Reducing Racial and Ethnic Disparities in Medicare Annual Wellness Visit Uptake

Reducing Racial and Ethnic Disparities in Medicare Annual Wellness Visit Uptake

The goal of this randomized pilot study is to learn the impact of a primary care outreach intervention on the proportion of patients with Medicare insurance who are up-to-date on Medicare Annual Wellness Visit completion. At two clinics, researchers will randomize clinicians (and their associated, eligible patients) to early or delayed outreach.

Inclusion Criteria:

• ≥1 in-person primary care visit during 18-month lookback period AND
• Medicare or Medicare Advantage insurance AND
• ≥1 risk factor shown to be associated with being overdue for Medicare Annual Wellness Visits (identified in preparatory analysis prior to pilot trial): Black/African American race or Latino/Hispanic ethnicity OR Not up-to-date for social needs screening OR Positive social need in past 18 months OR Medicaid insurance OR No use of scheduling features within patient portal in past 18 months
• Preferred language English AND
• Attributed primary care clinic is 1 of the participating clinics in the pilot trial AND
• No AWV completion (CPT G0402, G0438, G0439, G0468) during 10-month lookback period AND
• No appointment scheduled for upcoming AWV

Exclusion Criteria:

• Patients will be excluded if they are receiving palliative care or if their clinician feels that outreach for preventive care is inappropriate.