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MSSP was introduced in 2012 to improve care quality and lower Medicare costs by having ACOs assume responsibility for Medicare beneficiaries costs and care quality. As an incentive, Medicare then makes fee-for-service payments and shares the savings with ACOs if cost and care quality benchmarks are met.
. = My Comment by K EN G RAUER, MD ( 3/15 /2023 ): = I found today’s case highly instructive in highlighting a number of important aspects regarding the presentation and initial treatment of a patient who presents to the ED with new AFib. I focus my comment on a few additional aspects regarding new AFib.
Is longterm endurance-training a risk factor for AFib and AFlutter? == Why is Today's Initial Rhythm AFlutter? Moderate" exercise seems to have a protective effect with reduced risk of AFib — whereas "excessive" exercise has been shown to significantly increase the risk of developing AFib, especially as adults age.
Among the fast Supraventricular Rhythms: This is not AFib — because the rhythm is regular. For those wanting a more advanced review regarding AFlutter — Check Out this article by García-Cosío F et al ( Clinical Approach to ATach and AFlutter , Rev Esp Cardiol 65(4):363-375, 2012).
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