Access & coverage
Medicare/Medicaid + commercial
Fragmented: employer, Medicare, Medicaid, ACA, uninsured residual
Treatment
- Stroke unit care; tPA / thrombectomy where geography allows
- Acute reperfusion / stroke pathway where indicated
- Long-term antiplatelets, statins, antihypertensives, ACE/ARB
- PCI/CABG or carotid interventions per guideline criteria
Prevention
- Population BP / cholesterol screening through primary care
- Tobacco control and salt-reduction programs
- Secondary prevention after MI/stroke (meds + rehab)
Lifestyle
- Diet pattern (less sodium, more plants), activity, weight
- Smoking cessation and alcohol limits
- Sleep and stress management as adjuncts
What stands out here
Same broad cardiovascular toolkit as peers — differences are coverage rules, wait times, prices, and follow-through.
vs master: -1.6 percentage points vs Top 20 average share.