Abstract: Objective Understanding of the implementation of Huaian city by disease score paid and the implementation effect, provide policy references for the further improvement of payment. Method By field survey and interview combined, comparison of related to operating efficiency, Huaian medical insurance fund sample hospital overall operation and sample hospitals of different singledisease payment. The data were collected and analyzed by SPSS14.0 statistical software. Result The overall operation efficiency, Huaian medical insurance fund sample hospital good, different payment methods related to place an order of different diseases. Conclusion According to the disease score pay has achieved remarkable results in cost control, the medical quality indicators into the disease score evaluation system, the continuous expansion of disease directory and accelerate the update frequency, establish mutual check a peer review mechanism is an effective method to further refine, improve system.