如何充分发挥付费方式在规范医疗服务行为方面的积极作用是医疗保险经办机构必须面对的一个重要课题。自2001年以来,山东省济宁市社会医疗保险处以缓解参保人员“看病难、看病贵”问题为切入点,逐步转变按项目付费的传统模式,积极开展了以临床路径为基础的单病种付费探索,避免了大处 How to give full play to the active role of payment methods in regulating medical service behavior is an important issue that medical insurance agencies must face. Since 2001, Jining City, Shandong Province, the Department of Social Medicare to ease the insured “difficult to see a doctor, expensive doctor ” as a starting point, and gradually change the traditional model of payment according to the project, and actively carry out a clinical approach based on a single Pay for the disease to explore, to avoid the big deal