Team-based care (see Section 12.4) and an organized system of regular review, with antihypertensive drug therapy implemented via a stepped-care protocol, had a clinically sig- nificant effect on reducing SBP and DBP and improving BP control. The assessed strategies in Online Data Supplement E may be beneficial under some circumstances and in varying National initiatives such as Million Hearts Make Control Your Goal Blood Pressure Toolkit and Team Up Pressure Down provide quality improvement tools to support hypertension care in communities and clinical For other national and regional initiatives to improve hypertension, see Online Data Supplement G. Recommendation-Specific Supportive Text 1. Systematic review and meta-analyses of trials of quality improvement interventions at health system, provider, and patient levels have demonstrated greater SBP and DBP re- ductions and a larger proportion of patients achieving BP control than those observed with no intervention or usual care. Multicomponent and multilevel strategies at the lo- cal community and healthcare delivery system levels have been shown to improve BP control.S12.4.2-6,S12.4.2-7 12.5. Financial Incentives Recommendations for Financial Incentives References that support recommendations are summarized in Online Data Supplement 68. COR LOE Recommendations IIa B-R 1. Financial incentives paid to providers can be useful in achieving improvements in treatment and management of patient populations with hypertension.S12.5-1 S12.5-3 IIa B-NR 2. Health system financing strategies (eg, insurance coverage and copayment benefit design) can be useful in facilitating improved medication adherence and BP control in patients with hypertension.S12.5-4 Synopsis With the evolution of the US health system to reward value over volume, payment systems have focused on financial incentives to improve quality of care. Use of performance measures promulgated by national organizations, govern- mental payers, and commercial payers have fostered greater attention to control of high BP among healthcare providers and their patients. 