Community Guide News
Reducing Patients' Out-of-Pocket Medication Costs Helps Control High Blood Pressure and High Cholesterol
The Community Preventive Services Task Force (Task Force) found strong scientific evidence that lowering out-of-pocket medication costs for patients with high blood pressure and high cholesterol can help control both conditions. The Task Force based its recommendation on a systematic review of all available studies that was conducted, with Task Force oversight, by scientists and subject-matter experts from the Centers for Disease Control and Prevention (CDC) in collaboration with a wide range of government, academic, policy, and practice-based partners. The published review and Task Force finding are now available online:
- Njie GJ, Finnie RK, Acharya SD, Jacob V, Proia KK, Hopkins DP, et al. Reducing medication costs to prevent cardiovascular disease: a Community Guide systematic review [PDF - 291 kB]. Preventing Chronic Disease 2015; 12:150242.
- Fielding JE, Rimer BK, Johnson RL, Orleans CT, Calonge N, Clymer JM, et al. Recommendation to reduce patients' blood pressure and cholesterol medication costs [PDF - 264 kB]. Prev Chronic Dis 2015;12:150253.
The Task Force recommends reducing patient out-of-pocket costs for medications to control high blood pressure and high cholesterol when combined with additional interventions aimed at improving patient–provider interaction and patient knowledge, such as team-based care with medication counseling, and patient education. This recommendation is based on strong evidence of effectiveness in improving (1) medication adherence and (2) blood pressure and cholesterol outcomes.
This recommendation can be useful to health care and public health organizations, health providers and others who want to deliver evidence-based care to control patients' high blood pressure and high cholesterol levels. Controlling high blood pressure and high cholesterol is worth focusing on, given that:
- High blood pressure (CDC ) and high cholesterol (CDC ) put those who have them at greater risk for heart disease and stroke, leading causes of death in the United States.
- Thirty-one percent of American adults–1 in 3– have high blood pressure; of those, only 47% have it under control (CDC ).
- Thirty-three percent of American adults– 71 million people– have high LDL, or "bad," cholesterol; only 1 out of 3 has the condition under control (CDC ).
- High blood pressure costs the nation about $51.0 billion annually, $47.5 billion of which are direct medical expenses (American Heart Association [PDF - 488 kB] ).
Reducing Out-of-Pocket Costs for Medications to Improve High Blood Pressure and High Cholesterol Control
Reducing out-of-pocket costs for medications to control high blood pressure and high cholesterol involves establishing programs and policies to provide blood pressure and cholesterol-lowering medications at no or reduced cost. This is coordinated through the health care system and may be implemented in clinical or non-clinical settings by health plans, employers, and insurance companies. These programs and policies are commonly combined with team-based care and medication counseling.
The Task Force and The Community Guide
- The Community Preventive Services Task Force (Task Force) is an independent, nonfederal, unpaid panel of public health and prevention experts. The Task Force works to improve the health of all Americans by providing evidence-based recommendations about community preventive programs, services, and policies to improve health. Its members represent a broad range of research, practice, and policy expertise in community prevention services, public health, health promotion, and disease prevention.
- The Guide to Community Preventive Services (The Community Guide) is an essential web resource for people who want to know what works in public health. It provides evidence-based findings about public health interventions and policies to improve health and promote safety.
For more information
- The Community Guide
- CDC, Cardiovascular Disease and Public Health
- Million Hearts™ campaign to prevent 1 million heart attacks and strokes over five years
- Page last reviewed: November 30, 2015
- Page last updated: November 30, 2015
- Content source: The Guide to Community Preventive Services