Controlling Blood Pressure

Clinical Basis

Hypertension is the number one risk factor for heart disease and stroke. Ninety percent of the adult population will have hypertension in their lifetime, so it is an important risk factor to manage.


Common Exclusions

  • Members with evidence of ESRD
  • Advanced illness and frailty
  • I-SNP enrollment

Clinical Guidance

Follow the chart provided in a science advisory from the AHA, ACC and the CDC1  on the next page for controlling hypertension in adults.

 

Additional Notes:

Telephone visits, e-visits and virtual check-ins are appropriate for BP readings. Readings reported or taken by the member with a digital device are acceptable. Readings taken by the member using a non-digital device, such as with a manual blood pressure cuff and a stethoscope, are not acceptable.

 

 

Controlling Hypertensions in Adults


1 An Effective Approach to High Blood Pressure Control. A Science Advisory from the American Heart Association, the American College of Cardiology, and the Centers for Disease Control and Prevention Alan S. Go, MD; et al, J Am Coll Cardiol. 2014;63(12):1230-1238. doi:10.1016/j.jacc.2013.11.007, © 2013 The Authors

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