Objective: This study aims to explore an innovative medical insurance, medical records, quality control integrated management model (hereinafter referred to as the "integrated management model") that meets the high-quality development needs of public hospitals, in order to improve the management level of medical insurance settlement lists in public hospitals and provide references for the practice of refined management of public hospitals. Method: This study analyzed the current situation of medical insurance, medical records, and quality control management in public hospitals, explored the connotation and implementation path of the integrated management model with the People's Hospital of Luohu District, Shenzhen (hereinafter referred to as “Luohu Hospital”) as a case study, and evaluated its implementation effect. Result: After the implementation of the integrated management model, the accuracy rate of the medical insurance settlement list in Luohu Hospital increased from 85% to 97%, the accuracy rate of medical record homepage data information increased from 92% to 98%, the average medical insurance business processing time was shortened from 7 working days to 3 working days, the satisfaction rate of clinical departments with functional department responses increased from 75% to 92%, and the personnel utilization rate increased from 83.33% to 94.44%. Conclusion: The integrated management model has achieved significant results in improving the accuracy of medical insurance settlement lists, medical record homepage data information, work efficiency, clinical department satisfaction, and personnel allocation. It is an effective management method that adapts to the needs of medical system reform and high-quality development of public hospitals. In the future, we should further strengthen information technology construction, improve management mechanisms, and continue to promote innovation and development of this model.