Another reminder that undertreated high blood pressure has real consequences. A physician bonus tied to blood pressure targets led to fewer medication increases for patients with borderline hypertension, and those patients then experienced more heart attacks and strokes.

Claire Boone

New diff-in-diff paper in @jamainternalmed.com. We document some unintended consequences of a hypertension control quality metric and financial incentive -- one that's widely used in US healthcare. In the overall population with hypertension there were almost no impacts, but..