Healthcare DIVE October 1, 2019
Samantha Liss

Dive Brief:

  • The Trump administration wants to roll out a wellness program in the Affordable Care Act exchange market that will reward members for improved health outcomes or health-related behaviors. For example, participants would receive incentives, such as lower premiums, for completing an exercise program or losing weight.
  • The administration is asking states to apply for the demonstration project and will accept up to 10 proposals. States have the choice of designing the wellness program or allowing commercial insurers to do it.
  • The “health-contingent” wellness programs haven’t been allowed in the individual market, CMS officials said Monday, but the agency contends a wellness demonstration project of this type is legal.

Dive Insight:

The project announcement generated swift rebukes...

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Topics: ACA (Affordable Care Act), CMS, Govt Agencies, Insurance, Patient / Consumer, Payer, Provider, Public Exchange, States, Wellness
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