Health Care Delivery and Costs

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The maps in this section show the costs of care per capita and incremental costs of care per capita for Medicare beneficiaries diagnosed with heart disease.

Costs of care

Costs per capita are the average costs incurred by a Medicare beneficiary with heart disease in a given county.

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The average costs incurred by Inpatient Medicare Beneficiary diagnosed with heart disease in 2021 by County. The map shows that the concentrations of counties with the highest average cost of care – meaning the top quintile – are located primarily in Connecticut, New York, West Virginia, Ohio, Virginia, Kentucky, Georgia, Illinois, Michigan, Missouri, Minnesota, North Dakota, South Dakota, Texas, Florida, New Mexico, Colorado, California, Nevada, and Alaska. Pockets of high-rate counties also were found in Maine, Massachusetts Pennsylvania, North Carolina, South Carolina, Alabama, Louisiana, Oklahoma, Kansas, Nebraska, Iowa, Nevada, Utah, Idaho, Puerto Rico, Virgin Islands.
Cost of care for Medicare beneficiaries diagnosed with heart disease, 2020, inpatient care

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The average costs incurred by Outpatient Medicare Beneficiary diagnosed with heart disease in 2021 by County. The map shows that the concentrations of counties with the highest average cost of care – meaning the top quintile – are located primarily in Maine, New Hampshire, Vermont, Michigan, Wisconsin, Minnesota, Illinois, Missouri, Iowa, Kansas, Nebraska, South Dakota, North Dakota, Montana, Wyoming, Colorado, Utah, Idaho, Washington, Oregon, California, Texas and Alaska. Pockets of high-rate counties also were found in New York, Pennsylvania, West Virginia, Ohio, Indiana, and Oklahoma.
Cost of care for Medicare beneficiaries diagnosed with heart disease, 2020, outpatient care

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The average costs incurred by Post-Acute Care Medicare Beneficiary diagnosed with heart disease in 2021 by County. The map shows that the concentrations of counties with the highest average cost of care – meaning the top quintile – are located primarily in Kentucky, Kansas, Oklahoma, Texas, Louisiana, and Mississippi. Pockets of high-rate counties also were found in Ohio, Indiana, Illinois, Tennessee, Georgia, Alabama, Arkansas, Missouri, Nebraska, South Dakota, North Dakota, Montana, California, Utah, Nevada, Washington, and Alaska.
Cost of care for Medicare beneficiaries diagnosed with heart disease, 2020, post-acute care costs

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The average costs incurred by all Medicare Beneficiary diagnosed with heart disease in 2021 by County. The map shows that the concentrations of counties with the highest average cost of care – meaning the top quintile – are located primarily in Ohio, Kentucky, Indiana, Illinois, Georgia, Mississippi, Louisiana, Oklahoma, South Dakota, Nebraska, Kansas, Texas, California, and Alaska. Pockets of high-rate counties also were found in New York, Pennsylvania, West Virginia, Virginia, South Carolina, Tennessee, Michigan, Wisconsin, Minnesota, North Dakota, Iowa, Missouri, Arkansas, Florida, Alabama, Colorado, Wyoming, Montana, Nevada, and the Virgin Islands.
Cost of care for Medicare beneficiaries diagnosed with heart disease, 2020, total cost by county

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Incremental costs

Incremental costs are the costs incurred among beneficiaries with heart disease above and beyond the costs incurred among beneficiaries without heart disease.

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The average costs incurred by Inpatient Medicare Beneficiaries with heart disease above and beyond the costs incurred among beneficiaries without heart disease in 2021 by County. The map shows that the concentrations of counties with the highest average Incremental cost of care – meaning the top quintile – are located primarily in Connecticut, New York, West Virginia, Ohio, Virginia, Kentucky, Georgia, Illinois, Missouri, Minnesota, North Dakota, South Dakota, Texas, New Mexico, Colorado, California, and Alaska. Pockets of high-rate counties also were found in Maine, Massachusetts Pennsylvania, North Carolina, South Carolina, Alabama, Florida, Louisiana, Oklahoma, Kansas, Nebraska, Iowa, Puerto Rico, Virgin Islands.
Incremental cost of care for Medicare beneficiaries diagnosed with heart disease, 2020, inpatient costs

