Health Payer Intelligence October 3, 2019
CMS will allow states to expand their wellness programs for the individual marketplace either through state-run or payer-designed programs, CMS announced.
The goal of the demonstration is two-fold, CMS Administrator Seema Verma explained in a press release.
“Allowing states to implement these wellness programs in their individual markets offers the opportunity to not only improve the health of their residents but also to help reduce healthcare spending,” said Administrator Verma.
States can offer premium cost savings or other financial incentives as a part of their wellness programs and develop their programs using the issuer-based demonstration project or the standard demonstration project.
In states that choose the former option, the state will institute HHS-approved criteria for wellness programs on the individual...
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