2016 and Medicare - Cardiovascular Update

Intensive Versus Traditional Cardiac Rehabilitation: Mortality and Cardiovascular Outcomes in a 2016–2020 Retrospective Medicare Cohort

Circulation: Cardiovascular Quality & Outcomes

DECEMBER 1, 2023

Our objective was to determine whether ICR is associated with a mortality and cardiovascular benefit compared with CR.Methods:Retrospective cohort study of Medicare Fee-For-Service beneficiaries in a 100% sample, claims data set. Moreover, ICR and CR demonstrate a dose-response relationship for mortality.

Cardiac Rehabilitation

Cardiac Rehabilitation Medicare Outcomes Hospital

Abstract TP80: Differences in Access to Post Acute Care Services Between Traditional Medicare and Medicare Advantage Beneficiaries in Michigan

Stroke Journal

FEBRUARY 1, 2024

Introduction:In recent years, Medicare Advantage (MA) enrollment in the US has increased dramatically relative to traditional Medicare (TM). in 2016 to 32.4% Stroke, Volume 55, Issue Suppl_1 , Page ATP80-ATP80, February 1, 2024. of the 16,231 stroke discharges, respectively. Compared with TM, MA beneficiaries were older (77.4

Medicare

Medicare COVID-19 Inpatient Nursing

Abstract 13: Prior Bariatric Surgery is Associated With Reduced Risk of Recurrent Stroke Among Elderly Obese Stroke Survivors: A National Inpatient Sample Study (2016-2019)

Stroke Journal

FEBRUARY 1, 2024

Introduction:The paucity of large-scale data exploring the effect of prior bariatric surgery on recurrent stroke outcomes in elderly obese stroke survivors led us to address the gap, with an emphasis on the risk of recurrent stroke and its trends.Methods:A retrospective study was conducted using National Inpatient Sample data from 2016-2019.

Obesity

Obesity Inpatient Stroke Strokes

Abstract WP109: Framework for Evaluating Sequential Patterns in Post-Acute Transitions of Care Among Ischemic and Hemorrhagic Stroke Survivors: Analysis of Medicare Beneficiaries in the State of Texas

Stroke Journal

FEBRUARY 1, 2024

Methods:Data were retrieved from a CMS Qualified Entity housing healthcare utilization data for ≥80% of the Texas state population (100% of Medicare Fee-for-Service). Analytical sample included all Medicare enrollees with a primary discharge diagnosis (AIS or ICH) from 2016 to 2020.

Medicare

Medicare Hemorrhage Inpatient Stroke

Impact of Intensity of Vascular Care Preceding Major Amputation Among Patients With Chronic Limb-Threatening Ischemia

Circulation: Cardiovascular Interventions

DECEMBER 28, 2023

Secondary objectives evaluated all-cause mortality and adverse events following amputation.RESULTS:Of 33 036 total Medicare beneficiaries undergoing major amputation, 7885 (23.9%) were due to chronic limb-threatening ischemia; of these, 4988 (63.3%) received low-intensity and 2897 (36.7%) received high-intensity vascular care.

Vascular Care

Vascular Care Ischemia Medicare Hospital

Effectiveness, utilisation and cost associated with implantable loop recorders versus external monitors after ischaemic or cryptogenic stroke

Open Heart

MAY 8, 2024

Methods We conducted a retrospective cohort analysis of individuals with commercial and Medicare Advantage insurance in Optum Labs Data Warehouse who had incident ischaemic or cryptogenic stroke and no prior cardiovascular implantable electronic device from 1 January 2016 to 30 June 2021.

Stroke

Stroke Strokes Atrial Fibrillation Medicare

Abstract 5: National Institutes of Health Stroke Scale Reporting in Administrative Claims Data: Incomplete and Biased Reporting in the First Three Years

Stroke Journal

FEBRUARY 1, 2024

Background:Since 2016, hospitals have been able to document International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) codes for National Institutes of Health Stroke Scale (NIHSS). As of 2023, Center for Medicare & Medicaid Services uses NIHSS as a risk adjustment variable.

