Back to Search
Start Over
Medicare annual preventive care visits: use increased among fee-for-service patients, but many do not participate.
- Source :
-
Health affairs (Project Hope) [Health Aff (Millwood)] 2015 Jan; Vol. 34 (1), pp. 11-20. - Publication Year :
- 2015
-
Abstract
- Under the Affordable Care Act (ACA), Medicare coverage expanded in 2011 to fully cover annual preventive care visits. We assessed the impact of coverage expansion, using 2007-13 data from primary care patients of Medicare-eligible age at the Palo Alto Medical Foundation (204,388 patient-years), which serves people in four counties near San Francisco, California. We compared trends in preventive visits and recommended preventive services among Medicare fee-for-service and Medicare health maintenance organization (HMO) patients as well as non-Medicare patients ages 65-75 who were covered by private fee-for-service and private HMO plans. Among Medicare fee-for-service patients, the annual use of preventive visits rose from 1.4 percent before the implementation of the ACA to 27.5 percent afterward. This increase was significantly larger than was seen for patients in the other insurance groups. Nevertheless, rates of annual preventive care visit use among Medicare fee-for-service patients remained 10-20 percentage points lower than was the case for people with private coverage (43-44 percent) or those in a Medicare HMO (53 percent). ACA policy changes led to increased preventive service use by Medicare fee-for-service beneficiaries, which suggests that Medicare coverage expansion is an effective way to increase seniors' use of preventive services.<br /> (Project HOPEāThe People-to-People Health Foundation, Inc.)
- Subjects :
- Aged
California
Female
Health Care Reform statistics & numerical data
Humans
Insurance Coverage statistics & numerical data
Male
United States
Utilization Review statistics & numerical data
Fee-for-Service Plans statistics & numerical data
Health Maintenance Organizations statistics & numerical data
Health Services Accessibility statistics & numerical data
Medicare statistics & numerical data
Patient Acceptance of Health Care statistics & numerical data
Patient Protection and Affordable Care Act statistics & numerical data
Preventive Health Services statistics & numerical data
Primary Health Care statistics & numerical data
Subjects
Details
- Language :
- English
- ISSN :
- 1544-5208
- Volume :
- 34
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Health affairs (Project Hope)
- Publication Type :
- Academic Journal
- Accession number :
- 25561639
- Full Text :
- https://doi.org/10.1377/hlthaff.2014.0483