目前,人社部《关于进一步推进医疗保险付费方式改革的意见》已明确了付费方式改革的方向,大体上是总额控制下的总额预付方式。但近期媒体时有指出“总额预付”在推行中存在种种弊端。笔者结合浙江省温州市现状,融合各地“总额预付”的特色,提出“改良总额预付”即温州市医保 At present, the “Opinions on Further Promoting the Reform of Payment Methods of Medical Insurance” issued by the Ministry of Human Resources and Social Security has clearly pointed out the direction of the reform of payment methods and is basically the method of total prepayment under the control of total amount. However, the media recently pointed out that there are various drawbacks in the implementation of “total prepayment.” The author combines the status quo in Wenzhou City, Zhejiang Province, the integration of “total prepayment, ” features, proposed “improvement of the total prepayment ” that Wenzhou Medical Insurance