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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
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