取消医保“两定”机构的行政资格审查项目,而实行以契约管理为主体的医药服务管理体系,这是符合当下医疗保险与社会发展状况的决策。这不仅让所有医药机构处于公平竞争的环境之下,也保障了参保人员的自由选择权,同时还让权力失去了寻租空间。但取消定点管理的行政审批,并不意味着对医疗机构管理的放松,应当进一步完善医保契约制度,通过契约管理延展审批管理的优势,整合契约管理与审批管理,对医疗机构的医疗服务行为 The implementation of the medical service management system based on contract management, which is based on the review of the administrative qualifications of the medical insurance agencies and the “two agencies”, is a decision-making that is in line with the current state of medical insurance and social development. This not only keeps all the medical institutions in an environment of fair competition, but also guarantees the free choice of insured persons and at the same time, loses the rent-seeking power. However, the removal of the administrative examination and approval of fixed-point management does not mean that the relaxation of the management of medical institutions should further improve the system of medical insurance contracts, extend the advantages of examination and approval management through contract management, integrate contract management and examination and approval management,