"Million Hearts Model: Reducing Heart Attacks, Strokes, and Medicare Spending"
The Million Hearts Model, a program that incentivized and funded cardiovascular risk assessment and reduction, was found to reduce the probability of first-time myocardial infarctions or strokes by 0.3 percentage points over 5 years among high or medium-risk individuals, without significant changes in Medicare spending. The commitment of healthcare organizations to risk assessment and follow-up, coupled with payments for risk reduction, resulted in lower rates of heart attacks and strokes, supporting guideline recommendations for cardiovascular risk assessment.