At a glance
Costs of care
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.
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.
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.
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.
Incremental costs
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.
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.
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.
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.
Cardiac rehabilitation
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 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.
Definitions:
Cardiac rehabilitation (CR) eligibility refers to the eligibility rate for Medicare beneficiaries who have a primary qualifying event or diagnosis defined by the Million Hearts Outpatient Cardiac Rehabilitation Use Surveillance Methodology. Qualifying events or diagnoses include acute myocardial infarction, coronary artery bypass graft surgery, heart valve repair or replacement procedure, percutaneous coronary intervention or coronary stenting, and heart or heart-lung transplant.
Cardiac rehabilitation participation refers to the participation rate for beneficiaries who attended one or more CR sessions within 365 days of a qualifying event.