2020, Medicare and Stroke - Cardiovascular Update

Bridging the Gap: Enhancing Stroke Recovery Through Digital Health Solutions

DAIC

JUNE 4, 2024

Stroke recovery is a challenging process that extends for months after hospital discharge. Navigating Post-Stroke Recovery at Home: One Patient's Experience A ”mildly impaired” stroke patient with atrial fibrillation who was discharged reported, “I knew my local pharmacist, and they knew my prescriptions.

Stroke

Stroke Strokes Innovation Research

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

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page ATP80-ATP80, February 1, 2024. Introduction:In recent years, Medicare Advantage (MA) enrollment in the US has increased dramatically relative to traditional Medicare (TM). of the 16,231 stroke discharges, respectively. in 2020 (P<0.001) (Table). P<0.001).

Medicare

Medicare COVID-19 Inpatient Nursing

Abstract WMP40: Rehabilitation Therapy Utilization by Stroke Survivors Across US Insurance Payors

Stroke Journal

JANUARY 30, 2025

Stroke, Volume 56, Issue Suppl_1 , Page AWMP40-AWMP40, February 1, 2025. Introduction:Rehabilitation is essential to stroke recovery; however, access to rehabilitation varies in the US. We report recent national utilization rates of different rehabilitation disciplines in stroke survivors covered by different payors in the US.

Medicare

Medicare Stroke Strokes Outpatient

Webinars

Bridging Innovation & Patient Care: The Growing Role of AI

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Thrombectomy Use in the United States for Basilar Artery Occlusion in the Era of Neutral Clinical Trials: 2018 to 2020 Analysis of the National Inpatient Sample

Stroke: Vascular and Interventional Neurology

AUGUST 8, 2023

Stroke: Vascular and Interventional Neurology, Ahead of Print. BACKGROUNDIn 2019 and 2020, 2 randomized trials of basilar artery occlusion (BAO) thrombectomy reported no improvement in functional outcomes with thrombectomy, despite observational evidence and weak guidelines recommending thrombectomy. versus 16.1%;P=0.41). versus 16.1%;P=0.41).

Inpatient

Inpatient Medicare Stroke Strokes

Abstract WP48: Prescription Rate for Antihyperglycemic Medication With Proven Cardiovascular Benefit at Discharge in Stroke Patients Not Equal Among Payer Sources

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page AWP48-AWP48, February 1, 2024. Background:Mortality doubles in stroke patients when Diabetes Mellitus (DM) is present. Participating Get With The Guidelines® (GWTG)-Stroke hospitals track EBG data to improve outcomes. 1, 2020-Dec. 1, 2020-Dec. of patients received AMPB.

Medicaid

Medicaid Stroke Strokes Medicare

Abstract WMP45: Home Time May Not be a Suitable Measure of Functional Recovery to Compare Rehabilitation Outcomes in Stroke Patients

Stroke Journal

JANUARY 30, 2025

Stroke, Volume 56, Issue Suppl_1 , Page AWMP45-AWMP45, February 1, 2025. Home time is a valid measure of functional recovery in stroke patients that is often used in outcome studies. Compared to SNF patients, IRF patients were younger, more likely to be male, had minor strokes (NIHSS 1-4), and were able to ambulate at discharge.

Stroke

Stroke Strokes Inpatient Outcomes

Abstract WP114: Impact of Readmission on the Continuity of Rehabilitation Care Among Acute Stroke Patients Discharged to Inpatient Rehabilitation and Skilled Nursing Facilities

Stroke Journal

JANUARY 30, 2025

Stroke, Volume 56, Issue Suppl_1 , Page AWP114-AWP114, February 1, 2025. Introduction:Two-thirds of US stroke patients undergo rehabilitation post-discharge with about 20% and 25% receiving care at an inpatient rehabilitation facility (IRF) and skilled nursing facility (SNF), respectively.

Inpatient

Inpatient Nursing Stroke Strokes

Abstract TMP22: Removing Disparities Related to Thrombectomy Transfers Within an Integrated Healthcare System Across Fourteen Primary Stroke Centers

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page ATMP22-ATMP22, February 1, 2024. The insurance status of our patient population was predominantly Medicare (56.4%), followed by Commercial (26.4%), Medicaid (8.1%), and Self- Pay (2.9%). were female with a mean age of 69.7 (±16.2). The remainder were classified as Other/Missing (6.2%).

