Cardiovascular disease is the leading cause of death in China’s urban and rural areas. The key to prevention and control of cardiovascular disease is hierarchical management and the implementation of “Hypertension-Hyperglycemia-Hyperlipidemia” co-management in high-risk groups for comprehensive prevention and control. “Hypertension-Hyperglycemia-Hyperlipidemia” co-management is to provide standardized management and whole-process health care services integrating lifestyle，personalized medicine，health education，and testing for the “Hypertension-Hyperglycemia-Hyperlipidemia” population. At present，health management service in “Hypertension-Hyperglycemia-Hyperlipidemia” co-management has gradually started in China. However，there are still some problems such as absence of effective pilot exploration，unclear payment system and incentive mechanism，lack of standard and specification，poor management and control efficiency，and imperfect intelligent system. The prevention and control of chronic diseases in China has ushered in a new development pattern which focuses on grass-roots and prevention. In the new era，governments and organizations at all levels should effectively solve the problems faced，promote the implementation of health management services in “Hypertension-Hyperglycemia-Hyperlipidemia” co-management at all levels，and form a new cardiovascular disease prevention and control system.