对医保定点医疗机构支付方式改革的思考

医保对定点医疗机构支付方式改革势在必行，应由传统的被动支付向管理型支付方向发展。在需方对医疗机构支付方式上，应确定与参保对象承受能力相适应的费用分担比例，同时组合应用多种支付方式；在医保对医疗机构支付方式上，应由后付制转向预付制、由单一的支付方式转向混合型支付方式。支付方式改革要辅之以加强对医疗机构的监管、加快卫生信息化建设、建立医保谈判机制和注重配套政策支撑等。

Reflections on the Innovation of Medical Insurance Payment Method of Designed Medical Institutions

It is necessary to reform the payment method of designed medical institutions by medical insurance. And the payment method should be transformed from the traditional passive payment method management to the direction of payment method management type. In the demand side to the payment method of medical institutions, that the insured object can afford to appropriate cost allocation should be ensured and various payment methods should be combined in the meantime. In the payments method of medical institutions, postpayment should be transformed to prospective payment system and single payment method be transformed to hybrid payment method. In addition, the payment method reform ought to strengthen the supervision to medical institutions, speed up the construction of health information, set up the negotiation mechanism of medical insurance, stress suited policy support and so on.