Progress of Health Plans Toward Meeting the Million Hearts Clinical Target for High Blood Pressure Control — United States, 2010–2012
Milesh M. Patel, MS1, Bennett Datu, PhD1, Dan Roman1, Mary B. Barton, MD1, Matthew D. Ritchey, DPT2, Hilary K. Wall, MPH2, Fleetwood Loustalot, PhD2 (Author affiliations at end of text)
High blood pressure is a major cardiovascular disease risk factor and contributed to >362,895 deaths in the United States during 2010 (1). Approximately 67 million persons in the United States have high blood pressure, and only half of those have their condition under control (2). An estimated 46,000 deaths could be avoided annually if 70% of patients with high blood pressure were treated according to published guidelines (3,4). To assess blood pressure control among persons with health insurance, CDC and the National Committee for Quality Assurance (NCQA) examined data in the 2010–2012 Healthcare Effectiveness Data and Information Set (HEDIS). In 2012, approximately 113 million adults aged 18–85 years were covered by health plans measured by HEDIS. The HEDIS controlling blood pressure (CBP) performance measure is the proportion of enrollees with a diagnosis of high blood pressure confirmed in their medical record whose blood pressure is controlled. Overall, only 64% of enrollees with diagnosed high blood pressure in HEDIS-reporting plans had documentation that their blood pressure was controlled. Although these findings signal that additional work is needed to meet the 70% target, modest improvements since 2010, coupled with focused efforts, might make it achievable.
NCQA developed HEDIS to measure the performance in care and service of health insurance plans. HEDIS measures are reported by two thirds of all U.S. health plans, representing approximately three fourths of the U.S. population receiving managed care. To account for differences in population demographics and coverage, NCQA usually collects and reports HEDIS results by Medicare, Medicaid, and commercial health plan categories. Because of differences in how health maintenance organizations (HMOs) and preferred provider organizations (PPOs) capture some data, NCQA further stratifies results by reporting plan type. This report provides aggregate national and adjusted regional estimates and rates reported by plan category and type.*
All plans that reported enrollment figures and valid CBP HEDIS measure rates† were included in the calculation of the percentage of patients seen with diagnosed hypertension.§ NCQA defines a patient with hypertension as a plan member, aged 18–85 years, who had one or more outpatient encounters in which a diagnosis of hypertension that was not pregnancy-related or complicated by end-stage renal disease was recorded¶ during the first 6 months of the measurement period. The CBP measure denominator is calculated by systematically drawing a sample of members who met the definition and had further confirmation of their hypertension diagnosis in the medical record.** The numerator is the population in the denominator who demonstrated blood pressure control (i.e., systolic pressure <140 mmHg and diastolic pressure <90 mmHg).†† Results are expressed in the context of CBP measure values for health plans 1) representing the 50th (i.e., median value) and 90th (i.e., top 10% of performing plans) percentiles for the measure, and 2) meeting the 70% control rate, with additional stratification by NCQA accreditation status.§§ Binary logistic regression was used to estimate region and accreditation status effects on the proportion of plans meeting the 70% control rate while adjusting for plan category/type and reporting year. The significance (-2 log likelihood statistic) and fit of the resulting logistic regression model (area under the curve and Hosmer-Lemeshow Goodness of Fit test) was evaluated.
In 2012, approximately 113.4 million members were covered under plans that reported valid CBP rates (Table 1). Nationally, nearly 11% of members (approximately 12.4 million) had confirmed hypertension and were eligible for the CBP measure; of those, 64% (7.9 million) had their high blood pressure under control. Adjusted control rates were ≥60% for all U.S. Department of Health and Human Services (HHS) regions,¶¶ with rates of 59.5%–68.2% across regions.
