000			03079nam a22004697a 4500
008			180928s20182018 xxu||||| |||| 00| 0 eng d
022			_a0091-7435
024			_a10.1016/j.ypmed.2018.08.035 [doi]
024			_aS0091-7435(18)30266-4 [pii]
040			_aOvid MEDLINE(R)
099			_a30176266
245			_aThe effect of Medicare's Annual Wellness Visit on preventive care for the elderly.
251			_aPreventive Medicine. 116:126-133, 2018 11.
252			_aPrev Med. 116:126-133, 2018 11.
253			_aPreventive medicine
260			_c2018
260			_fFY2019
265			_saheadofprint
265			_sppublish
266			_d2018-09-28
520			_aCopyright (c) 2018 Elsevier Inc. All rights reserved.
520			_aThe study aim was to assess the effect of receiving an Annual Wellness Visit (AWV) between 2011 and 2013 on the annual rate of eight preventive services recommended for the Medicare population following the AWV. We used retrospective Medicare claims from 2009 to 2014 for a 5% national sample of fee-for-service beneficiaries in the United States. Propensity score-adjusted logistic regressions were performed to estimate the log odds of the probability of receiving the preventive services between beneficiaries who received AWVs during 2011-13 and those who did not during the same period. The average marginal effect was also reported. Among 845,318 patients who met the inclusion and exclusion criteria, 23% had an AWV in 2011-2013. In a propensity-matched sample of 381,934 patients, AWV participants are more likely to undergo subsequent preventive services within a year (adjusted odds ratio ranges from 1.46 (95% CI, 1.44, 1.49) to 2.43 (95% CI, 2.38, 2.49). The findings are consistent using secondary outcomes or with subgroups defined by baseline primary care provider visits or baseline preventive services. These analyses showed that AWV is associated with a significant increase in all the preventive services examined. As Healthy People 2020 has established a target goal to increase the proportion of older adults who receive a core set of clinical preventive services by 10%, AWV represents a promising opportunity to facilitate the delivery of preventive care for the elderly and to advance our knowledge about effective strategies for healthy aging.
546			_aEnglish
650			_a*Healthy Aging
650			_a*Medicare/sn [Statistics & Numerical Data]
650			_a*Preventive Health Services/sn [Statistics & Numerical Data]
650			_aAged
650			_aAged, 80 and over
650			_aFemale
650			_aHumans
650			_aMale
650			_aMedicare/td [Trends]
650			_aPreventive Health Services/td [Trends]
650			_aRetrospective Studies
650			_aUnited States
651			_aMedStar Institute for Quality and Safety
657			_aJournal Article
700			_aWang, Wenyi
790			_aHughes DR, Jiang M, Wang W
856			_uhttps://dx.doi.org/10.1016/j.ypmed.2018.08.035 _zhttps://dx.doi.org/10.1016/j.ypmed.2018.08.035
942			_cART _dArticle
999			_c3704 _d3704