CONTRACT_ID	CONTRACT_NAME	YEAR	CONTRACT_REC_NUM	REWARDS_NAME	ACTIVITY_DESCRIPTION	EARN_DESCRIPTION	REWARD_VALUE	TRACK_PARTICIPATION	TOTAL_ENROLLED	TOTAL_REWARDS	
H0022	BUCKEYE COMMUNITY HEALTH PLAN, INC.	2017	1	MyCare Ohio Rewards Program H0022	Annual flu vaccination, breast cancer screening, colorectal cancer screening, diabetic HbA1c testing, diabetic retinopathy screening, diabetic kidney screening, annual wellness visit	Walmart gift card	Reward values are calculated based on average cost of service for the health plan	Weekly claims sweep of internal systems	12730	18644
H0028	CHA HMO, INC.	2017	1	Humana Vitality	Education: Complete Healthy Assessment (HA), First Step HA (once per lifetime bonus for completion), HA Bonus (complete w/in 120 days of effective date), Health Calculators, Update/confirm contact information, Attend Humana health education classes Fitness: First verified workout per lifetime, First verified workout each year,Athletic Event, Highest total Bucks per day rewarded across workout type,Steps, Heart rate monitor, Calories, Participating fitness facility Prevention: Welcome to Medicare (once per lifetime), Annual Wellness Exam, Mammogram, Colorectal Screening, Cardiovascular disease screening, Bone denisty, Flu Shot, Dental Exam, Vision Exam, Body Mass Index (BMI), Blood Pressure, Blood Glucose screening (diabetes test), Cholesterol	With HealthyFood (HF), seniors are eligible to earn an immediate 10% savings upon activating the HF card + $5 load onto their HF Shopping Card for the first and second eligible preventive care activity completed by the member, up to $10 per calendar year.  In addition, Medicare members can earn Bucks for participating and engaging in the program, such as completing a biometric screening, exercising, etc., which can be used to purchase various items in the HV/Go365 Mall.  The approximate values for these items are provided below.  Mall Tile Storefront Item Value Range Pedometers $12.50 - $18.50 Apple products $49 - $499 Go365 co-branded merchandise $31 - $76 Trek products $35 - $499 Gift Cards $10 - $25 Garmin devices $45 - $350 Fitbit devices $45 - $205 Polar devices $45 - $140 Fitbug device $17.50	With HealthyFood (HF), seniors are eligible to earn an immediate 10% savings upon activating the HF card + $5 load onto their HF Shopping Card for the first and second eligible preventive care activity completed by the member, up to $10 per calendar year.  In addition, Medicare members can earn Bucks for participating and engaging in the program, such as completing a biometric screening, exercising, etc., which can be used to purchase various items in the HV/Go365 Mall.  The approximate values for these items are provided below.  Mall Tile Storefront Item Value Range Pedometers $12.50 - $18.50 Apple products $49 - $499 Go365 co-branded merchandise $31 - $76 Trek products $35 - $499 Gift Cards $10 - $25 Garmin devices $45 - $350 Fitbit devices $45 - $205 Polar devices $45 - $140 Fitbug device $17.50	EH:  Medicare Participation is defined as follows: HA Completion Member completes the HA within the Plan Year. HF Transaction Member completes a HealthyFood transaction within the Plan Year. Mall Transaction Member completes a HumanaVitality Mall transaction within the Plan Year. Active Events Member completes various activities requiring member awareness of the HV program within the Plan Year.	17575	31499
H0062	SUPERIOR HEALTHPLAN COMMUNITY SOLUTIONS, INC.	2017	1	Superior HealthPlan Rewards Program H0062	Annual flu vaccination, breast cancer screening, colorectal cancer screening, annual wellness visit	Walmart gift card	Reward values are calculated based on average cost of service for the health plan	Weekly claims sweep of internal systems	356	327
H0104	BLUE CROSS AND BLUE SHIELD OF ALABAMA	2017	1	 	 	 	 	 	0	0
H0107	HEALTH CARE SERVICE CORPORATION	2017	1	Healthy Rewards Program	Annual Wellness Visit, Annual Flu Vaccine, Blood Glucose A1c Screening, Colorectal Screening, Completion of Health Questionnaire, In Home Assessment, Mammogram, Nephropathy Screening, Retinal Exam,  Tracking of Physical Activity over 12 weeks.	Registered members earn Gift Cards total annual maximum rewards is $100.  For members in H0107 we used $25 gift card awards for all Healthy Actions, inclusive of Annual Wellness Visit, Annual Flu Vaccine, Blood Glucose A1c Screening, Colorectal Screening, Completion of Health Questionnaire, In Home Assessment, Mammogram, Nephropathy Screening, Retinal Exam, Tracking of Physical Activity over 12 weeks.	Evaluated the cost value of each service, ensured that the value of the award is less than that of the service provided while significant enough to drive the member to complete it.	We track participation in the in the Healthy Rewards Program, via Weekly Registration reports, Healthy Action Activity Reports and Reward Redemption Reports.	15846	49625
H0137	COMMONWEALTH CARE ALLIANCE, INC.	2017	1	 	 	 	 	 	0	0
H0148	CARE1ST HEALTH PLAN	2017	1	Yes	Members are required to complete 3 out of 10 activities. The following 10 preventative activities are offered: Adult Vaccinations: Flu vaccine, Hepatitis B vaccine (For members at risk) or pneumonia vaccine (as applicable), Annual BMI Assessment: Annually assure PCP documents a weight and Body Mass Index (BMI) calculation. Your PCP should educate you on your BMI and if any goals are needed, Annual Wellness Visit: Yearly full physical with your PCP, which should include a functional status assessment, pain assessment, medication review, and any routine preventive monitoring labs your PCP recommends, Blood pressure monitoring, Breast cancer screening (Female),Colorectal cancer screening, Diabetes Screening(if applicable): Diabetes blood sugar screening, diabetic eye exam by an eye specialist, Physical health and Mental health counseling, Smoking and Tobacco-use cessation counseling,Care1st Total Dual Plan (HMO SNP) members only: care plan review with primary care physician (must include pain screening with assessment of ADL's	Once enrollees complete 3 preventative activities, the participate will receive a free gift  a Care1st pedometer (smart watch).	Incentive Gift Cost: Manufacturing	Enrollees are required to mail in completed forms with activity completion date and provide the name of the provider. The activities are tracked by the vendor and a weekly report is delivered to Care1st via SFTP with member participation and preventative activities completed by each member.	7015	109
H0150	HEALTHSPRING OF ALABAMA, INC.	2017	1	 	 	 	 	 	0	0
H0154	VIVA HEALTH, INC.	2017	1	 	 	 	 	 	0	0
H0174	TODAY'S OPTIONS OF TEXAS, INC.	2017	1	LH Rewards	Annual Flu Shot, Annual Physical Exam or Annual Wellness Visit, Cholesterol Screening, Breast Cancer Screening, Colorectal Cancer Screening, Diabetes Prevention Screening: HgA1c Test, Diabetes Management Screening: Retinal Eye Exam	Rewards Gift Card	$50 gift card for completion of 5 health actions	Enrollees are tracked by first registering in the member portal second by completing the health survey and third by completing required health actions for rewards cards	122	34
H0192	AMERIHEALTH MICHIGAN, INC.	2017	1	 	 	 	 	 	0	0
H0251	UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.	2017	1	House Calls Program, Renew Rewards	HouseCalls, Annual Physical or Wellness Visit, Fall Prevention Discussion with Doctor or Fall Prevention In-home Activity, Rheumatoid Arthritis Visit, Osteoporosis Screening  Bone Density Test, Eye Exam for Diabetic Care, Colon Cancer Screening, Breast C	Gift Card	The reward is a gift card of a set monetary amount that must be spent down. Reward amounts and gift card options vary based on the health care activity, but are determined based on the amount expected to impact enrollee behavior, but not exceeding the value of the health related activity itself.	HouseCalls Program: HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in an in home visit.  Members can receive information about the opportunity to have a HouseCalls visit by outbound phone outreach from our scheduling agents, mailed materials, or email.  The clinician performing the visit will enter member information into the eHouseCalls app housed on the tablet our clinicians use in the field.  Once the HouseCalls system receives confirmation of a completed visit, the reward is issued., Renew Rewards Program: Enrollees initiate the redemption process by activating their participation in the program through any of three channels (Customer Service, Online/Member Portals, Direct Mail) if they have not done so previously. Members self-report completion of eligible activities through any of these three channels by providing certain required data (e.g., appointment date, clinic name, provider name, provider phone). Once UHC validates the eligibility period for the activity, the reward is issued.	27352	30730
H0281	ILLINICARE HEALTH PLAN	2017	1	IlliniCare Health Rewards Program H0281	Annual flu vaccination, breast cancer screening, colorectal cancer screening, diabetic HbA1c testing, diabetic retinopathy screening, diabetic kidney screening, annual wellness visit	Walmart gift card	Reward values are calculated based on average cost of service for the health plan	Weekly claims sweep of internal systems	6606	6274
H0294	CARE IMPROVEMENT PLUS WISCONSIN INSURANCE COMPANY	2017	1	House Calls Program, Renew Rewards	HouseCalls, Annual Physical or Wellness Visit, Fall Prevention Discussion with Doctor or Fall Prevention In-home Activity, Rheumatoid Arthritis Visit, Osteoporosis Screening  Bone Density Test, Eye Exam for Diabetic Care, Colon Cancer Screening, Breast C	Gift Card	The reward is a gift card of a set monetary amount that must be spent down. Reward amounts and gift card options vary based on the health care activity, but are determined based on the amount expected to impact enrollee behavior, but not exceeding the value of the health related activity itself.	HouseCalls Program: HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in an in home visit.  Members can receive information about the opportunity to have a HouseCalls visit by outbound phone outreach from our scheduling agents, mailed materials, or email.  The clinician performing the visit will enter member information into the eHouseCalls app housed on the tablet our clinicians use in the field.  Once the HouseCalls system receives confirmation of a completed visit, the reward is issued., Renew Rewards Program: Enrollees initiate the redemption process by activating their participation in the program through any of three channels (Customer Service, Online/Member Portals, Direct Mail) if they have not done so previously. Members self-report completion of eligible activities through any of these three channels by providing certain required data (e.g., appointment date, clinic name, provider name, provider phone). Once UHC validates the eligibility period for the activity, the reward is issued.	3807	4660
H0302	MEDISUN, INC.	2017	1	 	 	 	 	 	0	0
H0321	ARIZONA PHYSICIANS IPA, INC.	2017	1	House Calls Program, Renew Rewards	HouseCalls, Annual Physical or Wellness Visit, Fall Prevention Discussion with Doctor or Fall Prevention In-home Activity, Rheumatoid Arthritis Visit, Osteoporosis Screening  Bone Density Test, Eye Exam for Diabetic Care, Colon Cancer Screening, Breast C	Gift Card	The reward is a gift card of a set monetary amount that must be spent down. Reward amounts and gift card options vary based on the health care activity, but are determined based on the amount expected to impact enrollee behavior, but not exceeding the value of the health related activity itself.	HouseCalls Program: HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in an in home visit.  Members can receive information about the opportunity to have a HouseCalls visit by outbound phone outreach from our scheduling agents, mailed materials, or email.  The clinician performing the visit will enter member information into the eHouseCalls app housed on the tablet our clinicians use in the field.  Once the HouseCalls system receives confirmation of a completed visit, the reward is issued., Renew Rewards Program: Enrollees initiate the redemption process by activating their participation in the program through any of three channels (Customer Service, Online/Member Portals, Direct Mail) if they have not done so previously. Members self-report completion of eligible activities through any of these three channels by providing certain required data (e.g., appointment date, clinic name, provider name, provider phone). Once UHC validates the eligibility period for the activity, the reward is issued.	22933	23558
H0332	KS PLAN ADMINISTRATORS, LLC	2017	1	 	 	 	 	 	0	0
H0336	HUMANA HEALTH PLAN, INC.	2017	1	Humana Rewards	Welcome to Medicare Routine Physical, Annual Wellness Visit, Cardiovascular Disease Screening, Diabetes Screening Test, Mammogram, Bone Density Test, Colorectal Cancer Screening, Flu Vaccine Depression Screening, Medical Nutrition Therapy, Diabetes Self-Management Training, Diabetic Retinal Exam, Kidney Tests/Nephropathy Screening, Diabetic Foot Exam, Adult BMI Assessment	With the completion of 4 preventive activities the enrollees earn 5 $10 gift cards to be selected from various vendors	With the completion of 4 preventive activities the enrollees earn 5 $10 gift cards to be selected from various vendors	Participation is tracked via claims processing for the specific CPT codes for the preventive activities listed above.	8968	1169
H0351	HEALTH NET OF ARIZONA, INC.	2017	1	Health Net of Arizona Rewards Program H0351	Annual flu vaccination, breast cancer screening, colorectal cancer screening, annual physical exam	Walmart gift card	Reward values are calculated based on average cost of service for the health plan	Weekly claims sweep of internal systems	8006	2017
H0354	CIGNA HEALTHCARE OF ARIZONA, INC.	2017	1	 	 	 	 	 	0	0
H0423	METROPLUS HEALTH PLAN, INC.	2017	1	MetroPlus Rewards	Annual Health Risk Assessment, flu vaccine	Points-based program with members earning points and exchanging for items in a catalog	No cash value ten points equals one dollar	Participation is tracked by our rewards platform vendor, Finity. Participation is defined as members who are engaged at least twice via two different media and who complete a reward activity. Finity also tracks all member engagements as well as rewards earned and redeemed.	8500	6345
H0439	CIGNA HEALTHCARE OF GEORGIA, INC.	2017	1	 	 	 	 	 	0	0
H0480	MERIDIAN HEALTH PLAN OF MICHIGAN, INC.	2017	1	 	 	 	 	 	0	0
H0490	MOLINA HEALTHCARE OF OHIO, INC.	2017	1	ACE/IHA Member Incentive	Annual Comprehensive Exam/In-Home Assessment	$25 Walmart gift card	Amount was chosen based on existing health and wellness incentives within the contract and/or market, and CMS guidance/State regulations	CPT codes submitted through medical claims data, documentation received from providers and IHA partners	319	167
H0504	CALIFORNIA PHYSICIANS' SERVICE	2017	1	Blue Shield Appreciation Program	Breast Cancer Screening, Colorectal Cancer Screening, Diabetes Retinal Eye Exam, Diabetes A1c test, Monitoring Physical Activity, Improving your Physical Health, Improving your Mental Health, Flu vaccine	Members who were eligible could receive $25 gift card for colorectal cancer screening, breast cancer screening, diabetes A1c test and diabetes eye exam, $10 for flu vaccine and monitoring physical activity, and $5 for improving physical health and improving mental health.	Members had the option of choosing between a variety of gift cards and could redeem online, by mail, or by phone.The recommendation for incentive values was proposed by Novu for each activity based on Novu's Quality Improvement Model, which looked at the ask of the member, the ability to overcome barriers, secondary research, rewards sensitivity testing and performance results for other Novu-run incentive programs.	Blue Shield of California provided a member eligibility file to Novu of the members who were eligible to participate in the rewards program. When a member either activated into the program or redeemed an eligible activity for a reward, Novu sent Blue Shield of California a monthly activity file which contained the members' information and recent activity in the incentive program. Weekly dashboards also provided data related to the number of redemptions along with the total dollar amount that had been spent on the gift cards.	3960	9588
H0523	AETNA HEALTH OF CALIFORNIA INC.	2017	1	 	 	 	 	 	0	0
H0524	KAISER FOUNDATION HP, INC.	2017	1	Silver&Fit Rewards Program	Fitness facility visits,physical activity	Hats,pins	The value of the reward is the cost per unit.	Members are offered the opportunity to participate in the rewards program upon enrollment. Their participation is tracked through a field in the system that indicates whether they choose to participate or not.	5473	3146
