医保付费方式改革是当下医保部门在完善医保医院管理中最具挑战的重要工作。在医保方,重点要在保持医保基金收支平衡前提下,将医保基金预算总额在定点医院中进行合理分配,且保障正常的医疗服务需求及质量;在医院方,则希望从医保基金“盘子”中争取到尽可能多的费用指标,顾及医院各临床科室的实际需求与业务发展需要,且不致因费用问题影响医疗服务质量,引发医 Medicare payment reform is the current medical insurance department in improving the management of hospital health care the most challenging important work. In the medical insurance side, the focus should be on the premise of maintaining the balance of medical insurance fund balance, the total amount of the Medicare Fund budget in the designated hospitals for rational distribution, and to ensure the normal demand and quality of medical services; in the hospital, we hope that from the Medicare Fund Plate "for as much as possible cost targets, taking into account the actual needs of the clinical departments of the hospital and business development needs, and will not affect the quality of medical services due to cost issues, triggering medical