With the promulgation of new medical reform scheme, medical insurance handling management has become extremely important. According to the requirement of the targets for universal coverage of healthcare insurance, this paper, based on exploring the influencing factors of management ability, summarized such methods as "two big service function analysis" and "index establishment and data argument analysis". This paper also examined the management status quo of medical insurance handling management and analyzed the problems in handling management such as internal management, informationization construction and social cooperation. This paper finally put forward several suggesitons including establishing governance notion in medical insurance handling management, strengthening law and regulation-making and innovating management mode so as to push forward the realization of universal coverage of healthcare insurance.