H0543	UHC OF CALIFORNIA	2017	1	House Calls Program, Renew Rewards	HouseCalls, Annual Physical or Wellness Visit, Fall Prevention Discussion with Doctor or Fall Prevention In-home Activity, Rheumatoid Arthritis Visit, Osteoporosis Screening  Bone Density Test, Eye Exam for Diabetic Care, Colon Cancer Screening, Breast C	Gift Card	The reward is a gift card of a set monetary amount that must be spent down. Reward amounts and gift card options vary based on the health care activity, but are determined based on the amount expected to impact enrollee behavior, but not exceeding the value of the health related activity itself.	HouseCalls Program: HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in an in home visit.  Members can receive information about the opportunity to have a HouseCalls visit by outbound phone outreach from our scheduling agents, mailed materials, or email.  The clinician performing the visit will enter member information into the eHouseCalls app housed on the tablet our clinicians use in the field.  Once the HouseCalls system receives confirmation of a completed visit, the reward is issued., Renew Rewards Program: Enrollees initiate the redemption process by activating their participation in the program through any of three channels (Customer Service, Online/Member Portals, Direct Mail) if they have not done so previously. Members self-report completion of eligible activities through any of these three channels by providing certain required data (e.g., appointment date, clinic name, provider name, provider phone). Once UHC validates the eligibility period for the activity, the reward is issued.	23406	48072
H0544	BLUE CROSS OF CALIFORNIA	2017	1	Rewards for Health Program	Depression Screening, Colorectal Cancer Screening, Diabetes Care  Blood Sugar Testing (HbA1c), Breast Cancer Screening (Mammogram), Annual Wellness Visit (PAHAF), Healthy Start, OR Healthy Journey, Physical Activity Monitoring, Diabetes Care  Eye Exam, Advance Health Care Directive Discussion and/or Provide a Copy of Document, Osteoporosis Testing, Blood Pressure Control, Annual Flu Vaccine, and Bladder Control and Urine Leakage Problem Discussion	FitTracker Smart Watch or $10 Visa gift cards	The FitTracker Smart Watch is rewarded to the member after they complete $50 worth of screenings or exams. Visa gift cards are awarded in $10 increments and members can earn up to five gift cards.	The enrollee participation is tracked by providing the approved fulfillment house vendor a complete membership file used to mail member's fulfillment kit every month. Member mails their attested coupons directly to the fulfillment vendor. Upon receipt of the coupon sheet, the vendor will record the following data in their system: Member's full name, Member ID, Member health service, date coupon was received, date of service, and provider name. The fulfillment vendor references the original membership file and records participation according to the member coupon submitted. A monthly data report is generated by the mailhouse vendor with statistics on how many coupons were received during that month, # of rewards fulfilled, etc.	16226	3969
H0545	INTER VALLEY HEALTH PLAN, INC.	2017	1	 	 	 	 	 	0	0
H0562	HEALTH NET OF CALIFORNIA,INC.	2017	1	Health Net of California Rewards Program H0562	Breast cancer screening	Walmart gift card	Reward values are calculated based on average cost of service for the health plan	Weekly claims sweep of internal systems	7609	871
H0571	CHINESE COMMUNITY HEALTH PLAN	2017	1	 	 	 	 	 	0	0
H0609	PACIFICARE OF COLORADO, INC	2017	1	House Calls Program, Renew Rewards	HouseCalls, Annual Physical or Wellness Visit, Fall Prevention Discussion with Doctor or Fall Prevention In-home Activity, Rheumatoid Arthritis Visit, Osteoporosis Screening  Bone Density Test, Eye Exam for Diabetic Care, Colon Cancer Screening, Breast C	Gift Card	The reward is a gift card of a set monetary amount that must be spent down. Reward amounts and gift card options vary based on the health care activity, but are determined based on the amount expected to impact enrollee behavior, but not exceeding the value of the health related activity itself.	HouseCalls Program: HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in an in home visit.  Members can receive information about the opportunity to have a HouseCalls visit by outbound phone outreach from our scheduling agents, mailed materials, or email.  The clinician performing the visit will enter member information into the eHouseCalls app housed on the tablet our clinicians use in the field.  Once the HouseCalls system receives confirmation of a completed visit, the reward is issued., Renew Rewards Program: Enrollees initiate the redemption process by activating their participation in the program through any of three channels (Customer Service, Online/Member Portals, Direct Mail) if they have not done so previously. Members self-report completion of eligible activities through any of these three channels by providing certain required data (e.g., appointment date, clinic name, provider name, provider phone). Once UHC validates the eligibility period for the activity, the reward is issued.	62461	83902
H0624	UNITEDHEALTHCARE INSURANCE COMPANY	2017	1	House Calls Program, Renew Rewards	HouseCalls, Annual Physical or Wellness Visit, Fall Prevention Discussion with Doctor or Fall Prevention In-home Activity, Rheumatoid Arthritis Visit, Osteoporosis Screening  Bone Density Test, Eye Exam for Diabetic Care, Colon Cancer Screening, Breast C	Gift Card	The reward is a gift card of a set monetary amount that must be spent down. Reward amounts and gift card options vary based on the health care activity, but are determined based on the amount expected to impact enrollee behavior, but not exceeding the value of the health related activity itself.	HouseCalls Program: HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in an in home visit.  Members can receive information about the opportunity to have a HouseCalls visit by outbound phone outreach from our scheduling agents, mailed materials, or email.  The clinician performing the visit will enter member information into the eHouseCalls app housed on the tablet our clinicians use in the field.  Once the HouseCalls system receives confirmation of a completed visit, the reward is issued., Renew Rewards Program: Enrollees initiate the redemption process by activating their participation in the program through any of three channels (Customer Service, Online/Member Portals, Direct Mail) if they have not done so previously. Members self-report completion of eligible activities through any of these three channels by providing certain required data (e.g., appointment date, clinic name, provider name, provider phone). Once UHC validates the eligibility period for the activity, the reward is issued.	4111	4546
H0630	KAISER FOUNDATION HP OF CO	2017	1	 	 	 	 	 	0	0
H0710	UNITEDHEALTHCARE INSURANCE COMPANY	2017	1	House Calls Program	HouseCalls	Gift Card	The reward is a gift card of a set monetary amount that must be spent down. Reward amounts and gift card options vary based on the health care activity, but are determined based on the amount expected to impact enrollee behavior, but not exceeding the value of the health related activity itself.	HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in an in home visit.  Members can receive information about the opportunity to have a HouseCalls visit by outbound phone outreach from our scheduling agents, mailed materials, or email.  The clinician performing the visit will enter member information into the eHouseCalls app housed on the tablet our clinicians use in the field.  Once the HouseCalls system receives confirmation of a completed visit, the reward is issued.	33	13
H0712	WELLCARE OF CONNECTICUT, INC.	2017	1	$25 Gift Card for completion of the Welvie Program	Direct Decision Support for preference sensitive surgeries	$25 gift card (not redeamable for cash)	Limited to $25	Enrollees must register in the program and program progress is tracked electronically	435	255
H0735	UCARE MINNESOTA	2017	1	Community Education	wellness session, health related activity, wellbeing activity	session discount	Value of the activity or service and budget available for the estimated number of participants	member database of rewards and incentive activity	875	2
H0755	OXFORD HEALTH PLANS (CT), INC.	2017	1	House Calls Program, Renew Rewards	HouseCalls, Annual Physical or Wellness Visit, Fall Prevention Discussion with Doctor or Fall Prevention In-home Activity, Rheumatoid Arthritis Visit, Osteoporosis Screening  Bone Density Test, Eye Exam for Diabetic Care, Colon Cancer Screening, Breast C	Gift Card	The reward is a gift card of a set monetary amount that must be spent down. Reward amounts and gift card options vary based on the health care activity, but are determined based on the amount expected to impact enrollee behavior, but not exceeding the value of the health related activity itself.	HouseCalls Program: HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in an in home visit.  Members can receive information about the opportunity to have a HouseCalls visit by outbound phone outreach from our scheduling agents, mailed materials, or email.  The clinician performing the visit will enter member information into the eHouseCalls app housed on the tablet our clinicians use in the field.  Once the HouseCalls system receives confirmation of a completed visit, the reward is issued., Renew Rewards Program: Enrollees initiate the redemption process by activating their participation in the program through any of three channels (Customer Service, Online/Member Portals, Direct Mail) if they have not done so previously. Members self-report completion of eligible activities through any of these three channels by providing certain required data (e.g., appointment date, clinic name, provider name, provider phone). Once UHC validates the eligibility period for the activity, the reward is issued.	62826	71971
H0811	GUILDNET, INC.	2017	1	 	 	 	 	 	0	0
H0838	UNIVERSAL CARE, INC.	2017	1	SPMI Behavioral Health Groups	Group therapy, Weight management, Anger management, Medication education	Gift cards	Participation in group gives members tokens which are accumulated and can be turned in for $10 gift card	Sign-in sheets are turned into health plan for tracking in MHC membership database	2978	144
H0838	UNIVERSAL CARE, INC.	2017	2	Preventive Care Participation	Health screenings (HEDIS)	Gift cards, Hygiene kits	Participation gives member $10 gift card and/or hygiene kit	HEDIS data	12442	614
H0908	BUCKEYE COMMUNITY HEALTH PLAN, INC.	2017	1	Buckeye Health Plan Advantage Rewards Program H0908	Annual flu vaccination, colorectal cancer screening, diabetic HbA1c testing, diabetic retinopathy screening, diabetic kidney screening, annual wellness visit	Walmart gift card	Reward values are calculated based on average cost of service for the health plan	Weekly claims sweep of internal systems	511	995
H0913	WELLCARE HEALTH PLANS OF NEW JERSEY, INC.	2017	1	$25 Gift Card for completion of the Welvie Program	Direct Decision Support for preference sensitive surgeries	$25 gift card (not redeamable for cash)	Limited to $25	Enrollees must register in the program and program progress is tracked electronically	117	52
H0927	HEALTH CARE SERVICE CORPORATION	2017	1	 	 	 	 	 	0	0
H1016	AVMED, INC.	2017	1	Healthyperks	Annual Wellness Visit, Colon Cancer Screening, Breast Cancer Screening, Diabetes Blood Test (A1C), Osteoporosis Screening (Bone Mineral Density), Dilated Eye Exam,  Flu Shot, Pneumonia Vaccine, Personal Health Assessment, Online Wellness Courses	Gift Cards	Members can complete activities to earn rewards for a maximum of $65 combined	Daily activity report	6440	19590
H1019	CAREPLUS HEALTH PLANS, INC.	2017	1	CarePlus Wellness Rewards	Welcome to Medicare Routine Physical, Annual Wellness Visit, Cardiovascular Disease Screening, Diabetes Screening Test, Mammogram, Bone Density Test, Colorectal Cancer Screening, Flu Vaccine Depression Screening, Medical Nutrition Therapy, Diabetes Self-Management Training, Diabetic Retinal Exam, Kidney Tests/Nephropathy Screening, Diabetic Foot Exam, Adult BMI Assessment	With the completion of 4 preventive activities the enrollees earn 5 $10 gift cards to be selected from various vendors	With the completion of 4 preventive activities the enrollees earn 5 $10 gift cards to be selected from various vendors	Participation is tracked via claims processing for the specific CPT codes for the preventive activities listed above.	126287	206663
H1026	HEALTH OPTIONS, INC.	2017	1	Healthy Blue Rewards	The Healthy Blue Rewards program focused on a plan-specified contract, H1026, to close gaps in care for specific measures. Members were rewarded with gift cards to attend the specified health care activities. Members were able to activate into the Healthy Blue Rewards program, attest to their health care activity and redeem gift cards via mail (redemptions), call center and a digital channel.	The members had the option of printing an e-Gift card immediately or having a physical gift card mailed to them. These were merchant gift cards that were not convertible to cash. The health care activities and reward values were as follows: Annual Wellness $25, Annual Flu $10, Breast Cancer Screening $25, Colon Cancer Screening (Fecal Occult Blood Test, Fecal Immunochemical Test, Flexible Sigmoidoscopy, Colonoscopy) $50, Diabetes Care Eye Exam $50, Diabetes Care Kidney Exam $25, Diabetes Care A1C $25, Osteoporosis (BMD Screening) $25	The reward value is calculated based on the health care activity, the members propensity to complete the health care activity, and the CMS guideline pertaining to the value of the health related service or activity.	Members interact through the NovuHealth program via the mail, telephonic and digital channels. Member interactions across the channels are captured in NovuHealths CMS-compliant data storage as activations and redemptions (participation).	9929	27076
H1032	WELLCARE OF FLORIDA, INC.	2017	1	$25 Gift Card for completion of the Welvie Program	Direct Decision Support for preference sensitive surgeries	$25 gift card (not redeamable for cash)	Limited to $25	Enrollees must register in the program and program progress is tracked electronically	6093	3705
H1035	FLORIDA HEALTH CARE PLAN, INC.	2017	1	 	 	 	 	 	0	0
H1036	HUMANA MEDICAL PLAN, INC.	2017	1	Humana Vitality	Education: Complete Healthy Assessment (HA), First Step HA (once per lifetime bonus for completion), HA Bonus (complete w/in 120 days of effective date), Health Calculators, Update/confirm contact information, Attend Humana health education classes Fitness: First verified workout per lifetime, First verified workout each year,Athletic Event, Highest total Bucks per day rewarded across workout type,Steps, Heart rate monitor, Calories, Participating fitness facility Prevention: Welcome to Medicare (once per lifetime), Annual Wellness Exam, Mammogram, Colorectal Screening, Cardiovascular disease screening, Bone denisty, Flu Shot, Dental Exam, Vision Exam, Body Mass Index (BMI), Blood Pressure, Blood Glucose screening (diabetes test), Cholesterol	With HealthyFood (HF), seniors are eligible to earn an immediate 10% savings upon activating the HF card + $5 load onto their HF Shopping Card for the first and second eligible preventive care activity completed by the member, up to $10 per calendar year.  In addition, Medicare members can earn Bucks for participating and engaging in the program, such as completing a biometric screening, exercising, etc., which can be used to purchase various items in the HV/Go365 Mall.  The approximate values for these items are provided below.  Mall Tile Storefront Item Value Range Pedometers $12.50 - $18.50 Apple products $49 - $499 Go365 co-branded merchandise $31 - $76 Trek products $35 - $499 Gift Cards $10 - $25 Garmin devices $45 - $350 Fitbit devices $45 - $205 Polar devices $45 - $140 Fitbug device $17.50	With HealthyFood (HF), seniors are eligible to earn an immediate 10% savings upon activating the HF card + $5 load onto their HF Shopping Card for the first and second eligible preventive care activity completed by the member, up to $10 per calendar year.  In addition, Medicare members can earn Bucks for participating and engaging in the program, such as completing a biometric screening, exercising, etc., which can be used to purchase various items in the HV/Go365 Mall.  The approximate values for these items are provided below.  Mall Tile Storefront Item Value Range Pedometers $12.50 - $18.50 Apple products $49 - $499 Go365 co-branded merchandise $31 - $76 Trek products $35 - $499 Gift Cards $10 - $25 Garmin devices $45 - $350 Fitbit devices $45 - $205 Polar devices $45 - $140 Fitbug device $17.50	EH:  Medicare Participation is defined as follows: HA Completion Member completes the HA within the Plan Year. HF Transaction Member completes a HealthyFood transaction within the Plan Year. Mall Transaction Member completes a HumanaVitality Mall transaction within the Plan Year. Active Events Member completes various activities requiring member awareness of the HV program within the Plan Year.	458286	1125456
H1045	PREFERRED CARE PARTNERS, INC.	2017	1	House Calls Program, Renew Rewards	HouseCalls, Annual Physical or Wellness Visit, Fall Prevention Discussion with Doctor or Fall Prevention In-home Activity, Rheumatoid Arthritis Visit, Osteoporosis Screening  Bone Density Test, Eye Exam for Diabetic Care, Colon Cancer Screening, Breast C	Gift Card	The reward is a gift card of a set monetary amount that must be spent down. Reward amounts and gift card options vary based on the health care activity, but are determined based on the amount expected to impact enrollee behavior, but not exceeding the value of the health related activity itself.	HouseCalls Program: HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in an in home visit.  Members can receive information about the opportunity to have a HouseCalls visit by outbound phone outreach from our scheduling agents, mailed materials, or email.  The clinician performing the visit will enter member information into the eHouseCalls app housed on the tablet our clinicians use in the field.  Once the HouseCalls system receives confirmation of a completed visit, the reward is issued., Renew Rewards Program: Enrollees initiate the redemption process by activating their participation in the program through any of three channels (Customer Service, Online/Member Portals, Direct Mail) if they have not done so previously. Members self-report completion of eligible activities through any of these three channels by providing certain required data (e.g., appointment date, clinic name, provider name, provider phone). Once UHC validates the eligibility period for the activity, the reward is issued.	51531	60549
