30 Sep 2026
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MVC Push Report Benchmarks Cardiac Rehab Enrollment, Adherence, and Completion Rates

MVC Push Report Benchmarks Cardiac Rehab Enrollment, Adherence, and Completion Rates

September 30, 2026 | Comments Closed | , , , , , , , ,

Since 2019, the MVC Coordinating Center has emphasized the value and importance of cardiac rehab with its member hospitals, offering claims-based data reporting, workgroup presentations by experts and peers, incentive-based metrics, and other resources to drive improvement. MVC distributed refreshed cardiac rehab push reports this month that continued to benchmark utilization among MVC member hospitals—reports that complement the multi-payer registry pages by incorporating adherence and completion metrics not available on the registry.

The primary motivator behind this work is the ever-growing cohort of patients with cardiovascular disease. Every year in the US, for example, nearly 6.7 million adults manage congestive heart failure (CHF) and more than one million patients undergo cardiac surgical procedures. Cardiac rehab can help patients regain strength and confidence, manage their cardiovascular health, and return to a healthier, more active life. It also has a dose-response relationship—attending more cardiac rehab sessions is associated with lower mortality and morbidity.

The evidence of benefit is clear in the literature, and patient stories affirm its impact and benefit.

“In a sense, the initial heart surgery saved my life the first time, but cardiac rehab saved it a second time,” shared John, a former cardiac rehab participant. “The rehab people performed a small miracle by restoring my self-confidence.”

Another patient, Belinda, shared that her cardiac rehab care at Henry Ford Hospital in Detroit helped her to improve across a variety of health behaviors. “They are so supportive… it encourages you to be faithful in every area with your medication, the exercise. And plus, it helps to elevate your attitude too. It makes you just feel better; it makes you feel more alive… and then you do have something to look forward to.”

Patients like John and Belinda have continued to inspire the MVC Coordinating Center to continually support quality improvement in cardiac rehab utilization. With its latest push report, MVC continued to focus on eligible patients treated for heart attack (AMI), percutaneous coronary intervention (PCI), heart valve repair or replacement (SAVR or TAVR), or coronary artery bypass grafting (CABG), collectively referred to as the “Main 5,” as well as patients with CHF.

The report included MVC 90-day and 365-day episodes of care for adult patients with index cardiac care encounters for Main 5 or CHF conditions. MVC included all its available payer claims between Jan. 1, 2022, and March 31, 2025 (through Sept. 30, 2024 for Medicare). The report provided hospitals with benchmarking data, allowing comparisons in cardiac rehab performance with other eligible MVC hospitals across the state.

Each eligible hospital’s report included a dedicated page highlighting cardiac rehab rates across different patient populations (Figure 1). This table provided an opportunity to examine variation in cardiac rehab participation by race, insurance payer, and Distressed Community Index (DCI) categories to help hospitals better understand which patient populations were experiencing utilization gaps and may benefit from additional support.

Figure 1. Sample Blinded Table Describing Hospital’s Cardiac Rehab Rates Among Different Patient Populations

Two stacked benchmark scatter charts compare MVC hospitals’ CHF care adherence and completion rates within 365 days after discharge. Teal lines mark collaborative averages of 68% and 24%, hollow blue circles show other hospitals, and red dots mark your hospital at 58% adherence and 17% completion, while peer rates generally rise across both charts.

Following the patient population snapshot, MVC also provided benchmarking figures for the Main 5 and CHF patient cohorts, allowing hospitals to compare their cardiac rehab enrollment rates with those of other eligible MVC hospitals. For the Main 5 conditions, the collaborative-wide average 90-day enrollment rate during the reporting period was 34%, below the statewide goal of 40%. Hospital-level enrollment rates ranged from nearly 0% to nearly 60% (Figure 2). For CHF, the collaborative-wide average 365-day enrollment rate was 6%, also below the statewide goal of 10%, with hospital-level rates ranging from 0% to 16% (Figure 3).

Figure 2. 90-Day Cardiac Rehab Enrollment Rate After Discharge from Main 5 Cardiac Care Encounter (Blinded Report)

Line chart compares enrollment rates within 90 days after discharge from five cardiac care encounters across MVC hospitals. Hollow blue circles show other hospitals, black line marks statewide goal at 40%, teal line marks collaborative average at 34%, and red marker identifies your hospital at 44%, with rates generally rising from near 0% to 55%.

