上海市试行医保费用“总额控制、按月预留、年度考核”的办法 (以下简称“总控”) ,是进一步完善本市医保制度、有效控制医疗费用、减少浪费、保障广大职工基本医疗的有力措施。及时缓解了医疗费用增长过快的矛盾 ,使医保费用总额控制取得了一定成效。但是 ,在“总控”管理运行 The pilot scheme of “total amount control, monthly reservation and annual assessment” (hereinafter referred to as “total control”) of Shanghai Municipality is to further improve the city’s medical insurance system, effectively control the medical expenses, reduce the waste and protect the general medical staff Powerful measures. Timely mitigated the contradiction between the rapid growth of medical expenses and made the total control of medical insurance fees achieved some success. However, in the “master control” management run