H1099	HEALTH FIRST HEALTH PLANS	2017	1	Healthy Living Fracture DEXA Scan or SXA Scan	DEXA or SXA scan	$25 gift card not redeemable for cash	The gift card is below the value of the Medicare allowable service rate and it is consistent with what the marketplace is offering.	Participation is caputured through monthly claims and exam reports.  Members completing the requirements to receive a gift card are tracked by name, ID number, address, gift card control number and date mailed.  Gift cards are mailed within 4-6 weeks after claim is processed.	316	39
H1099	HEALTH FIRST HEALTH PLANS	2017	2	Comprehensive Health Assessment Incentive Program	Complete Physical Exam, Medication Review, Nutrition Screening, Healthy Behavior Screening, ADL Screening, Fall Risk Screening, Mental Status Exam, Depression Screening, Diabetic Screening and Complete Assessment	$50 gift card not redeemable for cash	Value of the gift card is based on market analysis and consistent with what the marketplace is offering	Participation is captured through reporting triggered by the correct EMR form being opened and signed for CHAs completed by Health First Medical Group.  For CHAs completed by Matrix, a report is sent from Matrix of all completed CHAs.  This reporting is obtained twice a month. Members completing the requirements to receive a gift card are tracked by name, ID number, address, gift card control number and date mailed. Gift cards are mailed within 6-8 weeks after their CHA visit.	39683	14726
H1109	AETNA HEALTH INC.(GA)	2017	1	 	 	 	 	 	0	0
H1111	UNITEDHEALTHCARE OF GEORGIA, INC.	2017	1	House Calls Program, Renew Rewards	HouseCalls, Annual Physical or Wellness Visit, Fall Prevention Discussion with Doctor or Fall Prevention In-home Activity, Rheumatoid Arthritis Visit, Osteoporosis Screening  Bone Density Test, Eye Exam for Diabetic Care, Colon Cancer Screening, Breast C	Gift Card	The reward is a gift card of a set monetary amount that must be spent down. Reward amounts and gift card options vary based on the health care activity, but are determined based on the amount expected to impact enrollee behavior, but not exceeding the value of the health related activity itself.	HouseCalls Program: HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in an in home visit.  Members can receive information about the opportunity to have a HouseCalls visit by outbound phone outreach from our scheduling agents, mailed materials, or email.  The clinician performing the visit will enter member information into the eHouseCalls app housed on the tablet our clinicians use in the field.  Once the HouseCalls system receives confirmation of a completed visit, the reward is issued., Renew Rewards Program: Enrollees initiate the redemption process by activating their participation in the program through any of three channels (Customer Service, Online/Member Portals, Direct Mail) if they have not done so previously. Members self-report completion of eligible activities through any of these three channels by providing certain required data (e.g., appointment date, clinic name, provider name, provider phone). Once UHC validates the eligibility period for the activity, the reward is issued.	7183	7873
H1112	WELLCARE OF GEORGIA, INC.	2017	1	$25 Gift Card for completion of the Welvie Program	Direct Decision Support for preference sensitive surgeries	$25 gift card (not redeamable for cash)	Limited to $25	Enrollees must register in the program and program progress is tracked electronically	3210	1882
H1170	KAISER FOUNDATION HP OF GA, INC.	2017	1	 	 	 	 	 	0	0
H1181	NETWORK HEALTH INSURANCE CORPORATION	2017	1	 	 	 	 	 	0	0
H1189	CHRISTUS HEALTH PLAN	2017	1	 	 	 	 	 	0	0
H1230	KAISER FOUNDATION HP, INC.	2017	1	Silver&Fit Rewards Program	Fitness facility visits,physical activity	Hats,pins	The value of the reward is the cost per unit.	Members are offered the opportunity to participate in the rewards program upon enrollment. Their participation is tracked through a field in the system that indicates whether they choose to participate or not.	543	496
H1264	WELLCARE OF TEXAS, INC.	2017	1	$25 Gift Card for completion of the Welvie Program	Direct Decision Support for preference sensitive surgeries	$25 gift card (not redeamable for cash)	Limited to $25	Enrollees must register in the program and program progress is tracked electronically	1524	822
H1286	UNITEDHEALTHCARE INSURANCE COMPANY	2017	1	House Calls Program, Renew Rewards	HouseCalls, Annual Physical or Wellness Visit, Fall Prevention Discussion with Doctor or Fall Prevention In-home Activity, Rheumatoid Arthritis Visit, Osteoporosis Screening  Bone Density Test, Eye Exam for Diabetic Care, Colon Cancer Screening, Breast C	Gift Card	The reward is a gift card of a set monetary amount that must be spent down. Reward amounts and gift card options vary based on the health care activity, but are determined based on the amount expected to impact enrollee behavior, but not exceeding the value of the health related activity itself.	HouseCalls Program: HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in an in home visit.  Members can receive information about the opportunity to have a HouseCalls visit by outbound phone outreach from our scheduling agents, mailed materials, or email.  The clinician performing the visit will enter member information into the eHouseCalls app housed on the tablet our clinicians use in the field.  Once the HouseCalls system receives confirmation of a completed visit, the reward is issued., Renew Rewards Program: Enrollees initiate the redemption process by activating their participation in the program through any of three channels (Customer Service, Online/Member Portals, Direct Mail) if they have not done so previously. Members self-report completion of eligible activities through any of these three channels by providing certain required data (e.g., appointment date, clinic name, provider name, provider phone). Once UHC validates the eligibility period for the activity, the reward is issued.	6461	8050
H1302	BLUE CROSS OF IDAHO CARE PLUS, INC.	2017	1	 	 	 	 	 	0	0
H1304	REGENCE BLUESHIELD OF IDAHO	2017	1	 	 	 	 	 	0	0
H1343	FRESENIUS HEALTH PLANS OF TEXAS, INC.	2017	1	 	 	 	 	 	0	0
H1350	BLUE CROSS OF IDAHO CARE PLUS, INC.	2017	1	 	 	 	 	 	0	0
H1352	BLUE-ADVANTAGE PLUS OF KANSAS CITY, INC.	2017	1	 	 	 	 	 	0	0
H1365	MARTIN'S POINT GENERATIONS ADVANTAGE, INC.	2017	1	Grocery Gift Card for completion of Home Risk Assessment or attend Mobile Health Center event	Annual Wellness Visits and preventative screenings.	$20 Hannaford Gift Card	$20 Gift Card per year per person triggered by the completion of a visit	Vendors send weekly reports indicating which members have participated in the program	397	397
H1372	MARQUIS ADVANTAGE, INC.	2017	1	 	 	 	 	 	0	0
H1415	HEALTHSPRING OF TENNESSEE, INC.	2017	1	 	 	 	 	 	0	0
H1416	HARMONY HEALTH PLAN,  INC.	2017	1	$25 Gift Card for completion of the Welvie Program	Direct Decision Support for preference sensitive surgeries	$25 gift card (not redeamable for cash)	Limited to $25	Enrollees must register in the program and program progress is tracked electronically	4994	2797
H1463	HEALTH ALLIANCE CONNECT, INC.	2017	1	Rally	Health survey, snapshot of overall health, identify areas for improved health, Missions to track maintain and/or improve on healthy behaviors, gallery of over 50 different goals, exercise, healthy eating, mental wellness, sleep habits, healthy cooking, tobacco cessation, medication adherence, Challenges which translate real-world activity into steps on a map in competition with other enrollees, online communities devoted to specific health and wellness topics, curated and original content and articles about health and wellness topics.	Virtual coins for completing goals, Auction-styled marketplace where coins can be bid on a variety of products, direct coin exchanges where coins can be traded for health and wellness related products.	Value of virtual coins is determined by other enrollees participating in the auctions, Direct exchange values are set for each product--for example a $25 gift card might be assigned the value of 250 virtual coins.	Members register with Rally and their registration IDs are shared with Health Alliance via monthly reports.	50	0
H1468	HUMANA BENEFIT PLAN OF ILLINOIS, INC.	2017	1	Humana Vitality	Education: Complete Healthy Assessment (HA), First Step HA (once per lifetime bonus for completion), HA Bonus (complete w/in 120 days of effective date), Health Calculators, Update/confirm contact information, Attend Humana health education classes Fitness: First verified workout per lifetime, First verified workout each year,Athletic Event, Highest total Bucks per day rewarded across workout type,Steps, Heart rate monitor, Calories, Participating fitness facility Prevention: Welcome to Medicare (once per lifetime), Annual Wellness Exam, Mammogram, Colorectal Screening, Cardiovascular disease screening, Bone denisty, Flu Shot, Dental Exam, Vision Exam, Body Mass Index (BMI), Blood Pressure, Blood Glucose screening (diabetes test), Cholesterol	With HealthyFood (HF), seniors are eligible to earn an immediate 10% savings upon activating the HF card + $5 load onto their HF Shopping Card for the first and second eligible preventive care activity completed by the member, up to $10 per calendar year.  In addition, Medicare members can earn Bucks for participating and engaging in the program, such as completing a biometric screening, exercising, etc., which can be used to purchase various items in the HV/Go365 Mall.  The approximate values for these items are provided below.  Mall Tile Storefront Item Value Range Pedometers $12.50 - $18.50 Apple products $49 - $499 Go365 co-branded merchandise $31 - $76 Trek products $35 - $499 Gift Cards $10 - $25 Garmin devices $45 - $350 Fitbit devices $45 - $205 Polar devices $45 - $140 Fitbug device $17.50	With HealthyFood (HF), seniors are eligible to earn an immediate 10% savings upon activating the HF card + $5 load onto their HF Shopping Card for the first and second eligible preventive care activity completed by the member, up to $10 per calendar year.  In addition, Medicare members can earn Bucks for participating and engaging in the program, such as completing a biometric screening, exercising, etc., which can be used to purchase various items in the HV/Go365 Mall.  The approximate values for these items are provided below.  Mall Tile Storefront Item Value Range Pedometers $12.50 - $18.50 Apple products $49 - $499 Go365 co-branded merchandise $31 - $76 Trek products $35 - $499 Gift Cards $10 - $25 Garmin devices $45 - $350 Fitbit devices $45 - $205 Polar devices $45 - $140 Fitbug device $17.50	EH:  Medicare Participation is defined as follows: HA Completion Member completes the HA within the Plan Year. HF Transaction Member completes a HealthyFood transaction within the Plan Year. Mall Transaction Member completes a HumanaVitality Mall transaction within the Plan Year. Active Events Member completes various activities requiring member awareness of the HV program within the Plan Year.	7508	19321
H1537	UNITEDHEALTHCARE INSURANCE COMPANY OF NEW YORK	2017	1	House Calls Program, Renew Rewards	HouseCalls, Annual Physical or Wellness Visit, Fall Prevention Discussion with Doctor or Fall Prevention In-home Activity, Rheumatoid Arthritis Visit, Osteoporosis Screening  Bone Density Test, Eye Exam for Diabetic Care, Colon Cancer Screening, Breast C	Gift Card	The reward is a gift card of a set monetary amount that must be spent down. Reward amounts and gift card options vary based on the health care activity, but are determined based on the amount expected to impact enrollee behavior, but not exceeding the value of the health related activity itself.	HouseCalls Program: HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in an in home visit.  Members can receive information about the opportunity to have a HouseCalls visit by outbound phone outreach from our scheduling agents, mailed materials, or email.  The clinician performing the visit will enter member information into the eHouseCalls app housed on the tablet our clinicians use in the field.  Once the HouseCalls system receives confirmation of a completed visit, the reward is issued., Renew Rewards Program: Enrollees initiate the redemption process by activating their participation in the program through any of three channels (Customer Service, Online/Member Portals, Direct Mail) if they have not done so previously. Members self-report completion of eligible activities through any of these three channels by providing certain required data (e.g., appointment date, clinic name, provider name, provider phone). Once UHC validates the eligibility period for the activity, the reward is issued.	444	600
H1587	ARKANSAS SUPERIOR SELECT, INC.	2017	1	 	 	 	 	 	0	0
H1607	ANTHEM INSURANCE COMPANIES, INC.	2017	1	 	 	 	 	 	0	0
H1608	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	2017	1	Coventry Healthy Rewards	Members are incented to complete preventative health screenings as well as initiate conversations with their health care provider.	Members could be incented on the following opportunities:  Annual Wellness Exam, Discussion with Provider regarding Physical Activity, Colorectal Screenings, Diabetic Eye Exam, Diabetic Kidney Screening, Breast Cancer Screening	Our vendor, Novu, sends an activity file which lets us see which members have engaged in the program, and which rewards they have attested to completing. Each reward opportunity has a value assigned to that and we're able to track that per member.	Our vendor, Novu, sends an activity file which lets us see which members have engaged in the program. Members are able to engage via the mail, phone or web.	143017	18542
H1609	AETNA HEALTH INC. (FL)	2017	1	Coventry Rewards Program	Welcome to Medicare visit, annual wellness exam, flu shot, bone mass index screening, colorectal cancer screening, diabetes screening, eye exam and glaucoma screening, mammogram screening, obesity screening, pap test and pelvic exam screening, prostate cancer screening	Reward points towards the purchase of Medicare-approved over-the-counter (OTC) items	Enrollees earn 15 points for each eligible preventive service and 10 points for each eligible health screening performed by their primary care physician. Enrollees may earn up to 100 points per benefit year.	We track participation by monitoring medical claims for the eligible preventive services and screenings along with reward point redemption data.	55546	232051
H1659	PIEDMONT COMMUNITY HEALTHCARE, INC.	2017	1	Inovalon Home Visit Program	Completion of home visit with a NP	Gift Card	$25	Excel Spreadsheet	1700	422
H1660	HARVARD PILGRIM HEALTH CARE INC.	2017	1	 	 	 	 	 	0	0
H1666	HCSC INSURANCE SERVICES COMPANY	2017	1	Healthy Rewards Program	Annual Wellness Visit, Annual Flu Vaccine, Blood Glucose A1c Screening, Colorectal Screening, Completion of Health Questionnaire, In Home Assessment, Mammogram, Nephropathy Screening, Retinal Exam,  Tracking of Physical Activity over 12 weeks.	Registered members earn Gift Cards total annual maximum rewards is $100.  For members in H1666 we used $25 gift card awards for all Healthy Actions, inclusive of Annual Wellness Visit, Annual Flu Vaccine, Blood Glucose A1c Screening, Colorectal Screening, Completion of Health Questionnaire, In Home Assessment, Mammogram, Nephropathy Screening, Retinal Exam, Tracking of Physical Activity over 12 weeks.	Evaluated the cost value of each service, ensured that the value of the award is less than that of the service provided while significant enough to drive the member to complete it.	We track participation in the in the Healthy Rewards Program, via Weekly Registration reports, Healthy Action Activity Reports and Reward Redemption Reports.	4117	13249
H1692	COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.	2017	1	 	 	 	 	 	0	0
H1723	ABSOLUTE TOTAL CARE, INC.	2017	1	Absolute Total Care Rewards Program H1723	Annual flu vaccination, breast cancer screening, colorectal cancer screening, diabetic HbA1c testing, diabetic retinopathy screening, diabetic kidney screening	Cracker Barrel gift card	Reward values are calculated based on average cost of service for the health plan	Weekly claims sweep of internal systems	3491	3354
H1737	HEALTH ALLIANCE - MIDWEST, INC.	2017	1	Rally	Health survey, snapshot of overall health, identify areas for improved health, Missions to track maintain and/or improve on healthy behaviors, gallery of over 50 different goals, exercise, healthy eating, mental wellness, sleep habits, healthy cooking, tobacco cessation, medication adherence, Challenges which translate real-world activity into steps on a map in competition with other enrollees, online communities devoted to specific health and wellness topics, curated and original content and articles about health and wellness topics.	Virtual coins for completing goals, Auction-styled marketplace where coins can be bid on a variety of products, direct coin exchanges where coins can be traded for health and wellness related products.	Value of virtual coins is determined by other enrollees participating in the auctions, Direct exchange values are set for each product--for example a $25 gift card might be assigned the value of 250 virtual coins.	Members register with Rally and their registration IDs are shared with Health Alliance via monthly reports.	3	0