Figure 3. 365-Day Cardiac Rehab Enrollment Rate After Discharge from CHF Cardiac Care Encounter (Blinded Report)

Scatter plot shows CR enrollment rate within 365 days after discharge for CHF cardiac care encounters across MVC hospitals. Hollow blue circles rise from near 0% to 16%, teal line marks collaborative average at 6%, black line marks statewide goal at 10%, and red marker identifies Your Hospital at 10%.

In addition to traditional reporting of enrollment rates, MVC incorporated two new measures in the report—adherence and completion—to provide a more comprehensive view of patients’ engagement with cardiac rehab over time. Adherence is an AACVPR performance measure defined as the percentage of enrolled patients who completed at least 12 cardiac rehab sessions within 365 days of the index cardiac care encounter. Completion was defined as the percentage of enrolled patients who completed at least 36 sessions within 365 days of the index cardiac care encounter. Together, these measures provided insight into whether patients continued participating in cardiac rehab after their initial enrollment.

During the reporting period, the statewide average among Main 5 patients was 75% for adherence, meaning that three in four patients completed at least 12 sessions (Figure 4). The statewide average completion rate was 24%, meaning that nearly one in four enrolled Main 5 patients completed at least 36 sessions. Among patients with CHF, 68% completed at least 12 sessions, while 24% completed at least 36 sessions (Figure 5).

Figure 4. Cardiac Rehab Adherence and Completion Rates Within 365 Days After Discharge from Main 5 Cardiac Care Encounters (Blinded Report)

Two-panel dot chart compares MVC hospitals’ cardiac rehabilitation adherence and completion rates within 365 days after discharge from a main five cardiac care encounter. Open circles show other hospitals, blue lines mark collaborative averages of 75% adherence and 24% completion, and red markers show Your Hospital at 77% and 27%, with rates generally increasing across hospitals.

Figure 5. Cardiac Rehab Adherence and Completion Rates Within 365 Days After Discharge from CHF Cardiac Care Encounter (Blinded Report)

Two stacked benchmark scatter charts compare MVC hospitals’ CHF care adherence and completion rates within 365 days after discharge. Teal lines mark collaborative averages of 68% and 24%, hollow blue circles show other hospitals, and red dots mark your hospital at 58% adherence and 17% completion, while peer rates generally rise across both charts.

For hospitals with insufficient case counts, some figures and tables were omitted from the report. Hospitals interested in exploring their cardiac rehab enrollment data further can use the MVC Registry to analyze their hospital’s enrollment rates over time, average number of sessions completed within 90 days, and average time to enrollment (mean days to cardiac rehab). Hospitals interested in examining their cardiac rehab data beyond the information included in the report and the registry can reach out to MVC to request a custom report.

In addition to providing data on cardiac rehab, the MVC Coordinating Center offers a cardiac rehab workgroup where members and partners share strategies and insights to help improve performance. The next workgroup will take place on Tues., Oct. 20, from 12-1 p.m., focused on the content and applications of this push report. More information about upcoming MVC events can be found on the MVC events page.

MVC is a contributing partner of the Michigan Cardiac Rehab Network (MiCR), which is co-led by MVC and the Blue Cross Blue Shield of Michigan Cardiovascular Consortium (BMC2). MiCR aims to increase statewide 90-day cardiac rehab enrollment rates to 40% among Main 5 patients, and 365-day cardiac rehab rates to 10% among eligible CHF patients. To learn more about MiCR and its resources visit https://michigancr.org/.

23 Sep 2026
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Hospitals Receive PY 2026 Mid-Year Scorecards for MVC Component of BCBSM P4P Program

Hospitals Receive PY 2026 Mid-Year Scorecards for MVC Component of BCBSM P4P Program

September 23, 2026 | Comments Closed | , , , , , , , ,

Earlier this month the Michigan Value Collaborative (MVC) distributed mid-year scorecards for Program Year (PY) 2026 of the MVC Component of the Blue Cross Blue Shield of Michigan (BCBSM) Pay-for-Performance (P4P) Program. PY 2026 marks the first year of the two-year (PY 26-27) P4P cycle, and includes Medicaid claims as well as the newly introduced health outcome variation measure in the scoring. This report provided hospitals with their current standing for PY 2026.

