Approximately 74.4% of both Medicare Advantage (MA) and Medicare fee-for-service (FFS) beneficiaries report that they do not receive a structured cognitive assessment at their annual wellness visit. Among those who had an annual wellness visit, about 45% say they had a cognitive assessment. MA beneficiaries were more likely to have a cognitive screening than FFS beneficiaries. As created by the 2010 Patient Protection and Affordable Care Act (PPACA), the annual wellness visit is a yearly checkup that Medicare covers for most enrollees, to catch signs of disease early, and take a preventive approach to health care. Detection . . .