H1777	CATHOLIC SPECIAL NEEDS PLAN, LLC	2017	1	 	 	 	 	 	0	0
H1846	MOUNT CARMEL HEALTH INSURANCE COMPANY	2017	1	 	 	 	 	 	0	0
H1894	AMERIGROUP WASHINGTON, INC.	2017	1	 	 	 	 	 	0	0
H1944	UNITEDHEALTHCARE OF NEW ENGLAND, INC.	2017	1	House Calls Program, Renew Rewards	HouseCalls, Annual Physical or Wellness Visit, Fall Prevention Discussion with Doctor or Fall Prevention In-home Activity, Rheumatoid Arthritis Visit, Osteoporosis Screening  Bone Density Test, Eye Exam for Diabetic Care, Colon Cancer Screening, Breast C	Gift Card	The reward is a gift card of a set monetary amount that must be spent down. Reward amounts and gift card options vary based on the health care activity, but are determined based on the amount expected to impact enrollee behavior, but not exceeding the value of the health related activity itself.	HouseCalls Program: HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in an in home visit.  Members can receive information about the opportunity to have a HouseCalls visit by outbound phone outreach from our scheduling agents, mailed materials, or email.  The clinician performing the visit will enter member information into the eHouseCalls app housed on the tablet our clinicians use in the field.  Once the HouseCalls system receives confirmation of a completed visit, the reward is issued., Renew Rewards Program: Enrollees initiate the redemption process by activating their participation in the program through any of three channels (Customer Service, Online/Member Portals, Direct Mail) if they have not done so previously. Members self-report completion of eligible activities through any of these three channels by providing certain required data (e.g., appointment date, clinic name, provider name, provider phone). Once UHC validates the eligibility period for the activity, the reward is issued.	18923	20661
H1951	HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.	2017	1	Humana Rewards	Welcome to Medicare Routine Physical, Annual Wellness Visit, Cardiovascular Disease Screening, Diabetes Screening Test, Mammogram, Bone Density Test, Colorectal Cancer Screening, Flu Vaccine Depression Screening, Medical Nutrition Therapy, Diabetes Self-Management Training, Diabetic Retinal Exam, Kidney Tests/Nephropathy Screening, Diabetic Foot Exam, Adult BMI Assessment	With the completion of 4 preventive activities the enrollees earn 5 $10 gift cards to be selected from various vendors	With the completion of 4 preventive activities the enrollees earn 5 $10 gift cards to be selected from various vendors	Participation is tracked via claims processing for the specific CPT codes for the preventive activities listed above.	13	5
H1951	HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.	2017	2	Humana Vitality	Education: Complete Healthy Assessment (HA), First Step HA (once per lifetime bonus for completion), HA Bonus (complete w/in 120 days of effective date), Health Calculators, Update/confirm contact information, Attend Humana health education classes Fitness: First verified workout per lifetime, First verified workout each year,Athletic Event, Highest total Bucks per day rewarded across workout type,Steps, Heart rate monitor, Calories, Participating fitness facility Prevention: Welcome to Medicare (once per lifetime), Annual Wellness Exam, Mammogram, Colorectal Screening, Cardiovascular disease screening, Bone denisty, Flu Shot, Dental Exam, Vision Exam, Body Mass Index (BMI), Blood Pressure, Blood Glucose screening (diabetes test), Cholesterol	With HealthyFood (HF), seniors are eligible to earn an immediate 10% savings upon activating the HF card + $5 load onto their HF Shopping Card for the first and second eligible preventive care activity completed by the member, up to $10 per calendar year.  In addition, Medicare members can earn Bucks for participating and engaging in the program, such as completing a biometric screening, exercising, etc., which can be used to purchase various items in the HV/Go365 Mall.  The approximate values for these items are provided below.  Mall Tile Storefront Item Value Range Pedometers $12.50 - $18.50 Apple products $49 - $499 Go365 co-branded merchandise $31 - $76 Trek products $35 - $499 Gift Cards $10 - $25 Garmin devices $45 - $350 Fitbit devices $45 - $205 Polar devices $45 - $140 Fitbug device $17.50	With HealthyFood (HF), seniors are eligible to earn an immediate 10% savings upon activating the HF card + $5 load onto their HF Shopping Card for the first and second eligible preventive care activity completed by the member, up to $10 per calendar year.  In addition, Medicare members can earn Bucks for participating and engaging in the program, such as completing a biometric screening, exercising, etc., which can be used to purchase various items in the HV/Go365 Mall.  The approximate values for these items are provided below.  Mall Tile Storefront Item Value Range Pedometers $12.50 - $18.50 Apple products $49 - $499 Go365 co-branded merchandise $31 - $76 Trek products $35 - $499 Gift Cards $10 - $25 Garmin devices $45 - $350 Fitbit devices $45 - $205 Polar devices $45 - $140 Fitbug device $17.50	EH:  Medicare Participation is defined as follows: HA Completion Member completes the HA within the Plan Year. HF Transaction Member completes a HealthyFood transaction within the Plan Year. Mall Transaction Member completes a HumanaVitality Mall transaction within the Plan Year. Active Events Member completes various activities requiring member awareness of the HV program within the Plan Year.	139450	241650
H1961	PEOPLES HEALTH, INC.	2017	1	Peoples Health Member Rewards Program  2017	Comprehensive Wellness Assessment, Health Risk Assessment, Breast Cancer Screening, Colorectal Cancer Screening, Diabetes Eye Exam, Diabetes Education, Flu Shot	Gift Cards	In order to calculate the value of a reward, Peoples Health took several things into consideration including: 1. industry standard - the dollar amount which members perceived had value and subsequently triggered member to complete activity, and 2. reward-cost ratio  the reward amount is lower than the actual cost of the service being provided.	Peoples Health contracted with NOVU, a member engagement company, to manage the 2017 Peoples Health Member Rewards program. NOVU provides daily reports covering: Total Members  Eligible population, Activated Members  A breakdown of how many members that have activated into the program & the channels through which they have activated, Activities Redeemed  Aggregate number of health care activities that have been closed , Activities  Stats on each health care activity (total number eligible, total number redeemed, total reward value)	9584	18467
H1969	REGENCE BLUESHIELD OF IDAHO	2017	1	 	 	 	 	 	0	0
H1977	UPPER PENINSULA HEALTH PLAN, LLC	2017	1	 	 	 	 	 	0	0
H1994	SELECTHEALTH, INC.	2017	1	Healthy Living	Annual Wellness Visit, Flu shot, Smoking cessation program/non-smoking attestation, physical activity, strength training, healthy eating	gift card	face value of gift card	Members track their progress on our website behind a secure login or by calling member services to attest to completing activities. Automation of tracking some activities is planned for future years. Paper forms are also available for 2017.	41500	3123
H1997	REGENCE BLUESHIELD	2017	1	 	 	 	 	 	0	0
H2001	SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	2017	1	House Calls Program, Renew Rewards	HouseCalls, Annual Physical or Wellness Visit, Fall Prevention Discussion with Doctor or Fall Prevention In-home Activity, Rheumatoid Arthritis Visit, Osteoporosis Screening  Bone Density Test, Eye Exam for Diabetic Care, Colon Cancer Screening, Breast C	Gift Card	The reward is a gift card of a set monetary amount that must be spent down. Reward amounts and gift card options vary based on the health care activity, but are determined based on the amount expected to impact enrollee behavior, but not exceeding the value of the health related activity itself.	HouseCalls Program: HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in an in home visit.  Members can receive information about the opportunity to have a HouseCalls visit by outbound phone outreach from our scheduling agents, mailed materials, or email.  The clinician performing the visit will enter member information into the eHouseCalls app housed on the tablet our clinicians use in the field.  Once the HouseCalls system receives confirmation of a completed visit, the reward is issued., Renew Rewards Program: Enrollees initiate the redemption process by activating their participation in the program through any of three channels (Customer Service, Online/Member Portals, Direct Mail) if they have not done so previously. Members self-report completion of eligible activities through any of these three channels by providing certain required data (e.g., appointment date, clinic name, provider name, provider phone). Once UHC validates the eligibility period for the activity, the reward is issued.	554100	815996
H2029	HUMANA INSURANCE OF PUERTO RICO, INC.	2017	1	Humana Rewards	Welcome to Medicare Routine Physical, Annual Wellness Visit, Cardiovascular Disease Screening, Diabetes Screening Test, Mammogram, Bone Density Test, Colorectal Cancer Screening, Flu Vaccine Depression Screening, Medical Nutrition Therapy, Diabetes Self-Management Training, Diabetic Retinal Exam, Kidney Tests/Nephropathy Screening, Diabetic Foot Exam, Adult BMI Assessment	With the completion of 4 preventive activities the enrollees earn 5 $10 gift cards to be selected from various vendors	With the completion of 4 preventive activities the enrollees earn 5 $10 gift cards to be selected from various vendors	Participation is tracked via claims processing for the specific CPT codes for the preventive activities listed above.	1217	110
H2029	HUMANA INSURANCE OF PUERTO RICO, INC.	2017	2	Humana Vitality	Education: Complete Healthy Assessment (HA), First Step HA (once per lifetime bonus for completion), HA Bonus (complete w/in 120 days of effective date), Health Calculators, Update/confirm contact information, Attend Humana health education classes Fitness: First verified workout per lifetime, First verified workout each year,Athletic Event, Highest total Bucks per day rewarded across workout type,Steps, Heart rate monitor, Calories, Participating fitness facility Prevention: Welcome to Medicare (once per lifetime), Annual Wellness Exam, Mammogram, Colorectal Screening, Cardiovascular disease screening, Bone denisty, Flu Shot, Dental Exam, Vision Exam, Body Mass Index (BMI), Blood Pressure, Blood Glucose screening (diabetes test), Cholesterol	With HealthyFood (HF), seniors are eligible to earn an immediate 10% savings upon activating the HF card + $5 load onto their HF Shopping Card for the first and second eligible preventive care activity completed by the member, up to $10 per calendar year.  In addition, Medicare members can earn Bucks for participating and engaging in the program, such as completing a biometric screening, exercising, etc., which can be used to purchase various items in the HV/Go365 Mall.  The approximate values for these items are provided below.  Mall Tile Storefront Item Value Range Pedometers $12.50 - $18.50 Apple products $49 - $499 Go365 co-branded merchandise $31 - $76 Trek products $35 - $499 Gift Cards $10 - $25 Garmin devices $45 - $350 Fitbit devices $45 - $205 Polar devices $45 - $140 Fitbug device $17.50	With HealthyFood (HF), seniors are eligible to earn an immediate 10% savings upon activating the HF card + $5 load onto their HF Shopping Card for the first and second eligible preventive care activity completed by the member, up to $10 per calendar year.  In addition, Medicare members can earn Bucks for participating and engaging in the program, such as completing a biometric screening, exercising, etc., which can be used to purchase various items in the HV/Go365 Mall.  The approximate values for these items are provided below.  Mall Tile Storefront Item Value Range Pedometers $12.50 - $18.50 Apple products $49 - $499 Go365 co-branded merchandise $31 - $76 Trek products $35 - $499 Gift Cards $10 - $25 Garmin devices $45 - $350 Fitbit devices $45 - $205 Polar devices $45 - $140 Fitbug device $17.50	EH:  Medicare Participation is defined as follows: HA Completion Member completes the HA within the Plan Year. HF Transaction Member completes a HealthyFood transaction within the Plan Year. Mall Transaction Member completes a HumanaVitality Mall transaction within the Plan Year. Active Events Member completes various activities requiring member awareness of the HV program within the Plan Year.	18	15
H2034	COMMUNITY CARE HEALTH PLAN, INC.	2017	1	 	 	 	 	 	0	0
H2108	BRAVO HEALTH MID-ATLANTIC, INC.	2017	1	 	 	 	 	 	0	0
H2161	UPPER PENINSULA HEALTH PLAN, LLC	2017	1	 	 	 	 	 	0	0
H2168	VILLAGE SENIOR SERVICES CORPORATION	2017	1	 	 	 	 	 	0	0
H2171	CARE N' CARE INSURANCE COMPANY, INC.	2017	1	HealthFair Mobile Clinic	HealthFair mobile unit are conveniently made available at accessible locations in various Texas and North Carolina city to perform comprehensive health assessments and screening tests for the members.  Targeted members who have not seen their PCP for the current year and or non-compliant for their wellness screenings.	Member earn a $25.00 Visa gift card upon completion of health assessment.	Reward recommended by vendor based on their other client's experiences.	The HealthFair vendor provide a daily and weekly Excel status update of who has scheduled and seen for an event.	321	106
H2171	CARE N' CARE INSURANCE COMPANY, INC.	2017	2	CNC Direct Attestation	Collaboration with Care N' Care health plan to encourage enrollees to visit their PCP for health maintenance and screenings.	Member earn a $15.00 CVS gift card for completing a visit with their PCP.	Reward recommended by past initiatives with high return.	An attestation form was return. Additionally coder validate visit.	34	11
H2174	TRILLIUM COMMUNITY HEALTH PLAN	2017	1	Trillium Advantage Rewards Program H2174	Annual flu vaccination, diabetic HbA1c testing, diabetic retinopathy screening, diabetic kidney screening, annual wellness visit	Walmart gift card	Reward values are calculated based on average cost of service for the health plan	Weekly claims sweep of internal systems	2918	3986
H2185	LIFEWORKS ADVANTAGE, LLC	2017	1	 	 	 	 	 	0	0
H2224	SENIOR WHOLE HEALTH, LLC	2017	1	SWH Mammogram Screening Incentive	Encouraging women to get a breast cancer screening	Gift card	Gift card value is 10 dollars	All women eligible to get a mammogram according to HEDIS specifications are eligible for the program	1778	33
H2225	COMMONWEALTH CARE ALLIANCE, INC.	2017	1	 	 	 	 	 	0	0
H2226	UNITEDHEALTHCARE INSURANCE COMPANY	2017	1	House Calls Program	HouseCalls	Gift Card	The reward is a gift card of a set monetary amount that must be spent down. Reward amounts and gift card options vary based on the health care activity, but are determined based on the amount expected to impact enrollee behavior, but not exceeding the value of the health related activity itself.	HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in an in home visit.  Members can receive information about the opportunity to have a HouseCalls visit by outbound phone outreach from our scheduling agents, mailed materials, or email.  The clinician performing the visit will enter member information into the eHouseCalls app housed on the tablet our clinicians use in the field.  Once the HouseCalls system receives confirmation of a completed visit, the reward is issued.	6266	5498
H2228	UNITEDHEALTHCARE INSURANCE COMPANY	2017	1	House Calls Program, Renew Rewards	HouseCalls, Annual Physical or Wellness Visit, Fall Prevention Discussion with Doctor or Fall Prevention In-home Activity, Rheumatoid Arthritis Visit, Osteoporosis Screening  Bone Density Test, Eye Exam for Diabetic Care, Colon Cancer Screening, Breast C	Gift Card	The reward is a gift card of a set monetary amount that must be spent down. Reward amounts and gift card options vary based on the health care activity, but are determined based on the amount expected to impact enrollee behavior, but not exceeding the value of the health related activity itself.	HouseCalls Program: HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in an in home visit.  Members can receive information about the opportunity to have a HouseCalls visit by outbound phone outreach from our scheduling agents, mailed materials, or email.  The clinician performing the visit will enter member information into the eHouseCalls app housed on the tablet our clinicians use in the field.  Once the HouseCalls system receives confirmation of a completed visit, the reward is issued., Renew Rewards Program: Enrollees initiate the redemption process by activating their participation in the program through any of three channels (Customer Service, Online/Member Portals, Direct Mail) if they have not done so previously. Members self-report completion of eligible activities through any of these three channels by providing certain required data (e.g., appointment date, clinic name, provider name, provider phone). Once UHC validates the eligibility period for the activity, the reward is issued.	83335	100307
