earn extra money.

  After Chen Yi added Han Xiao as a WeChat friend, he asked Han Xiao to provide sensitive local information and promised to pay him. After Han Xiao agreed, "Chen Yi" further used money as a temptation to direct him to collect confidential documents of party and government organs.

  In order to ensure "safety", the other party even trained Han Xiao as a spy, and sent special personnel to provide Han Xiao with funds and communication tools such as mobile phones and SIM cards. Knowing that the other party is a member of an overseas spy intelligence agency, Han Xiao continued to collect and provide classified documents in order to obtain high remuneration.

  Illegal secret stealing equipment (photo courtesy of national security organs)

  After the incident, the people’s court found that Han Xiao had provided 19 confidential documents and materials to the other party, including 5 documents identified as intelligence, and collected a total of more than 120,000 yuan of spy funds. In March 2019, Han Xiao was sentenced to 11 years and 6 months in prison for espionage, deprived of political rights for 4 years, and confiscated personal property of RMB50,000.

  In the Internet age, some people, in order to attract traffic and attention, do not hesitate to break through the legal bottom line and fabricate lies to discredit the country and the government, which has a bad influence.

  The national security organs of Jiangsu Province found in their work that since June 2020, Zhang has pretended to be eight Burmese nationals and opened several accounts on overseas social media websites to introduce daily life abroad, attracting tens of thousands of fans’ attention.

  In order to gain attention, Zhang frequently published posts smearing the image of our country, attacking the party and the government, and even incited others to overthrow our state power by violent means, which had a very bad influence.

  After fully grasping the evidence of Zhang’s crimes, in February 2022, the state security organs took compulsory measures against Zhang according to law.

  The Internet is not a place of extra-legality, and no matter how carefully planned and disguised it is, it can’t hide the essence of illegal and criminal acts endangering national security. The state security organ reminds that any act of stealing state secrets, spreading rumors and endangering state security by using the Internet will be severely punished by law. Clear cyberspace needs to be governed by law, and it needs the joint efforts of each of us.

  Cooperation or stealing secrets? Must be carefully screened.

  Nowadays, the acts of foreign spy intelligence agencies and anti-China hostile forces endangering China’s national security are no longer confined to the traditional security field. Some organizations and personnel, under the banner of overseas non-governmental organizations, investigation and consulting companies, high-tech companies, etc., start from the fields of economy, biology, science and technology, in an attempt to "make a fuss" in China’s human rights, industrial chain, supply chain and other fields, causing harm to our national security.

  Li runs a consulting company in Shenzhen, Guangdong Province, which mainly provides supply chain risk audit services for overseas companies. A few years ago, Li’s company cooperated with an overseas NGO.

  With the promotion of cooperation, Li found that this NGO’s auditing standards for China enterprises are becoming more and more detailed, especially for Xinjiang-related content.

  Although Li has found that the overseas NGO is actively collecting information about the so-called "human rights issues" in Xinjiang, they still undertake and implement relevant investigation projects in pursuit of economic interests. In the end, Li was punished by the state security organ of Guangdong Province according to law, and his company was ordered to implement rectification.

  There are also some overseas organizations and personnel who approach our citizens with a "friendly face" and commit acts that endanger national security in an imperceptible disguise, which requires our constant vigilance.

  In 2019, the sea cucumber farm opened by Mr. Zhang in Dalian, Liaoning Province welcomed several "uninvited guests". Huang led several foreigners to install marine hydrological monitoring equipment and sea and air monitoring video equipment in Mr. Zhang’s sea cucumber farm in the name of "free installation of seawater quality monitoring equipment".

  Since then, Mr. Zhang has gradually discovered that the data of hydrological monitoring equipment has been continuously transmitted overseas, and many of the data have nothing to do with sea cucumber culture. Those sea and air monitoring and video recording equipment are meaningless to sea cucumber culture.

  Illegal secret stealing equipment installed by overseas personnel in the sea cucumber breeding circle (photo courtesy of the state security organ)

  Feeling suspicious, Mr. Zhang called 12339 to report to the state security organs. It has been identified that the illegal installation of monitoring equipment by overseas personnel in China’s waters poses a serious threat to China’s maritime rights and interests and military security. The state security organs of Liaoning Province took compulsory measures against Huang and several foreigners according to law, and seized monitoring equipment. Huang and others truthfully confessed the illegal and criminal facts of illegally stealing China’s marine hydrological data and naval and air military images.

