Medicare officials were persuaded by the quality of the study, the benefit of a physician-supervised exercise program, and the counseling component to guide lifestyle and other changes. 'When you look at the big picture, it was a positive step forward' to extend coverage, said Tamara Syrek-Jensen, acting director for the coverage and analysis group at the Centers for Medicare and Medicaid Services, which administers the Medicare program.

医疗保险计划的官员被该研究的质量、医生看护锻炼计划的好处，以及指导生活方式及其他变化的咨询计划所说服。医疗保险计划管理方——医疗保险与医疗救助服务中心(Centers for Medicare and Medicaid Services)负责偿付与分析的代理主任塔玛拉·希赖克-詹森(Tamara Syrek-Jensen)说：“从全局来看，（扩大偿付范围）是个积极的进步。”

Patients and clinicians hope increased access to a structured exercise program will not only improve and prolong patients' lives but reduce hospital admissions -- and readmissions. An estimated 17% of the 42 million elderly beneficiaries of Medicare have a heart-failure diagnosis and account for about 800,000 hospital admissions a year.

患者与医生希望，提供更多的机会供患者参加有组织的锻炼计划，不仅会改善患者的生活，延长他们的寿命，还能降低住院以及再次住院的数量。医疗保险计划的4,200万名早期受益者中估计有17%的人被诊断患有心力衰竭，每年因此住院的数量为80万人次。

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