我市自2003年起实施新型农村合作医疗制度(以下简称新农合),该制度是帮助农民建立以大病统筹为主的医疗互助共济制度。经过十三年来的运行和不断完善,我市新农合管理中心采取了一系列支付方式改革措施,取得了良好效果和一些经验,现介绍如下:1支付方式的多样性是达到控费目标的有效途径目前普遍存在新农合管理机构由于人员过少无法对所有医疗机构进行及时全面监管,并且病人种类繁多,所管辖医疗机构规模、性质的差异 Since 2003, the city has implemented the new-type rural cooperative medical system (hereinafter referred to as the “New Rural Cooperative Medical System”), which is to help farmers establish a medical mutual aid and mutual aid system that focuses on overall planning of serious illness. After 13 years of operation and continuous improvement, the city’s New Rural Cooperative Medical Center has taken a series of payment reform measures and achieved good results and some experience, are as follows: 1 The diversity of payment methods is to achieve the goal of charge control Effective ways At present, widespread prevalence of the new rural cooperative medical institutions due to too few staff can not be fully and timely monitoring of all medical institutions, and a wide range of patients, the jurisdiction of the size of the medical institutions, the nature of differences