Aledade Partners Achieve Superior Hypertension Control, Outperforming Large Health Systems in New Case Study

Aledade, a physician-led, national leader in value-based care, announced the results of a new case study demonstrating how its network of primary care clinicians is successfully controlling hypertension and outperforming national averages. While heart disease remains a leading cause of death in the United States – with nearly half of all American adults experiencing high blood pressure and only one in four of those affected having it under control – Aledade partners are leveraging data and innovation to radically change these outcomes.

In 2024, primary care organizations participating in the Medicare Shared Savings Program (MSSP) that have partnered with Aledade for two years or longer achieved an 83.3% average for hypertension control.¹ This success rate outperforms some of the largest health systems in the nation and sits 4% higher than the national average.

By prioritizing high-quality, preventive care, Aledade partners not only save patients from life-threatening heart attacks and strokes, but they also contribute to a more sustainable health care system. Aledade’s MSSP partners saved over $1 billion for the Medicare Trust Fund while avoiding nearly 263,000 unnecessary hospitalizations and emergency visits in 2024 alone.

“What Aledade does is develop tools and make it possible for primary care organizations to see their own performance and to improve the quality of the care they provide to patients around the country," said MaryCatherine Arbour, MD, MPH, vice president of Aledade’s Clinical Quality team. "The way we provide practice coaching, automated technology, tools and resources to be able to drive improvement is powerful.”

The "Four Ms" of Hypertension Management

Aledade’s health care data insights offer clear guidance for care teams through prioritized worklists, EHR-integrated technology and remote patient monitoring. To help practices translate this data into action, Aledade guides care teams through a "Four Ms" framework to make the biggest impact on preventive care without straining administrative workflows:

• Measure: Assessing current performance and practice resources to identify a clear starting point for medical assistants and clinical staff.
• Manage: Empowering clinicians and medical directors to optimize treatment plans and focus on medication intensification.
• Monitor: Ensuring consistent follow ups by equipping front desk and outreach staff to streamline patient flow and optimize scheduling.
• Motivate: Engaging the entire care team and community-connected patient advocates to support, educate and encourage ongoing patient health.

Sustainable Care Through Shared Savings

Through value-based care, clinicians are financially rewarded for keeping their patients healthy, creating a cycle of reinvestment that directly benefits patient care.

“We are incentivized and able to make our remote patient monitoring blood pressure clinic happen because it's the right thing to do — and we have the resources to do it,” said Charles Blay, DO, of Woodlands Medical Specialists in Pensacola, Fla. “Our blood pressure controls have improved tremendously because we are incentivized to make the changes necessary within our clinic. When patients come back and see us, we have a multitude of data and really improve their outcomes.”

Hypertension control is the single most effective opportunity to save lives in primary care. Read the full case study on how Aledade’s primary care organizations are transforming heart health in their communities.

1. Data is reflective of 2024 PY2+ ACOs only. National comparisons utilize the 2024 CMS Public Use File results for MSSP only. For enablers with multiple ACOs, the rates above are weighted averages, using total beneficiaries. The individual performance of ACOs may be better or worse than the weighted average.

About Aledade

Aledade is a physician-led public benefit corporation and national leader in value‑based care. We help primary care organizations deliver better patient outcomes and thrive financially by keeping people healthy. Through our accountable care organizations, over 3,000 primary care partners in 46 states and the District of Columbia share in the rewards of improved care for over 3 million patients — supported by advanced insights, AI‑driven technology, personal coaching, policy expertise and 200+ value-based contracts. Learn more at www.aledade.com or follow us on LinkedIn, X, Facebook, Instagram and YouTube.

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