在解决看病贵问题,有效控制医疗费用过快增长的探索中,支付方式的改革成为一些地区关注点。卫生经济研究表明,医疗保险支付制度改革对医药费用控制具有正向作用,但医保覆盖面狭窄,只能防范极少部分参保人群的道德风险,其支付方式的制约作用有明显的局限性。目前,各统筹地区较多地采用了按服务单元的平均定额结算,由于定点医疗机构的补偿机制、收费价格等相关问题没有解决,为了生存发展,定点医院便千方百计地把处方值控制在定额以内,出现了开小处方、分解处方等现 In the exploration to solve the expensive problem of your doctor and effectively control the excessive growth of medical expenses, the reform of payment methods has become the focus of some regions. Health economy research shows that the reform of medical insurance payment system has a positive effect on the control of medical expenses, but the medical insurance coverage is narrow, which can only prevent the moral hazard of a very small part of the insured population. The restriction of the payment method has obvious limitations. At present, the co-ordinating regions have adopted a larger average fixed service unit-based settlement. Due to the fixed-point medical institutions’ compensation mechanism and charging prices, the related problems have not been solved. In order to survive and develop, the designated hospitals will try their best to control the prescription value within the quota , There was a small open prescription, decomposition and other prescriptions