Annual wellness visit

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In primary care and preventive medicine, Annual wellness visit is a " yearly 'Wellness' visit to develop or update your personalized plan to help prevent disease and disability, based on your current health and risk factors. The yearly “Wellness” visit isn’t a physical exam."[1]

As of Jan 2011, the Affordable Care Act expanded coverage to include an Annual Wellness Visit (AWV) for Medicare Advantage enrollees. The AWV's focus is on health promotion as well as disease prevention through coordination of evidence-based preventive services that include, but are not limited to, lipid and metabolic panels, pneumonia vaccine, flu vaccine, depression screening, etc. Based on the policy statement[2] in the AARP Public Policy Institute May 2019 edition and supported by Camacho, Yao, and Anderson[3], a steady rise in AWVs was observed from 2011-2015 which led to an increase in use of preventive services. A more recent review associates some preventive care services with receiving an annual wellness visit[4].

Implementing annual wellness visits

In 2014, 14%[5] and 15.6^[6] of Medicare beneficiaries had an annual wellness visit in two cohorts.

In 2020, a large scale quality improvement project yielded let to 60% of patients receiving an annual wellness visit[7].

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References

  1. U.S. Centers for Medicare and Medicaid Services. Yearly "Wellness" Visits. https://www.medicare.gov/coverage/yearly-wellness-visits
  2. Carter EA (2019). Annual Wellness Visits among Medicare Advantage Enrollees: Trends, Differences by Race and Ethnicity, and Association with Preventive Service Use. AARP. Available at https://www.aarp.org/content/dam/aarp/ppi/2019/05/annual-wellness-visits-among-medicare-advantage-enrollees.pdf
  3. Camacho F, Yao NA, Anderson R (2017). "The Effectiveness of Medicare Wellness Visits in Accessing Preventive Screening". J Prim Care Community Health. 8 (4): 247–255. doi:10.1177/2150131917736613. PMC 5932741. PMID 29082793.
  4. Liss DT, Uchida T, Wilkes CL, Radakrishnan A, Linder JA (2021). "General Health Checks in Adult Primary Care: A Review". JAMA. 325 (22): 2294–2306. doi:10.1001/jama.2021.6524. PMID 34100866 Check |pmid= value (help).
  5. Hu J, Jensen GA, Nerenz D, Tarraf W (2015). "Medicare's Annual Wellness Visit in a Large Health Care Organization: Who Is Using It?". Ann Intern Med. 163 (7): 567–8. doi:10.7326/L15-5145. PMID 26436630.
  6. Ganguli I, Souza J, McWilliams JM, Mehrotra A (2017). "Trends in Use of the US Medicare Annual Wellness Visit, 2011-2014". JAMA. 317 (21): 2233–2235. doi:10.1001/jama.2017.4342. PMC 5815054. PMID 28423397.
  7. Zeiger TM, Thatcher EJ, Kirpekar S, Coran JJ, Topalsky G, Zarach MJD; et al. (2022). "Achieving Large-Scale Quality Improvement in Primary Care Annual Wellness Visits and Hierarchical Condition Coding". J Gen Intern Med. doi:10.1007/s11606-021-07323-1. PMC 8768436 Check |pmc= value (help). PMID 35048289 Check |pmid= value (help).