The reform of medical insurance payment method is not only the reform in technical aspects,but also the system linkage reform of the system,the function and the value.To successfully promote the reform of payment methods,we must solve five key issues:the functions of the reform subject,the positioning of the reform objectives, the choice of the reform path,and the security of the reform conditions.Through the analysis of the four aspects of the subj ect,the obj ectives,the path,the condition,this study provided reference for the reform of medical insurance payment method.%医疗保险付费方式改革不仅是技术层面的支付方式改革,更是体制、功能、价值层面的系统联动改革.要成功推进付费方式改革,必须解决几个关键问题:改革主体的功能、改革目标的定位、改革路径的选择、改革条件的保障.通过主体、目标、路径、条件四个方面的分析,为医疗保险付费方式改革提供参考意见.
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