自2015年大病保险制度全面实施,至2016年9月,全国共有16家保险公司在31个省市自治区承办了大病保险业务。通过政府购买引入竞争机制提高公共服务的供给效率和质量,是近30年来国情差异很大的众多国家的共同选择,但采用政府购买方式生产、提供医保经办服务一定能达到“公平、高效地递送医药卫生服务资源”的预期目标吗?如果不是必然的逻辑结果,是什么因素或条件影响了预期目标的实现?是否可以通过一定的政策 Since 2015, the major sickness insurance system has been fully implemented. By September 2016, a total of 16 insurance companies across the country had contracted the major illness insurance business in 31 provinces. The introduction of competitive mechanism through government procurement to improve the efficiency and quality of public service supply is the common choice of many countries with very different national conditions in the past 30 years. However, using government procurement to produce and provide medical insurance services will certainly achieve “fair and efficient” Delivery of medical and health services resources, "the expected goal? If it is not the logical result of what is the impact of the factors or conditions to achieve the desired goals? Whether or not through certain policies