Research on Medical Insurance Operation Management System Based on Transaction Log CDC

Corresponding author: Zhang Sheng Fa, zhangshengfa1988@sina.com

DOI: 10.12201/bmr.202506.00076

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  Abstract: Objective:To research a medical insurance operation management system based on transaction log CDC, meet the needs of medical institutions for medical insurance operation management, and improve operational efficiency. Method: The clinical and management data of the hospital are aggregated and synchronized through the business system database transaction log CDC technology to further form a medical insurance operation management dataset. The data is standardized and structured for storage; And build a medical insurance operation management system, divided into income related indicator applications, medical insurance payment related indicator applications, and DRG related indicator applications, which can achieve personalized customization of medical insurance operation indicators. Results: The system achieved the integration and unification of medical insurance data, reduced hospital operating costs, improved medical insurance management efficiency and quality, and provided data support for medical institutions medical insurance decision-making.

  Key words: Transaction log CDC; Medical insurance operation; Data lake; Big data technology

  Submit time: 26 June 2025

  Copyright: The copyright holder for this preprint is the author/funder, who has granted biomedRxiv a license to display the preprint in perpetuity.
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  1	2025-02-20	bmr.202506.00076V1	Download

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