Table 1.
Recommended strategy from the Surgeon General’s Call-to-Action to Control Hypertension | Intervention | Cost savings or cost-effectiveness |
---|---|---|
Promote access to and availability of physical activity opportunities and healthy food options within communities | Dietary approaches to stop hypertension (DASH) diet: diet emphasizes fruits, vegetables, low-fat dairy products, whole grains, poultry, fish, and nuts. Only recommends a small amount of red meat, sweets, and sugar-sweetened beverages, and low levels of total and saturated fat and cholesterol.30 | AUS $12,000 per disability-adjusted life year among adults utilizing the DASH diet. |
Advance the use of standardized treatment approaches and guideline-recommended care | Expanding antihypertensive medication treatment to previously untreated adults according to the 2014 hypertension guidelines.36 | Expanding antihypertensive medication treatment to previously untreated adults resulted in 6,000–26,000 less CVD events and $149,000–1,640,000 in cost savings over a 10-year time horizon, depending on treatment scenario. |
Promote the use of healthcare teams to manage hypertension | Utilizing pharmacists to help improve blood pressure (BP) management (i.e., improve medication adherence and adjust medication regimens) among patients with persistently uncontrolled BP.40 | Could result in cost savings for Medicare of approximately $900 million over 5 years. |
Empower and equip patients to use self-measured blood pressure (SMBP) monitoring and medication adherence strategies | SMBP with additional support vs. usual care.42 | The median costs per quality-adjusted life year for SMBP with additional support ranged from $2,800 to $4,000. |
Abbreviation: CVD, cardiovascular disease.