Modest improvements occurred in the 50th and 90th percentile plan-level rates from 2010 to 2012 (Table 2). In 2012, 50th percentile rates for all plan categories/types were below the clinical target of 70%, and 90th percentile rates were ≥70% for only commercial and Medicare HMOs and Medicare PPOs. Adjusted odds ratios for meeting the 70% target rate demonstrated that performance improved over time, with differences between regions and plan categories/types; NCQA-accredited plans had greater success than nonaccredited plans (Table 3).
In 2012, HHS launched the Million Hearts initiative.*** For clinical settings, one of the Million Hearts goals is to achieve ≥70% control among U.S. adults with diagnosed hypertension by 2017. Overall, HEDIS-reporting plans were 72% more likely to have CBP measure rates meeting this target in 2012 than in 2010. However, despite these improvements, the median rates for the measure among all plan categories/types in 2012 was below this target, and the top 10% of performing plans were barely achieving it. In particular, <15% of Medicare and commercial PPOs met the target. Commercial and Medicare HMOs were twice as likely to have met the target, but <30% were successful. NCQA-accredited plans were twice as likely to have met the 70% clinical target as nonaccredited programs, with the highest percentages occurring among accredited commercial and Medicare Advantage HMOs. The extra level of accountability taken on by accredited plans might better focus their efforts on improving blood pressure control for their members with hypertension.
The percent of patients seen with diagnosed hypertension was greatest in the southeastern states associated with the "stroke belt" (HHS regions 3, 4, and 6), a geographically identified region of high stroke morbidity and mortality (5). Blood pressure control was worst in the Northwest and South (HHS regions 4, 6, and 10). HHS region 10, in the Northwest, has low antihypertensive medication use among persons with self-reported hypertension (6). In the South, despite higher antihypertensive medication use (6), overall blood pressure control is worse than in most other regions. Blacks represent a larger proportion of the population in this region compared with others (7), and despite being more aware of and likely to be treated for their hypertension than whites, blacks are less likely to have their high blood pressure controlled (8).
The findings in this report are subject to at least five limitations. First, HEDIS data are limited to those persons insured by reporting health plans. This excludes all fee-for-service Medicare members, a group with a considerable hypertension burden. Second, the CBP measure is based on a sample of plan members with diagnosed hypertension treated during the first 6 months of each reporting year; therefore, the reported percentage of patients seen with diagnosed hypertension should not be misconstrued as a prevalence estimate, because hypertension prevalence among all U.S. adults aged ≥18 years is approximately 30% (2). Third, the CBP measure does not capture persons who have hypertension, but have no recorded diagnosis in the medical record; therefore, it does not describe the effectiveness of plans in identifying hypertension among its members, but only the control of blood pressure among those with documented hypertension diagnoses. Control rates might be overestimated if the proportion of members with undiagnosed hypertension is high. Fourth, it was impossible to risk-adjust HEDIS results to account for population differences (e.g., chronic disease comorbidity prevalence) when comparing CBP values across category/plan types and regions (9). Finally, plans can be attributed to multiple HHS regions because of service area overlap; therefore, some larger plans might be overrepresented across multiple regions, potentially minimizing findings of differences by region.
Performance measures such as HEDIS are tools that can be used to promote health initiatives and assess their effectiveness. They can be used to recognize successful plans and identify areas for improvement (10). Additionally, public reporting on these measures and including the results in accreditation might spur providers and the plans they work with to follow evidence-based treatment guidelines and effectively track management of their hypertensive patients. Million Hearts encourages health plans to continue improvements in the identification, monitoring, and treatment of patients with hypertension. Strategies for improvement might include supporting the implementation of standardized hypertension treatment protocols and health information technology in clinical settings and modifications in health-care coverage/reimbursement (e.g., improved coverage of clinical preventive services and reduced medication copayments).
