Objective: To understand the implementationof diagnosis-intervention packet (DIP) in pilot cities and put forward corresponding suggestions for the improvement. Methods: A semi-structured interview and questionnaire survey were conducted among hospital managers and doctors in J City and H City of Heilongjiang Province，and Smith Policy Implementation Process Model was introduced to analyze its implementation from different dimensions. Results: The reform in the pilot area has achieved initial results. The results show that 60 %of the respondents have a high degree of understanding of the policy and believe that the implementation effect is good. However，due to the short actual payment time，there are also problems such as imperfect supporting policies and low degree of cooperation between the executive bodies. Conclusion: To ensure the stable and effective operation of the policy in pilot cities，it is suggested tooptimize the top-level design of the system，continue to optimize the policy environment，strengthen the linkage between departments，strengthen the policy training，improve the cognitive level of hospital managers and medical staff，and enhance their willingness to participate.