To the Editor The increasing global burden of cardiovascular disease (CVD) observed over the last 3 decades is a clear indication that usual approaches to CVD prevention are not enough and novel approaches are needed. In this respect, the novel model test from the Centers for Medicare & Medicaid Services (CMS) to assess value-based payment to reduce the predicted risk of CVD, presented by Drs Sanghavi and Conway,1 is an important and promising step in the right direction. The suggested approach, however, comes with some caveats for the wider global population.
Feigin VL, Norrving B, Wiebers DO. Approaches to Prevention of Cardiovascular Disease. JAMA. 2015;314(21):2306. doi:10.1001/jama.2015.13088