The Million Hearts payment model, which incentivizes healthcare organizations to reduce cardiovascular risk among Medicare beneficiaries, led to a modest but significant reduction in new-onset myocardial infarctions and strokes over five years.
By Pooja Toshniwal PahariaOct 23 2023Reviewed by Benedette Cuffari, M.Sc. In a recent study published in JAMA, researchers investigated whether the Million Hearts payment model reduced the incidence of cardiovascular events , including strokes, myocardial infarctions , and Medicare expenditure among Medicare beneficiaries.
The Million Hearts payment model incentivized healthcare organizations to evaluate and decrease CVD risk. However, the long-term impacts of the model on CVD outcomes remain unknown. About the study The current trial was conducted between January 3, 2017, and December 31, 2021. A total of 342 United States-based healthcare organizations, including primary care, specialty practices, hospital outpatient care clinics, and health centers, were included in the study, which comprised 218,864 individuals.
CMS paid the organizations to determine cardiovascular risk evaluation scores for the beneficiaries and rewarded health organizations for decreasing CVD risk for high-risk Medicare recipients with cardiovascular risk scores of 30% or higher. Study findings The intervention and control group beneficiaries had comparable age medians of about 72 years, sex distributions of 58% and 59% males and females, respectively, race demographics, and initial cardiovascular risk scores with a median value of 24%. After a median follow-up of 4.3 years, 7.8% and 8.1% of the intervention and control group beneficiaries were diagnosed with incident cardiovascular diseases, respectively.
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