Singh GM, et al. - Researchers analyzed records from the US Centers for Medicare & Medicaid, covering 98% of older Americans, to analyze trends in cardiovascular disease (CVD) hospitalizations among US Medicare beneficiaries, aged 65+ years, from 1991 to 2014, by single year of age/gender/race/state. They found a nationwide rise in the rates of CVD-associated hospitalization from 1991 to 2014. An increase in differences between hospitalization rates at age 65 and 66 years, signifying magnitude of healthcare deferral until Medicare onset, by 7.49 per 100 people 1991 to 2006 overall was noted, these differences were found to be largest among blacks and Native Americans. In the Midwest/Deep South, consistently highest rates of CVD hospitalizations were documented. There was a proof that race/ethnicity was misclassified in US Centers for Medicare & Medicaid hospitalization records in the 1990s. The crucial requirement for targeted policies to decrease CVD burdens, to enhance reporting of race/ethnicity in large administrative databases, and to improve access to affordable healthcare, was emphasized by the observed trends in CVD-associated hospitalization rates among older Americans.