1National Committee for Quality Assurance; 2Division for Heart Disease and Stroke Prevention, National Center for Chronic Disease Prevention and Health Promotion, CDC (Corresponding author: Milesh Patel, firstname.lastname@example.org, 202-955-5167)
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* Regional values are adjusted to account for differences in plan distribution across HHS regions. The reference population was the overall number of members, aged 18–85 years, in each reporting health plan category and type in 2010. Before 2010, fewer than five PPOs in each category reported valid CBP measures.
† Defined as having ≥30 patients in the target population sample (CBP measure denominator) and passing the NCQA audit review.
§ The percentage of patients seen with diagnosed hypertension is not a measure of hypertension prevalence, but describes the number of patients with diagnosed hypertension who were seen during the first 6 months of the calendar year divided by the total number of health plan members aged 18–85 years.
¶ International Classification of Diseases, Ninth Revision, Clinical Modification code of 401.
** To confirm the diagnosis of hypertension (HTN), the organization must find notation of one of the following in the medical record on or before June 30 of the measurement year: HTN, high blood pressure, elevated blood pressure, borderline HTN, intermittent HTN, history of HTN, hypertensive vascular disease, hyperpiesia, or hyperpiesis.
†† Based on their most recent blood pressure readings. If multiple blood pressure measurements occurred on the same date, or were noted in the medical record on the same date, the lowest systolic and lowest diastolic blood pressure readings were used.
§§ NCQA health plan accreditation includes two major components on which a plan's performance is scored: 1) standards—an evaluation of the plan's structure and processes to maintain and improve quality in five core areas, and 2) HEDIS—an evaluation of the plan's performance on process and outcomes in clinical care and member experience of care. A health plan is considered to be NCQA-accredited if it achieved "excellent," "commendable," or "accredited" status for the performance year. Additional information is available at http://www.ncqa.org/programs/accreditation.aspx.
¶¶ The HHS regions, listed with headquarters city for each, territories not included, are as follows: Region 1 (Boston): Connecticut, Maine, Maryland, New Hampshire, Rhode Island, and Vermont; Region 2 (New York): New Jersey and New York; Region 3 (Philadelphia): Delaware, District of Columbia, Maryland, Pennsylvania, Virginia, and West Virginia; Region 4 (Atlanta): Alabama, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, and Tennessee; Region 5 (Chicago): Illinois, Indiana, Michigan, Minnesota, Ohio, and Wisconsin; Region 6 (Dallas): Arkansas, Louisiana, New Mexico, Oklahoma, and Texas; Region 7 (Kansas City): Iowa, Kansas, Missouri, and Nebraska; Region 8 (Denver): Colorado, Montana, North Dakota, South Dakota, Utah, and Wyoming; Region 9 (San Francisco): Arizona, California, Hawaii and Nevada; Region 10 (Seattle): Alaska, Idaho, Oregon, and Washington.
*** HHS, in collaboration with nonprofit and private organizations, launched Million Hearts (http://www.millionhearts.hhs.gov), a combination of clinical and community evidence-based interventions and strategies aimed at preventing 1 million heart attacks and strokes during the 5-year period of 2012–2016.
What is already known on this topic?
Uncontrolled high blood pressure is a major public health problem. Focused efforts to improve blood pressure control can greatly improve health outcomes. Performance measures can be used to assess the effectiveness of health insurance plans in controlling high blood pressure among their members with hypertension.
What is added by this report?
In 2012, nearly 113.4 million members were covered under plans that reported valid Healthcare Effectiveness Data and Information Set (HEDIS) controlling high blood pressure (CBP) performance rates. Nationally, nearly 11% of plan members were eligible for the CBP measure, of whom 64% had their blood pressure under control. Adjusted control rates were ≥60% (range = 59.5%–68.2%) for all U.S. Health and Human Services regions, which was a modest improvement from 2010 rates.
What are the implications for public health practice?
Based on recent improvements measured through HEDIS, the Million Hearts clinical target of ≥70% blood pressure control among hypertensive patients by 2017 is achievable, but further work is needed to effectively identify, monitor, and treat patients with hypertension.
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