Reducing Racial and Ethnic Disparities in Medicare Annual Wellness Visit Uptake

Not Applicable

Active, not recruiting

• Conditions: Annual Wellness Visit

• Registration Number: NCT06996366
• Lead Sponsor: Northwestern University

Brief Summary

The goal of this randomized pilot study is to learn the impact of a primary care outreach intervention on the proportion of patients with Medicare insurance who are up-to-date on Medicare Annual Wellness Visit completion. At two clinics, researchers will randomize clinicians (and their associated, eligible patients) to early or delayed outreach.

Detailed Description

Not available

Study Timeline

• Study Start: 2025-04-22
• Status Verified: 2025-05
• Study First Submitted: 2025-05-21
• Study First Submitted QC: 2025-05-21
• Last Update Submitted: 2025-05-29
• Study First Posted: 2025-05-30
• Last Update Posted: 2025-06-04
• Primary Completion: 2025-10
• Study Completion: 2025-10

Recruitment & Eligibility

• Status: ACTIVE_NOT_RECRUITING
• Sex: All
• Target Recruitment: 174

Inclusion Criteria

• ≥1 in-person primary care visit during 18-month lookback period AND
• Medicare or Medicare Advantage insurance AND
• ≥1 risk factor shown to be associated with being overdue for Medicare Annual Wellness Visits (identified in preparatory analysis prior to pilot trial): Black/African American race or Latino/Hispanic ethnicity OR Not up-to-date for social needs screening OR Positive social need in past 18 months OR Medicaid insurance OR No use of scheduling features within patient portal in past 18 months
• Preferred language English AND
• Attributed primary care clinic is 1 of the participating clinics in the pilot trial AND
• No AWV completion (CPT G0402, G0438, G0439, G0468) during 10-month lookback period AND
• No appointment scheduled for upcoming AWV

Exclusion Criteria

• Patients will be excluded if they are receiving palliative care or if their clinician feels that outreach for preventive care is inappropriate.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
Completion of Annual Wellness Visit	6 months	Binary (0/1) patient-level measure, based on presence of any CPT (Current Procedural Terminology) codes for Medicare preventive visits during follow-up period

Trial Locations

Locations (1)

Northwestern University; 🇺🇸 Chicago, Illinois, United States