  At present, traditional security and non-traditional security threats are intertwined, and some illegal and criminal acts that endanger national security are more hidden, and enterprises and individuals will be exploited if they are not careful. This requires the broad masses of the people to effectively enhance their awareness of national security and be alert to acts that endanger national security. Once suspicious circumstances that endanger national security are discovered, they should call the national security organ to report the case at 12339 in time. National security is everyone’s responsibility. Only when the whole people work together can we build an indestructible national security people’s defense line.

  Coordinator: Zhang Xiaosong and Yang Weihan.

  Reporter: Liu Yizhan, Qi Qi, Yang Zhanfei

  Editor: Jia Zhen

  Produced by Xinhua News Agency in China

Haval’s second-generation big dog has been upgraded to OTA again, adding handcar interconnection

  In December last year, after the first OTA upgrade of Haval’s second-generation big dog, it actively absorbed user feedback and suggestions. Users are very vocal about increasing the interconnection of handcars and expanding the ecology of cars and machines. In response to user expectations, Haval’s second-generation big dog recently launched the second OTA upgrade push, focusing on the interconnection of cars and machines, the application ecology, and the interactive interface of cars and machines. It also optimized the functions of car-machine navigation and voice interaction. Further enhance the intelligence level of vehicles and bring users a richer and more convenient driving experience.

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  New car-machine interconnection, application ecological expansion, Live smarter with a car

  This upgrade has added handcar interconnection functions such as Hicar, ICCOA, and mobile screen projection. Via HUAWEI HiCar
4.0, car owners using Huawei mobile phones can achieve seamless connection of the handcar. After the first connection is completed, you can automatically connect the phone close to the screen later, which is easy and fast to operate. HiCar
The 4.0 system can display the first and second-level interfaces of the mobile APP on the same screen, processing information more efficiently. When you open Meituan and Dianping to find delicious food, you can quickly start the navigation with a simple shake of the mobile phone, which greatly enhances the experience of using the car.

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  In addition, ICCOA
The Carlink function supports the interconnection of handcars with Xiaomi, OPPO, vivo and other brand mobile phones, making connection delivery more flexible. The newly added mobile screen projection function allows wonderful video content to be delivered to the screen with one click, adding more fun to the driving journey. In terms of car and machine application ecology, the new application ecological expansion function allows users to download a variety of third-party apps officially listed on the shelves, covering multiple fields of video, music, and parent-child stories, and the in-car entertainment experience is upgraded simultaneously.

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  Silky interaction, Intimate navigation, Experience full evolution

  The main interface of the car has been fully optimized, bringing a silkier operation feel. Users can change the wallpaper desktop according to their personal preferences, and quickly access common functions through the convenient card-style entrance. Click function has been added to the status bar, and custom function has been added to the shortcut function bar on the left, allowing mobile phone interconnection and car control interface to realize one-click switching. The APP icon supports long press and drag sorting, while the optimization of the lower ramen panel makes the car control operation more direct. The newly added return gesture function, just swipe in from the left and right edges of the screen to easily return to the previous menu, which greatly improves the intuitiveness and convenience of operation.

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  In terms of navigation, this upgrade brings more convenient improvements. Added functions such as last-mile walking navigation, WeChat interconnection, low-battery intelligent pile search, and voice historical destination navigation. WeChat interconnection function allows friends to share the location with one click and send it to the car, simplifying the navigation setting process. Low-battery intelligent pile search function, in pure electric mode, the remaining battery mileage value of pure electric can be set in the navigation, and the low-power reminder can be sent to the nearest charging station in time to ensure worry-free travel. Voice fast navigation historical address function, users can quickly navigate to the historical places they have visited through simple voice commands, such as saying "Navigate to XXX where I have been before" to quickly set the destination, making travel easier.

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  voice wake up Wider coverage , the start page can be set at will

  The voice function is further expanded and the coverage is wider. It supports direct control of applications such as "Himalayan, Kuwo Music, USB Video/Music" through voice. After the user Keyword Spotting, he can say the visual elements in the dynamic serial number control interface, and uniformly support the "x-th" statement, making the command input more intuitive and fast. Support for playing local multimedia, such as saying "Play XXX on the U disk", which can respond quickly. Users can also check the status information of the vehicle by voice, including the fuel level of the meter, the driving range, the fuel consumption, etc., and even for PHEV models, they can also check the power and power consumption, providing an in-depth voice interaction experience. In addition, a "boot animation music" switch has been added, which can be selected whether to turn off the boot animation music, so that the driving can be started more freely.

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  The new OTA has now been launched, covering the fuel version and PHEV version of Haval’s second-generation big dog. This update will significantly enhance the intelligent driving level of the vehicle, aiming to bring users a more efficient and comfortable travel experience.

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BYD Qin L appeared at the Beijing Auto Show, or sold for 120,000 yuan.

BYD Qin L appeared at Beijing Auto Show.

