Navigation Links
IncentOne Statement Regarding Final Ruling on the Use of Wellness Incentives
Date:6/20/2013

Lyndhurst, NJ (PRWEB) June 20, 2013

IncentOne, the leading provider of healthcare incentive solutions, has issued a statement on the recent final regulations regarding incentive use in wellness programs that are effective as of January 1, 2014. The company will also conduct a free webinar on July 16, 2013, 2 PM ET to provide more insight on the final rulings. (Email IncentOne’s media contact if interested in attending webinar.)

After releasing preliminary rules in November 2012 and receiving comments from the healthcare and consumer community, the U.S. Department of Health and Human Services and other government agencies issued final regulations on May 29, 2012 on nondiscriminatory wellness programs and the use of incentives. The regulations strike a balance between allowing for innovation and protecting individuals from discriminatory activities. This provides both an opportunity for creativity and the need to manage the current and new requirements created by the rules. The regulation states that they are “intended to allow experimentation in diverse ways of promoting wellness” and that the administration did not “want plans and issuers to be constrained by a narrow set of programs but want plans and issuers to feel free to consider innovative programs for motivating individuals to make efforts to improve their health.”

Highlights include:

  • Finalizing the maximum reward from 20% to 30% of the cost of healthcare coverage and up to 50% for the prevention or reduction in tobacco use
  • Providing additional clarity around the two types of wellness programs - participatory and health contingent
  • Dividing health contingent programs into activity based (i.e., requiring an action) or outcomes based (i.e., requiring a threshold or goal to be achieved)

In addition, the regulations outlined some new requirements for reasonable alternative standards that are required for health contingent programs such as:

  • Physician verification cannot be required as a prerequisite to an alternative standard being available
  • Use of a physician’s recommendation as a viable reasonable alternative
  • Provision requiring a second reasonable alternative recommended by the individual’s personal physician if requested and the original physician is associated with the sponsor
  • Retroactive payment of incentives for completion of the reasonable alternative
  • Need to provide individuals with adequate time to complete reasonable alternatives

The intention of the regulations are to ensure that every participant in the program receives the full amount of the reward regardless of any health factor, and ultimately prevent unfair underwriting practices, e.g., rewarding the healthy by decreasing the cost of their health coverage through incentives.

“Both the angel and the devil is in the details,” said Michael Dermer, President and CEO of IncentOne. ”The administration left the door open to both creativity and outcomes-based programs, but only if there are alternative doors to receive the same reward. Incentive programs done well should strike a similar balance between results, accountability and fairness.”

About IncentOne
IncentOne delivers cost savings and health improvement by engaging healthcare consumers and providers through the use of incentives. IncentOne serves customers representing more than 50 million lives, has processed 30 million health transactions and driven 20 million health milestones through 125 data partners. IncentOne’s Universal Remote™ technology enables customers to drive “any action for any value for any reward via any medium” and to align incentives not only to long-term savings but also to immediate and intermediate savings via its Trifecta™ methodology. IncentOne’s solutions are married with leading-edge strategies such as value-based benefit design, medical homes, accountable care organizations, telehealth, pay-for-performance and provider payment reform to deliver true engagement. IncentOne programs target consumers to improve utilization, increase prevention, avoid hospitalizations, reduce readmissions, choose lower cost providers, reduce health risks, increase medication adherence and steer benefit selection and providers to adopt e-prescribing and EMR technology, adhere to treatment protocols, and improve patient safety. For more information go to http://www.incentone.com. Follow us on Twitter @incentone.

###

Read the full story at http://www.prweb.com/releases/2013/6/prweb10849743.htm.


'/>"/>
Source: PRWeb
Copyright©2012 Vocus, Inc.
All rights reserved

Related medicine news :

1. APA task force recommends treatment guidelines and position statements on transgender persons
2. Joint EACPR and AHA statement empowers health care professional to use Clinical Cardiopulmonary Exercise Testing
3. Probiotic Action Releases a Statement in Regards to a Recent Miami Herald Article on Minimizing Scars
4. Quorn Foods Inc. Releases a Statement Regarding the News of Meat Eaters Turning to Meatless Meals When Dining
5. Quorn Foods Inc. Releases a Statement Regarding the Best Free Vegetarian Smartphone Apps for the Food Lovers Diet
6. Journal Maturitas publishes position statement on diet and health in midlife and beyond
7. Quorn Foods Inc. Releases a Statement Following an Article on Getting the Most Out of a Vegetarian Healthy Food Diet
8. AMSSM issues position statement on sport-related concussions
9. Yumi Media Released a Statement Regarding Ella Dining Room and Bar Offering an All-Vegetarian Menu for Dine Downtown This Year
10. Quorn Foods Inc. Releases a Statement Regarding Vegetarian Healthy Food Options in Meat-Loving Greece
11. NOAA adds red tide alerts to Beach Hazards Statements
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/24/2016)... ... , ... Marcy was in a crisis. Her son James, eight, was out of control. Prone ... physically. , “When something upset him, he couldn’t control his emotions,” remembers Marcy. “If ... at my other children and say he was going to kill them. If we ...
(Date:6/24/2016)... ... June 24, 2016 , ... Dr. ... accelerated orthodontic treatment. Dr. Cheng has extensive experience with all areas of orthodontics, ... and accelerated osteogenic orthodontics. , Micro-osteoperforation is a revolutionary adjunct to orthodontic ...
(Date:6/24/2016)... ... June 24, 2016 , ... People across the U.S. ... magazine’s Code Talker Award, an essay contest in which patients and their families pay ... be presented at the 2016 National Society of Genetic Counselors (NSGC) Annual Education Conference ...
(Date:6/24/2016)... ... June 24, 2016 , ... ... Investment Group (TGIG), has initiated cultivation and processing operations at its production facility, ... Pahrump, Nevada. , Puradigm is the manufacturer of a complete system of proactive ...
(Date:6/24/2016)... ... , ... Venture Construction Group (VCG) sponsors Luke’s Wings ... the Woodmont Country Club at 1201 Rockville Pike, Rockville, Maryland, 20852. The event ... that have been wounded in battle and their families. Venture Construction Group is a ...
Breaking Medicine News(10 mins):
(Date:6/26/2016)... -- VMS Rehab Systems, Inc. ( www.vmsrehabsystemsinc.com ) reported today ... to build a strong and stable market for trading ... the OTC Markets-pink current trading platform. Explains ... seeing an anomaly in market trading activities that may ... Company, but shareholders and market players as well. I ...
(Date:6/24/2016)... , June 24, 2016   Bay ... Rehabilitation Network,s Dean Center for Tick Borne ... Medicine and Rehabilitation, MIT Hacking Medicine, University of ... Innovation, today announced the five finalists of ... Lyme disease.  More than 100 scientists, clinicians, researchers, ...
(Date:6/24/2016)... SAN CLEMENTE, Calif. , June 24, 2016 /PRNewswire/ ... pulmonary function testing company, is now able to perform sophisticated lung ... ndd Medical Technologies , Inc. Patients are ... labs.  Thanks to ndd,s EasyOne PRO ® , ARL patients like ... any needed testing done in the comfort of her own home. ...
Breaking Medicine Technology: