随着医疗保障体系全面覆盖城乡居民,医保管理压力越来越大,整体制度亟待变革。其中,医保支付改革成功需要公立医院改革的同步推进,以及医疗整体环境的配合,否则每一个支付方式的缺点都会在实践中被放大,变得无所适从。长沙的病种打包部分模仿发达国家现在主流的支付方式DRGs。在国际上 With the medical insurance system covering urban and rural residents in an all-round way, the pressure on health care management is getting bigger and bigger, and the overall system needs to be changed urgently. Among them, the successful reform of medical insurance payment needs the simultaneous advancement of public hospital reform and the overall medical environment. Otherwise, the shortcomings of every payment method will be magnified in practice and become confused. Part of the disease package in Changsha is to mimic DRGs, the mainstream payment method in developed countries. Internationally