Objective: To analyze and sort out the characteristics and main problems of the total payment of the typical compact medical association. Methods: Through field investigation，expert interview，relevant policy documents or information，comparative analysis and SWOT analysis were made on the medical insurance payment of the compact medical association in 7 cities of 5 provinces. In addition，a questionnaire was made for medical insurance practitioners in medical institutions. Results: Total payment was applied to the compact medical association，but there were still different understandings and operations in terms of total budget，balance allocation and fine management. Conclusion: The key to total payment in close medical associations is to budget the total amount scientifically，fully understand the relationship between payment reform and total budget，establish consultation and training mechanisms between health insurance management and medical institutions and corresponding supporting systems to keep up，and interconnect information，etc.