Objectives To provide reference for the improve of health care system and healthcare insurance con-trolling method, through researching on the value-based healthcare paying system in South Korea. Methods The basic characteristics of the Korean health care system was researched, Specifically, its reform experiences of value-based health insurance review and assessment paying system,which government took. Results South Korea’s health care pay-ing system had achieved both good social and policy effects. Conclusions Value-based health care paying system is the main reason for the reducing of health care expenditures and making of scientific health policy.%目的：：探讨韩国医疗保障支付体系及其运行方式，为我国医疗保险制度的完善提供借鉴。方法：研究韩国医疗保障制度的基本特点，重点针对其政府采取的基于价值的医疗保险审核与评估支付制度改革经验和制衡式补偿机制。结果：韩国的医疗保障制度特别是其支付制度取得了较好的政策效果。结论：基于价值的医疗保障支付体系推动韩国卫生费用支出降低、卫生政策科学制定。
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