Abstract:The health insurance funds of China have been out of the balance in some area at current time, operational risks increasing. Analysis on the funds financing and expending illustrated that contribution rate of health insurance can be increased through gradual adjustment basing on international comparison and health insurance expense with high increasing rate and irreversibility feature can be controlled on the appropriate level through precise management. The article infer that fine management is the key measure to decrease the operational risks of health insurance fund and maintain the balance of payments. Collecting data according to standardized data support system, supervising and administrating funds financing and expending, performing scientific and precise governance and constructing fund risk alertness-forecasting system are imperative.