“The Center for Medicare & Medicaid Innovation recently announced a large, novel model test to determine whether financially rewarding reductions in 10-year predicted risk for atherosclerotic heart disease (defined as initial myocardial infarction or stroke) across a physician’s patient population is an effective model for value-based prevention…Termed the Million Hearts Cardiovascular Risk Reduction Model, this model will represent the largest test of value-based prevention payment ever conducted by CMS and, if successful, could point to an innovative path forward for other kinds of preventive care…the model will begin recruiting physician practices starting in June 2015 in preparation for enrolling the first Medicare beneficiaries in early 2016.” (JAMA)

The Million Hearts model uses an AHA/ACC pooled cohort equation for initial risk stratification. Physicians are incentivized for reduction in 10-year composite risk and population-wide incidence of heart attack and stroke. Patients will be encouraged to share in decision making and choose from a menu of positive behavior modifications, such as eliminating tobacco use, reducing blood pressure through exercise, or taking aspirin daily.

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