The “Welcome to Medicare” Visit: A Missed Opportunity for Cancer Screening Among Women?

Salloum, Ramzi G.; Jensen, Gail A.; Biddle, Andrea K.

doi:10.1089/jwh.2012.3777

Cited by 18 publications

(15 citation statements)

References 20 publications

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“…Other studies have also suggested that mammography rates did not increase following the introduction of the Welcome to Medicare visit. 13 Slight decreases in colorectal screening and bone densitometry were observed among Medicare fee-for-service enrollees, but the decreases were significantly smaller than those in comparison groups. This suggests that changes across the Palo Alto Medical Foundation may have been partly offset by increased coverage of Welcome to Medicare and annual wellness visits.…”

Section: Discussionmentioning

confidence: 95%

Medicare Annual Preventive Care Visits: Use Increased Among Fee-For-Service Patients, But Many Do Not Participate

Chung¹,

Lesser²,

Lauderdale

et al. 2015

Health Affairs

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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.

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Section: Discussionmentioning

confidence: 95%

Medicare Annual Preventive Care Visits: Use Increased Among Fee-For-Service Patients, But Many Do Not Participate

Chung¹,

Lesser²,

Lauderdale

et al. 2015

Health Affairs

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“…The Welcome to Medicare Visit was first introduced in 2005. In 2006, approximately 2.9% of beneficiaries took advantage of this benefit , which increased to 3.2% in 2007. Lastly, even in a large health system, fewer than 3.2% of beneficiaries used the Medicare Annual Wellness Visit following implementation of Affordable Care .…”

Section: Discussionmentioning

confidence: 99%

Uptake of the centers for medicare and medicaid obesity benefit: 2012–2013

Batsis

Bynum

2016

Obesity

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Objective To assess the use of the Medicare Obesity coverage benefit (MOB) by a licensed physician or associate provider in an outpatient setting in older adults. Methods We used a serial cross-sectional analysis of fee-for-service Medicare claims (2012 and 2013) to assess the use of the MOB. Number and proportion of Medicare beneficiaries over age 65 using the benefit were assessed. Correlation between state-obesity rates and MOB uptake was determined based on state-specific obesity prevalence data from the Behavioral Risk Factor Surveillance System. Results There were 27,338 (0.10%) Medicare beneficiaries over age 65 in 2012 using the MOB, slightly more in 2013 (n=46,821 [0.17%]). Mean age of MOB users in both years was 73 years and 62% were females. Use declined with older age and was highest in the Northeast and lowest in the Midwest. High state obesity prevalence was not correlated with higher uptake of the MOB. Estimated proportion of persons with obesity using the MOB was 0.35% and 0.60% in successive years. We observed a mean of 1.99 and 2.16 claims/MOB user. Conclusions While the rate of MOB use increased in the second full year of its implementation, few are availing themselves of this benefit.

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“…Only 3 % of new Medicare enrollees were found to use this benefit in 2006, and the key reason was lack of knowledge about it [15]. Salloum et al [16] report that newly enrolled Medicare eligible women did not take advantage of this benefit, and hence, mammography percentages among this group did not increase. Of newly enrolled women aged 65–66 without a history of breast cancer, 25 % reported a screening compared to 35 % of those aged 67–68 [16].…”

Section: Discussionmentioning

confidence: 99%

Enhancing screening and early detection among women transitioning to Medicare from the NBCCEDP in Georgia

Adams

Bayakly

Berzen

et al. 2015

Cancer Causes Control

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Purpose The National Breast and Cervical Cancer Early Detection Program through each state's administration serves millions of low-income and uninsured women aged 40–64. Our purpose was to assess whether cases screened through Georgia's Breast and Cervical Cancer Program (BCCP) were diagnosed at an earlier stage of disease and whether those who used the state's program regularly continued to obtain age-appropriate screens as they aged out of BCCP into Medicare between 2000 and 2005. Methods We used BCCP screening data to identify women with more than one screen and an interval of 18 months or less between screens as “regular” users of BCCP. Using the linked BCCP and Medicare enrollment/claims data, we tested whether women with any BCCP use (n = 3,134) or “regular” users (n = 1,590) were more likely than women not using BCCP (n = 10,086) to exhibit regular screening under Medicare. We used linked BCCP and Georgia Cancer Registry data to examine breast cancer incidence and stage at diagnosis of BCCP women compared to the Georgia population. Results Under Medicare, almost 63 % of women with any BCCP use were re-screened versus 51 % of non-BCCP users. The probability of being screened within 18 months of Medicare enrollment was 3.5 % points higher for any BCCP user and 17.7 points higher for “regular” BCCP users, compared to nonusers. Among Black non-Hispanics, the difference for any BCCP user was 13.7 % points and for regular users, 22.4 % points. A larger percentage of BCCP users were diagnosed at in situ or localized disease stage than overall. Conclusions The majority of women aging out of the GA BCCP 2000–2005 had used the program to obtain regular mammography. Regular users of GA BCCP continued to be screened within appropriate intervals once enrolled in Medicare due perhaps to educational and support components of BCCP.

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The “Welcome to Medicare” Visit: A Missed Opportunity for Cancer Screening Among Women?

Cited by 18 publications

References 20 publications

Medicare Annual Preventive Care Visits: Use Increased Among Fee-For-Service Patients, But Many Do Not Participate

Medicare Annual Preventive Care Visits: Use Increased Among Fee-For-Service Patients, But Many Do Not Participate

Uptake of the centers for medicare and medicaid obesity benefit: 2012–2013

Enhancing screening and early detection among women transitioning to Medicare from the NBCCEDP in Georgia

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