Expansion of Heart Failure Device Therapy Into a Rural Indigent Population in Louisiana: Potential Economic and Health Policy Implications

Kathy Hebert, James Mckinnie, Ron Horswell, Lee Arcement, Lynne Stevenson

Research output: Contribution to journalArticlepeer-review

6 Scopus citations

Abstract

Background: Research regarding the use of implantable devices in patients with congestive heart failure (CHF) has shown mortality benefits. The Center for Medicare and Medicaid Services (CMS) approved new criteria for expanding coverage for such therapies. The purpose of this study was to determine the percentages of CHF patients in a rural, indigent heart failure population that would be eligible for implantable defibrillators (ICD) and cardiac resynchronization therapy (CRT) based on the new CMS criteria. Methods and Results: The new CMS guidelines were applied to information compiled in a database for 451 CHF disease management patients, at Leonard J. Chabert Medical Center. Results show that, annually, 32% of the newly identified CHF patient population would be eligible for ICD therapy and 7.3% would be eligible for CRT therapy. Conclusions: Providers of health care to the indigent may lack sufficient resources for the devices and the infrastructure for device implantation and follow-up.

Original languageEnglish (US)
Pages (from-to)689-693
Number of pages5
JournalJournal of cardiac failure
Volume12
Issue number9
DOIs
StatePublished - Dec 2006

Keywords

  • Defibrillators
  • Implantable cardioverter defibrillator
  • Safety net
  • Uninsured

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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