Medicare

Medicare Document Stroke Strokes

Abstract 14: Associations Between Measures of Structural Racism and Acute Ischemic Stroke Incidence in the US

Stroke Journal

FEBRUARY 1, 2024

Methods:We conducted a national cross-sectional analysis of 71,078,619 adults aged >65 years enrolled in Medicare from January 1, 2016 to December 31, 2019. Among 844,406 Medicare beneficiaries with incident AIS, Black individuals had a 19% increased hazard of AIS compared to White individuals (HR 1.19, 95% CI 1.14-1.25,

Stroke

Stroke Strokes Medicare Education

Risk of Recurrent Stroke and Mortality Among Black and White Patients With Poststroke Depression

Stroke Journal

APRIL 3, 2024

Within the PSD cohort, 25 451 (71.5%) had no death or recurrent stroke within 6 months and 5592 (15.7%) had no death or readmission of any cause within 6 months.

Stroke

Stroke Strokes Medicare Outpatient

Hypoglycemic Events May Trigger Acute Ischemic Stroke Within 30 Days in Those With Diabetes: A Case-Crossover Study

Stroke Journal

NOVEMBER 22, 2024

We hypothesize an association between hypoglycemic events and the occurrence of stroke among patients with diabetes.METHODS:We used Medicare inpatient, outpatient, emergency department, and subacute nursing facility data sets from January 1, 2016, to December 31, 2019, and validated usingInternational Classification of Diseases,Tenth Revision, Clinical (..)

Diabetes

Diabetes Stroke Strokes Medicare

Provider Care Segregation and Hospital?Region Racial Disparities in the United States for Acute Ischemic Stroke and Endovascular Therapy Outcomes

Journal of the American Heart Association

JANUARY 12, 2024

For AIS, we calculated (1) the proportion of White patients at the hospital, (2) the proportional difference in the proportion of White patients between hospital patients and the county, and (3) provider care segregation by the dissimilarity index for ET cases.

Hospital

Hospital Outcomes Inpatient Stroke

Abstract WP108: Predictive Accuracy of Multivariable Models for 30-day and 1-year All Cause Readmission After Stroke Using Different Combinations of Registry, Hospital and Claims Based Data Sources

Stroke Journal

FEBRUARY 1, 2024

Data linkage might offer a solution.Methods:We probabilistically linked data from the Michigan’s Get With The Guidelines Stroke registry and Michigan Value Collaborative multipayer claims database from Medicare and Blue Cross Blue Shield beneficiaries discharged alive following acute stroke (ICD-10 I61-I63) between 2016-2020.

Hospital

Hospital Stroke Strokes Medicare

Abstract TMP15: Rurality is Associated With Negative Social Determinants of Health and Worse Acute Stroke Metrics, for Patients With Large Vessel Occlusion

Stroke Journal

FEBRUARY 1, 2024

They were more likely insured by Medicare, less by Medicaid, and less likely baseline ambulatory, have a Bachelor’s degree, or own a home, with lower median income.

Stroke

Stroke Strokes Medicaid Medicare

Abstract TMP78: Disparities in Experiencing Major Adverse Cardiovascular Events Among Survivors of Spontaneous Intracerebral Hemorrhage by Hematoma Location

Stroke Journal

FEBRUARY 1, 2024

Medicare) have a lower risk of r-ICH (0.45, 0.31 - 0.67), AIS (0.71, 0.53 - 0.95), and MACE (0.58, 0.47 - 0.71). Results:Among 10,652 ICH patients (median age [IQR]: 70 [58 - 80] years; 47.7% female; 43.2% lobar ICH), 3.3%, 3.1%, 0.5%, and 8.1%, respectively, experienced r-ICH, AIS, AMI, and MACE. Patients with lobar ICH (vs. Blacks (vs.

Hemorrhage

Hemorrhage Myocardial Infarction Atrial Fibrillation Medicare

Abstract WP246: CHA2DS2-VASC Score Predicts Outcomes After a Stroke or Transient Ischemic Attack

Stroke Journal

FEBRUARY 1, 2024

We determined the utility of this score for predicting outcomes within one-year post-stroke/TIA.Methods:Analysis of adults with acute stroke/TIA (2012-2016) using linked data from the Australian Stroke Clinical Registry and administrative datasets (pharmaceutical, hospital, Medicare), as part of the PRECISE study.

