A Data-Based Foundation for Managing Hypertension Services

AJMC August 5, 2022
David J. Cook, MD, MHA, Kenneth Cohen, MD, Mariefel Nicole Deypalan, MS

Analysis of more than 16 million visits for hypertension care suggests that a large fraction of face-to-face care is low value and could be provided differently or potentially eliminated.

ABSTRACT

Objectives: To understand primary care visits and medication utilization among older patients with hypertension to gauge opportunity for service redesign.

Study Design: Data came from 1,880,331 Medicare Advantage members with hypertension who had a primary care visit and a pharmacy claim for an antihypertensive, antidiabetic, or antilipemic medication. To determine activities associated with a primary care visit, we analyzed 43,258,454 medical claims, 245 procedure codes, and medication management associated with those visits. Models for predicting both hypertension visits and medication management were evaluated and applied.

Methods: Logistic regression was used...

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