Impacts of the Million Hearts® Cardiovascular Disease Risk Reduction Model on Medications Heart Attacks and Strokes and Medicare Spending after Two Years: A Cluster‐Randomized Trial

摘要

In 2017, the Centers for Medicare & Medicaid Services launched the Million Hearts® Cardiovascular Disease (CVD) Risk Reduction Model with the aim to reduce first‐time heart attacks and strokes among high‐risk Medicare fee‐for‐services (FFS) beneficiaries within 5 years. This large‐scale randomized trial pays providers to assess each of their Medicare patient’s risk of a heart attack or stroke and then makes additional payment if they reduce CVD risk among their high‐risk cohort. We assess whether, during its first two years, the model increased use of CVD medications, reduced incidence of heart attacks and strokes, and reduced Medicare spending.