Stroke

Stroke Strokes Outcomes Quality of Life

Relationship Between Community-Level Distress and Cardiac Rehabilitation Participation, Facility Access, and Clinical Outcomes After Inpatient Coronary Revascularization

Circulation: Cardiovascular Quality & Outcomes

OCTOBER 19, 2023

This study evaluated the relationship between community-level distress and CR participation, access to CR facilities, and clinical outcomes.METHODS:A retrospective cohort study was conducted on a 100% sample of Medicare beneficiaries undergoing inpatient coronary revascularization between July 2016 and December 2018.

Cardiac Rehabilitation

Cardiac Rehabilitation Inpatient Myocardial Infarction Outcomes

Abstract 4142159: Impact of Tricuspid Regurgitation on Readmission Outcomes in Patients with Heart Failure – United States Population-Based Survey Analysis

Circulation

NOVEMBER 11, 2024

With growing evidence supporting the role of percutaneous interventions for the treatment of significant TR, understanding these disparities is more crucial than ever.Methods:Data was extracted from the National Readmission 2016 - 2020 Database. and I07.1.

Heart Failure

Heart Failure Tricuspid Outcomes Medicare

HeartFlow Achieves Landmark Milestone of 250,000 Patients Assessed for Coronary Artery Disease (CAD) with FFRCT Analysis

DAIC

JANUARY 3, 2024

3 HeartFlow’s FFR CT Analysis is covered by Medicare and for >99% of commercially insured lives. J Nucl Cardiol 2016. Since its inception, HeartFlow has been committed to building a new standard of care for people at risk of heart disease. For more information: www.heartflow.com References 1. Arbab-Zadeh, Heart Int 2012. Patel et al.

Coronary Artery Disease

Coronary Artery Disease Chest Pain Plaque Technology

Abstract WP286: Cerebral Amyloid Angiopathy and Risk of Seizures

Stroke Journal

FEBRUARY 1, 2024

However, there are limited population-based data regarding the risk of seizures associated with clinically diagnosed CAA.Methods:We performed a retrospective cohort study using inpatient and outpatient claims from 2016 to 2018 from a nationally representative 5% sample of Medicare beneficiaries.

Medicare

Medicare Outpatient Inpatient Hemorrhage

Hospital Variation in Skilled Nursing Facility Use After Coronary Artery Bypass Graft Surgery

Journal of the American Heart Association

JANUARY 9, 2024

A total of 17 328 (24.6%) were discharged to a SNF, ranging from 0% to 88% across 871 hospitals.

Coronary Artery Bypass Graft

Coronary Artery Bypass Graft Nursing Hospital Medicare

Sex Disparities in Longitudinal Use and Intensification of Guideline-Directed Medical Therapy Among Patients With Newly Diagnosed Heart Failure With Reduced Ejection Fraction

Circulation

JANUARY 23, 2024

0.76]) compared with Medicare (HR, 0.85 [95% CI, 0.77–0.92]);Pinteractionsex×insurance The primary outcome was the use of optimal GDMT within 12 months of HFrEF diagnosis. The sex disparities in GDMT use after HFrEF diagnosis were most pronounced among patients with commercial insurance (females compared with males; HR, 0.66 [95% CI, 0.58–0.76])

Heart Failure

Heart Failure Medicare Circulation Outcomes

Abstract 49: 15-Year Trends in Age and Sex-Specific Utilization of Carotid Revascularization Procedures in the United States

Stroke Journal

FEBRUARY 1, 2024

to -4.8), while CAS use declined from 2006-2016 but increased significantly over 2016-2020 in both men (APC 16.5%, 95%CI 10.0 Stroke, Volume 55, Issue Suppl_1 , Page A49-A49, February 1, 2024. Annual usage of CEA declined from 51.6 cases/100,000 population in both sexes combined (APC -5.4%, 95%CI -6.0 and women (APC 15.2%, 95%CI 10.2

CMS

CMS Medicaid Medicare Inpatient

Published Research

Society of Thoracic Surgeons - Research

APRIL 20, 2023

Published Research kschukar Thu, 04/20/2023 - 11:12 Recently published (2016 – present) manuscripts utilizing STS data: Adult Cardiac Surgery, General Thoracic Surgery, Congenital Heart Surgery, and Intermacs/Pedimacs.