Each participating hospital received a mid-year score out of a total of 10 points, including 0 to 3 points for their selected total episode payment metric, 0 to 4 points for their selected value metric, 0 to 1 point for health outcome variation measure and 0 to 2 points for completed eligible engagement activities. PY 2026 scores achievement and improvement points for each metric using index admissions from 2025 performance year data against admissions in 2023 as the baseline year. Hospitals are awarded the higher of their achievement and improvement point scores.

The performance data timeframes included in mid-year PY 2026 scoring were index events 1/1/2025 – 12/31/2025 for BCBSM PPO Commercial, BCBSM Medicare Advantage (MA), BCN HMO Commercial, BCN HMO MA, Medicaid and index events from 1/1/2025 – 6/30/2025 for Medicare FFS. For the health outcome measure, the performance data included were index events from 1/1/1015 – 6/30/2025 to reflect the most recent date range for all payers. The engagement points accrued represent all completed activities from 1/1/2026 – 9/2/2026. All scores are subject to change in the final scorecards as the remaining 2025 performance data becomes available and additional 2026 P4P engagement activities are completed and recorded for this year.

Figure 1 illustrates the current distribution of total points out of 10 across the collaborative. The average points scored across the mid-year scorecards was 5.2 out of 10 and ranged between 0.5 and 10 points. This average is 1.5 points lower than the average points scored at the conclusion of PY 2025.

Figure 1. PY26 Mid-Year Distribution of Total Points Out of 10 Across the Collaborative

Dot plot ranks MVC Hospitals participating in PY26–27 P4P Program by PY26 mid-year score, with scores ranging from roughly 0.5 to 10. Blue hospital markers rise steadily across rankings, while an orange horizontal line marks mean and median at 5.2.

Figure 2 illustrates the breakdown of scoring on average by each program component (i.e., episode spending metric, value metric, health outcome variation measure and engagement points). Hospitals could earn up to three points for their episode spending, four points for their value metric selections, one point for health outcome variation measure and up to two points for engagement activities completed in 2026. Across collaborative, the average points scored for episode spending and value metrics were 1.0 point, and 2.2 points respectively. For the newly introduced health outcome variation measure, the average was 0.6 points and the average for engagement activities was 1.4 points.

Figure 2. PY26 Mid-Year Scoring on Average by Each Program Component

Bar chart showing average points scored across hospitals by category, with y-axis ranging 0–10 points. Blue bars show Episode Spending 1.0/3, Value Metrics 2.2/4, Health Outcome Variation 0.6/1, Engagement 1.4/2, and Total Points 5.2/10.

Figure 3 illustrates the breakdown of the average points by episode spending conditions. Coronary Artery Bypass Grafting (CABG) and Congestive Heart Failure (CHF) were both the highest scoring episode spending conditions with an average of 1.3 points, and this was followed by chronic obstructive pulmonary disease (COPD) with 1 point. The lowest scoring episode spending condition was pneumonia with hospitals earning 0.4 points on average.

Figure 3. PY26 Mid-Year Average Points by Episode Spending Conditions

Bar chart compares average points scored across episode spending conditions: CABG 1.3, CHF 1.3, COPD 1.0, and PCI 0.4. Blue patterned bars use a 0–3 vertical scale, with mean and median both marked as 1.0.

Figure 4 illustrates the breakdown of average points by value metrics. Consistent with PY 2025, the highest scoring value metric was preoperative testing with 3.5 points, followed by 90-day cardiac rehabilitation after CABG with 3.0 points. All follow up metrics had an average score of below 2 points with the lowest scoring value metric being 14-day follow up after COPD with 1.1 points.

Figure 4. PY26 Mid-Year Average Points by Value Metrics

Bar chart compares average points scored across value metrics for preoperative testing and follow-up categories. Dark blue bars decline from 3.5 for preoperative testing to 1.1 for 14-day follow-up after COPD, with mean 2.2 and median 2.0 marked at upper right.

These PY 2026 P4P mid-year scores are subject to change as new data is added. The final scores will be distributed after all 2025 claims are incorporated into the calculations. The full methodology for this program cycle can be found in the PY2026-2027 technical document. Hospitals can also track their score via the P4P PY 2026-2027 dashboard reports on the MVC registry, which provides all relevant scoring information for both improvement and achievement points. These registry reports can be filtered by selected conditions/metrics to make tracking of P4P points easier. You can also contact the MVC Coordinating Center by email for a walkthrough of your hospital’s PY 2026 mid-year scorecard or P4P registry reports.