Million Hearts Cardiovascular Disease Risk Reduction Model
The Centers for Medicare & Medicaid Services (CMS) has implemented the Million Hearts Cardiovascular Disease Risk Reduction Model as a tool to drive quality improvement and reduce population-wide cardiovascular disease (CVD) risk. This model incentivizes healthcare organizations to assess and lo...
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Published in | JAMA : the journal of the American Medical Association Vol. 330; no. 15; pp. 1430 - 1432 |
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Main Authors | , , |
Format | Journal Article |
Language | English |
Published |
United States
American Medical Association
17.10.2023
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Abstract | The Centers for Medicare & Medicaid Services (CMS) has implemented the Million Hearts Cardiovascular Disease Risk Reduction Model as a tool to drive quality improvement and reduce population-wide cardiovascular disease (CVD) risk. This model incentivizes healthcare organizations to assess and lower 10-year CVD risk among Medicare beneficiaries. A recent study evaluated the effectiveness of this model and found a significant reduction in incident coronary heart disease and stroke among high-risk beneficiaries. Additionally, there was a reduction in all-cause mortality and CHD-related mortality. The study also highlighted the need for greater clinician support and engagement to ensure widespread adoption of the model. Furthermore, the study emphasized the importance of addressing health equity implications and engaging diverse patient populations to combat health disparities. The Million Hearts Model presents a paradigm shift in how CVD risk reduction is measured and incentivized, focusing on mean risk reduction rather than just clinical measures. Overall, modernized payment models may be an affirmative strategy to improve CVD outcomes, but further work is needed to ensure patient-centricity, optimal deployment, and equity enhancement. |
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AbstractList | The Centers for Medicare & Medicaid Services (CMS) has implemented the Million Hearts Cardiovascular Disease Risk Reduction Model as a tool to drive quality improvement and reduce population-wide cardiovascular disease (CVD) risk. This model incentivizes healthcare organizations to assess and lower 10-year CVD risk among Medicare beneficiaries. A recent study evaluated the effectiveness of this model and found a significant reduction in incident coronary heart disease and stroke among high-risk beneficiaries. Additionally, there was a reduction in all-cause mortality and CHD-related mortality. The study also highlighted the need for greater clinician support and engagement to ensure widespread adoption of the model. Furthermore, the study emphasized the importance of addressing health equity implications and engaging diverse patient populations to combat health disparities. The Million Hearts Model presents a paradigm shift in how CVD risk reduction is measured and incentivized, focusing on mean risk reduction rather than just clinical measures. Overall, modernized payment models may be an affirmative strategy to improve CVD outcomes, but further work is needed to ensure patient-centricity, optimal deployment, and equity enhancement. |
Author | Brewer, LaPrincess C Tajeu, Gabriel S Joynt Maddox, Karen |
Author_xml | – sequence: 1 givenname: Gabriel S surname: Tajeu fullname: Tajeu, Gabriel S organization: Department of Health Services Administration and Policy, Temple University, Philadelphia, Pennsylvania – sequence: 2 givenname: Karen surname: Joynt Maddox fullname: Joynt Maddox, Karen organization: Associate Editor, JAMA – sequence: 3 givenname: LaPrincess C surname: Brewer fullname: Brewer, LaPrincess C organization: Department of Cardiovascular Medicine, Mayo Clinic College of Medicine, Rochester, Minnesota |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/37847284$$D View this record in MEDLINE/PubMed |
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Cites_doi | 10.1001/jamanetworkopen.2023.6687 10.1073/pnas.1920391117 10.1007/s11883-023-01119-w 10.1161/01.cir.0000437738.63853.7a 10.1001/jamacardio.2021.1565 10.1089/tmj.2022.0104 10.7326/M23-0720 10.2105/AJPH.2019.305543 10.1001/jama.2021.25181 10.1161/CIR.0000000000001123 10.1001/jama.2023.19597 10.1161/CIR.0000000000000596 10.1161/CIRCULATIONAHA.122.060199 10.1016/j.jacc.2013.11.005 10.1001/jama.2021.10413 10.1161/CIRCRESAHA.121.319811 |
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References | 37847273 - JAMA. 2023 Oct 17;330(15):1437-1447 Mehta (jed230069r1) 2020; 117 Stone (jed230069r4) 2014; 129 Snyder (jed230069r12) 2023; 6 Powell-Wiley (jed230069r15) 2022; 130 Peterson (jed230069r8) 2021; 6 Tajeu (jed230069r9) 2020; 110 Goff (jed230069r6) 2014; 63 Blue (jed230069r7) 2023 Thomas (jed230069r14) 2023 Whelton (jed230069r5) 2018; 138 Nundy (jed230069r13) 2022; 327 Anastos-Wallen (jed230069r11) 2022; 28 Frank (jed230069r16) 2023 Johnston (jed230069r10) 2021; 326 Kyalwazi (jed230069r3) 2022; 146 Tsao (jed230069r2) 2023; 147 |
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SubjectTerms | Beneficiaries Cardiovascular disease Cardiovascular diseases Cardiovascular Diseases - prevention & control Coronary artery disease Government programs Health risks Heart Heart diseases Humans Medicare Models, Cardiovascular Modernization Mortality Patients Quality control Risk Factors Risk management Risk Reduction Behavior |
Title | Million Hearts Cardiovascular Disease Risk Reduction Model |
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