S市为国家五个医疗服务价格改革试点城市之一,围绕“总量调控、分类管理、动态调整、监测评估”等关键机制,推进两轮医疗服务价格动态调整改革,通过聚焦通用型项目和医疗供给不足的薄弱学科,优化调价方向和结构,引导资源合理流动。研究显示,价格改革有效改善了医院收入结构,提升了技术劳务价值,激发了优质医疗服务供给的积极性,实现了“群众可负担、医保可承受、机构愿参与”的多方共赢。然而,仍存在如自主降价意愿不强、价格生成机制有待优化等问题。本文基于S市改革实践,总结其具体做法和改革成效,并提出进一步优化价格动态调整机制、加强信息化支撑建设和关注医保基金可持续性的政策建议,以期为其他地区推进医疗服务价格改革提供参考。

S City, as one of the five national pilot cities for medical service price reform, has promoted two rounds of dynamic adjustment reforms based on mechanisms such as total amount control, classification management, dynamic adjustment, and performance evaluation. By prioritizing general service items and disciplines with insufficient medical supply, S City has optimized its price adjustment direction and structure , promoting the rational flow of medical resources. The study finds that price reforms have significantly improved hospital income structures, enhanced the value of technical labor, and stimulated the supply of high-quality medical services, achieving a win-win outcome for patients, payers, and providers. However, challenges remain, including weak incentives for autonomous price reduction and an underdeveloped price generation mechanism. Based on S City’s pilot practice, this paper summarizes key approaches and reform outcomes, and proposes policy recommendations to improve the dynamic price adjustment mechanism, strengthen the construction of information technology support, and prioritize medical insurance fund sustainability, to inform ongoing medical service price reforms in other regions.