医疗保险改革在医疗费用偿付形式上实行“动态均值定额结算”的后付制支付款形式，是建立在疾病种类核算基础上。加强病案管理，对保证医疗保险制度实施起到重要作用。主要表现在病案为制定和修订病种医疗保险费用标准提供可靠依据，有利于医疗保险审核和特殊病种的费用分析，有利于协调医疗保险机构、医疗单位和参保单位的关系。 The reform of the medical insurance reform in the form of “dynamic average fixed settlement” in the form of medical expenses reimbursement is based on the calculation of the type of disease. Strengthening medical record management plays an important role in ensuring the implementation of the medical insurance system. It is mainly reflected in the fact that medical records provide a reliable basis for formulating and revising medical insurance cost standards for diseases and diseases, and are conducive to medical insurance audits and fee analysis of special diseases, and are conducive to coordinating the relationship between medical insurance institutions, medical institutions, and participating units.