Over the past two years, the BNHI has hoped the system would differentiate the functions of hospitals at each level, re-define their role in Taiwan's medical care and establish a referral system. Unfortunately, actual execution of these plans has been fraught with difficulties, and the target for criticism has been the fixed-budget policy that was intended to control costs and prevent the waste of health care resources.
這兩年來，健保局希望透過制度，區分各級醫院功能並重新定位，以建立轉診制度，無奈執行面問題重重，各界也紛紛把矛頭指向當初為撙節預算、防堵醫療資源浪費的總額預算制度。