当前我国医疗保险制度改革过程中产生了许多问题,大处方、人情方、冒名顶替就医、搭便车开药现象比较普遍;医患联手蚕食保险基金;保险费收缴困难,过高的消费需求难以抑制等等,其中医疗费用的控制问题直接关系到我国医疗保险制度改革的成败,需要我们在实践中积极进行研究和探索。一、强化医疗费用控制,确保医疗保险改革的顺利开展。有效控制医疗费用的增长,确保医疗保险制度的良性运行是一个世界性的难题,许多国家为此都进行了大量的改革与实践。长期以来,我国在计划经济体制下形成的医疗保险制度,以及近几年来试点的医疗保险改革模式,虽然取得不少进展,但从根本上讲 At present, there are many problems in the reform of our country’s medical insurance system. Prescriptions, favoritism and impostors are used for medical treatment and free-rider medicine prevalent. The doctors and patients join hands to erode the insurance fund. Difficulties in collecting insurance premiums and overconsuming consumer demand are difficult to suppress Etc., in which the control of medical expenses is directly related to the success or failure of the reform of the medical insurance system in our country, which requires that we actively carry out research and exploration in practice. First, to strengthen the medical costs control to ensure the smooth development of health insurance reform. To effectively control the growth of medical expenses and ensure the healthy operation of the medical insurance system is a worldwide problem, many countries have carried out a large number of reforms and practices to this end. For a long time, although the medical insurance system formed under the planned economy in our country and the medical insurance reform mode piloted in recent years have made a lot of progress, basically,