News | October 12, 2009

Medicare Cutbacks Threaten Cardiac Care Access for Rural Patients

October 12, 2009 – Medicare regulatory changes expected to be finalized in November pose a threat to 80 million American patients suffering from heart disease, especially for the nearly one in four over the age of 65 living in rural areas, according to the medical lobby group Guarding Hearts Alliance.

Many cardiologists who operate in rural areas believe the proposal will force them to close their outreach offices completely since many of these operations run at a fiscal loss but offer an important service to remote communities.

"We currently provide cardiac services to nine remote clinics two to four times each month," said Joe Stevenson, M.D., president of Sierra Nevada Cardiology Associates in Reno, Nev. "If these Medicare cuts go through, we will not be able to provide diagnostic echocardiography services on-site at those locations. That will mean our rural patients will have to drive up to 400 miles round trip to obtain these critical imaging tests. Some of them just won't be able or willing to do that. And since 50 percent of patients experience their first cardiac disease symptoms as a heart attack, the lack of access to diagnostic tests will put their lives at tremendous risk."

At issue is the amount Medicare, a federal program that helps people 65 or older pay health care costs, reimburses cardiologists for lifesaving diagnostic testing. Beginning in January 2010, reimbursement rates could be slashed in some cases by an additional 40 percent for imaging and other diagnostic tools cardiologists use.

Guarding Hearts Alliance said cardiologists, especially in rural areas, will have to stop using these tools and instead send their patients to get these tests at hospitals. Many rural patients will face long distance travel to hospitals, out-of-pocket costs that are as much as five times higher than in-office copays and wait times for tests and test results that will take days, not hours as currently is the case when obtained in the cardiologist's office.

Guarding Hearts Alliance is fighting Washington over the proposal, which the group says is based on questionable data gathered in 2006 via a study it considers statistically invalid, which used data from only 55 cardiologists.

The Guarding Hearts Alliance is a partnership representing more than 23,000 cardiologists across the country, all of whom are strongly in favor of Medicare regulations and healthcare reform initiatives that put patients first in preserving access to quality cardiac care. Administered through the Cardiology Advocacy Alliance, the group is concerned about potential changes that could inadvertently endanger patient lives. Such issues as imaging equipment utilization and reimbursement fee schedules might sound like they would generate simple shifts in business practices, but the group says they represent a potential threat to access to lifesaving technology that serve the range of rural Medicare recipients to privately insured urban residences alike.

For more information: www.GuardingHeartsAlliance.org.

Related Content

Oregon Tech Partners with Mindray for High-Tech Ultrasound Education
News | Ultrasound Imaging| August 04, 2017
To better prepare its ultrasound students to compete and thrive in the evolving healthcare environment, Oregon...
Carestream Shows Touch Prime Systems at Society for Vascular Ultrasound Conference
News | Cardiovascular Ultrasound| August 03, 2017
Carestream will showcase its Carestream Touch Prime and Touch Prime XE Ultrasound Systems at the Society for Vascular...
Hitachi and West Virginia University Partner to Advance Left Ventricular Mechanical Function Evaluation
News | Cardiovascular Ultrasound| July 21, 2017
Hitachi Healthcare and the West Virginia University Heart and Vascular Institute announced the formation of a new...
3-D Vascular Ultrasound Quantifies Plaque Burden to Estimate Cardiovascular Risk
News | Cardiovascular Ultrasound| July 20, 2017
July 20, 2017 — In a large, first-of-its-kind population, researchers found an experimental technique known as...
Floyd Medical Center Acquires Quartet of Toshiba Cardiac Ultrasound Systems
News | Cardiovascular Ultrasound| July 19, 2017
Floyd Medical Center in Rome, Ga., recently installed three new Aplio 500 Platinum CV ultrasound systems from Toshiba...
Cardiac CT scan showing plaque and calcification in the coronary arteries, from a Toshiba CT scanner
News | Business| July 19, 2017
July 19, 2017 — The Society of Cardiovascular Computed Tomography (SCCT) created a reimbursement fee chart for cardia
Sponsored Content | Videos | Cardiovascular Surgery| July 19, 2017
This video educational session, provided in partnership with the American Society of Echocardiography (ASE), is title
Sponsored Content | Videos | Cardiovascular Ultrasound| July 19, 2017
This video educational session, provided in partnership with the American Society of Echocardiography (ASE), is title
Automated medical imaging views using deep learning, artificial intelligence, Philips Epiq

GE, Siemens and Philips are among the echocardiography vendors that incorporate deep learning algorithms into its echo software to help automatically extract standard imaging views from 3-D ultrasound datasets. This is an example of the Philips Epiq system, which uses the vendor's Anatomical Intelligence software to define the anatomical structures and automatically display standard diagnostic views of the anatomy without human intervention. This can greatly speed workflow and reduce inter-operator variability. 

Feature | Artificial Intelligence| July 17, 2017 | Oksana Bandura
Medical image analysis based on artificial intelligence (AI) employ convolutional neural networks, support vector mac
Edwards Sapien 3 cleared by FDA to use for valve in valve mitral procedures

One of the top stories for the month was the Edwards Sapien 3 TAVR valve gaining FDA clearance for use in transcatheter valve-in-valve aortic and mitral procedures. 

Feature | June 30, 2017
June 30, 2017 — Here is the list of the most popular pieces of content on the Diagnostic and Interventional Cardiolog
Overlay Init