通过对《全国医疗服务价格项目规范(2012年版)》(简称新版项目规范)的研究,探索非营利性医疗机构(简称医疗机构)关于新版项目规范工作的思路,针对现行医保经办机构即将引入总额预付制和临床路径进行病种核算付费的管理模式,笔者针对本次价格规范调整对医疗机构和医保经办机构的工作方式和结算模式的影响试做一分析,探讨新版医疗服务价格项目对医疗,社保及参保患者的多方面利益进行阐述。 Through the study of “National Medical Service Price Project Standard (2012 Edition)” (hereinafter referred to as the new version of the project specification) to explore non-profit medical institutions (referred to as medical institutions) on the new version of the project normative work for the current health insurance agencies will soon introduce The total prepayment system and clinical path accounting for payment management model, the author of the price adjustment for the medical institutions and health insurance agencies work on the mode of operation and settlement try to do an analysis to explore the new version of the medical service price of the project Medical, social security and insured patients in many aspects of the benefits described.