vital-scans open quality ledger

www.medicare.gov: technology ↔ issues

Accessibility findings that appear disproportionately on pages running a given technology, across the 130 page(s) in 2026-W26 where both technology detection and an accessibility engine ran. Lift is how many times more likely a finding is on pages with the technology than on pages overall — a value of 2× means twice the baseline rate.

This is an association, not proof of cause. Technologies that are detected on the same set of pages (e.g. a CMS, its host, and its language) will share identical lift values; the listing groups by technology but cannot tell which one in a co-located stack is responsible. Treat high-lift pairs as leads for a human to confirm — a barrier that recurs with the same technology, especially across multiple sites, is likely a bug in that technology rather than in any one page's content.

Facebook Pixel 11 pages

Findings over-represented on pages running Facebook Pixel (lift ≥ 1, ≥5 pages support).
Finding Lift On tech pages On all pages
aria-hidden element does not contain focusable elements (alfa) 1.26× 5 / 11 47
Text has minimum contrast ratio of 4.5:1 (alfa) 1.07× 5 / 11 55
Target size is at least 44×44 CSS pixels (Enhanced) (alfa) 1.06× 5 / 11 56

Drupal 110 pages

Findings over-represented on pages running Drupal (lift ≥ 1, ≥5 pages support).
Finding Lift On tech pages On all pages
aria-hidden element does not contain focusable elements (alfa) 1.18× 47 / 110 47
Table header has scope (alfa) 1.18× 13 / 110 13
Target size is at least 44×44 CSS pixels (Enhanced) (alfa) 0.99× 47 / 110 56

Font Awesome 110 pages

Findings over-represented on pages running Font Awesome (lift ≥ 1, ≥5 pages support).
Finding Lift On tech pages On all pages
aria-hidden element does not contain focusable elements (alfa) 1.18× 47 / 110 47
Table header has scope (alfa) 1.18× 13 / 110 13

Acquia Cloud Platform 110 pages

Findings over-represented on pages running Acquia Cloud Platform (lift ≥ 1, ≥5 pages support).
Finding Lift On tech pages On all pages
aria-hidden element does not contain focusable elements (alfa) 1.18× 47 / 110 47
Table header has scope (alfa) 1.18× 13 / 110 13

Amazon Web Services 110 pages

Findings over-represented on pages running Amazon Web Services (lift ≥ 1, ≥5 pages support).
Finding Lift On tech pages On all pages
aria-hidden element does not contain focusable elements (alfa) 1.18× 47 / 110 47
Table header has scope (alfa) 1.18× 13 / 110 13

PHP 110 pages

Findings over-represented on pages running PHP (lift ≥ 1, ≥5 pages support).
Finding Lift On tech pages On all pages
aria-hidden element does not contain focusable elements (alfa) 1.18× 47 / 110 47
Table header has scope (alfa) 1.18× 13 / 110 13

Nextdoor Ads 120 pages

Findings over-represented on pages running Nextdoor Ads (lift ≥ 1, ≥5 pages support).
Finding Lift On tech pages On all pages
Table header has scope (alfa) 1.08× 13 / 120 13
aria-hidden element does not contain focusable elements (alfa) 1.04× 45 / 120 47
Target size is at least 44×44 CSS pixels (Enhanced) (alfa) 1.01× 52 / 120 56
Text has minimum contrast ratio of 4.5:1 (alfa) 1.00× 51 / 120 55

Qualtrics 128 pages

Findings over-represented on pages running Qualtrics (lift ≥ 1, ≥5 pages support).
Finding Lift On tech pages On all pages
Target size is at least 44×44 CSS pixels (Enhanced) (alfa) 1.02× 56 / 128 56
Text has minimum contrast ratio of 4.5:1 (alfa) 1.02× 55 / 128 55
aria-hidden element does not contain focusable elements (alfa) 1.02× 47 / 128 47
Table header has scope (alfa) 1.02× 13 / 128 13

Microsoft Advertising 130 pages

Findings over-represented on pages running Microsoft Advertising (lift ≥ 1, ≥5 pages support).
Finding Lift On tech pages On all pages
Target size is at least 44×44 CSS pixels (Enhanced) (alfa) 1.00× 56 / 130 56
Text has minimum contrast ratio of 4.5:1 (alfa) 1.00× 55 / 130 55
aria-hidden element does not contain focusable elements (alfa) 1.00× 47 / 130 47
Table header has scope (alfa) 1.00× 13 / 130 13

Google Analytics 130 pages

Findings over-represented on pages running Google Analytics (lift ≥ 1, ≥5 pages support).
Finding Lift On tech pages On all pages
Target size is at least 44×44 CSS pixels (Enhanced) (alfa) 1.00× 56 / 130 56
Text has minimum contrast ratio of 4.5:1 (alfa) 1.00× 55 / 130 55
aria-hidden element does not contain focusable elements (alfa) 1.00× 47 / 130 47
Table header has scope (alfa) 1.00× 13 / 130 13

Akamai 130 pages

Findings over-represented on pages running Akamai (lift ≥ 1, ≥5 pages support).
Finding Lift On tech pages On all pages
Target size is at least 44×44 CSS pixels (Enhanced) (alfa) 1.00× 56 / 130 56
Text has minimum contrast ratio of 4.5:1 (alfa) 1.00× 55 / 130 55
aria-hidden element does not contain focusable elements (alfa) 1.00× 47 / 130 47
Table header has scope (alfa) 1.00× 13 / 130 13

Akamai Bot Manager 130 pages

Findings over-represented on pages running Akamai Bot Manager (lift ≥ 1, ≥5 pages support).
Finding Lift On tech pages On all pages
Target size is at least 44×44 CSS pixels (Enhanced) (alfa) 1.00× 56 / 130 56
Text has minimum contrast ratio of 4.5:1 (alfa) 1.00× 55 / 130 55
aria-hidden element does not contain focusable elements (alfa) 1.00× 47 / 130 47
Table header has scope (alfa) 1.00× 13 / 130 13

Tealium 130 pages

Findings over-represented on pages running Tealium (lift ≥ 1, ≥5 pages support).
Finding Lift On tech pages On all pages
Target size is at least 44×44 CSS pixels (Enhanced) (alfa) 1.00× 56 / 130 56
Text has minimum contrast ratio of 4.5:1 (alfa) 1.00× 55 / 130 55
aria-hidden element does not contain focusable elements (alfa) 1.00× 47 / 130 47
Table header has scope (alfa) 1.00× 13 / 130 13

Bootstrap 130 pages

Findings over-represented on pages running Bootstrap (lift ≥ 1, ≥5 pages support).
Finding Lift On tech pages On all pages
Target size is at least 44×44 CSS pixels (Enhanced) (alfa) 1.00× 56 / 130 56
Text has minimum contrast ratio of 4.5:1 (alfa) 1.00× 55 / 130 55
aria-hidden element does not contain focusable elements (alfa) 1.00× 47 / 130 47
Table header has scope (alfa) 1.00× 13 / 130 13

YouTube 130 pages

Findings over-represented on pages running YouTube (lift ≥ 1, ≥5 pages support).
Finding Lift On tech pages On all pages
Target size is at least 44×44 CSS pixels (Enhanced) (alfa) 1.00× 56 / 130 56
Text has minimum contrast ratio of 4.5:1 (alfa) 1.00× 55 / 130 55
aria-hidden element does not contain focusable elements (alfa) 1.00× 47 / 130 47
Table header has scope (alfa) 1.00× 13 / 130 13