Research

Research Coronary Artery Bypass Graft Aortic valve Congenital

Published Research

Society of Thoracic Surgeons - Research

APRIL 20, 2023

Published Research kschukar Thu, 04/20/2023 - 11:12 Recently published (2016 – present) manuscripts utilizing STS data: Adult Cardiac Surgery, General Thoracic Surgery, Congenital Heart Surgery, and Intermacs/Pedimacs.

Research

Research Coronary Artery Bypass Graft Aortic valve Congenital

Intensive Versus Traditional Cardiac Rehabilitation: Mortality and Cardiovascular Outcomes in a 2016–2020 Retrospective Medicare Cohort

Abstract TP80: Differences in Access to Post Acute Care Services Between Traditional Medicare and Medicare Advantage Beneficiaries in Michigan

Abstract 13: Prior Bariatric Surgery is Associated With Reduced Risk of Recurrent Stroke Among Elderly Obese Stroke Survivors: A National Inpatient Sample Study (2016-2019)

Abstract WP109: Framework for Evaluating Sequential Patterns in Post-Acute Transitions of Care Among Ischemic and Hemorrhagic Stroke Survivors: Analysis of Medicare Beneficiaries in the State of Texas

Impact of Intensity of Vascular Care Preceding Major Amputation Among Patients With Chronic Limb-Threatening Ischemia

Effectiveness, utilisation and cost associated with implantable loop recorders versus external monitors after ischaemic or cryptogenic stroke

Abstract 5: National Institutes of Health Stroke Scale Reporting in Administrative Claims Data: Incomplete and Biased Reporting in the First Three Years

Abstract 14: Associations Between Measures of Structural Racism and Acute Ischemic Stroke Incidence in the US

Risk of Recurrent Stroke and Mortality Among Black and White Patients With Poststroke Depression

Hypoglycemic Events May Trigger Acute Ischemic Stroke Within 30 Days in Those With Diabetes: A Case-Crossover Study

Provider Care Segregation and Hospital?Region Racial Disparities in the United States for Acute Ischemic Stroke and Endovascular Therapy Outcomes

Abstract WP108: Predictive Accuracy of Multivariable Models for 30-day and 1-year All Cause Readmission After Stroke Using Different Combinations of Registry, Hospital and Claims Based Data Sources

Abstract TMP15: Rurality is Associated With Negative Social Determinants of Health and Worse Acute Stroke Metrics, for Patients With Large Vessel Occlusion

Abstract TMP78: Disparities in Experiencing Major Adverse Cardiovascular Events Among Survivors of Spontaneous Intracerebral Hemorrhage by Hematoma Location

Abstract WP246: CHA2DS2-VASC Score Predicts Outcomes After a Stroke or Transient Ischemic Attack

Relationship Between Community-Level Distress and Cardiac Rehabilitation Participation, Facility Access, and Clinical Outcomes After Inpatient Coronary Revascularization

Abstract 4142159: Impact of Tricuspid Regurgitation on Readmission Outcomes in Patients with Heart Failure – United States Population-Based Survey Analysis

HeartFlow Achieves Landmark Milestone of 250,000 Patients Assessed for Coronary Artery Disease (CAD) with FFRCT Analysis

Abstract WP286: Cerebral Amyloid Angiopathy and Risk of Seizures

Hospital Variation in Skilled Nursing Facility Use After Coronary Artery Bypass Graft Surgery

Sex Disparities in Longitudinal Use and Intensification of Guideline-Directed Medical Therapy Among Patients With Newly Diagnosed Heart Failure With Reduced Ejection Fraction

Abstract 49: 15-Year Trends in Age and Sex-Specific Utilization of Carotid Revascularization Procedures in the United States

Published Research

Published Research

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