H2230	BCBS  OF MASSACHUSETTS HMO BLUE, INC.	2017	1	Gift Card for completing Health Risk Assessment	Completion of annual Health Risk Assessment	We offer a $10 reward in the form of a gift card for members who take the Health Risk Assessment.  Members can earn the $10 reward once per year.	Our Product Management, Health & Medical Management, and Marketing teams collaborated to calculate the value of the reward.  We decided that $10 was an appropriate amount to incentivize our members to complete the HRA.  We agreed that this value was compliant with the CMS requirement that the value may be expected to affect the enrollee behavior but not exceed the value of the health related service or activity itself. 	The team that manages the HRA provides a monthly report that tracks HRA completions and incentives earned.	287	287
H2237	INDEPENDENT CARE HEALTH PLAN, INC.	2017	1	iCare Rewards Program	Mammograms,diabetic eye exams,FIT tests,Microabumin urine tests,HbA1c tests	Gift Cards	The actual value of the gift card	Through our Inovalon and TruCare systems	760	18975
H2241	GOLDEN STATE MEDICARE HEALTH PLAN	2017	1	Be Well Wellness Campaign - Screening/Test	Colorectal Cancer Screenings, Breast Cancer Screenings, Retinal Screenings, Nephropathy Screenings, and Hemoglobin A1c Testings, Blood Pressure Testings.	Enrollees may earn Visa gift cards for completing their screenings and/or testings.	The value of each gift card reward is based on the burden of completing the test.  For example, completing a colonoscopy would present a greater burden to the member compared to receiving an FOBT.	Enrollee participation is tracked based upon returned verification forms.	816	1031
H2241	GOLDEN STATE MEDICARE HEALTH PLAN	2017	2	Be Well Wellness Campaign - Annual Wellness Visit or Welcome to Medicare Preventive Visit	Complete either Medicare Annual Wellness Visit or Welcome to Medicare Preventive Visit during calendar year.	Enrollees may earn a limited Silver Sneakers gym membership or a $25 Target Gift Card for completing their Medicare Annual Wellness Visit or Welcome to Medicare Preventive Visit during calendar year.	The value of each Silver Sneakers gym membership is derived from the actual cost to the plan.	Enrollee participation is tracked based upon returned verification forms.	2061	2061
H2256	TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION	2017	1	 	 	 	 	 	0	0
H2261	BCBS  OF MASSACHUSETTS HMO BLUE, INC.	2017	1	Gift Card for completing Health Risk Assessment	Completion of annual Health Risk Assessment	We offer a $10 reward in the form of a gift card for members who take the Health Risk Assessment.  Members can earn the $10 reward once per year.	Our Product Management, Health & Medical Management, and Marketing teams collaborated to calculate the value of the reward.  We decided that $10 was an appropriate amount to incentivize our members to complete the HRA.  We agreed that this value was compliant with the CMS requirement that the value may be expected to affect the enrollee behavior but not exceed the value of the health related service or activity itself. 	The team that manages the HRA provides a monthly report that tracks HRA completions and incentives earned.	127	127
H2320	PRIORITY HEALTH	2017	1	Censeo Incentive Program	In-home health assessment provided by a certified physician to document and capture full burden of health - close quality gaps - and drive care management if applicable.	$25 Visa gift card	Any member who participates in the incentive receives the $25 Visa gift card.	Our vendor who performs the in-home health assessments - CenseoHealth - provides Priority Health with a list of members that qualify for the incentive (Declined in-home assessment previously - subsequently accepted and had an in-home health assessment).	8094	412
H2322	ALLIANCE HEALTH AND LIFE INSURANCE COMPANY	2017	1	Osteoporosis Measurement for Women	Bone density screening or Rx medication to treat osteoporosis within 6 months for women 67-85 with a recent fracture	$100award voucher that lets the member choose from numerous national retailers to get a gift  card	This measure has a small number ofmembers with a short time frame to see their provider for amedication or to hav aone density screening so we felt $100 may help improve this measure	Member list is pulled based on measure criteria to identify poulation. Claims data is run monthly to determine members who have completed a screening and due for an award.	31	7
H2322	ALLIANCE HEALTH AND LIFE INSURANCE COMPANY	2017	2	Diabetes HbA1c Testing and Nephrolpathy Screening	Most recent HbA1c test within measurement year	$20 award voucher that lets the member choose from numerous national retailers to get a gift card	Members reacted positively to a $15 award in the past so to increase member participation we increased the dollar amount offered.	Member list is pulled based on measure criteria to identify population. Claims data is run monthly to determine members who have completed a screening and due for an award.	553	7
H2334	EON HEALTH, INC. (SC)	2017	1	Better Health 4 You	Annual Flu Shot (Influenza Vaccination), Annual Wellness Visit, Colorectal Cancer Screening, (iFOBT, Colonoscopy or Flex Sigmoidoscopy), Mammogram (Breast Cancer Screening)	Gift Cards	$15 gift card for annual wellness visit, $10 gift card for Annual Flu Shot (Influenza Vaccination),  Colorectal Cancer Screening, (iFOBT, Colonoscopy or Flex Sigmoidoscopy), Mammogram (Breast Cancer Screening)	The member takes the Better Health 4 You booklet to the appointment for completion by their physician. The physician form must be completed, signed, dated and faxed to Eon Health. Once the completed form is received at Eon, the Enrollment Team processes the form by completing the Incentive Tracker. The Better Health 4 You Booklet includes a Provider Reference Code List. Participation in the program is confirmed upon processing of claim with corresponding claims codes at which time the Gift card is approved and mailed to member.	0	0
H2354	HEALTH ALLIANCE PLAN OF MICHIGAN	2017	1	Osteoporosis Measurement for Women	Bone density screening or Rx medication to treat osteoporosis within 6 months for women 67-85 with a recent fracture	$100 award voucher that lets the member choose from numerous national retailers to get a gift  card	This measure has a small number ofmembers with a short time frame to see their provider for amedication or to hav aone density screening so we felt $100 may help improve this measure	Member list is pulled based on measure criteria to identify poulation. Claims data is run monthly to determine members who have completed a screening and due for an award.	533	122
H2354	HEALTH ALLIANCE PLAN OF MICHIGAN	2017	2	Diabetes HbA1c Testing and Nephrolpathy Screening	Most recent HbA1c test within measurement year	$20 award voucher that lets the member choose from numerous national retailers to get a gift card	Members reacted positively to a $15 award in the past so to increase member participation we increased the dollar amount offered.	Member list is pulled based on measure criteria to identify population. Claims data is run monthly to determine members who have completed a screening and due for an award.	10506	132
H2400	SIGNATURE ADVANTAGE, LLC	2017	1	 	 	 	 	 	0	0
H2406	SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	2017	1	House Calls Program, Renew Rewards	HouseCalls, Annual Physical or Wellness Visit, Fall Prevention Discussion with Doctor or Fall Prevention In-home Activity, Rheumatoid Arthritis Visit, Osteoporosis Screening  Bone Density Test, Eye Exam for Diabetic Care, Colon Cancer Screening, Breast C	Gift Card	The reward is a gift card of a set monetary amount that must be spent down. Reward amounts and gift card options vary based on the health care activity, but are determined based on the amount expected to impact enrollee behavior, but not exceeding the value of the health related activity itself.	HouseCalls Program: HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in an in home visit.  Members can receive information about the opportunity to have a HouseCalls visit by outbound phone outreach from our scheduling agents, mailed materials, or email.  The clinician performing the visit will enter member information into the eHouseCalls app housed on the tablet our clinicians use in the field.  Once the HouseCalls system receives confirmation of a completed visit, the reward is issued., Renew Rewards Program: Enrollees initiate the redemption process by activating their participation in the program through any of three channels (Customer Service, Online/Member Portals, Direct Mail) if they have not done so previously. Members self-report completion of eligible activities through any of these three channels by providing certain required data (e.g., appointment date, clinic name, provider name, provider phone). Once UHC validates the eligibility period for the activity, the reward is issued.	598	932
H2416	PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE	2017	1	 	 	 	 	 	0	0
H2417	ITASCA MEDICAL CARE	2017	1	 	 	 	 	 	0	0
H2419	SOUTH COUNTRY HEALTH ALLIANCE	2017	1	Take Charge Be Rewarded Wellness Programs	Annual Mammogram screening for breast cancer, exercising at a fitness center or health club, participation in up to five Community Education classes per calendar year.	$50 gift card reward for women completing an annual Mammogram Screening, up to $20 off monthly health club membership fee, up to $15 toward the registration fee for Community education classes for up to five classes per calendar year.	The value of gift card rewards, scholarships for health club membership fees and scholarships for Community Education class fees is based on an annual review of current best practices for designing and maintaining successful incentive programs, an annual analysis of reward and incentive participation across all South Country products, set standards (policies and procedures) of eligibility for each gift card reward and scholarship program based on budgetary allotment.	Participation is tracked via manual data entry in South Countrys enrollee database system (Client Contact Manager) by enrollee name, date of service or class, name of incentive or scholarship, incentive or scholarship amount, healthcare provider if applicable, program participation voucher source if applicable, and whether or not enrollee meets the eligibility requirements for the gift card reward or scholarship program.	134	134
H2422	HEALTHPARTNERS, INC.	2017	1	MSHO Preventative Care Rewards	Mammography, Colorectol Cancer Screening, Osteoperosis Screening	Gift Cards	$15 upon completion of the service	Claims submission of completed service	3041	550
H2422	HEALTHPARTNERS, INC.	2017	2	Silver&Fit Rewards Program	Fitness facility visits and/or amount of physical activity	Hat or collectible pin	Cost per unit	Participation tracked through a system field that indicates whether or not a member has chosen to participate in the program	20	12
H2425	BLUE PLUS	2017	1	Osteoporosis Management in Women Who Had a Fracture (OMW)	Bone scan	$50 Visa Gift Card	The reward card value is calculated depending on the value of the service	Members who are eligible are contacted and provided with the offer. Member agrees to offer and completes bone scan, vendor provides us with reporting showing who completed the scan, member is added to the gift card tracking sheet, member information is provided to finance with gift card amount who then sends the request to the bank to process the members gift card, which is then mailed.	101	20
H2456	UCARE MINNESOTA	2017	1	Colonoscopy Incentive	fecal occult blood test, flexible sigmoidoscopy, colonoscopy	gift card	Value of the activity or service and budget available for the estimated number of participants	member database of rewards and incentive activity	2624	266
H2456	UCARE MINNESOTA	2017	2	Community Education	wellness session, health related activity, wellbeing activity	session discount	Value of the activity or service and budget available for the estimated number of participants	member database of rewards and incentive activity	12227	82
H2456	UCARE MINNESOTA	2017	3	Diabetes Incentive	Hemoglobin A1c HbA1c testing, HbA1c control under 8.0%, mephropathy	gift card	Value of the activity or service and budget available for the estimated number of participants	member database of rewards and incentive activity	1802	209
H2456	UCARE MINNESOTA	2017	4	Diabetes Incentive	eye exam retinal	gift card	Value of the activity or service and budget available for the estimated number of participants	member database of rewards and incentive activity	1811	208
H2456	UCARE MINNESOTA	2017	5	Mammogram Incentive	mammogram	gift card	Value of the activity or service and budget available for the estimated number of participants	member database of rewards and incentive activity	1616	42
H2458	MEDICA HEALTH PLANS	2017	1	 	 	 	 	 	0	0
H2459	UCARE MINNESOTA	2017	1	Colonoscopy Incentive	fecal occult blood test, flexible sigmoidoscopy, colonoscopy	gift card	Value of the activity or service and budget available for the estimated number of participants	member database of rewards and incentive activity	14118	974
H2459	UCARE MINNESOTA	2017	2	Community Education	wellness session, health related activity, wellbeing activity	session discount	Value of the activity or service and budget available for the estimated number of participants	member database of rewards and incentive activity	81903	744
H2459	UCARE MINNESOTA	2017	3	Diabetes Incentive	Hemoglobin A1c HbA1c testing, HbA1c control under 8.0%, mephropathy	gift card	Value of the activity or service and budget available for the estimated number of participants	member database of rewards and incentive activity	6574	1559
H2459	UCARE MINNESOTA	2017	4	Diabetes Incentive	eye exam retinal	gift card	Value of the activity or service and budget available for the estimated number of participants	member database of rewards and incentive activity	6629	1525
H2459	UCARE MINNESOTA	2017	5	Mammogram Incentive	mammogram	postage stamps	Value of the activity or service and budget available for the estimated number of participants	member database of rewards and incentive activity	6246	669
H2486	HUMANA MEDICAL PLAN OF UTAH, INC.	2017	1	Humana Vitality	Education: Complete Healthy Assessment (HA), First Step HA (once per lifetime bonus for completion), HA Bonus (complete w/in 120 days of effective date), Health Calculators, Update/confirm contact information, Attend Humana health education classes Fitness: First verified workout per lifetime, First verified workout each year,Athletic Event, Highest total Bucks per day rewarded across workout type,Steps, Heart rate monitor, Calories, Participating fitness facility Prevention: Welcome to Medicare (once per lifetime), Annual Wellness Exam, Mammogram, Colorectal Screening, Cardiovascular disease screening, Bone denisty, Flu Shot, Dental Exam, Vision Exam, Body Mass Index (BMI), Blood Pressure, Blood Glucose screening (diabetes test), Cholesterol	With HealthyFood (HF), seniors are eligible to earn an immediate 10% savings upon activating the HF card + $5 load onto their HF Shopping Card for the first and second eligible preventive care activity completed by the member, up to $10 per calendar year.  In addition, Medicare members can earn Bucks for participating and engaging in the program, such as completing a biometric screening, exercising, etc., which can be used to purchase various items in the HV/Go365 Mall.  The approximate values for these items are provided below.  Mall Tile Storefront Item Value Range Pedometers $12.50 - $18.50 Apple products $49 - $499 Go365 co-branded merchandise $31 - $76 Trek products $35 - $499 Gift Cards $10 - $25 Garmin devices $45 - $350 Fitbit devices $45 - $205 Polar devices $45 - $140 Fitbug device $17.50	With HealthyFood (HF), seniors are eligible to earn an immediate 10% savings upon activating the HF card + $5 load onto their HF Shopping Card for the first and second eligible preventive care activity completed by the member, up to $10 per calendar year.  In addition, Medicare members can earn Bucks for participating and engaging in the program, such as completing a biometric screening, exercising, etc., which can be used to purchase various items in the HV/Go365 Mall.  The approximate values for these items are provided below.  Mall Tile Storefront Item Value Range Pedometers $12.50 - $18.50 Apple products $49 - $499 Go365 co-branded merchandise $31 - $76 Trek products $35 - $499 Gift Cards $10 - $25 Garmin devices $45 - $350 Fitbit devices $45 - $205 Polar devices $45 - $140 Fitbug device $17.50	EH:  Medicare Participation is defined as follows: HA Completion Member completes the HA within the Plan Year. HF Transaction Member completes a HealthyFood transaction within the Plan Year. Mall Transaction Member completes a HumanaVitality Mall transaction within the Plan Year. Active Events Member completes various activities requiring member awareness of the HV program within the Plan Year.	4571	7000
H2491	WELLCARE HEALTH INSURANCE OF ARIZONA, INC.	2017	1	$25 Gift Card for completion of the Welvie Program	Direct Decision Support for preference sensitive surgeries	$25 gift card (not redeamable for cash)	Limited to $25	Enrollees must register in the program and program progress is tracked electronically	516	264
