以控制医疗费用过快增长为主要目的的医保支付制度改革,早在浙江省县级公立医院改革启动之前,就已在浙江各地有所实践。但自发性无动力的改革导致效果均不理想,一直困扰着各地医疗保险部门。借着以药品零差率销售为核心的县级公立医院综合改革启动,医疗保险支付政策的改革再一次被放到重要的位置。这一次,有了卫生行政部门控制医疗费用上涨 The reform of the medical insurance payment system with the main purpose of controlling the excessive growth of medical expenses has been practiced in various places in Zhejiang long before the reform of county-level public hospitals in Zhejiang started. However, the spontaneous and unpredictable reforms have resulted in unsatisfactory results and have plagued the medical insurance departments all over the world. With the start of a comprehensive reform of county-level public hospitals focusing on the sale of medicine at zero profit margin, the reform of the medical insurance payment policy has once again been put in an important position. This time, with the health administrative departments to control medical costs