HealthLeaders Media October 1, 2019
Steven Porter

The administration is implementing a provision of the ACA to allow ‘health-contingent’ wellness programs in the individual market.

Insurers selling individual market health plans in certain states may soon be allowed to encourage healthier behaviors among plan members by offering discounted premiums and other incentives to those who participate in wellness programs.

The federal government will give 10 states a chance to participate in a demonstration project that will allow the so-called “health-contingent” programs in participating states’ individual markets, as the Centers for Medicare & Medicaid Services announced Monday with an informational bulletin.

CMS Administrator Seema Verma said the change will support the Trump administration’s efforts to give states more leeway and to empower members of the public to make...

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