Viet Nam Social Security
Viet Nam
Asia and Pacific

IT application on health insurance management, medical review and payment

Implementation year
2016

Viet Nam has about 80.9 million citizens participating in healthcare insurance (HI), covering over 86 per cent of the population. The Viet Nam Social Security (VSS) now faces big challenges in the inspection of HI payments: how to manage the increasing and huge amounts of HI participant data (hundreds of millions of HI payment requests need to be inspected annually) as well as how to provide timely implementation of all HI policies and ensure the quality of social security service.

It was in this situation that VSS decided to build the HI Inspection Information System to connect with over 12,000 hospitals nationwide. This system has been proven to be a vital point in controlling and monitoring the medical services of involved hospitals and HI participants, thus contributing to the overall national social security service.

Topic:
Health insurance
Data management
Error, evasion and fraud
Guideline