Cardiac Rehabilitation assesses the percentage of adults 18 years of age and older who attended cardiac rehabilitation after a cardiac event, based on four separate rates:
- Initiation. Members who attended 2 or more sessions of cardiac rehabilitation within 30 days after a cardiac event.
- Engagement 1. Members who attended 12 or more sessions of cardiac rehabilitation within 90 days after a cardiac event.
- Engagement 2. Members who attended 24 or more sessions of cardiac rehabilitation within 180 days after a cardiac event.
- Achievement. Members who attended 36 or more sessions of cardiac rehabilitation within 180 days after a cardiac event.
Why it Matters
Heart disease is the leading cause of death in the U.S., but strong evidence shows that cardiac rehabilitation following a cardiac event (heart attack, heart transplant, percutaneous coronary intervention, coronary artery bypass graft) can significantly improve functional status and quality of life—and reduce mortality1. Cardiac rehabilitation should include three components: exercise counseling and training, education for heart-healthy living and counseling to reduce stress. Through team-based cardiac rehabilitation, patients with heart disease can work to achieve personalized heart-health goals to improve health outcomes.
Results – National Averages
Initiation - Total
| Year | Commercial HMO | Commercial PPO | Medicaid HMO | Medicare HMO | Medicare PPO |
|---|---|---|---|---|---|
| 2022 | 12.9 | 13.5 | 4.5 | 6.5 | 9.8 |
| 2021 | 11.8 | 12.9 | 3.8 | 5.1 | 6.9 |
Engagement 1 - Total
| Year | Commercial HMO | Commercial PPO | Medicaid HMO | Medicare HMO | Medicare PPO |
|---|---|---|---|---|---|
| 2022 | 16.9 | 18.5 | 4.8 | 8.9 | 13.2 |
| 2021 | 14.2 | 16.1 | 3.8 | 6.4 | 9.1 |
Engagement 2 - Total
| Year | Commercial HMO | Commercial PPO | Medicaid HMO | Medicare HMO | Medicare PPO |
|---|---|---|---|---|---|
| 2022 | 12.8 | 14.4 | 3.9 | 7.9 | 10.6 |
| 2021 | 10 | 11.8 | 3 | 5.4 | 7.1 |
Achievement - Total
| Year | Commercial HMO | Commercial PPO | Medicaid HMO | Medicare HMO | Medicare PPO |
|---|---|---|---|---|---|
| 2022 | 5.3 | 5.8 | 1.7 | 3.8 | 4.8 |
| 2021 | 4.1 | 5 | 1.2 | 2.6 | 3.1 |
This State of Healthcare Quality Report classifies health plans differently than NCQA’s Quality Compass. HMO corresponds to All LOBs (excluding PPO and EPO) within Quality Compass. PPO corresponds to PPO and EPO within Quality Compass.
Figures do not account for changes in the underlying measure that could break trending. Contact Information Products via my.ncqa.org for analysis that accounts for trend breaks.
References
- “Heart Disease Facts | CDC.Gov.” Centers for Disease Control and Prevention, October 14, 2022. https://www.cdc.gov/heartdisease/facts.htm