On April 25th, 2024 Beijing Auto Show opened, and Qin L, a brand-new model of BYD Dynasty Network, was unveiled. The car adopts a brand-new interior and exterior design language and is equipped with the fifth-generation DM-i hybrid system. The vehicle positioning is higher than that of the Qin PLUS DM-i currently on sale, and the starting price may be more than 120,000 yuan.

BYD Qin L appeared at Beijing Auto Show.

BYD Qin L appeared at Beijing Auto Show.

BYD Qin L appeared at the Beijing Auto Show, or sold for 120,000 yuan.

BYD Qin L appeared at the Beijing Auto Show, or sold for 120,000 yuan.

BYD Qin L appeared at the Beijing Auto Show, or sold for 120,000 yuan.

In terms of appearance, Qin L continues the "Longyan Design Aesthetics" of the Dynasty network model, equipped with a brand-new headlight group and a bright black connecting decorative board. The front grille is large in size, with lattice chrome trim inside and ventilation slots on both sides of the grille. The side of the car body adopts a two-stage waistline, and the back half is a slip-back shape.

BYD Qin L appeared at the Beijing Auto Show, or sold for 120,000 yuan.

BYD Qin L appeared at the Beijing Auto Show, or sold for 120,000 yuan.

At the rear of the car, Qin L adopts a brand-new penetrating light belt, and the interior of the taillight looks like a "Chinese knot" structure, and is equipped with a luminous "BYD" logo for the first time. In terms of dimensions, the length, width and height of Qin L are 4830/1900/1495 mm and the wheelbase is 2790 mm respectively. Compared with Qin PLUS DM-i, the length, width and wheelbase of Qin L are increased by 65 mm, 63 mm and 72 mm respectively, and the height is the same.

BYD Qin L appeared at the Beijing Auto Show, or sold for 120,000 yuan.

BYD Qin L appeared at the Beijing Auto Show, or sold for 120,000 yuan.

BYD Qin L appeared at the Beijing Auto Show, or sold for 120,000 yuan.

Qin L’s interior model is relatively simple, equipped with a brand-new three-spoke steering wheel, the 8.8-inch full LCD instrument adopts embedded design, and the floating central control panel provides two specifications, the high-end model is 15.6 inches and the low-end model is 12.8 inches, and it is equipped with DiLink intelligent network connection system. The auxiliary instrument panel is equipped with a 15-watt mobile phone for wireless charging, and the design of shift lever area is consistent with that of Song L and Yuan UP.

BYD Qin L appeared at the Beijing Auto Show, or sold for 120,000 yuan.

BYD Qin L appeared at the Beijing Auto Show, or sold for 120,000 yuan.

Qin L car seat adopts split design, covered with leather material, and the front row supports the functions of seat heating and ventilation. The rear seats are equipped with three headrests with folding armrests in the middle.

BYD Qin L appeared at the Beijing Auto Show, or sold for 120,000 yuan.

BYD Qin L appeared at the Beijing Auto Show, or sold for 120,000 yuan.

According to the application information, Qin L will be equipped with a power system consisting of a 1.5-liter engine and a motor, of which the maximum power of the engine is 74 kW, and the driving motor is available in two options: 120 kW and 160 kW.

BYD Qin L appeared at the Beijing Auto Show, or sold for 120,000 yuan.

The car is expected to carry a battery pack with a capacity of 10.08 kWh or 15.874 kWh, and the corresponding NEDC comprehensive working range is 80 km and 120 km respectively. In addition, the car will also provide an external discharge function with a maximum power of 6 kW. The power and endurance information of the final vehicle shall be subject to the official announcement of BYD.

BYD Qin L appeared at the Beijing Auto Show, or sold for 120,000 yuan.

BYD Qin L appeared at Beijing Auto Show.

BYD Qin L appeared at the Beijing Auto Show, or sold for 120,000 yuan.

BYD Qin L appeared at the Beijing Auto Show, or sold for 120,000 yuan.

At present, most of the mainstream medium-sized cars in the market are still based on joint-venture brand fuel vehicles, such as GAC Toyota Camry, GAC Honda Accord, Dongfeng Nissan Teana, etc., and cover the price range of almost 150,000-250,000. Judging from Qin L’s estimated starting price of 120,000 yuan, BYD hopes to squeeze the market space of joint-venture fuel cars through this car. As for the lower-priced Toyota Corolla, Guangqi Honda Civic, Dongfeng Nissan Sylphy and other models, they will be handed over to Qin Plus DM-I. So what do you think, can BYD Qin L succeed? Welcome to leave a message in the comment area for discussion. BYD Qin L appeared at Beijing Auto Show.