Who we serve
Built for organizations already paid to control blood pressure.
HDI starts where blood-pressure control is already measured, scored and rewarded.
Accountable Care Organizations (ACOs)
~680
Medicare ACOs
14.3M
beneficiaries
Required
BP control (Quality ID 236) for all MSSP ACOs
How HDI helps
- Lift blood-pressure control across your attributed population.
- Faster control protects the shared savings you keep.
- Site-by-site results reported back.
Medicare Advantage Plans
35.2M
enrollees
Triple-weighted
Controlling High Blood Pressure in Star Ratings
5%
quality bonus at 4+ stars
How HDI helps
- Support the triple-weighted blood-pressure measure.
- Faster control for members in your networks.
- Fewer return visits.
Integrated Delivery Systems (IDS)
639
health systems
59.7%
of US physicians employed by health systems
3 ways
paid on BP control: MIPS, their own ACOs and MA contracts
How HDI helps
- One consistent approach in every primary-care clinic.
- Results across employed physicians, ACOs and MA contracts.
Self-Funded Employer ASO Plans
~32M
adults with hypertension in self-funded employer plans
HDI estimate
3 in 4
controlled in about 30 days
lead study site, <140/90
~2
fewer office visits per patient
versus trial and error
Faster control
Members reach control sooner, with fewer medication changes.
Fewer visits
Fewer return visits means less time off work.
Easy to offer
Through your ASO carrier, TPA or benefits consultant.
Women's Heart Health
Four medical societies now call for heart care at every stage
of a woman's life.
On October 26, 2026, the American Heart Association, the American College of Obstetricians and Gynecologists, the American Academy of Pediatrics and the Society for Maternal-Fetal Medicine spoke with one voice for the first time, redefining heart health for girls and women. High blood pressure runs through every stage of a woman's life, and that is exactly what NICaS helps physicians understand.

The new female life stage framework · Blood pressure runs through every stage
400,000+
US women die of heart disease and stroke each year, more than breast cancer, lung cancer and COPD combined
49% → 59%
of women 20 and older with high blood pressure, 2020 to 2050
1 in 7
US births involve hypertension, and the rate is rising
>1 in 3
maternal deaths are caused by cardiovascular conditions
3.2x
higher maternal death rate for Black mothers than White mothers
~2x
lifetime risk of heart disease and stroke after preeclampsia
Only ~60%
get blood-pressure follow-up within 6 months of a hypertensive pregnancy
$32.3B
cost of maternal complications for each year of births
$7.5B
of that from hypertension in pregnancy, including preeclampsia
$282,570
first-year care for a very premature baby after preeclampsia, vs $6,013 at term
+$9,389
added cost of each preeclampsia pregnancy for employers and private plans
Where NICaS fits
- Pregnancy and postpartum: see the cause behind a mother's blood pressure; close the 6-month follow-up gap.
- Midlife and beyond: hypertension in primary care, HDI's core; most heart attacks and strokes occur here, and over 80% are preventable.
- New channel: the national Centers of Excellence for Women's Cardiovascular Care the societies are calling for.
Blood pressure runs through every stage of a woman's life. NICaS shows its cause.
NICaS is not a preeclampsia test; it shows the physician the cause behind the blood-pressure number, and the physician decides. The societies' papers are scientific statements and advisories; they do not evaluate or endorse NICaS.
Sources: AHA, AAP, ACOG and SMFM, Circulation, Oct 26, 2026 (Presidential Advisory, Scientific Statement and Science Advisory on women's cardiovascular health); AHA 2026 forecast of women's health; CDC MMWR 2022; NCHS Health E-Stat 113; Bellamy et al., BMJ 2007; Mathematica/Commonwealth Fund 2021; Stevens et al., AJOG 2017; Li et al., Pregnancy Hypertension 2021.
Sources: CMS 2026 ACO participation; CMS MSSP; KFF 2026 MA enrollment; CMS 2026 Star Ratings; PAI/Avalere 2026; Cleland et al., Am J Med 2026. Self-funded employer figure is an HDI estimate.