Subsequently, this public reporting of quality measures was linked. to Medicare hospital reimbursement through the Hospital Inpatient Quality. Reporting Program. Authorized by the 2003 Medicare Modernization Act. (MMA) and the 2005 Deficit Reduction Act (DRA), this âpay-for-reportingâ.
If you are experiencing fear, anxiety or stress, your heart rate will increase. People who can feel their heartbeat, or flutter, may be experiencing palpitations. This may be due to stress, anxiety, medications, or it may be a sign of a serious heart condition.
1 Stress can directly increase heart rate and blood flow, and causes the release of cholesterol and triglycerides into the blood stream. 2  It's also possible that stress is related to other problems -- an increased likelihood of smoking or obesity -- that indirectly increase the heart risks.