Reducing Disparities in Healthy Aging Through an Enhanced Medicare Annual Wellness Visit

Tipirneni, Renuka; Ayanian, John Z.; Langa, Kenneth M.

doi:10.1093/ppar/pry048

Cited by 12 publications

(8 citation statements)

References 25 publications

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“…Due to the risk of increased health disparities, Tipirneni et al suggest implementation of a new version of AWVs that targets the root causes of poor health covering individual, social, and behavioral determinants of health in addition to addressing cognition, balance, and vision as predictors of poor health. 37 Our findings and those from previous studies suggest that a first step to increase access to and use of AWVs may be to increase incentives for healthcare providers throughout the US to administer AWVs.…”

Section: Discussionsupporting

confidence: 62%

Annual Wellness Visits and Influenza Vaccinations among Older Adults in the US

Jørgensen

Allore

Elman

et al. 2020

J Prim Care Community Health

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Objectives Investigate whether combinations of sociodemographic factors, chronic conditions, and other health indicators pose barriers for older adults to access Annual Wellness Visits (AWVs) and influenza vaccinations. Methods Data on 4999 individuals aged ≥65 years from the 2012 wave of the Health and Retirement Study linked with Medicare claims were analyzed. Conditional Inference Tree (CIT) and Random Forest (CIRF) analyses identified the most important predictors of AWVs and influenza vaccinations. Multivariable logistic regression (MLR) was used to quantify the associations. Results Two-year uptake was 22.8% for AWVs and 65.9% for influenza vaccinations. For AWVs, geographical region and wealth emerged as the most important predictors. For influenza vaccinations, number of somatic conditions, race/ethnicity, education, and wealth were the most important predictors. Conclusions The importance of geographic region for AWV utilization suggests that this service was unequally adopted. Non-Hispanic black participants and/or those with functional limitations were less likely to receive influenza vaccination.

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Section: Discussionsupporting

confidence: 62%

Annual Wellness Visits and Influenza Vaccinations among Older Adults in the US

Jørgensen

Allore

Elman

et al. 2020

J Prim Care Community Health

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“…Unfortunately, these visits are underused, particularly among primary care practices that serve disadvantaged populations. 4 Assessing the home environment is likely a challenge for clinicians who do not see patients in their homes. However, there are several strategies to identify potential hazards within the home.…”

Section: Related Article Page 662mentioning

confidence: 99%

“…Additionally, Medicare annual wellness visits are an opportunity to screen for adaptive equipment needs, including assessments of the home environment, targeted questions about difficulties with bathing, toilet transfers, and other mobility tasks. Unfortunately, these visits are underused, particularly among primary care practices that serve disadvantaged populations …”

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confidence: 99%

Addressing Unmet Adaptive Equipment Needs Through Primary Care

McGarry

2021

JAMA Intern Med

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“…The AWV provides an opportunity to address root causes of poor health for vulnerable older adults through the use of existing assessment tools such as the Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences (PRAPARE). 11,12 Further, asking about wellness in addition to asking about overall health is important. Research supports a link between wellness, successful aging, and health outcomes; thus, identification of strategies to support wellness may also enhance health promotion efforts.…”

Section: Enhanced Awvmentioning

confidence: 99%