Abstract:The experience of general outpatient compensation policy can provide reference for the integration of medical insurance for urban and rural residents. This paper analyzes the evolution process of general outpatient compensation policy of the medical insurance for urban and rural residents, divides the policy change into three stages: the establishment and expansion of the new rural cooperative family accounts, the diversification of the transition from the family accounts to the outpatient pooling fund and the outpatient pooling fund. The current policy of general outpatient compensation of the medical insurance for urban and rural residents can be divided into four models: outpatient pooling fund, medical insurance pooling fund, "family accounts + outpatient pooling fund " and personal accounts. There are widespread problems in various places such as unequivocal target location, single source of funds, low level of protection and unreasonable payment methods.We should promote outpatient pooling fund, increase government out-patient subsidies, design more reasonable reimbursement and strict implementation of the head pay to perfect the general outpatient compensation policy of the medical insurance for urban and rural residents.