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Medicare Payment Model Targets Cardiovascular Risk, Costs

The Centers for Medicare & Medicaid Services (CMS) announced a new payment model that aims to prevent cardiovascular disease (CVD) and reduce related mortality and costs. The Million Hearts: CVD Risk Reduction Model will incentivize providers to calculate cardiovascular risk for eligible Medicare beneficiaries and target those with the highest risk for patient-centered care. Patients and providers will work together to develop individualized plans that include shared decision making and self-monitoring  to reduce patients’ chances of heart attack and stroke. Provider incentives will be based solely on the provider’s ability to reduce predicted risk, rather than using patient diagnostic benchmarks.

The Million Hearts CVD Model will run for five years as a randomized-controlled trial featuring a diverse array of up to 720 eligible practices, including hospital-owned physician practices and hospital/physician organizations. As a requirement of participation, providers must have met stage 1 of the Medicare Electronic Health Record (EHR) Incentive Program and must use a certified EHR system.

Interested practices must submit a letter of intent to CMS to access the program application. Applications for participation are due Sept. 4.

Contact Beth Feldpush, DrPH, senior vice president of policy and advocacy, at bfeldpush@essentialhospitals.org or 202.585.0111 with questions.

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About the Author

Matt Buechner is the policy and advocacy associate for America's Essential Hospitals.

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