The Taiwan National Health Insurance Program which enacted last year and enforced this March, 1995 carried out an article of "one price for one category of diseases" or "case payment" plan. According to the National Health Insurance Bureau's supplementary document, the "case" means diseases having the same first three digits of ICD-9-CM code. This is not appropriate because factors of clinical practice and the patient's condition cannot be excluded if the regulation is to apply. Moreover, the whole structure of the so called "case payment" in the program, does not like DRGs/ PPS in the Medicare, bears few supporting measures to assist its implementation. The main problem of the plan is its over primitive. Only cognation both in disease and patient category and in effort produced by health care providers can make a justifiable and workable payment device.