Medicaid

Medicaid Medicare Stroke Strokes

Abstract WMP44: Post Acute Care at Inpatient Rehabilitation Facilities Maximizes 1-Year Home Time among Patients with Acute Ischemic Stroke: Cluster Analysis of Health System and Statewide Data

Stroke Journal

JANUARY 30, 2025

Stroke, Volume 56, Issue Suppl_1 , Page AWMP44-AWMP44, February 1, 2025. Background:The post-acute journey for stroke patients is highly variable. Clinical information on a matched sub-population was linked from the EMR of a 7-hospital certified stroke health system. Cluster models with k = 2 centers (vs. vs. 28.5%) (Fig.

Inpatient

Inpatient Stroke Strokes CMS

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

Stroke, Volume 55, Issue Suppl_1 , Page AWP108-AWP108, February 1, 2024. However, identifying patients at risk of readmission after stroke is challenging and predictive models have historically not performed well, in part because they often rely on single data sources.

Hospital

Hospital Stroke Strokes Medicare

Abstract WMP60: Comparison of Demographic and Clinical Characteristics and the CDC Social Vulnerability Index Among Medicare Beneficiaries Hospitalized With Acute Ischemic Stroke, April 2020 - December 2021

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page AWMP60-AWMP60, February 1, 2024. However, limited information exists on how demographic and clinical factors are associated with social inequities among older patients hospitalized with acute ischemic stroke (AIS) during COVID-19.Methods:We All patients were followed until March 31, 2023.

Medicare

Medicare COVID-19 Hospital Stroke

Social Vulnerability and Long‐Term Cardiovascular Outcomes After COVID‐19 Hospitalization: An Analysis of the American Heart Association COVID‐19 Registry Linked With Medicare Claims Data

Journal of the American Heart Association

MARCH 21, 2025

However, the association of socioeconomic vulnerability and outcomes after hospitalization is uncertain.Methods and ResultsAmerican Heart Association COVID19 Cardiovascular Disease Registry hospitalizations between March 1, 2020, and June 30, 2022, linked with Medicare feeforservice claims, were analyzed.

COVID-19

COVID-19 Medicare Cardiogenic Shock Hospital

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

Stroke, Volume 55, Issue Suppl_1 , Page AWP109-AWP109, February 1, 2024. Background:Utilizing medical claims derived information, we evaluated temporal trends in post-acute care utilization pathways among patients with acute ischemic stroke (AIS) or intracerebral hemorrhage (ICH).Methods:Data and 82.3% (Panel D).Conclusion:Post

Medicare

Medicare Hemorrhage Inpatient Nursing

Abstract TP328: The Association between Post-ICH Continuation of Statin Use and Major Adverse Cardiovascular Events

Stroke Journal

JANUARY 30, 2025

Stroke, Volume 56, Issue Suppl_1 , Page ATP328-ATP328, February 1, 2025. We longitudinally followed the patients by linking the registry data to the Center for Medicare&Medicaid Service (CMS) claims data. Objective:The role of statins in the management of intracerebral hemorrhage (ICH) remains controversial. 72-86] years; 57.0%

Medicare

Medicare CMS Medicaid Myocardial Infarction

Abstract WP140: Early Post Acute Care Pathways are Predictive of 1-Year Home Time among Patients with Acute Ischemic Stroke: Analysis of Clinical and Claims Linked Data

Stroke Journal

JANUARY 30, 2025

Stroke, Volume 56, Issue Suppl_1 , Page AWP140-AWP140, February 1, 2025. Background:Maximizing long-term home time (HT) for acute ischemic stroke (AIS) patients has patient-centered and health-system benefits. All claims within 1 year of hospitalization were collated and grouped into corresponding care pathways. 0.76) (Figure 3).

