医保费用的支付与结算是公认的世界性难题。尤其是对医疗服务提供方的支付,既要约束限制其不合理的医疗用药行为,又要对其合理的消耗予以必要的补偿,以激励其积极性,这是医保费用监管与控制的重点。笔者结合对中部 Medicaid payment and settlement is a recognized worldwide problem. In particular, the payment of medical service providers should not only restrict their unreasonable medical practices, but also provide necessary compensation for their reasonable consumption so as to encourage their enthusiasm. This is the focus of supervision and control of medical insurance expenses. The author combines the middle