In this podcast, alternative models of cardiac rehabilitation (CR) are discussed by Drs. Brown and Tracy, with Dr. Forman serving as moderator. The rationale for the needs for remote and hybrid models of care are presented, as well as the definitions of what these alternative models should be (incorporating all of the key components of the standard of care facility based CR). Specific formats (synchronous and asynchronous) are also explored. Broad conceptual value to patients is described as well as specific experiences at Rush University, where remote and hybrid options are available, as well as site-based cardiac rehabilitation care. The safety and reimbursement is also be reviewed.