Decision Memo for Intensive Cardiac Rehabilitation (ICR) Program. TO: Administrative File: CAG- 0. N. FROM: Tamara Syrek Jensen, JD. Acting Director/Deputy Director. Coverage and Analysis Group. Acting Director. Division of Medical and Surgical Services. Joseph Chin, MD, MS. Lead Medical Officer. Michelle Issa, MBA. Lead Analyst. SUBJECT: Decision Memorandum for Coverage of Intensive Cardiac Rehabilitation Program. Benson- Henry Institute Cardiac Wellness Program. Decision. The Centers for Medicare & Medicaid Services (CMS) has determined that the evidence is sufficient to expand the intensive cardiac rehabilitation (ICR) benefit to include the Benson- Henry Institute Cardiac Wellness Program, which meets the ICR program requirements set forth by Congress in . Background. The following acronyms are used throughout this document. For the readers convenience they are listed here in alphabetical order. AHA - American Heart Association. LECTURE ONE THE APOSTOLIC IDEAL OF HYMNODY. I begin with a simple expression of satisfaction; not so much that the reverend Faculty have again recognized Hymnology as. You may be familiar with research showing that highly trained Tibetan monks are able to control their body temperature by using the power of their mind, even to the. Search Harvard Health Publications. What can we help you find? Enter search terms and tap the Search button. Both articles and products will be searched. BMI - body mass index. BP - blood pressure. CMS - Centers for Medicare & Medicaid Services. CAD - coronary artery disease CR - cardiac rehabilitation. CHL - cholesterol. DBP - diastolic blood pressure. DM - diabetes medications. ICR - intensive cardiac rehabilitation. LDL - low density lipoprotein. Herbert Benson Mind Body Program BostonLMPD - Medicare Lifestyle Modification Program Demonstration. MBMI - Cardiac Wellness Program of the Benson- Henry Mind Body Medical Institute. MET - metabolic equivalents of task. NCA - national coverage analysis. NCD - national coverage determination. PTCA - percutaneous transluminal coronary angioplasty. RCT - randomized controlled trial. SBP - systolic blood pressure. SH - systolic hypertension. TG - triglycerides. Cardiac rehabilitation (CR) was developed in the 1. Ornish's Program for Reversing Heart Disease (CAG- 0. N), the other program in Medicare Lifestyle Modification Program Demonstration, and the Pritikin Program (CAG- 0. N). III. History of Medicare Coverage. Sections 1. 86. 1(s)(2)(DD) and 1. A- C) of the Social Security Act (the Act) provide for coverage of items and services furnished under a ICR program under part B. It must also demonstrate through peer- reviewed published research that it accomplished a statistically significant reduction in five or more of the following measures for patients from their levels before cardiac rehabilitation services to after cardiac rehabilitation services: (1) low density lipoprotein; (2) triglycerides; (3) body mass index; (4) systolic blood pressure; (5) diastolic blood pressure; and (6) the need for cholesterol, blood pressure, and diabetes medications. Ornish's Program for Reversing Heart Disease and the Pritikin Program in 2. Benefit category. Medicare is a defined benefit program. Timeline of Recent Activities. September 3, 2. 01. CMS initiates this national coverage analysis ICR program – Benson- Henry. FDAThe Benson- Henry Institute Cardiac Wellness Program is not subject to FDA oversight. The Benson-Henry Institute for Mind Body Medicine at Massachusetts General Hospital conducts research, training and clinical practice of evidence-based practices in. Read Library EBooks Name.xlsx text version. Health Mind Body (6566) Nutrition: A Handbook for Nurses (Wiley Series in Nursing) By Carolyn Best Enlightenment Blues. Mind-body medicine reveals the connections between the mind, body and spirit and the individual’s ability to stay healthy and cope with chronic disease. Decision Memo for Intensive Cardiac Rehabilitation (ICR) Program - Benson-Henry Institute Cardiac Wellness Program (CAG-00434N). Herbert Benson Mind Body Program WisconsinVI. General Methodological Principles. When making national coverage determinations concerning ICR programs, CMS evaluates peer- reviewed published research to determine whether or not the ICR program meets the criteria required in . Introduction. In this coverage analysis, we considered peer- reviewed evidence specifically on the Benson- Henry Institute Cardiac Wellness Program to assess whether the program meets the statutorily defined requirements to be included as an intensive cardiac rehabilitation program under the Medicare program as listed in . Literature Search. CMS searched Pub. Med from 2. 00. 0 (when CR interventions broadened and formalized into multicomponent intervention programs) to December 2. Benson- Henry, cardiac wellness, cardiac rehabilitation and exercise. External technology assessment. None were found. 2. Internal technology assessment. Casey A, Chang BH, Huddleston J, Virani N, Benson H, Dusek JA. Jul- Aug; 2. 9(4): 2. Mean age of participants was 6. Stress management versus lifestyle modification on systolic hypertension and medication elimination: a randomized trial. Mar; 1. 4(2): 1. 29- 3. The authors reported: . Executive Summary: Evaluation of Lifestyle Modification and Cardiac Rehabilitation in Medicare Beneficiaries. Effects of the Medicare Lifestyle Modification Program Demonstration on Cardiac Risk and Quality of Life. April 1. 5, 2. 