Journal of the American Heart Association

JANUARY 10, 2025

Each patient was matched with their claims from Medicare Provider Analysis and Review to compare CPT withInternational Classification of Diseases,Tenth Revision,Procedure Coding System(ICD10PCS) claims submitted by health care facilities to bill for PVIs.

Atrial Fibrillation 45

Atrial Fibrillation Pulmonary Medicare Inpatient 45

American College of Cardiology

JUNE 6, 2024

The ACC submitted formal comments on June 5 to the Centers for Medicare and Medicaid Services (CMS) regarding the Fiscal Year (FY) 2025 Inpatient Prospective Payment System (IPPS) proposed rule.

Reimbursement 45

Reimbursement CMS Medicaid Medicare 45

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 40

Cardiac Rehabilitation Inpatient Myocardial Infarction Outcomes 40

Cardiovascular Diabetology

JULY 7, 2024

The costs were direct total health care expenditures (out-of-pocket payments and payments by private insurance, Medicaid, Medicare, and other sources) from various sources (office-based visits, hospital outpatient, emergency room, inpatient hospital, pharmacy, home health care, and other medical expenditures).

Diabetes 72

Diabetes Cardiovascular Disease Drug Costs Medicaid 72

Stroke Journal

JANUARY 30, 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. Stroke, Volume 56, Issue Suppl_1 , Page AWP114-AWP114, February 1, 2025.

Inpatient 40

Inpatient Nursing Strokes Stroke 40

Stroke Journal

NOVEMBER 22, 2024

While hypoglycemia has been established as a risk factor for cardiovascular events such as acute ischemic stroke (AIS), there is limited research demonstrating hypoglycemic events as stroke triggers.

Diabetes 71

Diabetes Strokes Stroke Medicare 71

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 40

Obesity Inpatient Strokes Stroke 40

Stroke: Vascular and Interventional Neurology

AUGUST 8, 2023

The objective of this study was to assess whether neutral clinical trials may have influenced BAO thrombectomy practice.METHODSThe National Inpatient Sample (2018–2020) was queried for US patients with BAO, and comparisons were made between patients admitted in 2020 versus 2018 to 2019 for the primary outcome of thrombectomy. P=0.06).

Inpatient 40

Inpatient Medicare Strokes Stroke 40

Stroke Journal

JANUARY 30, 2025

Post acute care at an inpatient rehabilitation facility minimized the risk of low HT (vs. Clinical information on a matched sub-population was linked from the EMR of a 7-hospital certified stroke health system. high HT: 300 days) in both the statewide (16.2% vs. 28.3%) and the hospital cohort (15.1% vs. 28.5%) (Fig.

Inpatient 40

Inpatient Strokes Stroke CMS 40

Stroke Journal

FEBRUARY 1, 2024

As of 2023, Center for Medicare & Medicaid Services uses NIHSS as a risk adjustment variable. Medicare and Mount Sinai Health System registry data were linked using a matching algorithm. of Medicare cases even though it was documented in 93.1% Index AIS admissions were identified using the ICD-10-CM code of I63.x.

Medicare 40

Medicare Document Strokes Stroke 40

Stroke Journal

JANUARY 30, 2025

Medicare, 1.17 [1.08-1.26]; Across both IR discharge models, patients who were male (aORs: 1.17 [1.08-1.26]; 1.26]; 1.30 [1.18-1.43]), 1.43]), [FV2] had a history of antihypertensive use (1.18 [1.04-1.34]; 1.34]; 1.27 [1.08-1.51]), 1.51]), and received EVT (2.02 [1.70-2.40]; 2.40]; 2.05 [1.70-2.46]) home or UD) (Figure 1). 1.26]; 1.30 [1.18-1.43])

Inpatient 40

Inpatient Strokes Stroke Atrial Fibrillation 40

Stroke Journal

JANUARY 30, 2025

There are limited population-based data regarding the prevalence of CAA and associated risks of mortality and incident cerebrovascular events.Methods:We performed a retrospective cohort study using inpatient and outpatient claims from 2008 to 2018 from a nationally representative 5% sample of Medicare beneficiaries. 95% CI, 19.6-52.4),

Hemorrhage 40

Hemorrhage Medicare Strokes Stroke 40

Journal of the American Heart Association

DECEMBER 24, 2024

We compared 1 and 2year DAH among patients with functional mitral regurgitation and heart failure randomized to mTEER plus medical therapy versus medical therapy alone (control) by linking the COAPT trial to comprehensive health care claims data.Methods and ResultsWe linked data from COAPT trial participants to Medicare feeforservice claims.

