Objective: Questionnaires were distributed to investigate the current situation of medical insurance management, in hospitals of Jiangsu Province, explore the problems and improve the functions of medical insurance management departments. Methods: The questionnaire was designed to investigate 296 hospitals (including level 3, level 2 and level 1 hospitals ) from 13 cities of Jiangsu Province. Chi-square test data statistical method was used to compare the differences of medical insurance management methods. Results: The medical insurance management departments in hospital of Jiangsu province are multifunctional, and the medical insurance management in level 2 and level 1 hospitals needs to be reinforced. Conclusion: The hospitals should improve the construction of medical insurance management system, strengthen the construction of management talent team, and promote the joint management of medical expenses and medical treatment in the hospital.