Enhancing quality of heart failure care in managed Medicare and Medicaid in North Carolina: Results of the North Carolina Achieving Cardiac Excellence (NC ACE) Project

LVF assessment improved despite high preintervention rates. Treatment rates with ACE-I and vasodilators remained high, but did not improve. Treatment rates with BB improved substantially translating into a significant public health benefit. Health-care payers should consider development of financial incentives to encourage collaborative quality improvement programs.