医疗保险费用控制迄今仍是一个世界性的难题,然而又是医疗保险发展所必须解决的核心问题。医疗保险的特殊性在于其三方关系,即在保险方与被保险方之外,还存在着医疗服务提供者。医疗服务提供者既是病人的代理人,对病人接受的服务提供建议,又是医疗服务的实际提供者,因所提供的服务而收益。这种双重角色本身是一种矛盾。因此,医疗费用控制的关键点就是医疗服务提供者。基于以上考虑,本文从支付方式的角度入手,着重供方控制措施,对于我国医疗保险费用控制进行了探索。 Medical insurance cost control is still a worldwide problem to date, but it is also the core issue that must be solved in the development of medical insurance. The special nature of medical insurance lies in its tripartite relationship, that is, there are medical providers in addition to insurers and insureds. A provider of medical services is both a patient’s agent, advises patients on services they receive, and is the actual provider of medical services, benefiting from the services provided. This dual role is itself a contradiction. Therefore, the key point of medical expenses control is the medical service provider. Based on the above considerations, this article from the perspective of payment methods, focusing on supplier control measures for China’s medical insurance cost control were explored.