ArticleJournal of general internal medicine2025
Disparities in Medicare Annual Wellness Visits After a Systemwide Quality Improvement Initiative: A Serial Cross-sectional Analysis.
Article in Journal of general internal medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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
1 citing paper in PubMed.
- Older Black and Hispanic Patient Perceptions of Medicare Annual Wellness Visits: A Qualitative Study.Annals of family medicine · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
backgroundMedicare Annual Wellness Visits (AWVs) offer potential benefits for older adults. Little is known about recent racial/ethnic disparities in populations with high AWV completion.
objectiveTo calculate racial/ethnic disparities before and after a health system initiative to increase AWV completion, and investigate factors associated with post-initiative AWV completion.
designRepeated cross-sectional evaluation over 3 years, ending August 2023. PATIENTS: Medicare beneficiaries age ≥ 65 in a large Midwestern U.S. health system. Race/ethnicity was categorized as White non-Hispanic, Black/African American non-Hispanic, Latino/Hispanic, Asian non-Hispanic, and Other non-Hispanic. MAIN MEASURES: Annual AWV completion during the pre-initiative year (year 0) and two subsequent initiative years. Regression models tested for unadjusted and covariate-adjusted disparities in AWV completion. KEY
resultsThe health system's overall rate of AWV completion increased from 47.5% in year 0 to 68.9% in year 2. All racial/ethnic groups experienced similar proportional increases in AWV completion, including 21.5% among White, 21.6% among Black, and 22.5% among Latino/Hispanic patients. In unadjusted regression for year 2 (N = 92,634) results, the probability of AWV completion was 15% lower among both Black (relative risk, [RR], 0.85; 95% confidence interval [CI], 0.82-0.89) and Latino/Hispanic (RR, 0.85; 95% CI, 0.82-0.87) patients, compared to Whites. However, the adjusted probability of AWV completion was only 4% lower in Black (RR, 0.96; 95% CI, 0.93-1.00) and 5% lower in Latino/Hispanic (RR, 0.95; 95% CI, 0.91-0.99) patients than in Whites. AWV completion was positively associated with age ≥ 70, using the patient portal for appointment scheduling, and prior year AWV completion, and negatively associated with Medicaid coverage, positive screening for any social need, and dementia.
conclusionsA 2-year health system initiative led to substantially increased AWV completion, but pre-existing disparities persisted. To reduce disparities, future efforts should explicitly focus on enhancing equity and addressing barriers in subgroups with particularly low AWV completion.
Indexed as
Identifiers
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.