After the release of the new medical reform plan in 2009，China quickly established a medical security safety net covering nearly 1.4 billion people，promoted the equalization of basic public health services，and improved the accessibility and fairness of medical services. However，further exploration is still needed in the construction of the mechanism. As the “Healthy China 2030 Planning Outline” states that it is necessary to “remove the institutional and mechanism obstacles”. The primary medical reform “Healthy Huanghua” endows family doctors with two new functions of providing health management services and providing basic medical insurance fee control services. It gradually touches on some deep-rooted institutional and mechanism problems，and sets out to build a long-term mechanism. This report aims to “dissect the sparrow”，and clarifies the mechanism of primary medical reform “Healthy Huanghua” and promote the further maturity of the model.