Cardiac Rehab Utilization among Medicare Fee-for-service - PowerPoint PPT Presentation

Cardiac Rehab Utilization among Medicare Fee-for-service Beneficiaries, 2013 [preliminary findings] Number of CR Sessions per User Approximately 450,000 FFS beneficiaries were eligible for CR in 2013  20% used CR at least 12-24 once in 12 months sessions, 25-36 >25 (23%)  57% of CR users sessions, sessions, (52%) 1-11 completed 25 or more (57%) sessions, sessions, which is (19%) >36, clinically meaningful (5%) and associated with reduced mortality

Cardiac Rehab Utilization Rates among Eligible Medicare Fee-for-service Beneficiaries by Age, Gender, Race/Ethnicity, 2013 [preliminary findings] Eligible for CR and initiated Initiated CR and completed* 70 60 50 Percentage 40 30 20 10 0 <65 65+ Male Female Hispanic Black Hispanic Asian Other White Non- Overall Age (years) Gender Race/Ethnicity *Completed 25 or more CR sessions Source: Centers for Medicare and Medicaid Services’ Chronic Conditions Data Warehouse

Cardiac Rehab Utilization Rates among Eligible Medicare Fee-for-service Beneficiaries by Age, Gender, Race/Ethnicity, 2013 [preliminary findings] Eligible for CR and initiated Initiated CR and completed* 70 60 50 Percentage 40 30 23.5 22.0 21.3 20.2 18.7 20 15.9 13.1 12.6 10.5 10.0 10 0 <65 65+ Male Female Hispanic Black Hispanic Asian Other White Non- Overall Age (years) Gender Race/Ethnicity *Completed 25 or more CR sessions Source: Centers for Medicare and Medicaid Services’ Chronic Conditions Data Warehouse

Cardiac Rehab Utilization Rates among Eligible Medicare Fee-for-service Beneficiaries by Age, Gender, Race/Ethnicity, 2013 [preliminary findings] Eligible for CR and initiated Initiated CR and completed* 70 59.3 59.3 57.8 57.4 57.5 60 55.8 53.8 53.4 51.7 50 Percentage 40 35.9 30 20 10 0 <65 65+ Male Female Hispanic Black Hispanic Asian Other White Non- Overall Age (years) Gender Race/Ethnicity *Completed 25 or more CR sessions Source: Centers for Medicare and Medicaid Services’ Chronic Conditions Data Warehouse

CR Eligibility Rates per 1000 Beneficiaries 11 15 15 14 15 11 13 16 15 # of HRRs Widespread need throughout most of US, with the lowest CR eligibility rates in the Mountain and Pacific Divisions Among Medicare FFS beneficiaries aged ≥65 years in 2013 Source : Centers for Medicare and Medicaid Services’ Chronic Conditions Data Warehouse

Cardiac Rehab Utilization Rates among Eligible Medicare Fee-for-service Beneficiaries by Census Division, 2013 [preliminary findings] Eligible for CR and initiated 70 63.4 61.1 60.8 59.8 57.8 57.2 60 54.1 52.2 48.9 50 Percentage 40 33.7 30 24.9 24.5 23.3 18.9 16.7 17.0 20 15.3 14.2 10 0 New Middle East North West North South East South West South Mountain Pacific England Atlantic Central Central Atlantic Central Central *Completed 25 or more CR sessions Source: Centers for Medicare and Medicaid Services’ Chronic Conditions Data Warehouse

CR Eligibility Rates per 1000 Beneficiaries # of HRRs 400,000 beneficiaries were eligible in 2013 (overall rate of 13.8 per 1000 beneficiaries) Among Medicare FFS beneficiaries aged ≥65 years in 2013 Source : Centers for Medicare and Medicaid Services’ Chronic Conditions Data Warehouse

CR Billing Sites per 1000 CR Eligible Beneficiaries # of HRRs 2761 unique CR billing sites in 2013 (overall rate of 7.0 sites per 1000 CR eligible beneficiaries) Source : Centers for Medicare and Medicaid Services’ Chronic Conditions Data Warehouse

CR Billing Sites per 1000 CR Eligible Beneficiaries 10 17 8 6 5 5 5 6 6 # of HRRs Greatest density of billing CR sites per eligible beneficiary in West North Central and Mountain Divisions Source : Centers for Medicare and Medicaid Services’ Chronic Conditions Data Warehouse

Percentage who initiated CR # of HRRs 84,000 (21%) eligible beneficiaries initiated CR [preliminary findings] Source: Centers for Medicare and Medicaid Services’ Chronic Conditions Data Warehouse

Percentage who initiated CR 26 34 26 24 17 18 20 17 15 # of HRRs Among those eligible for CR, the greatest percentage initiated CR in the East and West North Central and Mountain Divisions [preliminary findings] Source: Centers for Medicare and Medicaid Services’ Chronic Conditions Data Warehouse

CR Completion ( ≥25 Sessions) per 1000 CR Initiators 59% of CR initiators completed ≥25 sessions [preliminary findings] Source: Centers for Medicare and Medicaid Services’ Chronic Conditions Data Warehouse

CR Completion ( ≥25 Sessions) per 1000 CR Initiators 54 51 56 58 63 61 66 61 63 Among CR initiators, the greatest percentage completing ≥ 25 sessions occurred in the South Atlantic, West South Central, and Middle Atlantic regions [preliminary findings] Source: Centers for Medicare and Medicaid Services’ Chronic Conditions Data Warehouse

East and West South Central Eligibility Sites Billing for CR Source : Centers for Medicare and Medicaid Services’ Chronic Conditions Data Warehouse

West North Central Completed ≥25 Sessions CR Initiation Source : Centers for Medicare and Medicaid Services’ Chronic Conditions Data Warehouse