China: Big data & AI to help combat health insurance fraud

The announcement came after Hu Jinglin, director of the National Healthcare Security Administration, made a pledge during the ongoing annual two sessions in Beijing that it will severely crack down on fraudulent practices affecting the country's healthcare insurance funds. The health insurance sector has long been plagued with various fraud cases, like fabricated medical services and documents and fake invoices. Last November, two hospitals in Shenyang, capital of northeast China's Liaoning Province, were accused of insurance scams, which prompted the regulators to audit other medical institutions. While much progress has been made since supervision was tightened, the overall situation remains "grim", so it will be a top priority for the authorities to carry on the fight against insurance fraud in 2019. The administration will partner with more third-party service providers like Ping An HealthKonnect to identify potential fraud risks and gain better control of medical insurance costs by leveraging their advanced technologies in areas of big data and artificial intelligence.