vital-scans open quality ledger

www.medicare.gov: technology ↔ issues

Accessibility findings that appear disproportionately on pages running a given technology, across the 203 page(s) in 2026-W33 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.

Akamai Web Application Protector 14 pages

Findings over-represented on pages running Akamai Web Application Protector (lift ≥ 1, ≥5 pages support).
Finding Lift On tech pages On all pages
Text has minimum contrast ratio of 4.5:1 (alfa) 1.53× 6 / 14 57
Target size is at least 44×44 CSS pixels (Enhanced) (alfa) 1.53× 6 / 14 57
Scrolling content can be accessed by keyboard (alfa) 1.51× 5 / 14 48
Wrap all page content in landmarks (header, nav, main, footer) so users can navigate by region. (axe) 1.04× 12 / 14 168

Facebook Pixel 7 pages

Findings over-represented on pages running Facebook Pixel (lift ≥ 1, ≥5 pages support).
Finding Lift On tech pages On all pages
Wrap all page content in landmarks (header, nav, main, footer) so users can navigate by region. (axe) 1.21× 7 / 7 168

Drupal 169 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) 1.20× 48 / 169 48
Table header has scope (alfa) 1.20× 13 / 169 13
Use heading levels in order (h1 → h2 → h3) without skipping; structure, not size. (axe) 1.20× 5 / 169 5
Wrap all page content in landmarks (header, nav, main, footer) so users can navigate by region. (axe) 1.19× 166 / 169 168
Scrolling content can be accessed by keyboard (alfa) 1.18× 47 / 169 48
Text has minimum contrast ratio of 4.5:1 (alfa) 1.01× 48 / 169 57
Target size is at least 44×44 CSS pixels (Enhanced) (alfa) 1.01× 48 / 169 57

Font Awesome 169 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) 1.20× 48 / 169 48
Table header has scope (alfa) 1.20× 13 / 169 13
Use heading levels in order (h1 → h2 → h3) without skipping; structure, not size. (axe) 1.20× 5 / 169 5
Wrap all page content in landmarks (header, nav, main, footer) so users can navigate by region. (axe) 1.19× 166 / 169 168
Scrolling content can be accessed by keyboard (alfa) 1.18× 47 / 169 48
Text has minimum contrast ratio of 4.5:1 (alfa) 1.01× 48 / 169 57
Target size is at least 44×44 CSS pixels (Enhanced) (alfa) 1.01× 48 / 169 57

Acquia Cloud Platform 169 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) 1.20× 48 / 169 48
Table header has scope (alfa) 1.20× 13 / 169 13
Use heading levels in order (h1 → h2 → h3) without skipping; structure, not size. (axe) 1.20× 5 / 169 5
Wrap all page content in landmarks (header, nav, main, footer) so users can navigate by region. (axe) 1.19× 166 / 169 168
Scrolling content can be accessed by keyboard (alfa) 1.18× 47 / 169 48
Text has minimum contrast ratio of 4.5:1 (alfa) 1.01× 48 / 169 57
Target size is at least 44×44 CSS pixels (Enhanced) (alfa) 1.01× 48 / 169 57

Amazon Web Services 169 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) 1.20× 48 / 169 48
Table header has scope (alfa) 1.20× 13 / 169 13
Use heading levels in order (h1 → h2 → h3) without skipping; structure, not size. (axe) 1.20× 5 / 169 5
Wrap all page content in landmarks (header, nav, main, footer) so users can navigate by region. (axe) 1.19× 166 / 169 168
Scrolling content can be accessed by keyboard (alfa) 1.18× 47 / 169 48
Text has minimum contrast ratio of 4.5:1 (alfa) 1.01× 48 / 169 57
Target size is at least 44×44 CSS pixels (Enhanced) (alfa) 1.01× 48 / 169 57

PHP 169 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) 1.20× 48 / 169 48
Table header has scope (alfa) 1.20× 13 / 169 13
Use heading levels in order (h1 → h2 → h3) without skipping; structure, not size. (axe) 1.20× 5 / 169 5
Wrap all page content in landmarks (header, nav, main, footer) so users can navigate by region. (axe) 1.19× 166 / 169 168
Scrolling content can be accessed by keyboard (alfa) 1.18× 47 / 169 48
Text has minimum contrast ratio of 4.5:1 (alfa) 1.01× 48 / 169 57
Target size is at least 44×44 CSS pixels (Enhanced) (alfa) 1.01× 48 / 169 57

Nextdoor Ads 178 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) 1.14× 13 / 178 13
Use heading levels in order (h1 → h2 → h3) without skipping; structure, not size. (axe) 1.14× 5 / 178 5
aria-hidden element does not contain focusable elements (alfa) 1.12× 47 / 178 48
Wrap all page content in landmarks (header, nav, main, footer) so users can navigate by region. (axe) 1.11× 163 / 178 168
Scrolling content can be accessed by keyboard (alfa) 1.09× 46 / 178 48

HSTS 196 pages

Findings over-represented on pages running HSTS (lift ≥ 1, ≥5 pages support).
Finding Lift On tech pages On all pages
Table header has scope (alfa) 1.04× 13 / 196 13
Use heading levels in order (h1 → h2 → h3) without skipping; structure, not size. (axe) 1.04× 5 / 196 5

Microsoft Advertising 203 pages

Findings over-represented on pages running Microsoft Advertising (lift ≥ 1, ≥5 pages support).
Finding Lift On tech pages On all pages
Wrap all page content in landmarks (header, nav, main, footer) so users can navigate by region. (axe) 1.00× 168 / 203 168

Google Analytics 203 pages

Findings over-represented on pages running Google Analytics (lift ≥ 1, ≥5 pages support).
Finding Lift On tech pages On all pages
Wrap all page content in landmarks (header, nav, main, footer) so users can navigate by region. (axe) 1.00× 168 / 203 168

Akamai 203 pages

Findings over-represented on pages running Akamai (lift ≥ 1, ≥5 pages support).
Finding Lift On tech pages On all pages
Wrap all page content in landmarks (header, nav, main, footer) so users can navigate by region. (axe) 1.00× 168 / 203 168