Abstract: Twenty-eight medical insurance dispute cases were analyzed in this paper.The reasons why such disputes occurred were summarized as follows:imperfect medical insurance management（46.43%）,misunderstanding of medical insurance policy（28.57%）,ineffective implementation of medical insurance policy（10.71%）,violation of price regulation（7.14%）,and other factors（7.14%）.Certain measures were suggested for the solution of such disputes based on their occurrence reasons.