Telemetrics

Grader A: hit

Remote monitoring of pacemakers and ICDs is standard of care: nearly two-thirds of US Medicare CIED beneficiaries had remote monitoring encounters, and enrollment exceeds 85% in recent cohorts. Well above 5% before 2022.

Test: D37 health: share of relevant patients, providers or procedures using it by 2022 (hit >=5%; partial <5% real use by 2022 or 5% in 2023-2025; miss no real use by 2025); relevant: patients with monitorable devices or chronic conditions

• Cardiac implantable electronic device patient follow-up: Assessment of U.S. practice (2024): Over one-third of Medicare CIED beneficiaries never had a remote monitoring encounter, so nearly two-thirds did
• Smartphone-based CIED remote monitoring: improved compliance and connectivity (2023): 85-94% enrollment in remote monitoring, 2020-21 implants

Grader B: hit

In 211,346 Medicare beneficiaries with new cardiac implantable devices (2015-2020), roughly two-thirds had at least one remote-monitoring encounter (over one-third had none); CMS added RPM billing codes in 2019. Well above 5% by 2022, though adherence to recommended frequency was low.

Test: D37 health: >=5% of relevant patients (e.g. implanted cardiac device holders, chronic-condition patients) are remotely monitored by 2022 = hit.

• Cardiac implantable electronic device patient follow-up: Assessment of U.S. practice (Heart Rhythm) (2024): Medicare CIED cohort 2015-2020: over one-third never had remote monitoring, so most did; <5% at recommended frequency.