H2506	AETNA BETTER HEALTH, INC. (IL)	2017	1	HEDIS gift card incentive program	Follow up after hospitalization, diabetes care, breast cancer screening, cervical cancer screening	Enrollees receive a gift card between $25 and $50	Rewards are predetermined based on the type of health related service obtained by the enrollee.	Enrollee participation is tracked in a suppplemental HEDIS database and is confirmed either through claims data or a completed voucher by the enrollee that the service occurred which is confirmed by MMP staff with the rendering provider.	35	35
H2531	UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.	2017	1	 	 	 	 	 	0	0
H2533	MOLINA HEALTHCARE OF SOUTH CAROLINA, INC.	2017	1	MHSC MMP Incentives	Breast Cancer Screening, HbA1c Test, Nephropathy Screening, Retinal Eye Exam	$25 CVS Select gift card	Amount was chosen based on existing health and wellness incentives within the contract and/or market, and CMS guidance/State regulations	Members must mail a program postcard to Molina to confirm activity/activities are completed, and the activity completion is validated against claim data per HEDIS specification. Mobile Mammography attendee sign-in sheet and CVS Select Gift Card tracking sheet are used to track activity completion as well for Breast Cancer Screening Mobile Mammography event. Members can receive a maximum of one incentive per activity but can earn multiple incentives if they are eligible and complete multiple activities.	1275	130
H2533	MOLINA HEALTHCARE OF SOUTH CAROLINA, INC.	2017	2	ACE/IHA Member Incentive	Annual Comprehensive Exam/In-Home Assessment	$25 CVS Select gift card	Amount was chosen based on existing health and wellness incentives within the contract and/or market, and CMS guidance/State regulations	CPT codes submitted through medical claims data, documentation received from providers and IHA partners	3818	1171
H2563	OPTIMA HEALTH PLAN	2017	1	 	 	 	 	 	0	0
H2591	HEALTH ALLIANCE - MIDWEST, INC.	2017	1	Rally	Health survey, snapshot of overall health, identify areas for improved health, Missions to track maintain and/or improve on healthy behaviors, gallery of over 50 different goals, exercise, healthy eating, mental wellness, sleep habits, healthy cooking, tobacco cessation, medication adherence, Challenges which translate real-world activity into steps on a map in competition with other enrollees, online communities devoted to specific health and wellness topics, curated and original content and articles about health and wellness topics.	Virtual coins for completing goals, Auction-styled marketplace where coins can be bid on a variety of products, direct coin exchanges where coins can be traded for health and wellness related products.	Value of virtual coins is determined by other enrollees participating in the auctions, Direct exchange values are set for each product--for example a $25 gift card might be assigned the value of 250 virtual coins.	Members register with Rally and their registration IDs are shared with Health Alliance via monthly reports.	0	0
H2593	CAREMORE HEALTH PLAN OF ARIZONA, INC.	2017	1	Rewards for Health Program	Depression Screening, Colorectal Cancer Screening, Diabetes Care  Blood Sugar Testing (HbA1c), Breast Cancer Screening (Mammogram), Annual Wellness Visit (PAHAF), Healthy Start, OR Healthy Journey, Physical Activity Monitoring, Diabetes Care  Eye Exam, Advance Health Care Directive Discussion and/or Provide a Copy of Document, Osteoporosis Testing, Blood Pressure Control, Annual Flu Vaccine, and Bladder Control and Urine Leakage Problem Discussion	FitTracker Smart Watch or $10 Visa gift cards	The FitTracker Smart Watch is rewarded to the member after they complete $50 worth of screenings or exams. Visa gift cards are awarded in $10 increments and members can earn up to five gift cards.	The enrollee participation is tracked by providing the approved fulfillment house vendor a complete membership file used to mail member's fulfillment kit every month. Member mails their attested coupons directly to the fulfillment vendor. Upon receipt of the coupon sheet, the vendor will record the following data in their system: Member's full name, Member ID, Member health service, date coupon was received, date of service, and provider name. The fulfillment vendor references the original membership file and records participation according to the member coupon submitted. A monthly data report is generated by the mailhouse vendor with statistics on how many coupons were received during that month, # of rewards fulfilled, etc.	13598	7226
H2610	ESSENCE HEALTHCARE, INC.	2017	1	 	 	 	 	 	0	0
H2649	HUMANA HEALTH PLAN, INC.	2017	1	Humana Rewards	Welcome to Medicare Routine Physical, Annual Wellness Visit, Cardiovascular Disease Screening, Diabetes Screening Test, Mammogram, Bone Density Test, Colorectal Cancer Screening, Flu Vaccine Depression Screening, Medical Nutrition Therapy, Diabetes Self-Management Training, Diabetic Retinal Exam, Kidney Tests/Nephropathy Screening, Diabetic Foot Exam, Adult BMI Assessment	With the completion of 4 preventive activities the enrollees earn 5 $10 gift cards to be selected from various vendors	With the completion of 4 preventive activities the enrollees earn 5 $10 gift cards to be selected from various vendors	Participation is tracked via claims processing for the specific CPT codes for the preventive activities listed above.	2438	1953
H2649	HUMANA HEALTH PLAN, INC.	2017	2	Humana Vitality	Education: Complete Healthy Assessment (HA), First Step HA (once per lifetime bonus for completion), HA Bonus (complete w/in 120 days of effective date), Health Calculators, Update/confirm contact information, Attend Humana health education classes Fitness: First verified workout per lifetime, First verified workout each year,Athletic Event, Highest total Bucks per day rewarded across workout type,Steps, Heart rate monitor, Calories, Participating fitness facility Prevention: Welcome to Medicare (once per lifetime), Annual Wellness Exam, Mammogram, Colorectal Screening, Cardiovascular disease screening, Bone denisty, Flu Shot, Dental Exam, Vision Exam, Body Mass Index (BMI), Blood Pressure, Blood Glucose screening (diabetes test), Cholesterol	With HealthyFood (HF), seniors are eligible to earn an immediate 10% savings upon activating the HF card + $5 load onto their HF Shopping Card for the first and second eligible preventive care activity completed by the member, up to $10 per calendar year.  In addition, Medicare members can earn Bucks for participating and engaging in the program, such as completing a biometric screening, exercising, etc., which can be used to purchase various items in the HV/Go365 Mall.  The approximate values for these items are provided below.  Mall Tile Storefront Item Value Range Pedometers $12.50 - $18.50 Apple products $49 - $499 Go365 co-branded merchandise $31 - $76 Trek products $35 - $499 Gift Cards $10 - $25 Garmin devices $45 - $350 Fitbit devices $45 - $205 Polar devices $45 - $140 Fitbug device $17.50	With HealthyFood (HF), seniors are eligible to earn an immediate 10% savings upon activating the HF card + $5 load onto their HF Shopping Card for the first and second eligible preventive care activity completed by the member, up to $10 per calendar year.  In addition, Medicare members can earn Bucks for participating and engaging in the program, such as completing a biometric screening, exercising, etc., which can be used to purchase various items in the HV/Go365 Mall.  The approximate values for these items are provided below.  Mall Tile Storefront Item Value Range Pedometers $12.50 - $18.50 Apple products $49 - $499 Go365 co-branded merchandise $31 - $76 Trek products $35 - $499 Gift Cards $10 - $25 Garmin devices $45 - $350 Fitbit devices $45 - $205 Polar devices $45 - $140 Fitbug device $17.50	EH:  Medicare Participation is defined as follows: HA Completion Member completes the HA within the Plan Year. HF Transaction Member completes a HealthyFood transaction within the Plan Year. Mall Transaction Member completes a HumanaVitality Mall transaction within the Plan Year. Active Events Member completes various activities requiring member awareness of the HV program within the Plan Year.	214354	362737
H2663	COVENTRY HEALTH CARE OF MISSOURI, INC	2017	1	Coventry Healthy Rewards	Members are incented to complete preventative health screenings as well as initiate conversations with their health care provider.	Members could be incented on the following opportunities:  Annual Wellness Exam, Discussion with Provider regarding Physical Activity, Colorectal Screenings, Diabetic Eye Exam, Diabetic Kidney Screening, Breast Cancer Screening	Our vendor, Novu, sends an activity file which lets us see which members have engaged in the program, and which rewards they have attested to completing. Each reward opportunity has a value assigned to that and we're able to track that per member.	Our vendor, Novu, sends an activity file which lets us see which members have engaged in the program. Members are able to engage via the mail, phone or web.	87029	8901
H2758	BEHEALTHY FLORIDA, INC.	2017	1	 	 	 	 	 	0	0
H2773	QUALITY HEALTH PLANS OF NEW YORK, INC.	2017	1	 	 	 	 	 	0	0
H2775	AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY	2017	1	LH Rewards	Annual Flu Shot, Annual Physical Exam or Annual Wellness Visit, Cholesterol Screening, Breast Cancer Screening, Colorectal Cancer Screening, Diabetes Prevention Screening: HgA1c Test, Diabetes Management Screening: Retinal Eye Exam	Rewards Gift Card	$50 gift card for completion of 5 health actions	Enrollees are tracked by first registering in the member portal second by completing the health survey and third by completing required health actions for rewards cards	2419	640
H2802	UNITEDHEALTHCARE OF THE MIDLANDS, INC.	2017	1	House Calls Program, Renew Rewards	HouseCalls, Annual Physical or Wellness Visit, Fall Prevention Discussion with Doctor or Fall Prevention In-home Activity, Rheumatoid Arthritis Visit, Osteoporosis Screening  Bone Density Test, Eye Exam for Diabetic Care, Colon Cancer Screening, Breast C	Gift Card	The reward is a gift card of a set monetary amount that must be spent down. Reward amounts and gift card options vary based on the health care activity, but are determined based on the amount expected to impact enrollee behavior, but not exceeding the value of the health related activity itself.	HouseCalls Program: HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in an in home visit.  Members can receive information about the opportunity to have a HouseCalls visit by outbound phone outreach from our scheduling agents, mailed materials, or email.  The clinician performing the visit will enter member information into the eHouseCalls app housed on the tablet our clinicians use in the field.  Once the HouseCalls system receives confirmation of a completed visit, the reward is issued., Renew Rewards Program: Enrollees initiate the redemption process by activating their participation in the program through any of three channels (Customer Service, Online/Member Portals, Direct Mail) if they have not done so previously. Members self-report completion of eligible activities through any of these three channels by providing certain required data (e.g., appointment date, clinic name, provider name, provider phone). Once UHC validates the eligibility period for the activity, the reward is issued.	78599	93398
H2816	AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY	2017	1	LH Rewards	Annual Flu Shot, Annual Physical Exam or Annual Wellness Visit, Cholesterol Screening, Breast Cancer Screening, Colorectal Cancer Screening, Diabetes Prevention Screening: HgA1c Test, Diabetes Management Screening: Retinal Eye Exam	Rewards Gift Card	$50 gift card for completion of 5 health actions	Enrollees are tracked by first registering in the member portal second by completing the health survey and third by completing required health actions for rewards cards	1164	568
H2879	MOLINA HEALTHCARE OF WISCONSIN	2017	1	ACE/IHA Member Incentive	Annual Comprehensive Exam/In-Home Assessment	$25 Walmart gift card	Amount was chosen based on existing health and wellness incentives within the contract and/or market, and CMS guidance/State regulations	CPT codes submitted through medical claims data, documentation received from providers and IHA partners	1384	827
H2906	HOMETOWN HEALTH PLAN, INC.	2017	1	Health Screenings	Diabetic Health Screenings	Non Cash Value Incentive	The same for every member	Electronic Record	803	98
H2926	PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE	2017	1	 	 	 	 	 	0	0
H2931	HEALTH PLAN OF NEVADA, INC.	2017	1	House Calls Program	HouseCalls	Gift Card	The reward is a gift card of a set monetary amount that must be spent down. Reward amounts and gift card options vary based on the health care activity, but are determined based on the amount expected to impact enrollee behavior, but not exceeding the value of the health related activity itself.	HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in an in home visit.  Members can receive information about the opportunity to have a HouseCalls visit by outbound phone outreach from our scheduling agents, mailed materials, or email.  The clinician performing the visit will enter member information into the eHouseCalls app housed on the tablet our clinicians use in the field.  Once the HouseCalls system receives confirmation of a completed visit, the reward is issued.	0	0
H2944	HUMANA INSURANCE COMPANY	2017	1	Humana Vitality	Education: Complete Healthy Assessment (HA), First Step HA (once per lifetime bonus for completion), HA Bonus (complete w/in 120 days of effective date), Health Calculators, Update/confirm contact information, Attend Humana health education classes Fitness: First verified workout per lifetime, First verified workout each year,Athletic Event, Highest total Bucks per day rewarded across workout type,Steps, Heart rate monitor, Calories, Participating fitness facility Prevention: Welcome to Medicare (once per lifetime), Annual Wellness Exam, Mammogram, Colorectal Screening, Cardiovascular disease screening, Bone denisty, Flu Shot, Dental Exam, Vision Exam, Body Mass Index (BMI), Blood Pressure, Blood Glucose screening (diabetes test), Cholesterol	With HealthyFood (HF), seniors are eligible to earn an immediate 10% savings upon activating the HF card + $5 load onto their HF Shopping Card for the first and second eligible preventive care activity completed by the member, up to $10 per calendar year.  In addition, Medicare members can earn Bucks for participating and engaging in the program, such as completing a biometric screening, exercising, etc., which can be used to purchase various items in the HV/Go365 Mall.  The approximate values for these items are provided below.  Mall Tile Storefront Item Value Range Pedometers $12.50 - $18.50 Apple products $49 - $499 Go365 co-branded merchandise $31 - $76 Trek products $35 - $499 Gift Cards $10 - $25 Garmin devices $45 - $350 Fitbit devices $45 - $205 Polar devices $45 - $140 Fitbug device $17.50	With HealthyFood (HF), seniors are eligible to earn an immediate 10% savings upon activating the HF card + $5 load onto their HF Shopping Card for the first and second eligible preventive care activity completed by the member, up to $10 per calendar year.  In addition, Medicare members can earn Bucks for participating and engaging in the program, such as completing a biometric screening, exercising, etc., which can be used to purchase various items in the HV/Go365 Mall.  The approximate values for these items are provided below.  Mall Tile Storefront Item Value Range Pedometers $12.50 - $18.50 Apple products $49 - $499 Go365 co-branded merchandise $31 - $76 Trek products $35 - $499 Gift Cards $10 - $25 Garmin devices $45 - $350 Fitbit devices $45 - $205 Polar devices $45 - $140 Fitbug device $17.50	EH:  Medicare Participation is defined as follows: HA Completion Member completes the HA within the Plan Year. HF Transaction Member completes a HealthyFood transaction within the Plan Year. Mall Transaction Member completes a HumanaVitality Mall transaction within the Plan Year. Active Events Member completes various activities requiring member awareness of the HV program within the Plan Year.	9035	8054
H2960	HOMETOWN HEALTH PLAN, INC.	2017	1	Health Screenings	Diabetic Health Screenings	Non Cash Value Incentive	The same for every member	Electronic Record	2960	353
H2962	ULTIMATE HEALTH PLANS, INC.	2017	1	Preventive Services Rewards	Flu Vaccine, Breast Cancer Screening, Colorectal Cancer Screening, Diabetic Retinal Screening	Gift card	All rewards are the same $10 value gift card per preventive service	Claim received for each preventive service	7107	3250
H2968	MEMORIAL HERMANN HEALTH INSURANCE COMPANY	2017	1	Memorial Hermann Healthy Advantage Passport Program	Routine eye exam including glaucoma screening, annual wellness exam with primary care physician, prostrate screening, breast screening, colorectal screening, annual flu shot, pneumonia vaccine, cardiovascular screening, diabetes screening and self management training, annual medication review, obesity screening and counseling, and depression screening.	A $50 CVS gift card (programed for the purchase of health related items only) is awarded to the enrolle for completing five of the twelve health related services during the plan year.	Value of reward is equal to the dollar amount assigned to the Gift Card.	The Healthy Advantage Passport Program is documented, tracked and retained within a secured password protected plan site. Tracker is utilized to capture member's passport receipt date, activity validation and reward distribution. Routine reporting is provided to appropriate committees (e.g. Stars, Quality Improvement, etc.). RI Program information is securely maintained as per the 10-year record retention policy and will be provided to CMS upon request.	201	168
