Table 3.
Key Cardiac Rehabilitation Service Costs and Reimbursement Per Participant by Time Period
Pre-COVID-19 |
COVID-19 |
|||||||
---|---|---|---|---|---|---|---|---|
Cost |
Reimbursement |
Cost |
Reimbursement |
|||||
Unit | Total | Unit | Total | Unit | Total | Unit | Total | |
Recruitment orientation | ||||||||
In-person | 56 | 41 ± 2 | 0 | 0 | 57 | 15 ± 5 | 0 | 0 |
Telehealth | 33 | 9 ± 1 | 0 | 0 | 33 | 24 ± 3 | 0 | 0 |
Total | 52 | 50 ± 1 | 0 | 0 | 42 | 39 ± 2 | 0 | 0 |
Initial consultation | ||||||||
In-person, with stress test | 159 | 138 ± 3 | 630 | 548 ± 8 | 160 | 104 ± 3 | 601 | 392 ± 7 |
In-person, with no stress test | 108 | 14 ± 1a | 173 | 23 ± 1a | 109 | 11 ± 1a | 165 | 16 ± 1a |
Telehealth | 107 | 0 ± 0 | 0 | 0 ± 0 | 107 | 27 ± 1 | 55 | 14 ± 0 |
Total | 154 | 152 ± 0 | 588 | 571 ± 0 | 146 | 142 ± 0 | 465 | 422 ± 0 |
Exercise sessions | ||||||||
With ECG monitoring | 73 | 1,221 ± 126 | 119 | 1,985 ± 205 | 74 | 1,346 ± 108 | 114 | 2,072 ± 166 |
With no ECG monitoring | 67 | 166 ± 17 | 74 | 184 ± 19 | 67 | 183 ± 15 | 71 | 192 ± 15 |
Total | 72 | 1,388 ± 144 | 114 | 2,170 ± 244 | 73 | 1,529 ± 122 | 108 | 2,265 ± 181 |
Exit consultation with stress test | 78 | $27 ± 1 | 630 | 219 ± 7 | 79 | 21 ± 1 | 601 | 157 ± 5 |
Service plans & reports | 9 | 166 ± 13 | 0 | 0 | 11 | 187 ± 11 | 0 | 0 |
Program costs | n/a | 278 ± 15 | 0 | 0 | n/a | 321 ± 34 | 0 | 0 |
Indirect costs | n/a | 595 ± 32 | 0 | 0 | n/a | 688 ± 74 | 0 | 0 |
| ||||||||
Mean per participant | 2,897 ± 131 | 2,959 ± 224 | 3,265 ± 149 | 2,844 ±181 |
Data are presented as $ and reported as mean±SE.
The pre-COVID-19 period is July 2019 through December 2019. The COVID-19 period is July 2020 through December 2020.
Abbreviation: ECG, electrocardiogram.
Service plans and reports (e.g., medical record charting) constituted 6% of all CR service costs for the pre- and during COVID-19 periods.
SE was rounded up to $1.