支付制度是医保管理的核心制度,它的改革牵一发而动全身,因此从支付制度改革成效的角度考虑,以下几个节点需要理性把握。政府主导、医保为主、多方参与、稳步推进。医疗保险涉及卫生、财政等多个部门,因此付费制度改革必须由政府来主导。由于医保基金管理的原则是 The payment system is the core system of health insurance management, and its reform has taken the lead and the whole body is moving. Therefore, from the perspective of the effectiveness of the reform of the payment system, the following nodes need to be rationally grasped. Government-led, health-based, multi-party participation, steady progress. Medical insurance involves many departments such as health and finance. Therefore, the reform of the payment system must be led by the government. As the principle of Medicare fund management is