ArticleHealth affairs (Project Hope)2018
Practices Caring For The Underserved Are Less Likely To Adopt Medicare's Annual Wellness Visit.
Article in Health affairs (Project Hope), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
38 citing papers in PubMed, 66 citations in OpenAlex.
- Older Black and Hispanic Patient Perceptions of Medicare Annual Wellness Visits: A Qualitative Study.Annals of family medicine · 2026Article
- The Role of Medicare Insurance Coverage Type in Annual Wellness Visits: A Comparison Between Traditional Medicare and Medicare Advantage Plan.Journal of general internal medicine · 2026Article
- Demographic differences in annual wellness visit completion after expanded medicare telehealth coverage.BMC health services research · 2026Article
- Disparities in Medicare Annual Wellness Visits After a Systemwide Quality Improvement Initiative: A Serial Cross-sectional Analysis.Journal of general internal medicine · 2025Article
- Optimizing Medicare Annual Wellness Visits Through Quality Improvement: Leveraging Process, Continuity, and Combined Visits.Annals of family medicine · 2025Article
- Remote Physiologic Monitoring Use Among Medicare Patients: Differences By Race, Ethnicity.Health affairs (Project Hope) · 2025Article
- Longitudinal analysis of Annual Wellness Visit use among Medicare enrollees: Provider, enrollee, and clinic factors.Journal of the American Geriatrics Society · 2025Observational
- Article
- Use of preventive service and potentially preventable hospitalization among American adults with disability: Longitudinal analysis of Traditional Medicare and commercial insurance.Preventive medicine reports · 2024Article
- Participation in a Medicare advanced primary care model and the delivery of high-value services.Health services research · 2023Article
- Racial differences in low value care among older adult Medicare patients in US health systems: retrospective cohort study.BMJ (Clinical research ed.) · 2023Article
- Adoption and Value of the Medicare Annual Wellness Visit: A Mixed-Methods Study.Medical care research and review : MCRR · 2023Article
- Integrating 4Ms Assessment through Medicare Annual Wellness Visits: Comparison of Quality Improvement Strategies in Primary Care Clinics.Geriatrics (Basel, Switzerland) · 2023Article
- Collaborating toward equity in Pennsylvania: The Age-Friendly Care, PA project.Health services research · 2023Article
- Practice Billing for Medicare Advance Care Planning Across the USA.Journal of general internal medicine · 2022Article
- Small Solutions for Primary Care Are Part of a Larger Problem.Annals of internal medicine · 2022Article
- Physician- versus practice-level primary care continuity and association with outcomes in Medicare beneficiaries.Health services research · 2022Article
- Medicare's Annual Wellness Visit and diagnoses of dementias and cognitive impairment.Alzheimer's & dementia (Amsterdam, Netherlands) · 2022Article
- Acceptability and Preliminary Effectiveness of a Remote Dementia Educational Training Among Primary Care Providers and Health Navigators.Journal of Alzheimer's disease : JAD · 2022Article
- A New Interprofessional Community-Service Learning Program, HATS (Health Ambassador Teams for Seniors) to Improve Older Adults Attitudes about Telehealth and Functionality.International journal of environmental research and public health · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 4 institutions in 2 countries.
Funding
Abstract
In 2011 Medicare introduced the annual wellness visit to help address the health risks of aging adults. The visit also offers primary care practices an opportunity to generate revenue, and may allow practices in accountable care organizations to attract healthier patients while stabilizing patient-practitioner assignments. However, uptake of the visit has been uneven. Using national Medicare data for the period 2008-15, we assessed practices' ability and motivation to adopt the visit. In 2015, 51.2 percent of practices provided no annual wellness visits (nonadopters), while 23.1 percent provided visits to at least a quarter of their eligible beneficiaries (adopters). Adopters replaced problem-based visits with annual wellness visits and saw increases in primary care revenue. Compared to nonadopters, adopters had more stable patient assignment and a slightly healthier patient mix. At the same time, visit rates were lower among practices caring for underserved populations (for example, racial minorities and those dually enrolled in Medicaid), potentially worsening disparities. Policy makers should consider ways to encourage uptake of the visit or other mechanisms to promote preventive care in underserved populations and the practices that serve them.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.