Bicuspid/Mitral 45

Bicuspid/Mitral Heart Failure Medicare Inpatient 45

Stroke Journal

JANUARY 30, 2025

Results:Main outcome measures were the Medicare calculated self-care and mobility scores on admission and on discharge. 283 patients met at least one of their Medicare calculated discharge goals. Results:Main outcome measures were the Medicare calculated self-care and mobility scores on admission and on discharge. minutes (ST).Conclusion:Stroke

Medicare 40

Medicare Strokes Stroke BMI 40

Journal of the American Heart Association

FEBRUARY 16, 2024

times the Medicare rate ($57 240 and $75 047, respectively, versus $28 398). In univariate analysis, higher inpatient revenue, greater annual discharges, and major teaching status were significantly associated with higher prices. Univariate and multivariable analyses were performed to assess factors predictive of higher prices.

Coronary Artery Bypass Graft 40

Coronary Artery Bypass Graft Hospital Medicare Medicaid 40

Stroke Journal

JANUARY 30, 2025

However, there are limited population-based data regarding the risk of intracranial hemorrhage associated with AD.Methods:We performed a retrospective cohort study using inpatient and outpatient claims between 2008-2018 from a nationally representative 5% sample of Medicare beneficiaries 65 years of age. andICD-10-CMcode G30.x.

Hemorrhage 40

Hemorrhage Medicare Outpatient Inpatient 40

Stroke Journal

JANUARY 30, 2025

This initiative, led by Advanced Practice Providers (APPs), aimed to refine the post-discharge process to enhance care quality and reduce missed follow-ups.Methods:We introduced a streamlined follow-up process for stroke patients discharged home, adhering to the Centers for Medicaid and Medicare (CMS) Transitional Care Management (TCM) model.

CMS 40

CMS Reimbursement Strokes Stroke 40

Stroke Journal

FEBRUARY 1, 2024

The Office of the Inspector General recently reported that 13% of Medicare beneficiaries were denied access by some Medicare Advantage Organizations to medically necessary care, including admission to inpatient rehabilitation facilities (IRF).

Hospital 40

Hospital Medicare Strokes Stroke 40

Journal of the American Heart Association

JANUARY 12, 2024

Using unadjusted and adjusted multilevel logistic models, we examined associations between measures of segregation and outcomes of discharge home, inpatient mortality, and 30‐day mortality. The dissimilarity index for ET providers was high, with a mean of 0.48 (SD, 0.29) across all hospitals.

Hospital 40

Hospital Outcomes Inpatient Strokes 40

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.

Strokes 40

Strokes Stroke Medicare Outpatient 40

Stroke Journal

JANUARY 30, 2025

Introduction:There has been an ongoing debate regarding the effectiveness of inpatient rehabilitation facility (IRF) and skilled nursing facility (SNF) in promoting functional recovery. Home time was calculated over 90-days and 1-year following hospital discharge by subtracting the number of days spent in inpatient setting (i.e.,

Strokes 40

Strokes Stroke Inpatient Outcomes 40

Stroke Journal

JANUARY 30, 2025

We evaluated the influence of early (30-day) post-acute care (PAC) pathways on 1-year HT.Methods:We analyzed a cohort of Medicare AIS patients at a 7-hospital stroke certified health system (2016 to 2020). All claims within 1 year of hospitalization were collated and grouped into corresponding care pathways. One-year HT (i.e.,

Strokes 40

Strokes Stroke Medicare CMS 40

Stroke Journal

JANUARY 30, 2025

The exposure was an incident diagnosis of non-traumatic intracranial hemorrhage, defined as a composite of intracerebral hemorrhage, subarachnoid hemorrhage, or subdural hemorrhage.

Dementia 40

Dementia Hemorrhage Medicare Outpatient 40

Stroke Journal

JANUARY 30, 2025

This initiative aimed to enhance the post-discharge process to improve care quality and reduce missed follow-ups.Methods:We implemented a streamlined follow-up process for stroke patients discharged home, aligning with the Centers for Medicaid and Medicare (CMS) definition of the Transitional Care Management (TCM).

CMS 40

CMS Strokes Stroke Reimbursement 40

Stroke Journal

JANUARY 30, 2025

to identify patients with a diagnosis of AVM from the statewide inpatient and emergency department databases of Florida, Georgia, Maryland, New York, and Washington (2016-2019). Medicare) patients (1.82, 1.45 2.26) had higher odds of receiving surgical AVM treatment (Table 1).