00. Shepard and colleagues reported the results of the Medicare Lifestyle Modification Program Demonstration (LMPD), a CMS funded project designed to test the effectiveness of providing payment for cardiovascular lifestyle modification program services to Medicare beneficiaries age 6. At nine sites in the U. S., 4. 42 beneficiaries were enrolled into the Benson program. Benefits and costs of intensive lifestyle modification programs for symptomatic coronary disease in Medicare beneficiaries. May; 1. 65(5): 7. Epub 2. 01. 3 Mar 1. Zeng and colleagues published the results of the Medicare Lifestyle Modification Program Demonstration (LMPD), as previously described by Shepard and colleagues in their 2. CMS, with additional evaluation of hospitalizations and mortality at three years. Professional Society. No professional society statements were found on this program. Evidence- based guidelines. None were found. 6. Consensus statement. None were found. 7. Public Comments Initial 3. During the initial 3. CMS received one public comment. Comment: Commenters claimed that the Benson- Henry program did not meet the requirement . Dean Ornish Program for Reversing Heart Disease. We believe the mortality finding in the Benson- Henry study is consistent with the second scenario noted above. Zeng W, Stason WB, Fournier S, Razavi M, Ritter G, Strickler GK, Bhalotra SM, Shepard DS. Benefits and costs of intensive lifestyle modification programs for symptomatic coronary disease in Medicare beneficiaries. May; 1. 65(5): 7. PMID: 2. 36. 22. 91. Comment: Commenters noted that the Benson- Henry program should be covered as traditional CR and not ICR. Response: We disagree with this comment. CMS Analysis. This NCD is a scope of benefit determination and is made by the Secretary with respect to whether or not a particular ICR program meets the coverage requirements under title XVIII of the Social Security Act. The criteria and approval of intensive cardiac rehabilitation programs are defined by statute (Sections. DD) and 1. 86. 1(eee)(4)(A- C) of the Social Security Act). To be approved as an ICR program, it must demonstrate through peer- reviewed, published research that it has accomplished one or more of the following for its patients: (1) positively affected the progression of coronary heart disease; (2) reduced the need for coronary bypass surgery; or, (3) reduced the need for percutaneous coronary interventions. An ICR program must also demonstrate through peer- reviewed, published research that it accomplished a statistically significant reduction in five or more of the following measures for patients from their levels before CR services to after CR services: (1) low density lipoprotein; (2) triglycerides; (3) body mass index; (4) systolic blood pressure; (5) diastolic blood pressure; and (6) the need for cholesterol, blood pressure, and diabetes medications. Question: Does the Benson- Henry Institute Cardiac Wellness Program meet the requirements set forth in . Statistically significant reduction in 5 or more of the following measures: (1) low density lipoprotein (LDL); (2) triglycerides (TG); (3) body mass index (BMI); (4) systolic blood pressure (SBP); (5) diastolic blood pressure (DBP); and (6) the need for cholesterol (CHL), blood pressure (BP), and diabetes medications (DM). Two reports (Casey, 2. Dusek, 2. 00. 8) that were published in peer- reviewed journals provided evidence on statistically significant reductions in cardiac risk factors (five or more of the above measures). Conclusion. The CMS has determined that the evidence reviewed is satisfactory to conclude that expanding the ICR benefit to include the Benson- Henry Institute Cardiac Wellness Program, meets the ICR program requirements as set forth by Congress in . The language is subject to formal revisions and formatting changes prior to the release of the final NCD in the NCD Manual. Medicare National Coverage Determinations Manual. Chapter 1, Part 1 (Sections 1. Draft NCD2. 0. 3. Intensive Cardiac Rehabilitation (ICR) Programs. Intensive cardiac rehabilitation (ICR) refers to a physician- supervised program that furnishes cardiac rehabilitation services more frequently and often in a more rigorous manner. The ICR program must also demonstrate through peer- reviewed published research that it accomplished a statistically significant reduction in five or more of the following measures for patients from their levels before cardiac rehabilitation services to after cardiac rehabilitation services: (1) low density lipoprotein; (2) triglycerides; (3) body mass index; (4) systolic blood pressure; (5) diastolic blood pressure; and, (6) the need for cholesterol, blood pressure, and diabetes medications. CMS uses the NCD process to review each ICR program based on peer- reviewed published research, to ensure the program under evaluation demonstrates that it satisfies the specific standards set forth in section 1. Act. General. The fundamental concepts of the Benson- Henry Institute Cardiac Wellness Program were developed by Herbert Benson, MD over 4. Nationally Covered Indications. Effective for claims with dates of service on and after XXXXXXX, the Benson- Henry Institute Cardiac Wellness Program meets the ICR program requirements set forth by Congress in . Nationally Non- Covered Indications. Effective XXXXXXX, if a specific ICR program is not included on the list as a Medicare- approved ICR program, it is non- covered.
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