国内的研究表明,由医院提供不适当和过度服务在医疗费用支出中占有相当比例,而定点医院追求利益最大化与有限的可支付统筹基金的矛盾,恰恰是医疗保险工作面临的主要矛盾。近年,河南省西峡县尝试采用“2212”医保管理方法,在县级统筹地区实践中,比较有效地解决了这一问题…… Domestic research shows that providing inadequate and excessive services by hospitals accounts for a considerable proportion of medical expenses, and the contradiction between the maximization of interests and the limited pooling funds in designated hospitals is exactly the main contradiction faced by the medical insurance. In recent years, Xixia County, Henan Province, has tried to adopt the “2212” medical insurance management method to solve this problem more effectively in the practice of co-ordinating areas at the county level.