Combined Medicare Wellness and Problem Visits Boost Completion and Reduce No-Shows
Researchers used 40-minute appointments with patients' usual clinicians under existing Medicare billing rules.
Overview
- A nine-month quality-improvement program raised completed annual wellness visits from 8.4% to 50.8%.
- No-show rates were lower for combined visits than for wellness-only visits, 11.9% versus 19.6%.
- Patients kept wellness appointments more reliably when scheduled with their regularly seen physician.
- Orders rose across multiple preventive measures, including mental health, fall risk, several cancer screenings, DEXA, A1c, microalbumin, Hep C, HIV, and pneumococcal vaccination.
- The five-clinic family medicine project from Marshall University is published in the Annals of Family Medicine and the authors note the approach was implemented within current Medicare rules.