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Health insurance fund risk control platform for the design and implementation of the data model

Author: LuPing
Tutor: XueLiFang；LeJiaJin
School: Donghua University
Course: Applied Computer Technology
Keywords: Data Warehouse Data Model Dimensional modeling Risk prevention and control Health insurance fund
CLC: TP311.13
Type: Master's thesis
Year: 2010
Downloads: 119
Quote: 2
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Abstract


Medicare is a social security system, an important part, as the health care reform, health insurance, expanding the scope, composition increasingly complex, and because of the increasing aging population and other social issues, health insurance fund pressures become increasingly evident. The current Medicare collected nearly a decade of data, introduction and application of data warehouse technology to business information and initial implementation of a unified management information and data collection, storage, display automation, and achieve the health insurance fund risk analysis and control for the purpose of health insurance fund risk control platform design is a large amount of information processing, real-time requirements, with the technical nature of the subject of pre-research. In the subject process of advancing the key to success lies in the design and modeling of the data process system, the merits of the platform level of efficiency, is also largely determined by the data model. In view of this, the thesis based on risk prevention and control health insurance fund platform development process, risk prevention and control data on the health insurance fund system design and data modeling process is carried out analysis and discussion. This paper first introduces the research background, Shanghai medical insurance fund business situation and current treatment. Then introduces the basic concepts of data warehousing, architecture, and implementation methods, with emphasis on data warehouse modeling techniques are discussed in detail. According to the methodology guidance insurance business data analysis of the current characteristics and functional requirements, the data warehouse system is divided into temporary data layer, the data warehouse layer and analyze data layer, given the characteristics of each data layer, and the entire data storage structure System function. Part of the data warehouse modeling, combined with the specific business requirements of health insurance fund, gives a detailed process and data modeling data warehouse load process; proposed Medicare data to solve real-time requirements of programs and databases with data mining models and data display Module integrated design; and some key techniques and algorithms, for example, illustrates the algorithm design ideas. Additionally, this article describes the health insurance fund risk prevention and control platform design ideas, functions and functional analysis. Shanghai Science and Technology Commission as a scientific and technological projects, risk control platform health insurance fund's goal is to become systematic, standardized, information-based risk identification and risk assessment analysis system for the risk prevention and control to provide support.

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