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Comment & Response
December 1, 2015

Approaches to Prevention of Cardiovascular Disease

Author Affiliations
  • 1Auckland University of Technology, Auckland, New Zealand
  • 2Lund University, Lund, Sweden
  • 3Mayo Clinic, Rochester, Minnesota
JAMA. 2015;314(21):2306. doi:10.1001/jama.2015.13088

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.