The provinces where the medical insurance fund balance can be used are: Shanxi, Inner Mongolia, Liaoning, Jilin, Heilongjiang, Fujian, Jiangxi, Shandong, Hubei, Guangxi, Hainan, Shaanxi, Ningxia, Qinghai, Xinjiang, Beijing, Tianjin, Hebei, Shanghai, Jiangsu, Zhejiang, Anhui, Chongqing, Yunnan, Sichuan, Guizhou and Tibet. Keeping the total balance of medical insurance funds is the goal and cornerstone of the effective operation of medical institutions, and DRG or DIP payment is an important means to achieve this goal. Continue to promote DRG or DIP payment in areas where the total medical insurance fund is packaged, and the overall cost control target of medical institutions can be implemented as the cost control of inpatient diseases. This is very important, because most areas have not implemented the reform of the target annual salary system for doctors like Sanming, and the performance of doctors is still closely linked to the workload of diagnosis and treatment. If only the medical insurance fund is used to package the total number of medical staff, and the specific payment is still paid according to the service items, doctors will still tend to open more examinations and do more treatments to earn performance, so it is difficult for medical staff to achieve the overall goal of pursuing economy.