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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.