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.
Yes, an increased heart rate at night could cause insomnia. An  increased heart rate tends to induce feelings of the fight or  flight response or anxiety. This is something â¦which you should  discuss with your doctor in order to rule out any serious health  conditions.