Annual Wellness Visits for Persons With Physical Disabilities Before and After ACA Implementation.

ABSTRACT:

Purpose

Persons with disabilities often experience uncoordinated health care, with repeated out-of-pocket copays. One purpose of the Patient Protection and Affordable Care Act (ACA) was to create zero copays for preventive health care including an annual wellness visit (AWV). The purpose of this study was to document the use of AWVs by persons with physical disabilities during the ACA rollout.

Methods

An administrative claims database, including both Medicare Advantage (MA) and commercial (COM) payers from 2008 to 2016, was used to identify unique wellness visits for adults with physical disabilities. We used interrupted time series analysis to compare AWV use by insurance type, sex, disability type, and race over time.

Results

The proportion of zero copays provided a

SUBMITTER: Basu T 

PROVIDER: S-EPMC8575518 | biostudies-literature | 2021 Nov-Dec

REPOSITORIES: biostudies-literature