四川省广元市积极改革医疗保险费用支付方式,努力破解公立医院改革难题,较好地实现了参保人员利益、基金使用效益和定点医院合法收益“三个最大化”的目标,有力地推动了医保、医药、医疗“三轮”驱动发展。“三大现实”倒逼改革财政穷。2010年,广元市87.6%的财政支出源于上级转移支付,财政不能为医保基金支付不足兜底。赤字多。由于医疗机构提供过度服务,监管处于缺位状态,职工医保统筹 Guangyuan City, Sichuan Province, actively reform the payment of medical insurance costs, efforts to solve the problem of public hospital reform, and better achieve the interests of insured, the fund efficiency and the legitimate income of designated hospitals “three maximization ” goal, effectively Promote the health insurance, medicine, medical “three rounds ” drive development. “Three big realities ” Forced to reform the financial poor. In 2010, 87.6% of the financial expenditures in Guangyuan City originated from higher-level transfer payments, and the government failed to pay the full amount for the medical insurance fund. Many deficits. As medical institutions to provide excessive service, supervision is in a vacancy, staff health insurance co-ordination