Table 1.
Cardiac Rehabilitation Enrollment, Engagement and Completion Among Medicare Beneficiaries Aged ≥65 years Who Had a Primary Qualifying Event in 2017
| Eligible N | Enrollment/Initiation | Engagement/Participation** | Completion/ Achievement** | |||||||
|---|---|---|---|---|---|---|---|---|---|---|
| ≥1 Session in ≤ 21 d (%)* | ≥1 Session in ≤ 90 d (%)* | ≥1 Session in ≤ 365 d (%)* | Number of Days from Discharge to First Billed CR Session (Mean ± SD)** | Number of Sessions in 36 wk (Mean ± SD) | ≥ 2 Sessions in 36 wk (%) | ≥ 12 Sessions in 36 wk (%) | ≥ 24 Sessions in 36 wk (%) | ≥ 36 Sessions in 36 wk (%) | ||
| Total | 412080 | 10.1 | 25.4 | 28.6 | 45±52 | 25±12 | 96.1 | 80.4 | 60.1 | 27.6 |
| Age (yr) | ||||||||||
| 65–74 | 198228 | 12.3 | 30.7 | 34.3 | 44±51 | 25±12 | 96.2 | 80.7 | 60.1 | 27.8 |
| 75–84 | 150026 | 9.7 | 24.5 | 27.8 | 46±53 | 25±12 | 96.1 | 80.7 | 61.0 | 28.0 |
| ≥ 85 | 63826 | 4.2 | 10.9 | 12.6 | 49±54 | 23±13 | 94.8 | 76.1 | 55.1 | 24.5 |
| Sex | ||||||||||
| Men | 246073 | 11.6 | 28.5 | 31.9 | 44±51 | 26±12 | 96.3 | 82.0 | 62.0 | 29.0 |
| Women | 166007 | 7.8 | 20.7 | 23.7 | 48±53 | 24±13 | 95.7 | 77.2 | 56.2 | 24.9 |
| Race/Ethnicity *** | ||||||||||
| Non-Hispanic White | 355480 | 10.7 | 26.07 | 30.0 | 45±52 | 25±12 | 96.1 | 80.6 | 60.0 | 27.7 |
| Non-Hispanic Black | 22305 | 4.5 | 14.5 | 17.3 | 55±60 | 25±13 | 95.6 | 78.6 | 61.7 | 29.2 |
| Hispanic | 17014 | 4.9 | 13.8 | 16.0 | 51±57 | 24±13 | 94.3 | 75.8 | 57.8 | 25.1 |
| Asian | 7660 | 5.0 | 16.3 | 18.9 | 52±55 | 24±12 | 96.0 | 79.7 | 59.3 | 25.6 |
| Dual Medicare/Medicaid Coverage **** | ||||||||||
| No | 374619 | 10.8 | 27.1 | 30.5 | 45±52 | 25±12 | 96.3 | 81.0 | 60.6 | 27.9 |
| Yes | 37461 | 2.8 | 7.6 | 9.2 | 55±64 | 19±14 | 90.0 | 62.4 | 42.5 | 17.8 |
| Primary Qualifying Event ***** | ||||||||||
| AMI | 196259 | 7.3 | 17.7 | 20.2 | 47±55 | 25±12 | 96.8 | 80.6 | 60.5 | 27.7 |
| With procedure | 88019 | 14.1 | 33.6 | 37.1 | 42±47 | 25±12 | 97.1 | 81.3 | 61.3 | 28.4 |
| No procedure | 108240 | 1.8 | 4.9 | 6.5 | 67±76 | 24±13 | 95.4 | 76.9 | 56.7 | 24.7 |
| CABG | 55378 | 20.3 | 52.1 | 56.6 | 40±41 | 27±12 | 98.1 | 85.3 | 65.3 | 30.5 |
| With AMI | 16205 | 20.0 | 46.6 | 51.0 | 40±43 | 26±12 | 97.8 | 84.2 | 64.4 | 30.3 |
| No AMI | 39173 | 20.4 | 54.3 | 59.0 | 41±41 | 27±11 | 98.2 | 85.7 | 65.7 | 30.6 |
| PCI | 206860 | 11.5 | 27.5 | 31.0 | 45±54 | 24±13 | 94.9 | 78.3 | 57.9 | 27.0 |
| With AMI | 72712 | 13.0 | 31.2 | 34.5 | 43±48 | 25±13 | 96.9 | 80.6 | 60.4 | 27.8 |
| No MI | 134148 | 10.6 | 25.5 | 29.1 | 47±57 | 24±13 | 93.6 | 76.8 | 56.3 | 26.4 |
| Heart Valve | 56870 | 13.0 | 36.8 | 41.0 | 45±46 | 25±12 | 97.4 | 82.6 | 61.2 | 27.5 |
| With AMI | 2536 | 13.6 | 32.5 | 37.3 | 45±49 | 26±12 | 96.7 | 82.5 | 63.3 | 29.5 |
| No AMI | 54334 | 13.0 | 37.0 | 41.2 | 45±45 | 25±12 | 97.4 | 82.6 | 61.5 | 27.4 |
| TAVR only | 21738 | 8.6 | 26.4 | 29.7 | 48±47 | 24±12 | 96.3 | 77.1 | 55.4 | 23.8 |
| Heart Transplant | 439 | 10.0 | 28.3 | 37.4 | 62±57 | 27±11 | 97.6 | 84.2 | 70.1 | 27.4 |
| With AMI | 4 | 0.0 | 50.0 | 50.0 | 41±26 | 37±1 | 100.0 | 100.0 | 100.0 | 100.0 |
| No AMI | 435 | 10.1 | 28.1 | 37.2 | 63±57 | 27±11 | 97.5 | 84.0 | 69.8 | 26.5 |
| CABG & heart valve | 10219 | 19.4 | 50.8 | 55.8 | 42±44 | 27±11 | 97.8 | 86.2 | 65.3 | 31.4 |
CR=cardiac rehabilitation, AMI=acute myocardial infarction, CABG=coronary artery bypass surgery, PCI=percutaneous coronary intervention, TAVR=transcatheter aortic valve replacement/repair,
*
Among all eligible beneficiaries,
**
Among all beneficiaries with at least one CR session,
***
Unknown and “other” race and ethnicity groups not shown,
****
Dual eligible here only includes those age 65+, per overall inclusion criteria,
*****
Eligible conditions/procedures that occurred in combination had to occur within 21 days of each other