On the basis of municipal pooling, implementing the dual reforms of DRG/DIP medical insurance payment methods under the condition of regional total budget management, establishing a compact medical consortium within a county area will face an urgent problem of exploring the "package payment" budget mechanism for the medical consortium under the regional total budget management, which will be of great significance for coordinating the differences in payment methods between the municipal pooling district, the pilot counties of medical consortium so as to ensure the realization of the two reform objectives. By analyzing relevant national, local policies, based on the author's own reflections on payment method reform in practice, this paper puts forward some suggestions for the "package payment" budget of the medical insurance fund. For reform in the preliminary exploration, pilot stage, these suggestions need to be further tested, improved in practice