Health care system makes up an important part in China's social economic reform.Public health service and labor insurance has contributed much to ensuring people's health over the past years.However, it has also proved that this practice can not go with the current socialist market economic reform, and consequent problems are inevitable, such as:increasing cost in medical treatment, unsatisfied health care service, unreasonable distribution of medical facilities, and waste of medical resources, etc.By using the health care fund raising -using model, this study tries to find out advantages and disadvantages of different medical insurance systems, discuss the principle of payment by better understanding of medical insurance, its character and feature, and payment management.It finally analyzes the possibility of total pre-payment in current stage.