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Sherri Sheinfeld Gorin, Bijal A Balasubramanian, The My Own Health Report (MOHR): Opportunities for Implementation in the Annual Wellness Visit, Public Policy & Aging Report, Volume 29, Issue 1, 2019, Pages 33–40, https://doi.org/10.1093/ppar/pry050
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Since the 2011 passage of the Medicare B expansion under the Patient Protection and Affordable Care Act, the annual wellness visit (AWV) has been available to every eligible Medicare beneficiary. The aim of the AWV is to encourage preventive care and address health risks in older adults, in accord with professional recommendations from the United States Preventive Services Task Force, the Advisory Committee on Immunization Practices, and Medicare reimbursable services. Eligible beneficiaries are those who are no longer within their first 12 months of Medicare B coverage and have not received an initial preventive physical exam or AWV over the past year. The AWV includes a health risk assessment (HRA) and Personalized Prevention Plan Services; these involve the assessment of health status indicators and risk factors for cardiovascular disease, cancer, cognitive decline, and diabetes. The mandated HRA (1) may be completed before or as part of a visit; (2) must identify chronic diseases, injury risks, modifiable risk factors, and urgent health needs; and (3) may be furnished through an interactive telephonic or Web-based program (Goetzel et al., 2011). While CMS refers to HRA assessment frameworks for the AWV, no particular HRAs are required (Goetzel et al., 2011). The AWV also provides an opportunity for counseling individuals in tobacco cessation, nutrition, and physical activity, among other risk reduction approaches.
