vital-scans open quality ledger

www.medicare.gov: technology ↔ issues

Accessibility findings that appear disproportionately on pages running a given technology, across the 176 page(s) in 2026-W28 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.

Module Federation 7 pages

Findings over-represented on pages running Module Federation (lift ≥ 1, ≥5 pages support).
Finding Lift On tech pages On all pages
First focusable element is link to main content (alfa) 25.14× 5 / 7 5
Text has enhanced contrast (alfa) 17.96× 5 / 7 7
Text has minimum contrast ratio of 4.5:1 (alfa) 1.44× 5 / 7 87
Target size is at least 44×44 CSS pixels (Enhanced) (alfa) 1.43× 5 / 7 88

Webpack 7 pages

Findings over-represented on pages running Webpack (lift ≥ 1, ≥5 pages support).
Finding Lift On tech pages On all pages
First focusable element is link to main content (alfa) 25.14× 5 / 7 5
Text has enhanced contrast (alfa) 17.96× 5 / 7 7
Text has minimum contrast ratio of 4.5:1 (alfa) 1.44× 5 / 7 87
Target size is at least 44×44 CSS pixels (Enhanced) (alfa) 1.43× 5 / 7 88

Akamai Web Application Protector 15 pages

Findings over-represented on pages running Akamai Web Application Protector (lift ≥ 1, ≥5 pages support).
Finding Lift On tech pages On all pages
Table header has scope (alfa) 2.02× 5 / 15 29
aria-hidden element does not contain focusable elements (alfa) 1.37× 9 / 15 77
Text has minimum contrast ratio of 4.5:1 (alfa) 1.35× 10 / 15 87
Target size is at least 44×44 CSS pixels (Enhanced) (alfa) 1.33× 10 / 15 88

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) 1.25× 6 / 11 77
Text has minimum contrast ratio of 4.5:1 (alfa) 1.10× 6 / 11 87
Target size is at least 44×44 CSS pixels (Enhanced) (alfa) 1.09× 6 / 11 88

Nextdoor Ads 154 pages

Findings over-represented on pages running Nextdoor Ads (lift ≥ 1, ≥5 pages support).
Finding Lift On tech pages On all pages
Text has enhanced contrast (alfa) 1.14× 7 / 154 7
First focusable element is link to main content (alfa) 1.14× 5 / 154 5
Table header has scope (alfa) 1.10× 28 / 154 29

Drupal 157 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) 1.12× 77 / 157 77
Table header has scope (alfa) 1.12× 29 / 157 29

Font Awesome 157 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) 1.12× 77 / 157 77
Table header has scope (alfa) 1.12× 29 / 157 29

Acquia Cloud Platform 157 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) 1.12× 77 / 157 77
Table header has scope (alfa) 1.12× 29 / 157 29

Amazon Web Services 157 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) 1.12× 77 / 157 77
Table header has scope (alfa) 1.12× 29 / 157 29

PHP 157 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) 1.12× 77 / 157 77
Table header has scope (alfa) 1.12× 29 / 157 29

HSTS 167 pages

Findings over-represented on pages running HSTS (lift ≥ 1, ≥5 pages support).
Finding Lift On tech pages On all pages
Text has enhanced contrast (alfa) 1.05× 7 / 167 7
First focusable element is link to main content (alfa) 1.05× 5 / 167 5

Microsoft Advertising 176 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× 88 / 176 88
Text has minimum contrast ratio of 4.5:1 (alfa) 1.00× 87 / 176 87
aria-hidden element does not contain focusable elements (alfa) 1.00× 77 / 176 77

Google Analytics 176 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× 88 / 176 88
Text has minimum contrast ratio of 4.5:1 (alfa) 1.00× 87 / 176 87
aria-hidden element does not contain focusable elements (alfa) 1.00× 77 / 176 77

Akamai 176 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× 88 / 176 88
Text has minimum contrast ratio of 4.5:1 (alfa) 1.00× 87 / 176 87
aria-hidden element does not contain focusable elements (alfa) 1.00× 77 / 176 77

Akamai Bot Manager 176 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× 88 / 176 88
Text has minimum contrast ratio of 4.5:1 (alfa) 1.00× 87 / 176 87
aria-hidden element does not contain focusable elements (alfa) 1.00× 77 / 176 77

Qualtrics 176 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) 1.00× 88 / 176 88
Text has minimum contrast ratio of 4.5:1 (alfa) 1.00× 87 / 176 87

Tealium 176 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× 88 / 176 88
Text has minimum contrast ratio of 4.5:1 (alfa) 1.00× 87 / 176 87

Bootstrap 176 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× 88 / 176 88
Text has minimum contrast ratio of 4.5:1 (alfa) 1.00× 87 / 176 87

YouTube 176 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× 88 / 176 88
Text has minimum contrast ratio of 4.5:1 (alfa) 1.00× 87 / 176 87