关键词: 医保支付方式, 改革, 经验, 建议

Abstract: Objective Provide suggestions for building a more sound and reliable medical insurance system,and developing effective,fair and sustainable medical insurance payment methods．Methods The payment methods of medical insurance and the practice of medical insurance payment reform in various regions were comprehensively compared the effectiveness and experience of the reform were summarized．Results The reform of medical insurance payment mode was promoted by introducing performance-oriented payment mechanism,promoting comprehensive payment mode,refining payment by disease stage,combining Internet medicine,strengthening data capability,improving supervision,etc．Conclusions The payment method of medical insurance is an important means to standardize the medical services of medical institutions and doctors．In combination with the active exploration of Diagnosis Related Groups,Diagnosis Intervention Packet and other medical insurance payment methods in provinces and cities such as Zhejiang and Guangzhou Guangdong．The reform needs to comprehensively consider the interests and multiple factors of the medical system,economic development level,population structure,etc．To build a more effective,fair,and sustainable medical insurance payment method through comprehensive implementation．

Key words: healthcare insurance payment methods, reform, experiences, suggestions