Health Affairs October 1, 2019
On September 30, 2019, the Department of Health and Human Services (HHS) released a bulletin outlining a new opportunity for 10 states to participate in a wellness demonstration project in the individual market. HHS will begin accepting applications immediately, without an opportunity for public comment on its guidance or on state applications.
To date, wellness programs have been limited to employers, but the Affordable Care Act (ACA) included a demonstration project to allow HHS and states to experiment with extending wellness programs to the individual market. States that are approved for a demonstration project could allow issuers in their individual market to vary the cost of coverage by as much as 30 percent because of, say, high blood pressure or...
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