Ethnoracial Disparities in Medicare Annual Wellness Visit Utilization: Evidence From a Nationally Representative Database

Medical Care
Kimberly E LindMarcelo Coca Perraillon

Abstract

In 2011, Medicare began offering annual preventive care visits (annual wellness visit; AWV) to beneficiaries at no charge. Providing free preventive care supports primary and secondary prevention of chronic disease and may reduce ethnoracial disparities in health outcomes. To estimate AWV utilization trends by ethnoracial group in a nationally representative sample of the Medicare population. We estimated the probability of AWV utilization using probit regression models with beneficiary-reported ethnoracial group as the primary predictor and demographics, socioeconomic indicators, and factors related to access and utilization of health care as covariates. In total, 14,687 fee-for-service Medicare beneficiaries aged 66 years or older who participated in the Medicare Current Beneficiary Survey 2011-2013. AWV utilization was identified using procedure codes. Overall AWV utilization increased from 8.1% (2011) to 13.4% (2013). In 2011, utilization was highest in non-Hispanic white (8.5%) and lowest in non-Hispanic black (4.5%) beneficiaries. Utilization increased the most in non-Hispanic black beneficiaries, to 15.4% in 2013. Significant differences in AWV utilization by non-Hispanic black and Hispanic/Latino beneficiaries were foun...Continue Reading

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Citations

Oct 5, 2019·Medical Care·Kimberly E LindMarcelo Coca Perraillon
Jan 23, 2021·Health Services Research·Kimberly E LindMarcelo Coca Perraillon
Oct 6, 2020·Journal of Primary Care & Community Health·Terese Sara Høj JørgensenAna R Quiñones

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Software Mentioned

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