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The “Million Hearts” model, a randomized trial spanning over 5 years from 2017 to 2021, involved 516 U.S.-based primary care and specialty practices, health centers, and hospital-based outpatient clinics nationwide. Of these, 342 organizations enrolled patients, including Medicare fee-for-service beneficiaries aged 40 to 79 years with no prior myocardial infarction (MI) or stroke and having high or medium CVD risk (Blue et al., 2023 – a). The primary goal was to diminish the risk and occurrence of myocardial infarctions or strokes among adults by implementing a strategic care process for primary CVD prevention. Patients underwent routine CVD risk assessments and cardiovascular care management throughout the trial. The Million Hearts model utilized Pragmatic Randomized Trials (PRTs), designed to assess intervention effectiveness in real-world clinical practice, often employing a cluster-randomized method at the group level, such as hospitals, clinics, or practices (Salive, 2017). Results demonstrated the achievement of the healthcare goal, with a favorable outcome indicating a reduction in the probability of first-time cardiovascular events within 5 years for intervention beneficiaries compared to control beneficiaries. Cost-wise, there was no significant difference in Medicare spending between those who experienced cardiovascular events and those who did not (Blue et.al., 2023 – b) Given the
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