中文摘要：

文章主要探讨了我国医疗保险谈判双方力量表现的两个主要方面。首先,罗列了我国谈判双方的基本情况,并与国际对比,表明我国医保机构的谈判力量较为薄弱,控费手段较为落后。其次,参照国际研究探讨了市场集中度对医保谈判的影响,并以湖北省作为研究对象做了实证研究;研究结果显示,湖北省医疗服务产业市场集中度CR_4达67.82%,表明市场集中度较高,建议对医院采取管办分开、对医保机构设立第三方监管机制可以提高医保谈判的效率。

英文摘要：

There are two aspects on the negotiations power performance between hospitals and health insurers. Comparing with international level, a list of the basic situation of the negotiating parties showed that our health insurer had relatively weak bargaining power,controlling costs means more backward.Combined with international research,the thesis focused on the market concentration impact on the health care negotiations, and put Hubei empirical research as an object to confirm. The medical services industry in Hubei Province reached 67.82 percent of market concentration, indicating a high degree of market concentration.The author suggested that public hospitals should be separated regulating and running of health care organizations and the government should set up third-party monitoring mechanism to improve the efficiency of health care negotiations.