Today, Hackensack Meridian Health has been selected by the Centers for Medicare & Medicaid Services (CMS) as one of 516 awardees in 47 states, Puerto Rico, and the District of Columbia to help reduce the risk of heart attacks and strokes among millions of Medicare fee-for-service beneficiaries. Health care practitioners, such as Hackensack Meridian Health, participating in the Million Hearts® Cardiovascular Disease Risk Reduction Model will work to decrease cardiovascular disease risk by assessing an individual patient’s risk for heart attack or stroke and applying prevention interventions.
“We are proud to be part of this important initiative and eager to implement its interventions so we can help prevent the leading causes of death in New Jersey – heart disease and stroke,” said Navneet Kathuria, M.D., vice president, Population Health Management of Hackensack Meridian Health. “This new model will help enable Hackensack Meridian Health deliver on its goal on providing coordinated, quality patient care.”
According to the Centers for Disease Control and Prevention (CDC), heart disease is the leading cause of death and a major contributor to disability in the United States. One in three deaths are caused by heart attacks and strokes, resulting in over $300 billion of health care costs each year. Currently, health care practitioners are paid to screen for blood pressure, cholesterol, or other risk factors individually. In testing a new approach, practitioners participating in the Million Hearts® Cardiovascular Disease Risk Reduction Model’s intervention group will use a data-driven, widely accepted predictive modeling approach to generate personalized risk scores and develop specific plans in partnership with patients to reduce the risk of having a heart attack or stroke. Accepted applicants were randomly assigned to either the intervention or control group in accordance with the model’s randomized control design.
Overall, nearly 20,000 health care practitioners and over 3.3 million Medicare fee-for-service beneficiaries will participate in the five-year model. Hackensack Meridian Health’s primary care practices in Monmouth and Ocean counties are participating in the intervention group and will work with Medicare fee-for-service beneficiaries to determine their ten-year individual risk for a heart attack or stroke. Hackensack Meridian Health’s participating physician practices will then work with beneficiaries individually to identify the best approach or approaches to reducing their risk of having a heart attack or stroke – for example, smoking cessation interventions, blood pressure management, or cholesterol-lowering drugs or aspirin – and will explain the benefits of each approach. Each beneficiary will receive a personalized risk modification plan that will target their specific risk factors. Hackensack Meridian Health will be paid for reducing the absolute risk for heart disease or stroke among their high-risk beneficiaries.
“Our health care system historically often emphasized acute care over preventive care,” said Dr. Patrick Conway, CMS Acting Principal Deputy Administrator and Chief Medical Officer. “This initiative will enhance patient-centered care and give practitioners the resources to invest the time and staff to address and manage patients who are at high risk for heart attacks and strokes.”
The Affordable Care Act, through the creation of the CMS Innovation Center, allows for the testing of innovative payment and service delivery models, such as the Million Hearts® Cardiovascular Disease Risk Reduction Model, to move our health care system toward one that spends dollars more wisely, delivers better care and makes individuals and communities healthier. Today’s announcement is part of the Administration’s broader strategy to improve the health care system by paying practitioners for what works, unlocking health care data, and finding new ways to coordinate and integrate care to improve quality. In March 2016, the Administration announced it reached its goal, nearly one year ahead of schedule, of tying 30 percent of Medicare payments to alternative payment models that reward the quality of care over the quantity of services provided to beneficiaries.
This model is part of Million Hearts®, a broad national initiative co-led by CMS and CDC to prevent one million heart attacks and strokes by 2017. Million Hearts® brings together communities, health systems, nonprofit organizations, federal agencies, and private-sector partners from across the country to fight heart disease and stroke. For more information on the Million Hearts® initiative, please visit: https://millionhearts.hhs.gov.
For additional information about the Million Hearts® Cardiovascular Risk Reduction Model, including a fact sheet and a list of participants, please visit: https://innovation.cms.gov/initiatives/Million-Hearts-CVDRRM/.
About Hackensack Meridian Health
Hackensack Meridian Health is a leading not-for-profit health care organization that is the most comprehensive and truly integrated health care network in New Jersey, offering a complete range of medical services, innovative research and life-enhancing care. Hackensack Meridian Health comprises 13 hospitals, including two academic medical centers, two children’s hospitals and nine community hospitals, physician practices, more than 120 ambulatory care centers, surgery centers, home health services, long-term care and assisted living communities, ambulance services, lifesaving air medical transportation, fitness and wellness centers, rehabilitation centers, and urgent care and after-hours centers. Hackensack Meridian Health has 28,000 team members, more than 6,000 physicians and is a distinguished leader in health care philanthropy, committed to the health and well-being of the communities it serves.
The Network’s notable distinctions include having one of only five major academic medical centers in the nation to receive Healthgrades America’s 50 Best Hospitals Award for five or more consecutive years, the number one hospital in New Jersey as ranked by U.S. News and World Report,consistently achieving Magnet® recognition for nursing excellence from the American Nurses Credentialing Center, recipient of the John M. Eisenberg Award for Patient Safety and Quality from The Joint Commission and the National Quality Forum, a six-time recipient of Fortune’s “100 Best Companies to Work For,” one of the “20 Best Workplaces in Health Care” in the nation, and the number one “Best Place to Work for Women.” Hackensack Meridian Health is a member of AllSpire Health Partners, an interstate consortium of leading health systems, to focus on the sharing of best practices in clinical care and achieving efficiencies.
The hospitals of Hackensack Meridian Health include: academic medical centers – HackensackUMC in Hackensack, Jersey Shore University Medical Center in Neptune; children’s hospitals – Joseph M. Sanzari Children’s Hospital in Hackensack, K. Hovnanian Children’s Hospital in Neptune; community hospitals – Ocean Medical Center in Brick, Riverview Medical Center in Red Bank, HackensackUMC Mountainside in Montclair, HackensackUMC Palisades in North Bergen, Raritan Bay Medical Center in Perth Amboy, Southern Ocean Medical Center in Manahawkin, Bayshore Community Hospital in Holmdel, Raritan Bay Medical Center in Old Bridge, and HackensackUMC at Pascack Valley in Westwood.