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Introduction:Stroke prevalence is highest in adults ages>65 years, the majority of whom are Medicare beneficiaries. Fee-for-Service (FFS) Medicare incentivizes utilization by paying for each service. Medicare Advantage (MA) uses capitated payments to reduce overutilization. One found higher LDL levels (81.5 mg/dL vs 78.9
partially because its key risk factor, high bloodpressure, is a ‘silent killer,’ and most patients have no symptoms before their first heart attack or stroke. CVD is especially prevalent in the Medicare-aged population, affecting more than 75 percent of those aged 60-79 and more than 90 percent of those aged 80 and over.
Risk factors for PAD include smoking; having Type 1 or Type 2 diabetes, high bloodpressure, high cholesterol, chronic kidney disease, atherosclerosis in other parts of the body (such as coronary artery disease); and being age 75 years or older. and Global Data From the American Heart Association.
Her study examined expenditures connected to: CVD medications Office visits Diagnostic procedures Coronary revascularizations Hospitalizations The study’s cost figures were derived from Medicare nationwide and zip-code-specific data that was inflation-corrected, discounted at 3% per year, and presented in 2014 dollars.
Lower income, education, occupation (non‐management/professional versus management/professional occupations), and insurance status (uninsured, Medicaid, Veterans Affairs, or Medicare versus private insurance) were associated with lower CVH scores (allP<0.01).
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