Appropriateness of Coronary Angiography after Myocardial Infarction among Medicare Beneficiaries — Managed Care versus Fee for Service

Abstract

In situations in which angiography is thought to be useful, it is used less often among Medicare beneficiaries enrolled in managed-care plans than among those with fee-for-service coverage. Moreover, rates of use among patients with class I indications are fairly low in both groups, suggesting that there is room for improving the care of elderly patients with myocardial infarction, especially those admitted to hospitals without angiography facilities.