医疗保险涉及亿万参保人员基本福祉,既是重大的政治和社会问题,也是重大的经济和管理问题。不断推进管理创新是各国医保实践的共性,既涉及政府责任定位、部门职能调整和重大公共政策决策,也需微观层面管理理论与技术的引进与利用。不妨尝试用新制度经济学的交易费用理论观察我国医保管理 Medical insurance involves the basic well-being of hundreds of millions of insured persons, both as major political and social issues as well as major economic and management issues. Continuously promoting management innovation is the commonalities of medical insurance in all countries. It involves not only the responsibility orientation of government, the adjustment of departmental functions and major public policy decisions, but also the introduction and utilization of micro-level management theories and technologies. May wish to try to use the new institutional economics transaction costs theory to observe China’s health care management