Stroke

Stroke Strokes Medicare CMS

Patient Characteristics Associated With Using Transcatheter Left Atrial Appendage Occlusion Versus Oral Anticoagulants for Atrial Fibrillation

Circulation: Cardiovascular Quality & Outcomes

MARCH 5, 2024

BACKGROUND:Transcatheter left atrial appendage occlusion (LAAO) is an alternative to oral anticoagulants (OACs) for stroke prevention in patients with atrial fibrillation, but the predictors of LAAO use in routine care are unclear. In 2020, patients had higher odds of initiating LAAO use than in 2015 (0.52

Atrial Fibrillation

Atrial Fibrillation Medicaid Cancer Medicare

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

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page A49-A49, February 1, 2024. of all procedures were CAS but this proportion doubled over time such that in 2020, 29.6% 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 This age distribution was constant over time.

CMS

CMS Medicaid Medicare Inpatient

Published Research

Society of Thoracic Surgeons - Research

APRIL 20, 2023

Mark Erfe Outcomes of Sutureless/Rapid Deployment Valves Compared to Traditional Bioprosthetic Aortic Valves The Annals of Thoracic Surgery September 2020 J.

Research

Research Coronary Artery Bypass Graft Aortic valve Congenital

Published Research

Society of Thoracic Surgeons - Research

APRIL 20, 2023

June 2020 Arnar Geirsson 1 The Evolving Burden of Drug Use Associated Infective Endocarditis in the United States The Annals of Thoracic Surgery May 2020 Jaimin Trivedi 2 Is the Internal Mammary Artery Graft Beneficial in Emergent Coronary Artery Bypass Surgery?

Research

Research Coronary Artery Bypass Graft Aortic valve Congenital

Abstract 129: Endovascular Therapy in Cerebral Venous Thrombosis: Nationwide Insights and Implications for Mortality

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023. Model two additionally adjusted for female sex, NIH Stroke Scale (NIHSS), and Elixhauser mortality index.ResultsWe identified 48,835 individuals with CVT, of whom 1,275 (2.6%) underwent EVT. Individuals with Medicare (OR: 0.39, 95% CI: 0.26‐0.59,

Thrombosis

Thrombosis Cancer Inpatient Hospital

Bridging the Gap: Enhancing Stroke Recovery Through Digital Health Solutions

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

Abstract WMP40: Rehabilitation Therapy Utilization by Stroke Survivors Across US Insurance Payors

Webinars

Thrombectomy Use in the United States for Basilar Artery Occlusion in the Era of Neutral Clinical Trials: 2018 to 2020 Analysis of the National Inpatient Sample

Abstract WP48: Prescription Rate for Antihyperglycemic Medication With Proven Cardiovascular Benefit at Discharge in Stroke Patients Not Equal Among Payer Sources

Abstract WMP45: Home Time May Not be a Suitable Measure of Functional Recovery to Compare Rehabilitation Outcomes in Stroke Patients

Abstract WP114: Impact of Readmission on the Continuity of Rehabilitation Care Among Acute Stroke Patients Discharged to Inpatient Rehabilitation and Skilled Nursing Facilities

Abstract TMP22: Removing Disparities Related to Thrombectomy Transfers Within an Integrated Healthcare System Across Fourteen Primary Stroke Centers

Abstract WMP44: Post Acute Care at Inpatient Rehabilitation Facilities Maximizes 1-Year Home Time among Patients with Acute Ischemic Stroke: Cluster Analysis of Health System and Statewide Data

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 WMP60: Comparison of Demographic and Clinical Characteristics and the CDC Social Vulnerability Index Among Medicare Beneficiaries Hospitalized With Acute Ischemic Stroke, April 2020 - December 2021

Social Vulnerability and Long‐Term Cardiovascular Outcomes After COVID‐19 Hospitalization: An Analysis of the American Heart Association COVID‐19 Registry Linked With Medicare Claims Data

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

Abstract TP328: The Association between Post-ICH Continuation of Statin Use and Major Adverse Cardiovascular Events

Abstract WP140: Early Post Acute Care Pathways are Predictive of 1-Year Home Time among Patients with Acute Ischemic Stroke: Analysis of Clinical and Claims Linked Data

Patient Characteristics Associated With Using Transcatheter Left Atrial Appendage Occlusion Versus Oral Anticoagulants for Atrial Fibrillation

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

Published Research

Published Research

Abstract 129: Endovascular Therapy in Cerebral Venous Thrombosis: Nationwide Insights and Implications for Mortality

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