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Implementation of a state plan for high blood pressure control
ABSTRACTS:
118
A-171 IMPLBMENTATION Harold Alvin
Mozar, Leonard
In 1976, advisory strategies planning populations.
OF A STATE California
HIGH
BLOOD
PLAN FOR HIGH State
Department
the California Department of group developed a long range of the plan ware to increase system, and improve distribution
PRESSURE
BLOOD of
CONTROL
PRESSURE Health,
CONTROL Sacramento,
California;
Health with aasfetance of a broadly baaed plan for hypertenaion control. The basic consumer participation, improve the and delivery of eervice to underrerved
A major resource in implementation of the plan hae been Federal 314(d) hypertension funds. During the first funding cycle, because the time for encumbering funds wae ao brief, the money wae all allocated to organizations that had existing well organized high blood pressure control programs. In the second cycle additional projects were funded with priority given to propoeals that emphasized adherence to therapy, dropout retrieval, outreach, and employment of conmunfty aides. Statewide geographic and ethnic balance in funding projects in underserved areas was also sought. In the next funding cycle attention will be paid to the impact of projects on patterns of services with the objective of producing long-term changes that will integrate hypertension control into canpreheneive health care. Recently passed for continuing
legislation the high
blood
(the Hughes Bill) pressure program
provides under
the
a comprehensive State Plan.
legal
basis
A-172 PREMIUM REDUCTION OF W.J. Mroczek, Howard Hospital, Washington,
RATED LIFE INSURANCE IN TREATED and Georgetown Medical Divisions, D.C.; E. Sheetz; M.E. Davidov
HYPERTENSIVES D.C. General
Since even small elevations of blood pressure result in an increased life insurance companies routinely “risk” of cardiovascular disease “rate” the policies of hypertensive individuals, i.e. they charge a Efpremium higher than is standard for an applicant’s age and sex. fective antihypertensive therapy is associated with decreased “risk” of cardiovascular disease and insurance companies may reduce the premiums of “rated” policies if hypertension is adequately controlled. To evaluate the practices of ing” of premiums in hypertensive to 37 leading life insurance From the 27 companies responding mined that 1) rated policies sued, 2) although all companies rated policies, they differed reduction in treated hypertensive hypertensive patient’s premium only a few companies initiate
insurance companies individuals, companies.
concerning questionaires
the were
“ratsent
to the questionaire, it was deteraccount for up to 4% of those ishad a policy of premium reduction in widely in their criteria for premium patients, and 3) ‘Ire-rating” of a can only be of benefit to him however, this re-evaluation.
may
It was concluded that treated hypertensive patients may be eligible “rated” life insurance policies however, for a premium reduction in the controlled hypertensive since industry practices differ widely, patient should be encouraged to make critical comparisons when shopping for insurance and he should initiate a periodic evaluation of his “rated” policy.
118
A-171 IMPLBMENTATION Harold Alvin
Mozar, Leonard
In 1976, advisory strategies planning populations.
OF A STATE California
HIGH
BLOOD
PLAN FOR HIGH State
Department
the California Department of group developed a long range of the plan ware to increase system, and improve distribution
PRESSURE
BLOOD of
CONTROL
PRESSURE Health,
CONTROL Sacramento,
California;
Health with aasfetance of a broadly baaed plan for hypertenaion control. The basic consumer participation, improve the and delivery of eervice to underrerved
A major resource in implementation of the plan hae been Federal 314(d) hypertension funds. During the first funding cycle, because the time for encumbering funds wae ao brief, the money wae all allocated to organizations that had existing well organized high blood pressure control programs. In the second cycle additional projects were funded with priority given to propoeals that emphasized adherence to therapy, dropout retrieval, outreach, and employment of conmunfty aides. Statewide geographic and ethnic balance in funding projects in underserved areas was also sought. In the next funding cycle attention will be paid to the impact of projects on patterns of services with the objective of producing long-term changes that will integrate hypertension control into canpreheneive health care. Recently passed for continuing
legislation the high
blood
(the Hughes Bill) pressure program
provides under
the
a comprehensive State Plan.
legal
basis
A-172 PREMIUM REDUCTION OF W.J. Mroczek, Howard Hospital, Washington,
RATED LIFE INSURANCE IN TREATED and Georgetown Medical Divisions, D.C.; E. Sheetz; M.E. Davidov
HYPERTENSIVES D.C. General
Since even small elevations of blood pressure result in an increased life insurance companies routinely “risk” of cardiovascular disease “rate” the policies of hypertensive individuals, i.e. they charge a Efpremium higher than is standard for an applicant’s age and sex. fective antihypertensive therapy is associated with decreased “risk” of cardiovascular disease and insurance companies may reduce the premiums of “rated” policies if hypertension is adequately controlled. To evaluate the practices of ing” of premiums in hypertensive to 37 leading life insurance From the 27 companies responding mined that 1) rated policies sued, 2) although all companies rated policies, they differed reduction in treated hypertensive hypertensive patient’s premium only a few companies initiate
insurance companies individuals, companies.
concerning questionaires
the were
“ratsent
to the questionaire, it was deteraccount for up to 4% of those ishad a policy of premium reduction in widely in their criteria for premium patients, and 3) ‘Ire-rating” of a can only be of benefit to him however, this re-evaluation.
may
It was concluded that treated hypertensive patients may be eligible “rated” life insurance policies however, for a premium reduction in the controlled hypertensive since industry practices differ widely, patient should be encouraged to make critical comparisons when shopping for insurance and he should initiate a periodic evaluation of his “rated” policy.