Cardiac rehabilitation (CR) improves quality of life and clinical outcomes for patients with acute and long-term cardiovascular conditions, but fewer than one-third of patients attend a single session.¹ Disparities in CR participation across vulnerable populations, including patients with lower socioeconomic status (SES), have been well documented.² Yet, solutions to this problem remain elusive, which likely contributes to long-term disparities in cardiovascular quality of care and outcomes. The trial by Gaalema et al³ examined the effectiveness of financial incentives and case managers to improve CR adherence (at least 30 sessions completed) among patients with lower SES who qualified for CR. They demonstrated that financial incentives in the form of direct payments to patients for completing CR sessions improved adherence to CR. The effect of financial incentives was even greater when paired with case management, increasing CR adherence nearly 6-fold from 11% in the control group to 62% in patients receiving both interventions.