H2986	STANFORD HEALTHCARE ADVANTAGE	2017	1	 	 	 	 	 	0	0
H3018	CENTERS PLAN FOR HEALTHY LIVING, LLC	2017	1	 	 	 	 	 	0	0
H3054	CONSTELLATION HEALTH, LLC.	2017	1	 	 	 	 	 	0	0
H3071	COMMUNITY CARE ALLIANCE OF ILLINOIS, NFP	2017	1	 	 	 	 	 	0	0
H3113	OXFORD HEALTH PLANS (NJ), INC.	2017	1	House Calls Program, Renew Rewards	HouseCalls, Annual Physical or Wellness Visit, Fall Prevention Discussion with Doctor or Fall Prevention In-home Activity, Rheumatoid Arthritis Visit, Osteoporosis Screening  Bone Density Test, Eye Exam for Diabetic Care, Colon Cancer Screening, Breast C	Gift Card	The reward is a gift card of a set monetary amount that must be spent down. Reward amounts and gift card options vary based on the health care activity, but are determined based on the amount expected to impact enrollee behavior, but not exceeding the value of the health related activity itself.	HouseCalls Program: HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in an in home visit.  Members can receive information about the opportunity to have a HouseCalls visit by outbound phone outreach from our scheduling agents, mailed materials, or email.  The clinician performing the visit will enter member information into the eHouseCalls app housed on the tablet our clinicians use in the field.  Once the HouseCalls system receives confirmation of a completed visit, the reward is issued., Renew Rewards Program: Enrollees initiate the redemption process by activating their participation in the program through any of three channels (Customer Service, Online/Member Portals, Direct Mail) if they have not done so previously. Members self-report completion of eligible activities through any of these three channels by providing certain required data (e.g., appointment date, clinic name, provider name, provider phone). Once UHC validates the eligibility period for the activity, the reward is issued.	14806	14660
H3132	AHF MCO OF FLORIDA, INC.	2017	1	Colonoscopy  Member Incentive Program	Colorectal cancer screening by completing a colonoscopy by a Gastroenterologist (GI) specialist. To be qualified, members must be age 50 years and older and have not completed a screening. Each qualified member is mailed letters informing them of the program.	$50 grocery store giftcards	The value amount of the incentive is weighed on the value of the service and the commitment and time required of the member to carry out the desired action. The colonoscopy is procedure performed by a doctor experienced in the procedure and lasts approximately 30-60 minutes. There are medications will be given to the patients before and during the procedure. Since the service is semi-extensive and promotes good health, therefore a $50 grocery gift card that cannot be spent on alcohol or cigarettes seems rational.	Members will be tracked by the Quality team based on the returned letters that are signed by their provider and are received via mail. The Quality team will also retrieve member claims records to verify the member's screening completion.	467	55
H3132	AHF MCO OF FLORIDA, INC.	2017	2	Diabetic Retinal Eye Exam Member Incentive Program	The diabetic retinal eye exam Colorectal cancer is to be completed by an optometrist or an ophthalmologist. To be qualified, members must be diabetic and have not completed a screening in the current year. Each qualified member is mailed letters informing them of the program.	$20 grocery store Gift cards	The value amount of the incentive is weighed on the value of the service and the commitment and time required of the member to carry out the desired action. The eye exam is and outpatient service and is not extensive and promotes good health, therefore a $20 grocery gift card that cannot be spent on alcohol or cigarettes seems rational.	Members will be tracked by the Quality team based on the returned letters that are signed by their provider and are received via mail. The Quality team will also retrieve member claims records to verify the member's screening completion.	339	100
H3152	AETNA HEALTH INC. (NJ)	2017	1	 	 	 	 	 	0	0
H3154	HORIZON INSURANCE COMPANY	2017	1	2017 Rewards and Incentive program	Breast Cancer Screening, Colorectal Cancer Screening, HbA1C Test, Retinal Eye exam, Kidney function test, Bone Mineral Density Test	CVS Gift card for completing the screening	Gift card amount is set for each measure, based on the complexity of how the care gap is closed	This is tracked by way of Gift card redemption forms received from members	23768	1012
H3170	SAPPHIRE EDGE, INC.	2017	1	Welvie	Welvie provides a consumer-friendly approach to improving health quality by improving the decision-making process and surgical outcomes. Welvie's unique approach centers on the patient and is designed to provide value by inspiring consumer engagement and promoting better consumer decision-making related to surgery. Use of Welvie's Decision Engine insures surgical candidates, in conjunction with their physician, make the best decision with awareness of surgical complexity/risks and all treatment alternatives available.  Armed with this knowledge and simple tools, consumers can prevent many life threatening complications and errors. Understanding their options and weighing the risks and benefits of each with their physician, 25% of consumers will either determine a preference sensitive surgery is not necessary or choose a less aggressive alternative. Welvie includes a comprehensive consumer engagement program which provides a robust consumer marketing campaign with the objective of creating widespread awareness of the risks and complexities of surgery.	25 Dollar Gift Card	The reward is based on the time participants must invest in completing the 3 educational modules of the decision tool and providing survey feedback.	Enrollees must complete 3 educational modules that cover getting the right diagnosis, finding the right doctor, and making a decision, in additional to a survey, to earn the reward.  The Welvie Decision Engine is an opt-in, curriculum-based shared decision-support program.  The curriculum is presented through an easy to use multimedia-rich interface.  To enhance readability, the program uses active voice and common, every day terms with short sentences to balance the complicated, multi-syllable medical terms that are necessary for surgery education.  The content is presented using a variety of mediums (e.g. text, video, quizzes). The program is written at a 6th grade level and is available in the 10 most common languages in the US, including Spanish. Consumers are able to work at their own speed within the program, keeping track of their progress and responses to questions.  For consumers without internet access, Welvie can also be delivered via booklet mailed to members' home. Welvie does not prescribe or favor one alternative over another, but rather is designed to educate the enrollee in order to facilitate better communication with their physician.  The program's educational process is divided into six segments which cover the entire surgery journey from getting the right diagnosis and understanding various treatment options with their doctors (Steps 1-3), to preparing for surgery and recovery at home (Steps 4-6).  The program has, as a specific goal, better communication between providers and patients regarding evidence-based medicine elements.	80	57
H3204	PRESBYTERIAN HEALTH PLAN	2017	1	 	 	 	 	 	0	0
H3206	PRESBYTERIAN INSURANCE COMPANY, INC.	2017	1	 	 	 	 	 	0	0
H3233	PREMIER HEALTH INSURING CORPORATION	2017	1	Premier Health Advantage and Premier Health Advantage VIP $30 Visa gift card annual reward	Annual Wellness Visit (AWV)	$30 Visa gift card	The value of the reward is calculated through a claims based, data driven monthly process. Each month, claims are extracted for G0402, G043, G0439 for all Premier Health Advantage and Premier Health Advantage VIP members. The claims extraction includes the current date with a retrospective lookback to January 1st of the current plan year. The purpose of the retrospective lookback is to account for provider billing that may fall beyond 30 days when the data is extracted monthly. The value of the incentive reward itself stays steady at $30 per member per year.	Participation in the program is tracked through monthly reporting based off claims adjudication for G0402, G043, G0439.	9504	3372
H3237	HEALTH NET COMMUNITY SOLUTIONS, INC.	2017	1	 	 	 	 	 	0	0
H3240	AMERIGROUP NEW JERSEY, INC.	2017	1	1	Diabetic Retinal Eye Exam	$50 Visa Gift Card	Value of gift card	Provider attestation	5343	1055
H3251	HEALTH CARE SERVICE CORPORATION	2017	1	Healthy Rewards Program	Annual Wellness Visit, Annual Flu Vaccine, Blood Glucose A1c Screening, Colorectal Screening, Completion of Health Questionnaire, In Home Assessment, Mammogram, Nephropathy Screening, Retinal Exam,  Tracking of Physical Activity over 12 weeks.	Registered members earn Gift Cards total annual maximum rewards is $100.  For members in H3251 we used $25 gift card awards for all Healthy Actions, inclusive of Annual Wellness Visit, Annual Flu Vaccine, Blood Glucose A1c Screening, Colorectal Screening, Completion of Health Questionnaire, In Home Assessment, Mammogram, Nephropathy Screening, Retinal Exam, Tracking of Physical Activity over 12 weeks.	Evaluated the cost value of each service, ensured that the value of the award is less than that of the service provided while significant enough to drive the member to complete it.	We track participation in the in the Healthy Rewards Program, via Weekly Registration reports, Healthy Action Activity Reports and Reward Redemption Reports.	5243	16173
H3259	VOLUNTEER STATE HEALTH PLAN	2017	1	Rewards and Incentive Program	Annual Wellness Visit, Breast Cancer Screening, Colorectal Cancer Screening, Diabetes HbA1C testing, Diabetes Urine Nephropathy Screening, Diabetes Retinal Eye Screening, Bone Density Screening for Women with a Fracture	Gift Cards	Market research was conducted to determine an appropriate value that would have a positive outcome on member behavior. The defined incentive values vary by individual measure and the type of screening required for fulfilling the participation requirements.	On a monthly basis, BCSBT identifies the members eligible for the Rewards Program and patrols the data repositories for completed behaviors. The data is summarized for program oversight purposes and the details are delivered to the designated internal team for fulfillment. The internal team works with the Outgoing Mailroom to complete the rewards fulfillment. Meticulous records are kept by the fulfillment team that tracks the handling and processing of the gift cards that are used as the reward.	15437	22127
H3262	FRESENIUS HEALTH PLANS OF NEW YORK, INC.	2017	1	 	 	 	 	 	0	0
H3291	PRUITTHEALTH PREMIER, INC.	2017	1	 	 	 	 	 	0	0
H3305	MVP HEALTH PLAN, INC.	2017	1	Medicare Wellness Rewards	Welcome to Medicare visit or Annual Wellness visit, Blood pressure check, Height Weight and BMI Measurement, Colorectal cancer screening, Flu shot	$75.00	The reward is calcuated by the member meeting all of the five preventitive services.  There are no incremental rewards.	The member completes the Wellness Rewards form.  His/her physician attests that he/she met the requirements.  The member then submits the form to MVP for processing.	37502	3705
H3307	OXFORD HEALTH PLANS (NY), INC.	2017	1	House Calls Program, Renew Rewards	HouseCalls, Annual Physical or Wellness Visit, Fall Prevention Discussion with Doctor or Fall Prevention In-home Activity, Rheumatoid Arthritis Visit, Osteoporosis Screening  Bone Density Test, Eye Exam for Diabetic Care, Colon Cancer Screening, Breast C	Gift Card	The reward is a gift card of a set monetary amount that must be spent down. Reward amounts and gift card options vary based on the health care activity, but are determined based on the amount expected to impact enrollee behavior, but not exceeding the value of the health related activity itself.	HouseCalls Program: HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in an in home visit.  Members can receive information about the opportunity to have a HouseCalls visit by outbound phone outreach from our scheduling agents, mailed materials, or email.  The clinician performing the visit will enter member information into the eHouseCalls app housed on the tablet our clinicians use in the field.  Once the HouseCalls system receives confirmation of a completed visit, the reward is issued., Renew Rewards Program: Enrollees initiate the redemption process by activating their participation in the program through any of three channels (Customer Service, Online/Member Portals, Direct Mail) if they have not done so previously. Members self-report completion of eligible activities through any of these three channels by providing certain required data (e.g., appointment date, clinic name, provider name, provider phone). Once UHC validates the eligibility period for the activity, the reward is issued.	35437	46348
H3312	AETNA HEALTH INC. (NY)	2017	1	 	 	 	 	 	0	0
H3328	THE NEW YORK STATE CATHOLIC HEALTH PLAN, INC.	2017	1	Wellness Incentive Program	Mammograms in women (every 2 years), Colonoscopy in men and women (every 10 years), Bone Scans in women (for one bone scan in women aged 65 and above) .	$25.00 gift card for a mammogram, $50.00 gift card for a colonoscopy, $50.00 gift card for a bone scan.	Enrollees can earn one gift card by test based on the frequency outlined. Evidence of obtaining the required screening or test is based on qualifying claims submitted by providers.	Enrollees participating in the program are tracked in a database.	68555	9372
H3330	HEALTH INSURANCE PLAN OF GREATER NEW YORK	2017	1	Health and Wellness/Prevention	Annual checkup with primary care physician, mammogram-breast cancer screening, colorectal (colon) cancer screening which includes colonoscopy or stool test, and diabetes tests which includes HbA1c blood test, urine test and dilated eye exam	Reward Cards in the amounts of: $20, $25, and $50	Reward values are pre-calculated and pre-determined in accordance to the type of screening or appointment completed by member	Member participation is tracked in an internal Incentive Database through Access.	3946	2275
H3335	EXCELLUS HEALTH PLAN, INC.	2017	1	 	 	 	 	 	0	0
H3342	EMPIRE HEALTHCHOICE ASSURANCE, INC.	2017	1	 	 	 	 	 	0	0
H3344	INDEPENDENT HEALTH BENEFITS CORPORATION	2017	1	Independent Health's FitWorks Medicare	Enhanced Annual Visit, joining a gym, preventive screening services, preventive vision services, preventive dental services.	A $50 gift card.	Members earn points for completing a variety of activities. Activites include getting their Enhanced Annual Visit (30 points), getting preventive screenings (10 points for each service), enrolling in automatic premium deduction or social security withhold (10 points), enrolling in e-fullfillment of ANOC documents (10 points), getting preventive dental services (max 20 points), getting routine vision services (10 points), and join a gym through Independent Health's Healthy Benefits program. Members that earn 100 points receive the $50 gift card.	All effective Independent Health Medicare Advantage plan members are automatically enrolled into FitWorks Medicare. Points are given to the member automatically as services and/or activities are completed by the member.	4737	688
H3347	ELDERPLAN, INC.	2017	1	Elderplan Wellness Incentive Program	Colorectal Cancer Screening, Body Mass Index (BMI), Flu Shot, Bone Mineral Density Test, Retinal Eye Exam, Mammogram/Prostate Exam	Gift Cards	$40 incentive is rewarded through CVS or Target gift cards for enrollees who complete a series of preventative services. Four of the six preventative services are required in order to process and receive the reward.	Enrollees submit a completed reward form for participation in the program. Once received, the forms are scanned and logged for tracking.  Submitted services are then validated via claims and/or medical records for reward processing.	293	240
H3351	EXCELLUS HEALTH PLAN, INC.	2017	1	 	 	 	 	 	0	0
H3359	HEALTHFIRST HEALTH PLAN, INC.	2017	1	Reward Card Program	Breast Cancer Screening, Colorectal Cancer Screening, Dilated Eye Exam for members with Diabetes, Bone Density Test, Completion of Health Risk Assessment, Visit to Rheumatologist for Rheumatoid Arthrithis	Reward Cards that can be used at select participating stores	We chose to use the baseline amount of $5 per measure and increase the reward with measures that are not performing at the desired level	We maintain a database that keeps track of member participation	23394	10579
H3361	WELLCARE OF NEW YORK, INC.	2017	1	$25 Gift Card for completion of the Welvie Program	Direct Decision Support for preference sensitive surgeries	$25 gift card (not redeamable for cash)	Limited to $25	Enrollees must register in the program and program progress is tracked electronically	1720	991
