中国已经步上了全民医疗保险的轨道。随着基本医疗保障体系筹资水平和支付水平的提高,医疗保险购买医药服务的公共契约模式即将形成。由此,医保机构不仅是参保者医药费用的支付者,还将在整个医疗领域扮演资源配置者的重要角色。医疗资源的配置机制,将从行政协调机制转型为市场协调机制。在市场化的医疗资源配置新机制中,医保供方付费方式的改革举足轻重。国家新医改方案所明确的卫生领域公共财政的变革,是医疗资源配置机制从行政化向市场化转型的重要推手之一。 China has stepped onto the path of universal health insurance. With the raising of the basic medical insurance system and the level of payment, the public contract model of medical insurance for the purchase of medical services is about to take shape. As a result, Medicare is not only a contributor to the insured’s medical costs, but also plays an important role as a resource allocator throughout the medical field. The allocation mechanism of medical resources will transform from the administrative coordination mechanism to the market coordination mechanism. In the market-oriented new mechanism for the allocation of medical resources, the reform of payment methods for medical insurance providers plays a decisive role. The reform of public finance in the area of ​​health as clearly defined in the new national health care reform plan is one of the important promoters of the transformation of the medical resource allocation mechanism from administrative to market-oriented.