Evidence map›Paper›PMID 31682513›Full record

ArticleHealth affairs (Project Hope)2019

Association Of Medicare's Annual Wellness Visit With Cancer Screening, Referrals, Utilization, And Spending.

Ishani Ganguli, Jeffrey Souza, J Michael McWilliams, Ateev Mehrotra

Abstract read
In one paragraph

Article in Health affairs (Project Hope), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed.

  1. Article
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  4. Review
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  11. Article
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  15. Article
  16. Article
  17. Observational
  18. Article
  19. A Qualitative Implementation Study to Improve Medicare Annual Wellness Visits.Journal of the American Board of Family Medicine : JABFM
    Article
  20. National Trends of Telehealth Use in Medicare Annual Wellness Visits.Journal of the American Board of Family Medicine : JABFM
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Ishani GanguliIshani Ganguli ( iganguli@bwh. harvard. edu ) is an assistant professor of medicine in the Division of General Internal Medicine and Primary Care, Brigham and Women's Hospital and Harvard Medical School, both in Boston, Massachusetts.
Jeffrey SouzaJeffrey Souza is a programmer in the Department of Health Care Policy, Harvard Medical School.
J Michael McWilliamsJ. Michael McWilliams is the Warren Alpert Foundation Professor of Health Care Policy in the Department of Health Care Policy, Harvard Medical School.
Ateev MehrotraAteev Mehrotra is an associate professor of health care policy and medicine in the Department of Health Care Policy, Harvard Medical School.

Funding

Tradeoffs in the Design of Public Long-Term Care BenefitsP01AG032952 · NIA · HARVARD MEDICAL SCHOOL · PI Bruce E. Landon · 2009 to 2026
$39.0M
NIA NIH HHS P01 AG032952
6 · The paper itself

Abstract

Medicare's annual wellness visit was introduced in 2011 to promote evidence-based preventive care and identify risk factors and undiagnosed conditions in aging adults. Use of the visit has risen steadily since then, yet its benefits remain unclear. Using national Medicare data for 2008-15, we examined claims from fee-for-service Medicare beneficiaries attributed to practices that did or did not adopt the visit. We performed difference-in-differences analysis to compare differential changes in appropriate and low-value cancer screening, functional and neuropsychiatric care, emergency department visits, hospitalizations, and total spending. Examining 17.8 million beneficiary-years, we found modest differential improvements in rates of evidence-based screening and declines in emergency department visits. However, when we accounted for trends that predated the introduction of the visit, none of these benefits persisted. In sum, we found no substantive association between annual wellness visits and improvements in care.

Indexed as

Early Detection of CancerHealth ExpendituresMedicare Part AMedicare Part BOffice VisitsPatient Acceptance of Health CareReferral and ConsultationAgedEmergency Service, HospitalFee-for-Service PlansFemaleHumansInsurance Claim ReviewMiddle AgedUnited StatesAccess and useCancer screeningCosts and spendingEmergency departmentshealth policyHospital referral regionsMedicareMedicare savings programsPreventive careprimary careWellness

Identifiers

PMID31682513
PMCPMC6903905

What OpenQuestion holds

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Registered trials

None linked

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.