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Peer-Reviewed Publication
J Med Econ2026;29(1):2076-2085.December 1, 2026Journal Article

All-cause healthcare cost differences across ambulatory cardiac monitoring modalities in Medicare beneficiaries: a real-world claims-based study using entropy balancing.

Pierantonio Russo1, Ramaa Nathan1, Mostafa Shokoohi2, Erik Hendrickson3, Ken Boyle3, Mintu Turakhia3,4, Brent Wright3
1Eversana, Overland Park, KS, USA.
2Department of Health Sciences, Brock University, St. Catharines, Ontario, Canada.
3iRhythm Technologies, San Francisco, CA, USA.
4Stanford University School of Medicine, Stanford, CA, USA.

Abstract

OBJECTIVES: Arrhythmias, including atrial fibrillation and ventricular tachycardia, are associated with substantial morbidity and healthcare utilization in older adults. Ambulatory cardiac monitoring (ACM) is used to evaluate suspected or known arrhythmias; however, monitoring modalities vary in duration, diagnostic yield, and cost. We evaluated differences in total cost of care across major ACM m…

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