医保改革是新时期医保事业稳步发展的重要基础,也是适应新的历史环境的必然之举。本文从医保基金“见底”、付费方式改革缓慢、医保整合“悬而未决”三个方面,阐述了现阶段医保改革的困境。并在此基础之上,有针对性的提出了几点建议,以更好地推进新时期医保改革“大步前行”。 Medical insurance reform is an important foundation for the steady development of the medical insurance in the new era and an inevitable move to adapt to the new historical environment. This article expounds the dilemma of medical insurance reform at this stage from the following three aspects: the medical insurance fund “bottomed out ”, the slow reform of payment methods, the integration of medical insurance and the “unresolved ”. And on this basis, some suggestions put forward in a targeted manner in order to better promote the reform of the medical insurance in the new era “stride forward ”.