制定城镇职工基本医疗保险结算办法是控制医疗费用和保障参保人员享有恰当的医疗服务的重要政策措施。制定基本医疗保险结算办法时,应结合当地实际,综合分析各种结算方式的利弊,选择合理可行的结算方式或结算方式组合和有效的考核监控措施。为指导各地制定好结算办法,提出如 The formulation of the basic medical insurance settlement method for urban workers is an important policy measure to control the medical expenses and ensure that the insured persons enjoy appropriate medical services. When formulating the basic medical insurance settlement method, the advantages and disadvantages of various settlement methods should be comprehensively analyzed in combination with the local actual conditions, the reasonable and feasible settlement method or combination of settlement methods and the effective assessment and monitoring measures should be selected. In order to guide the formulation of a good settlement method, put forward such as