Control High Blood Pressure

PLAN AN INTERVENTION
EXPLORE RESOURCES

The Issue

Each year in the United States, heart disease, stroke, and other vascular diseases contribute to 800,000 deaths. About 70 million American adults have high blood pressure and high cholesterol — the main causes of heart disease and stroke — yet only about half of adults with high blood pressure and one in three of those with high cholesterol have their condition under control.

High blood pressure costs the nation $46 billion each year — including the cost of health care services, medications to treat high blood pressure, and missed days of work.

CDC’s 6|18 Initiative Success Story

Commonwealth of the Northern Mariana Islands: Controlling High Blood Pressure
Read more »  |  Other successes »

 

Plan an Evidence-Based Intervention

Following are hypertension prevention interventions for payers identified by the CDC as having a proven evidence base for improving health outcomes and controlling health care costs:

  • Implement strategies that improve adherence to anti-hypertensive and lipid-lowering prescription medications via expanded access to: (1) low cost medication copayments, fixed dose medication combinations, extended medication fills; (2) innovative pharmacy packaging; and (3) improved care coordination using standardized protocols, primary care team, medication therapy management programs and self-monitoring of blood pressure with clinical support.
  • Provide home blood pressure monitors to patients with high blood pressure and reimburse for the clinical support services required for self-measured blood pressure monitoring.

Evidence Summary: Control High Blood Pressure

Download the CDC’s evidence summary that outlines key cost and health information for payers and providers, as well as demonstrated outcomes for each of the above interventions.

Get Started with CDC’s 6|18 Initiative

View Getting Started: CDC’s 6|18 Initiative guide »
Complete control high blood pressure planning tool »
Create control high blood pressure action plan »
Explore implementation resources »
 

Explore Implementation Resources

The following resources can help payers, state officials, and providers to implement high-opportunity interventions aimed at controlling high blood pressure.  Does your state/program have resources to share? Send an email to 618@chcs.org.

See also CDC’s high blood pressure, heart disease, and stroke program web pages.

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Guide/Toolkit | September 2021
The Grady Heart Failure Program: A Model to Address Health Equity Barriers
Provides a detailed description of an intervention intended to address health disparities among heart failure patients.
Fact Sheet | June 2020
Self-Measured Blood Pressure CBT Coding
Highlights important SMBP codes.
Guide/Toolkit | May 2020
Hypertension Control Change Package
Shares process improvement resources and tools that outpatient clinical settings can implement as they seek optimal hypertension control.
Guide/Toolkit | March 2020
Texas Medicaid Provider Procedures Manual
Provides information about the Texas Medicaid benefits, policies, and procedures that are applicable to durable medical equipment suppliers and providers.
Brief/Report | February 2020
A National Analysis of Self-Measured Blood Pressure Monitoring Coverage and Reimbursement
Contains a national analysis of self-measured blood pressure monitoring coverage and reimbursement policies by selected public and private payers/insurers across the United States.
Case Study/Profile | January 2020
Commonwealth of the Northern Mariana Islands: Controlling High Blood Pressure
Showcases CNMI's efforts in reducing high blood pressure through patient adherence to anti-hypertensive medication and improving access to self-monitoring blood pressure devices.
Website/Resource Center
Taking Control of My Blood Pressure: Patient Stories
Provides videos of patients speaking about their stories taking control of their blood pressure.
Guide/Toolkit | October 2019
Connecticut Department of Social Services’ Provider Bulletin
Provides information on how people can obtain coverage for self-measured blood pressure monitoring devices, as well as resources available in Connecticut.
Fact Sheet | October 2019
California’s Durable Medical Equipment Medicaid Policy
Contains information about California's durable medical equipment items not included in the following DME groups: infusion equipment, oxygen and respiratory equipment, speech generating devices, therapeutic anti-decubitus mattresses and bed products and wheelchairs and wheelchair accessories.
Engagement/Education Material | September 2019
SMBP is Worth It: Increasing Hypertension Self-Management to Accelerate Blood Pressure Control
Shares information on how states partnered with local, and community partners to increase the use of self-managed blood pressure for those with high blood pressure, as well as state-level findings. 
Guide/Toolkit | August 2019
Medicaid MCO Survey to Assess Hypertension Control Services
Helps states understand the landscape of covered benefits offered by managed care organizations that target hypertension control services for Medicaid members.
Guide/Toolkit | July 2019
Blood Pressure Log Book
Provides general information on blood pressure, such as definitions, strategies on measuring blood pressure, and tips on healthy eating.
Technical Assistance Tool | November 2018
High Blood Pressure Educational Materials
Shares patient and provider educational materials, ranging from fact sheets and podcasts to data maps and trainings.
Guide/Toolkit | July 2018
Self-Measured Blood Pressure Monitoring: Implementation Guide for Health Care Delivery Organizations
Guides help health care delivery organizations implement SMBP into practice or optimize their existing SMBP processes in a systematic way.
| June 2018
Self-Measurement: How Patients and Care Teams are Bringing Blood Pressure to Control
Showcases several community health centers' work to implement self-measured blood pressure monitoring programs in their clinics.
Video | April 2018
How to Use Your Home Blood Pressure Monitor
Demonstrates a step-by-step process on how to use a home blood pressure monitor.
Guide/Toolkit | February 2017
ASTHO and Million Hearts: Transforming Systems, Saving Lives
Summarizes strategies and lessons from state teams that participated in a collaborative to help strengthen blood pressure control.
Guide/Toolkit | January 2017
Best Practices for Cardiovascular Disease Prevention Programs: A Guide to Effective Health Care System Interventions and Community Programs Linked to Clinical Services
Details brief evidence summaries for effective blood pressure and cholesterol control strategies and highlights resources and tools useful for implementing these strategies.
Brief/Report | June 2016
Undiagnosed Hypertension 
Highlights lessons and case studies from states that have implemented hypertension diagnosis strategies.
Guide/Toolkit | January 2016
Using the Pharmacists’ Patient Care Process to Manage High Blood Pressure: A Resource Guide for Pharmacists
Assists pharmacists to prevent and manage high blood pressure through team-based care. 
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