2017 mainly continued the work ideas of 2016 and continued to advance the more systematic reform，as seen from the 2017 documents.The four keys of 2017 were drug system reform，healthcare consortium construction，public hospital reform，medical insurance payment system reform，which are closely linked with each other.Whether substantial progress can be achieved largely depends on whether the “medical insurance” in the coordinated medical service，medical insurance，and pharmaceutical reforms can play the fundamental role of regulating medical institution behaviors and controlling drug prices in the following medical reform.And the new round of institutional reform in March 2018 shows the effort in this direction：the new founding of the“State Medical Insurance Administration”，and it will largely increase the role of medical insurance.The new National Health Commision plays a strategic role of coordinating and pushing the “big health” strategy.And the cancellation of the Medical Reform Office，changes the medical reform from a campaign to a normal.