建立科学、合理的医疗保险结算体系,既是合理控制医疗费用的关键,也是医疗保险体制改革的重点、难点和焦点问题近年来,石家庄市医疗保险管理中心(以下简称医保中心)在完善基本医疗保险结算办法方面做了各种有益的探索、完善和创新,在实践中逐渐摒弃了单一的结算办法,已由初期的均值结算过渡到现在以总量控制为前提,以均值 Establishing a scientific and reasonable settlement system for medical insurance is not only the key to reasonable control of medical expenses but also the key point, the difficult point and the focus of medical insurance system reform. In recent years, the Shijiazhuang Medical Insurance Management Center (hereinafter referred to as the Medicare Center) The settlement method has done a variety of useful exploration, improvement and innovation, in practice gradually abandoned a single settlement method, has been the beginning of the average settlement of the transition to the present total control as a precondition, with the mean