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The average costs incurred by Outpatient Medicare Beneficiaries with heart disease above and beyond the costs incurred among beneficiaries without heart disease in 2021 by County. The map shows that the concentrations of counties with the highest average Incremental cost of care – meaning the top quintile – are located primarily in Maine, New Hampshire, Vermont, West Virginia, Illinois, Missouri, Iowa, Wisconsin, Minnesota, North Dakota, South Dakota, Nebraska, Kansas, Colorado, Wyoming, Montana, Idaho, Washington, Oregon, Nevada, California, Utah, New Mexico, Texas, and Alaska. Pockets of high-rate counties also were found in New York, Pennsylvania, Ohio, Indiana, Michigan, Georgia, and Arkansas.
Incremental cost of care for Medicare beneficiaries diagnosed with heart disease, 2020, outpatient costs

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The average costs incurred by Post-Acute Care Medicare Beneficiaries with heart disease above and beyond the costs incurred among beneficiaries without heart disease in 2021 by County. The map shows that the concentrations of counties with the highest average Incremental cost of care – meaning the top quintile – are located primarily in Kentucky, North Dakota, South Dakota, Nebraska, Kansas, Oklahoma, Mississippi, Louisiana, and Texas. Pockets of high-rate counties also were found in Ohio, Indiana, West Virginia, Illinois, Minnesota, Iowa, Missouri, Arkansas, Alabama, Georgia, Florida, Colorado, Utah, New Mexico, Nevada, California, Montana, Washington, and Alaska.
Incremental cost of care for Medicare beneficiaries diagnosed with heart disease, 2020, post-acute care costs

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The average costs incurred by all Medicare Beneficiaries with heart disease above and beyond the costs incurred among beneficiaries without heart disease in 2021 by County. The map shows that the concentrations of counties with the highest average Incremental cost of care – meaning the top quintile – are located primarily in Ohio, Kentucky, Illinois, Georgia, Mississippi, Louisiana, Oklahoma, South Dakota, Nebraska, Kansas, Texas, California, and Alaska. Pockets of high-rate counties also were found in New York, West Virginia, Virginia, South Carolina, North Carolina, Tennessee, Michigan, Wisconsin, Minnesota, North Dakota, Iowa, Missouri, Arkansas, Florida, Alabama, Colorado, Wyoming, Montana, Nevada, Utah, Idaho, New Mexico, Arizona and the Virgin Islands.
Incremental cost of care for Medicare beneficiaries diagnosed with heart disease, 2020, total cost by county

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Cardiac rehabilitation

Medicare fee-for-service beneficiaries aged ≥65 years were considered eligible for outpatient cardiac rehabilitation (CR) if they experienced a qualifying event. Participation was defined as the percentage of CR eligible beneficiaries who participated in ≥1 CR session within 365 days of the qualifying event.

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Cardiac Rehabilitation Eligibility Rates Among All Eligible Fee-for-Service Medicare Beneficiaries by County. The map shows that the concentrations of counties with the highest cardiac rehabilitation eligibility – meaning the top quintile – are located primarily in Maine, West Virginia, Kentucky, Indiana Ohio, Michigan, Tennessee, Georgia, Florida, Alabama, Arkansas, Texas, Oklahoma, Kansas, Missouri, South Dakota, Minnesota, Montana, and New Mexico. Pockets of high-rate counties also were found in Vermont, New York, Pennsylvania, New Jersey, Mississippi, Iowa, Wisconsin, North Dakota, Wyoming, Utah, Arizona, and Nevada.
Cardiac rehabilitation eligibility rates among all eligible fee-for-service Medicare beneficiaries by county, 2019–2020

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Cardiac Rehabilitation Participation Rates Among All Eligible Fee-for-Service Medicare Beneficiaries by County. The map shows that the concentrations of counties with the highest cardiac rehabilitation eligibility – meaning the top quintile – are located primarily in Wisconsin, Illinois, Minnesota, Iowa, Missouri, North Dakota, South Dakota, Nebraska, Kansas, Montana, Wyoming, and Colorado. Pockets of high-rate counties also were found in Ohio, Indiana, Michigan, Kentucky, Arkansas Oklahoma, South Carolina, Mississippi, Utah, Idaho, Oregon, New Mexico, and Alaska.
Cardiac rehabilitation participation rates among all eligible fee-for-service Medicare beneficiaries by county, 2019–2020

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Content Source:
National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP); About the Division for Heart Disease and Stroke Prevention