Reduce cardiovascular cost. Improve adherence. Lower disenrollment.
Integrative cardiovascular programs that address the root drivers of cost — metabolic disease, medication adherence, procedure overuse, downstream complications — while improving patient retention and quality metrics. Built by Dr. Regina Druz, who led cardiology for a multi-state value-based care organization before launching this work.
Why integrative cardiology programming moves your numbers.
The standard cardiovascular intervention stack — statins, blood pressure agents, antiplatelet therapy — is well-optimized. The remaining cost variance lives in everything those interventions don’t address: metabolic disease, adherence dynamics, root-cause inflammation, and the patient populations who don’t respond to standard care. Integrative cardiovascular programming addresses exactly that.
PMPM cost reduction.
Our programs reduce per-member-per-month cardiovascular costs by addressing the root drivers — metabolic dysregulation, medication non-adherence, procedure overuse, and the patient populations where standard care plateaus. Specific reduction projections depend on baseline population costs and contract structure; reviewed on the discovery call.
Improved medication adherence.
Adherence to cardiovascular medications drops sharply when patients don’t understand why they’re taking them or experience side effects without context. Integrative programs that combine medication, nutraceutical support, and explicit patient engagement consistently produce better adherence — and adherence is one of the highest-leverage levers on cardiovascular outcomes and cost.
Reduced procedure overuse.
Patients enrolled in integrative cardiovascular programs commit to appropriate procedures and decline inappropriate ones — both at higher rates than control populations. The result is more clinically defensible procedure rates, not blanket reductions. For value-based contracts and bundled-payment arrangements, this matters significantly.
Reduced disenrollment and improved patient experience.
Patients in integrative programs report substantially higher satisfaction with their cardiovascular care and stay enrolled with their plan longer. For payers and VBC organizations measuring retention, this is a meaningful secondary effect of programming that pays for itself.
How VBC partnerships are structured.
Three engagement models, depending on your organization’s structure and risk position.
Direct Member Program
We deliver an integrative cardiovascular program directly to your member or attributed population, with outcomes reporting integrated into your existing analytics. Typically structured as a per-member fee with performance guarantees on cost or quality metrics.
Affiliated Provider Network Program
Your provider network adopts the methodology, with our team providing training (via Heartwell Academy), tools (via Heartwell.ai), and operational support. Members receive integrative cardiovascular care from network providers trained in the methodology. Lower implementation lift, longer time to outcomes — typically the right model for larger VBC organizations.
Targeted Population Engagement
A focused engagement with a specific member population — typically high-cost cardiometabolic patients, or members with specific clinical profiles where integrative cardiology shows the highest leverage. Bounded scope, measurable ROI, clear contracting structure.
What we bring to a VBC engagement.
Clinical credibility on both sides of the table.
Dr. Druz served as National Director of Cardiology for a multi-state value-based care organization before founding this work. The clinical methodology was developed inside a VBC context, not outside of one. The economics-first framing isn’t retrofitted — it’s how the program was built.
An integrated technology stack.
Heartwell.ai provides clinical decision support with KPI tracking. Heartwell Toolkits enable at-home biomarker collection. Heartwell Academy trains the clinicians delivering care. The stack is operational and ready to integrate with your existing analytics, EHR, and reporting infrastructure.
Operational track record.
Our Precision Practice Business Solution™ has operationalized integrative cardiology across direct-pay practices, hybrid models, and value-based contract environments. We bring the patterns of what works — refined across real deployments, not theoretical frameworks.
Who we engage with on the VBC and payer side.
- · Accountable Care Organizations (ACOs) with cardiovascular cost exposure
- · Medicare Advantage plans and Medicaid managed care organizations
- · Commercial payers with cardiovascular bundled payment or quality contracts
- · Large self-insured employer purchasers with cardiovascular cost concerns
- · Value-based primary care organizations with cardiovascular population health responsibility
- ✓ Measurable cardiovascular cost exposure (PMPM, attributed lives, bundled payment, or specific quality programs)
- ✓ Leadership willing to engage with a clinical program that takes 9–18 months to demonstrate full outcomes
- ✓ Existing analytics infrastructure to measure baseline and program-period outcomes
- ✓ Strategic interest in cardiovascular outcomes improvement, not just cost reduction
- ✓ Capacity for a real partnership rather than a vendor relationship
Let’s discuss the economics for your organization.
The discovery call is 30 minutes. We’ll discuss your organization’s cardiovascular cost exposure, current programming, and what’s driving the conversation. If a partnership model fits your structure and goals, we’ll outline next steps. If it doesn’t, we’ll tell you that directly. We’re selective about VBC engagements because the work requires real partnership.
- · Your organization’s current cardiovascular cost position (PMPM, attributed lives, quality metrics)
- · What’s driving the conversation
- · Any existing cardiovascular programs or vendor relationships we should know about
- · Decision-maker readiness for a discovery conversation that may lead to a longer-term engagement