This paper discusses the DRG payment will lead to save medical expense and rationalize the allocation of health care resources.However,it may also impact the quality of medical care,increase pa-tients'medical burden,and strain doctor-patient relationships.By analyzing the root causes of these nega-tive effects and combining with national policy guidance,this paper proposes optimization suggestions such as integrating value-based concepts into hospital operations,enhancing system and policy suitability,em-phasizing the professional value of medical staff,advancing theoretical frameworks for doctor-patient inter-actions,and improving supervision quality control.So as to help the process of medical insurance payment reform.