News | June 05, 2015

New Affordable Care Act Payment Model Seeks to Reduce Cardiovascular Disease

Providers will be reimbursed for reducing individual patients’ risk of heart attack or stroke through personalized plans

June 5, 2015 - Health and Human Services Secretary Sylvia M. Burwell announced an opportunity for healthcare providers to decrease cardiovascular disease risk for Medicare beneficiaries through a new payment model. Using the model, providers can assess an individual patient's risks for heart attack or stroke and work with them to reduce those risks. Secretary Burwell made the announcement at the White House Conference on Aging regional forum in Boston.

Heart attacks and strokes are a leading cause of death and disability. According to the Centers for Disease Control and Prevention, about 610,000 people die of heart disease in the United States every year – accounting for one in every four deaths and costing an estimated $315.4 billion annually. The Million Hearts Cardiovascular Disease (CVD) Risk Reduction model proposes an innovative way of lowering those risks.

Currently, providers are paid to meet specific blood pressure, cholesterol or other targets for their patients as a group. In a new approach, the Million Hearts model will use a data-driven, widely accepted predictive modeling approach to generate personalized risk scores and modification plans for patients.

"The Million Hearts initiative is a part of our efforts to promote better care and smarter practices in our healthcare system," said Secretary Burwell. "It recognizes that giving doctors more one-on-one time with their patients to prevent illness leads to better outcomes, and that greater access to health information helps empower patients to be active participants in their care."

Beginning May 28, the Centers for Medicare and Medicaid Services (CMS) is accepting applications for the Million Hearts CVD Risk Reduction model. Healthcare providers who participate in the model will work with Medicare beneficiaries to determine their individual risk for a heart attack or stroke in the next 10 years (for example, 25 percent). Then, providers will work with patients to identify the best approach to reduce their individual risk - for example, stopping smoking, reducing blood pressure, or taking cholesterol-lowering drugs or aspirin - and show them the benefits of each approach. Each patient will get a personalized risk modification plan that will target their specific risk factors. Providers will be paid for reducing the absolute risk for heart disease or stroke among their high-risk patients.

The Million Hearts CVD Risk Reduction model will operate for five years and aims to enroll more than 300,000 Medicare beneficiaries and 720 diverse practices, varying in size and patient case mix; and including providers in general/family practice, general internal medicine, geriatric medicine, multi-specialty care or cardiovascular care.

Million Hearts is a broad national initiative to prevent 1 million heart attacks and strokes by 2017. Million Hearts brings together communities, health systems, nonprofit organizations, federal agencies, and private-sector partners from across the country to fight heart disease and stroke.

For more information: www.cms.gov

Related Content

FDA Releases Final Rule on Data Acceptance from Medical Device Clinical Investigations
News | Business | February 21, 2018
The U.S. Food and Drug Administration (FDA) issued the final rule on “Human Subject Protection; Acceptance of Data from...
Amazon, Berkshire Hathaway and JPMorgan Chase to Form New Healthcare Company
News | Business | January 30, 2018
January 30, 2018 — Amazon , Berkshire Hathaway and JPMorgan Chase & Co.
News | Business | January 16, 2018
American College of Cardiology (ACC) Chief Executive Officer Shalom “Shal” Jacobovitz will be leaving the College...
CMS Launches New Voluntary Bundled Payments Model
News | Business | January 10, 2018
The Centers for Medicare & Medicaid Services (CMS) Center for Medicare and Medicaid Innovation (Innovation Center)...
Toshiba Medical Systems Changes Name to Canon Medical Systems Corp.
News | Business | January 08, 2018
January 8, 2018 — Canon Inc. and Canon Medical Systems Corp.
CMS Announces Final Changes, Cancellations of Mandatory Bundled Payment Models
News | Business | December 21, 2017
The Centers for Medicare & Medicaid Services (CMS) last week finalized the cancellation of the mandatory hip...
Catheter reprocessing can reduce costs in the cath and EP lab.
Feature | Business | December 19, 2017 | Lars Thording
As payers and other healthcare entities look to better manage costs, especially in the acute care setting, it is impo
FDA Issues Final Guidance on Investigational Device Exemption Categorization
News | Business | December 19, 2017
The U.S. Food and Drug Administration (FDA) recently issued a final guidance, “FDA Categorization of Investigational...
Congressional Budget Office Finds cutting ACA insurance mandate will cause 13 million people to become uninsured, higher insurance premiums. American Heart Association (AHA), #AHA2017
News | Business | December 06, 2017
December 6, 2017 — At the American Heart Association (AHA) annual meeting in November, a group of 16 non-partisan pat
5 Tips for Medical Device Engineers on FDA Design Controls
Feature | Business | November 24, 2017 | Jon Speer
If you are an engineer in the medical device industry, you probably have a love/hate relationship with the FDA-mandat
Overlay Init