Finally, we computed the population-level number of CVD cases and deaths by aggregating outcomes of all cohorts according to the age-sex distribution of hypertension prevalence. Table 1. Model Input Measures Parameters Data Sources Prevalence of hypertension 8.0–62.1%a Estimated using NHANES 2011–2012 data Uninsurance rates Baseline scenario 13.7–30.5%a The Kaiser Commission on Medicaid and the Uninsured (12) Expansion scenario 1 8.5–17.6%b Nardin et al (13), Clemans–Cope et al, (31) Expansion scenario 2 0% Treatment probabilities Probability of receiving medication if 59% if aged below 65, Brooks et al (19) insured 100% if aged 65 or above Probability of receiving medication if 16% if aged below 65, As above uninsured 100% if aged 65 or above Incidence of cardiovascular disease Annual probability of CHD event 0.04–2.7%a Calculated Framingham CVD risk equations with risk factor profile (15) with risk factors obtained from NHANES 2011–2012 data CHD event distribution MI 89.4–96.1%; HCUP 2012 hospital utilization data Unstable Angina (18) Stable Angina 1.3–4.0% a Annual probability of stroke event 0.02–1.0%a Calculated using Framingham CVD risk equations with risk factor profile (15) with risk factors obtained NHANES 2011–2012 data RR of coronary heart disease events if 0.61–0.75b Law et al (29) treated RR of stroke events if treated 0.5–0.75b As above CVD–caused mortalityc One–year mortality after MI 5.3–44.9%a Greenland et al (27) RR of death after MI given MI history 1.51 Derived from coefficients of the CHD mortality risk model reported by Lee et al (21) RR of death after MI given angina history 1 As above RR of death after MI given stroke history 1.41 As above
Finally, we computed the population-level number of CVD cases and deaths by aggregating outcomes of all cohorts according to the age-sex distribution of hypertension prevalence. Table 1. Model Input Measures Parameters Data Sources Prevalence of hypertension 8.0–62.1%a Estimated using NHANES 2011–2012 data Uninsurance rates Baseline scenario 13.7–30.5%a The Kaiser Commission on Medicaid and the Uninsured (12) Expansion scenario 1 8.5–17.6%b Nardin et al (13), Clemans–Cope et al, (31) Expansion scenario 2 0% Treatment probabilities Probability of receiving medication if insured 59% if aged below 65, 100% if aged 65 or above Brooks et al (19) Probability of receiving medication if uninsured 16% if aged below 65, 100% if aged 65 or above As above Incidence of cardiovascular disease Annual probability of CHD event 0.04–2.7%a Calculated Framingham CVD risk equations with risk factor profile (15) with risk factors obtained from NHANES 2011–2012 data CHD event distribution MI 89.4–96.1%; Unstable Angina Stable Angina 1.3–4.0% a HCUP 2012 hospital utilization data (18) Annual probability of stroke event 0.02–1.0%a Calculated using Framingham CVD risk equations with risk factor profile (15) with risk factors obtained NHANES 2011–2012 data RR of coronary heart disease events if treated 0.61–0.75b Law et al (29) RR of stroke events if treated 0.5–0.75b As above CVD–caused mortalityc One–year mortality after MI 5.3–44.9%a Greenland et al (27) RR of death after MI given MI history 1.51 Derived from coefficients of the CHD mortality risk model reported by Lee et al (21) RR of death after MI given angina history 1 As above RR of death after MI given stroke history 1.41 As above