Hemorrhage 40

Hemorrhage Medicare Inpatient Research 40

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 40

Hemorrhage Myocardial Infarction Atrial Fibrillation Medicare 40

Stroke Journal

JANUARY 30, 2025

This analysis longitudinally characterizes VI and non-VI stroke transfer networks to assess their evolution.Methods:Using the 2016-2018 US Centers of Medicare Fee-For-Service files, we captured patients with ischemic stroke who had an ED-hospital transfer, defined as a beneficiary with: 1) any outpatient ED claim the day of or prior to the inpatient (..)

Hospital 40

Hospital Strokes Stroke Medicare 40

Stroke Journal

JANUARY 30, 2025

Medicare) insured (1.73, 1.66-1.79), Stroke, Volume 56, Issue Suppl_1 , Page AWP129-AWP129, February 1, 2025. Utilizing multivariable logistic regression multivariable logistic regression with patient-level cluster-robust standard errors, we evaluate the correlates of discharge to IRF (vs. Results:Overall, 335,521 stroke discharges (88.4%

Inpatient 40

Inpatient Strokes Stroke Hemorrhage 40

Stroke Journal

JANUARY 30, 2025

In separate models, we estimated the odds ratio (OR) and 95% confidence intervals (CI) of three outcomes (inpatient mortality, 30-day mortality, and discharge home) using multilevel logistic models for clustered data, with data clustered at the county level. 1.22) without a significant interaction with race (p=0.62).

Strokes 40

Strokes Stroke Outcomes Medicare 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Study Population includes all patients with an ischemic stroke inpatient admission in 2018 and were continuously enrolled with Medicare FFS for 1 year prior to and following their initial 2018 stroke admission.

Risk Factors 40

Risk Factors Strokes Stroke Medicare 40

Stroke Journal

JANUARY 30, 2025

Methods:This retrospective analysis utilized complete, de-identified inpatient Medicare data from January 1, 2016, to December 31, 2019. We included Medicare beneficiaries aged 65 years with incident AIS admissions in large metropolitan and non-urban settings.

Strokes 40

Strokes Stroke Medicare ICU 40

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 40

Medicare Outpatient Inpatient Hemorrhage 40

Circulation: Heart Failure

JANUARY 26, 2024

Patients who underwent bariatric surgery were matched to controls in a 1:2 ratio (matched on exact age, sex, race, body mass index, HF encounter year, and HF hospitalization rate pre-surgery/matched period).

Heart Failure 40

Heart Failure Obesity Medicare Outcomes 40

Circulation: Cardiovascular Quality & Outcomes

DECEMBER 12, 2023

METHODS:Using Medicare-linked data from the Evolut Low Risk trial, we identified 619 patients: 606 (322 TAVR/284 SAVR) and 593 (312 TAVR/281 SAVR) were analyzed at 1 and 2 years, respectively. Secondary outcomes DAH30and DAH90were higher in TAVR (DAH30, 26.0±3.6 difference in days, 5.3 [4.5–6.2];P<0.001; P<0.001; DAH90, 85.1±8.3

Aortic valve 40

Aortic valve TAVR Aortic Medicare 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

We examined the demographic and clinical correlates of EVT use in CVT and assessed its impact on patient outcomes utilizing a national database.MethodsWe identified CVT cases from 2015 to 2020 in the National Inpatient Sample, with EVT as the primary exposure. Individuals with Medicare (OR: 0.39, 95% CI: 0.26‐0.59, p<0.001).ConclusionWe

Thrombosis 40

Thrombosis Cancer Inpatient Hospital 40

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page A49-A49, February 1, 2024. We calculated the age and sex-specific proportions of revascularizations that were CAS and combined annual CAS/CEA counts with census data to determine annual utilization rate per 100,000 population.

CMS 40

CMS Medicaid Medicare Inpatient 40

Frontiers in Cardiovascular Medicine

NOVEMBER 24, 2024

Demographics, visit data, and outcomes were collected, and 30-day outcomes were compared to inpatient IV (IP IV) diuresis from 2021 Medicare HF hospitalizations.ResultsThe review included 1,590 unique patients treated with OP IV diuretics, with a mean age of 70 ± 6 years, 69.7% male, and 74.8% NYHA III-IV.

Outpatient 59

Outpatient Heart Failure Medicare Inpatient 59