医疗保险支付制度是医保制度的核心内容之一,它作为“货币选票”具有资源配置、利益调节、行为引导、主体激励等多项功能,是关系各方利益最直接、最敏感的环节。近年来国家发布的与医改相关的文件几乎都会提到医保支付制度的改革,支付制度改革已经成为新医改进入深水区后亟待解决的关键问题。随着我国人口老龄化、疾病谱转变、健康需求增长、先进医疗技术广泛运用、医疗费用持续快速上涨,我国医保支付制度改革面临更加复杂、严峻的外部环境;同时医保制度的内在发展又赋予其新的任务。医生是医保支付方式改革中 The medical insurance payment system is one of the core contents of the medical insurance system. It has many functions such as resource allocation, benefit adjustment, behavior guidance and subject motivation as the most direct and sensitive link of all parties’ interests. . Almost all the documents issued by the government concerning medical reform in recent years will refer to the reform of the medical insurance payment system. The reform of the payment system has become a key issue to be solved urgently after the new medical reform has entered into the deep water area. With the aging population, the change of disease spectrum, the increasing demand of health, the extensive use of advanced medical technology and the continuous rapid increase of medical expenses, the reform of medical insurance payment system in our country faces a more complicated and severe external environment. At the same time, the intrinsic development of the medical insurance system gives it New task Doctors are the way to pay for medical insurance reform