The combination of medical care and health care is the deepening of the concept of the combination of medical care and health care. It is not only the internal requirement for the combination of medical care and health care to move towards high-quality development in the new era，but also the practical need for the acceleration of aging and the worrying health status of the elderly. The progress of “combination of medical care and health care” in Jiangsu has laid a certain foundation for the establishment of “medical care and health care” elderly care service system，but it still faces some difficulties and various problems in the integration of medical care and health care. To promote the establishment of the “medical care and health care” pension model，we need to integrate and reshape the service system with the community as the core，promote the integration and coordinated development of medical care and health care resources，and open up the “last mile” of the connection between medical care and health care supply and demand.