The general office of the National Health Commission recently issued the notice on promoting the experience of Sanming City in the construction of graded diagnosis and treatment and medical consortium. The circular summarizes the main experience of Sanming City in the construction of graded diagnosis and treatment and Medical Union, and puts forward eight key tasks for popularizing Sanming experience. The eight key tasks aim at building a hierarchical diagnosis and treatment pattern of "first diagnosis at the grass-roots level, two-way referral, urgent and slow treatment, and upper and lower linkage", including: strengthening overall planning centered on people's health; Promote the sinking of provincial high-quality medical resources; Standardize the construction and management of medical consortia and promote telemedicine services; Accelerate the reform of medical insurance payment mode; Strengthen the standardized diagnosis, treatment and management of patients with chronic diseases, and unblock the two-way referral channels for patients with chronic diseases in the Medical Association; Improve public health service capacity through medical prevention coordination; Further promote the reform of the salary system of public hospitals in the Medical Federation; Play the role of "baton" of performance appraisal. Since 2016, Sanming, as one of the first batch of graded diagnosis and treatment pilot cities and the pilot city for the construction of Medical Association, has actively explored the key work and pilot work plan for the construction of graded diagnosis and treatment system, promoted the reform of medical insurance payment mode and focused on the construction of graded diagnosis and treatment pattern with the establishment of close medical association as the carrier. In addition, the circular summarizes the main experience of hierarchical diagnosis and treatment and the construction of medical consortium in Sanming City, including improving the compensation mechanism and implementing the system of "total payment, no compensation for overspending and retention of balance" of medical insurance fund; Promote the "three sinks" of medical talents, medical resources and diseases within the medical Consortium; Relying on the county medical and health service technology platform, carry out in vivo telemedicine services; Pay attention to the role of traditional Chinese medicine, strengthen the county-level traditional Chinese medicine service network, and realize the full coverage of grass-roots traditional Chinese medicine museums. (outlook new era)