A Novel Method for Mining Abnormal Behaviors in Social Medical Insurance

Shengyao Zhou, Runtong Zhang, Jiayi Feng, Donghua Chen, Lei Chen
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引用次数: 1

Abstract

It is very important to strengthen the management of medical insurance and guarantee the steady operation of medical insurance fund. Data mining technology can provide an effective solution for medical aggregation behavior mining. It is helpful to find out the people who have the gathering behavior of medical treatment. In view of the aggregation behavior of medical insurance funds during operation, this study proposes the consistent behavior mining algorithm based on frequent pattern mining. Experiments show that this algorithm has better performance than Apriori and Eclat, can effectively detect the aggregation behavior of medical insurance, and has achieved remarkable results in the management and supervision of medical insurance.
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社会医疗保险异常行为挖掘的新方法
加强对医疗保险的管理,保证医疗保险基金的稳定运行具有十分重要的意义。数据挖掘技术可以为医疗聚合行为挖掘提供有效的解决方案。这有助于发现有就医聚集行为的人群。针对医疗保险资金运行过程中的聚集行为,提出了基于频繁模式挖掘的一致性行为挖掘算法。实验表明,该算法比Apriori和Eclat具有更好的性能,可以有效地检测医疗保险的聚合行为,在医疗保险的管理和监督方面取得了显著的效果。
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