H3362	INDEPENDENT HEALTH ASSOCIATION, INC.	2017	1	Independent Health's FitWorks Medicare	Enhanced Annual Visit, joining a gym, preventive screening services, preventive vision services, preventive dental services.	A $50 gift card.	Members earn points for completing a variety of activities. Activites include getting their Enhanced Annual Visit (30 points), getting preventive screenings (10 points for each service), enrolling in automatic premium deduction or social security withhold (10 points), enrolling in e-fullfillment of ANOC documents (10 points), getting preventive dental services (max 20 points), getting routine vision services (10 points), and join a gym through Independent Health's Healthy Benefits program. Members that earn 100 points receive the $50 gift card.	All effective Independent Health Medicare Advantage plan members are automatically enrolled into FitWorks Medicare. Points are given to the member automatically as services and/or activities are completed by the member.	67079	12821
H3379	UNITEDHEALTHCARE OF NEW YORK, INC.	2017	1	House Calls Program, Renew Rewards	HouseCalls, Annual Physical or Wellness Visit, Fall Prevention Discussion with Doctor or Fall Prevention In-home Activity, Rheumatoid Arthritis Visit, Osteoporosis Screening  Bone Density Test, Eye Exam for Diabetic Care, Colon Cancer Screening, Breast C	Gift Card	The reward is a gift card of a set monetary amount that must be spent down. Reward amounts and gift card options vary based on the health care activity, but are determined based on the amount expected to impact enrollee behavior, but not exceeding the value of the health related activity itself.	HouseCalls Program: HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in an in home visit.  Members can receive information about the opportunity to have a HouseCalls visit by outbound phone outreach from our scheduling agents, mailed materials, or email.  The clinician performing the visit will enter member information into the eHouseCalls app housed on the tablet our clinicians use in the field.  Once the HouseCalls system receives confirmation of a completed visit, the reward is issued., Renew Rewards Program: Enrollees initiate the redemption process by activating their participation in the program through any of three channels (Customer Service, Online/Member Portals, Direct Mail) if they have not done so previously. Members self-report completion of eligible activities through any of these three channels by providing certain required data (e.g., appointment date, clinic name, provider name, provider phone). Once UHC validates the eligibility period for the activity, the reward is issued.	6095	6768
H3384	HEALTHNOW NEW YORK INC.	2017	1	Annual Wellness Visit	Annual Wellness Visits, In-Home Assessments	$20 Gift Card	If the services required are billed the member receives the gift card.	Corporate reporting is in place to monitor the enrollees that complete the eligible services and those who receive gift cards.	25102	13254
H3384	HEALTHNOW NEW YORK INC.	2017	2	Member Rewards	Preventive Screenings, Chronic Conditions	Gift Card	Based on the service billed, a pre-set amount is loaded onto the member gift card.	Corporate reporting is in place to monitor the enrollees that complete the eligible services and those who receive gift cards.	25102	2170
H3387	UNITEDHEALTHCARE OF NEW YORK, INC.	2017	1	House Calls Program, Renew Rewards	HouseCalls, Annual Physical or Wellness Visit, Fall Prevention Discussion with Doctor or Fall Prevention In-home Activity, Rheumatoid Arthritis Visit, Osteoporosis Screening  Bone Density Test, Eye Exam for Diabetic Care, Colon Cancer Screening, Breast C	Gift Card	The reward is a gift card of a set monetary amount that must be spent down. Reward amounts and gift card options vary based on the health care activity, but are determined based on the amount expected to impact enrollee behavior, but not exceeding the value of the health related activity itself.	HouseCalls Program: HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in an in home visit.  Members can receive information about the opportunity to have a HouseCalls visit by outbound phone outreach from our scheduling agents, mailed materials, or email.  The clinician performing the visit will enter member information into the eHouseCalls app housed on the tablet our clinicians use in the field.  Once the HouseCalls system receives confirmation of a completed visit, the reward is issued., Renew Rewards Program: Enrollees initiate the redemption process by activating their participation in the program through any of three channels (Customer Service, Online/Member Portals, Direct Mail) if they have not done so previously. Members self-report completion of eligible activities through any of these three channels by providing certain required data (e.g., appointment date, clinic name, provider name, provider phone). Once UHC validates the eligibility period for the activity, the reward is issued.	28243	32845
H3388	CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.	2017	1	 	 	 	 	 	0	0
H3404	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	2017	1	Yes	Annual Wellness Visit	$40.00 gift card certificate	value of reward/incentive is calculated as less than the value of the health related service to the Plan	Membership file comparison of members mailed versus rewards issued	108	22
H3404	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	2017	2	Yes	Osteoporosis Management  in Women Who Had a Fracture	$50.00 gift card certificate	value of reward/incentive is calculated as less than the value of the health related service to the Plan	Membership file comparison of members mailed versus rewards issued	269	8
H3404	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	2017	3	Yes	Comprehensive Diabetes Care-Eye Exam	$25.00 gift card certificate	value of reward/incentive is calculated as less than the value of the health related service to the Plan	Membership file comparison of members identified  versus rewards issued	8840	2794
H3404	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	2017	4	Yes	Disease-Modifying Anti-Rheumatic Drug Therapy for Rheumatoid. Arthritis	$25.00 gift card certificate	value of reward/incentive is calculated as less than the value of the health related service to the Plan	Membership file comparison of members identified  versus rewards issued	475	439
H3404	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	2017	5	Yes	The plan targets members who are documented or are suspected of having multiple chronic conditions for an in home assessment.  We also offer the in home assessment to new members.	$50 retail gift card	The value of the reward is less than the value of the medical service t received.	The vendor that completes the assessments reports to BCBSNC weekly which members have undergone assessments.  BCBSNC also received a medical record as a result of the assessment.	21784	6790
H3416	HEALTHPARTNERS UNITYPOINT HEALTH, INC.	2017	1	Silver&Fit Rewards Program	Fitness facility visits and/or amount of physical activity	Hat or collectible pin	Cost per unit	Participation tracked through a system field that indicates whether or not a member has chosen to participate in the program	11	8
H3447	HEALTHKEEPERS, INC.	2017	1	Rewards for Health Program	Depression Screening, Colorectal Cancer Screening, Diabetes Care  Blood Sugar Testing (HbA1c), Breast Cancer Screening (Mammogram), Annual Wellness Visit (PAHAF), Healthy Start, OR Healthy Journey, Physical Activity Monitoring, Diabetes Care  Eye Exam, Advance Health Care Directive Discussion and/or Provide a Copy of Document, Osteoporosis Testing, Blood Pressure Control, Annual Flu Vaccine, and Bladder Control and Urine Leakage Problem Discussion	FitTracker Smart Watch or $10 Visa gift cards	The FitTracker Smart Watch is rewarded to the member after they complete $50 worth of screenings or exams. Visa gift cards are awarded in $10 increments and members can earn up to five gift cards.	The enrollee participation is tracked by providing the approved fulfillment house vendor a complete membership file used to mail member's fulfillment kit every month. Member mails their attested coupons directly to the fulfillment vendor. Upon receipt of the coupon sheet, the vendor will record the following data in their system: Member's full name, Member ID, Member health service, date coupon was received, date of service, and provider name. The fulfillment vendor references the original membership file and records participation according to the member coupon submitted. A monthly data report is generated by the mailhouse vendor with statistics on how many coupons were received during that month, # of rewards fulfilled, etc.	5199	1831
H3449	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	2017	1	Yes	Annual Wellness Visit	$40.00 gift card certificate	value of reward/incentive is calculated as less than the value of the health related service to the Plan	Membership file comparison of members mailed versus rewards issued	9308	2841
H3449	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	2017	2	Yes	Osteoporosis Management  in Women Who Had a Fracture	$50.00 gift card certificate	value of reward/incentive is calculated as less than the value of the health related service to the Plan	Membership file comparison of members mailed versus rewards issued	553	23
H3449	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	2017	3	Yes	Comprehensive Diabetes Care-Eye Exam	$25.00 gift card certificate	value of reward/incentive is calculated as less than the value of the health related service to the Plan	Membership file comparison of members identified  versus rewards issued	16581	5163
H3449	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	2017	4	Yes	Disease-Modifying Anti-Rheumatic Drug Therapy for Rheumatoid. Arthritis	$25.00 gift card certificate	value of reward/incentive is calculated as less than the value of the health related service to the Plan	Membership file comparison of members identified  versus rewards issued	630	579
H3449	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	2017	5	Yes	The plan targets members who are documented or are suspected of having multiple chronic conditions for an in home assessment.  We also offer the in home assessment to new members.	$50 retail gift card	The value of the reward is less than the value of the medical service received.	The vendor that completes the assessments reports to BCBSNC weekly which members have undergone assessments.  BCBSNC also received a medical record as a result of the assessment.	40662	15046
H3471	HEALTH ALLIANCE NORTHWEST HEALTH PLAN	2017	1	Rally	Health survey, snapshot of overall health, identify areas for improved health, Missions to track maintain and/or improve on healthy behaviors, gallery of over 50 different goals, exercise, healthy eating, mental wellness, sleep habits, healthy cooking, tobacco cessation, medication adherence, Challenges which translate real-world activity into steps on a map in competition with other enrollees, online communities devoted to specific health and wellness topics, curated and original content and articles about health and wellness topics.	Virtual coins for completing goals, Auction-styled marketplace where coins can be bid on a variety of products, direct coin exchanges where coins can be traded for health and wellness related products.	Value of virtual coins is determined by other enrollees participating in the auctions, Direct exchange values are set for each product--for example a $25 gift card might be assigned the value of 250 virtual coins.	Members register with Rally and their registration IDs are shared with Health Alliance via monthly reports.	22	0
H3528	CONNECTICARE, INC.	2017	1	 	 	 	 	 	0	0
H3533	HUMANA HEALTH COMPANY OF NEW YORK, INC.	2017	1	Humana Vitality	Education: Complete Healthy Assessment (HA), First Step HA (once per lifetime bonus for completion), HA Bonus (complete w/in 120 days of effective date), Health Calculators, Update/confirm contact information, Attend Humana health education classes Fitness: First verified workout per lifetime, First verified workout each year,Athletic Event, Highest total Bucks per day rewarded across workout type,Steps, Heart rate monitor, Calories, Participating fitness facility Prevention: Welcome to Medicare (once per lifetime), Annual Wellness Exam, Mammogram, Colorectal Screening, Cardiovascular disease screening, Bone denisty, Flu Shot, Dental Exam, Vision Exam, Body Mass Index (BMI), Blood Pressure, Blood Glucose screening (diabetes test), Cholesterol	With HealthyFood (HF), seniors are eligible to earn an immediate 10% savings upon activating the HF card + $5 load onto their HF Shopping Card for the first and second eligible preventive care activity completed by the member, up to $10 per calendar year.  In addition, Medicare members can earn Bucks for participating and engaging in the program, such as completing a biometric screening, exercising, etc., which can be used to purchase various items in the HV/Go365 Mall.  The approximate values for these items are provided below.  Mall Tile Storefront Item Value Range Pedometers $12.50 - $18.50 Apple products $49 - $499 Go365 co-branded merchandise $31 - $76 Trek products $35 - $499 Gift Cards $10 - $25 Garmin devices $45 - $350 Fitbit devices $45 - $205 Polar devices $45 - $140 Fitbug device $17.50	With HealthyFood (HF), seniors are eligible to earn an immediate 10% savings upon activating the HF card + $5 load onto their HF Shopping Card for the first and second eligible preventive care activity completed by the member, up to $10 per calendar year.  In addition, Medicare members can earn Bucks for participating and engaging in the program, such as completing a biometric screening, exercising, etc., which can be used to purchase various items in the HV/Go365 Mall.  The approximate values for these items are provided below.  Mall Tile Storefront Item Value Range Pedometers $12.50 - $18.50 Apple products $49 - $499 Go365 co-branded merchandise $31 - $76 Trek products $35 - $499 Gift Cards $10 - $25 Garmin devices $45 - $350 Fitbit devices $45 - $205 Polar devices $45 - $140 Fitbug device $17.50	EH:  Medicare Participation is defined as follows: HA Completion Member completes the HA within the Plan Year. HF Transaction Member completes a HealthyFood transaction within the Plan Year. Mall Transaction Member completes a HumanaVitality Mall transaction within the Plan Year. Active Events Member completes various activities requiring member awareness of the HV program within the Plan Year.	14020	16559
H3536	MATTHEW THORNTON HEALTH PLAN, INC.	2017	1	 	 	 	 	 	0	0
H3561	HEALTH NET COMMUNITY SOLUTIONS, INC.	2017	1	Health Net of California Rewards Program H3561	Annual flu vaccination, breast cancer screening, colorectal cancer screening, diabetic HbA1c testing, diabetic retinopathy screening	Walmart gift card	Reward values are calculated based on average cost of service for the health plan	Weekly claims sweep of internal systems	17440	15118
H3597	AETNA HEALTH INC. (ME)	2017	1	 	 	 	 	 	0	0
H3653	PARAMOUNT CARE, INC.	2017	1	Elite Member Incentive Program	Complete an annual wellness visit AND two preventive services from list which includes pneumonia vaccine, flu vaccine, mammogram, lipid panel, colorectal screening, basic metabolic panel, or DEXA scan	$50 Visa Gift Card	The perceived benefit to the member includes time taken to schedule/attend office visit, money spent in travel expenses, and potential to save their life by early detection or prevention of serious illness	Program is open to all members and Monthly an analyst runs a report to determine which of our members have met the requirements using code sets.  We use an Excel spreadsheet to track members compliance with the program.	15833	7909
H3655	COMMUNITY INSURANCE COMPANY	2017	1	1	Diabetic Retinal Eye Exam | HbA1c	$50 Visa Gift Card	Value of gift card	Provider attestation | Member Self Attest	70538	8689
H3660	SUMMACARE INC.	2017	1	Colorectal Cancer Screening, Test Verification, Breast Cancer Screening, Diabetic Eye Exam	The health related services and/or activities included in the Rewards and Incentive programs at SummaCare are Colonoscopy, Sigmoidoscopy, Fit Kit Completion, Mammograms, Diabetic Dilated Retinal Eye Exam, Completion of Test Verification Form. For the Colorectal Cancer Campaign members are encouraged to complete a Colorectal Cancer FIT Kit provided to them by SummaCare, Return Test Verification, form showing the Date of their Colonoscopy or Sigmoidoscopy if completed prior to SummaCare enrollment or Complete Colonoscopy or sigmoidoscopy in order to receive their reward. For the Breast Cancer Campaign members are encouraged to complete their mammograms. For the Diabetic Eye Exams members are encouraged to complete their Dilated Retinal Eye Exam or return their Test Verification form if SummaCare did not receive the claim from their Eye Care provider or the test was prior to SummaCare enrollment.	Members receive a gift card for completing all the tasks in a specific clinical campaign	SummaCare must receive a medical or vision claim proving the member completed the requested testing, member can return the FIT Kit provided, member can complete the Test verification form and return to SummaCare in the self-addressed stamped envelope so medical Record review can be completed to validate compliance. There is no calculation other than the members completing one of the tasks listed for each campaign. If at least one item has been completed for each campaign a reward is earned.	Member participation is tracked by monthly running Sequel queries on the claim payment system to determining receipt of a medical or vision claim. Additional sequel queries are run monthly to locate any test verification forms returned and entered into the Test Verification Database. Medical Record review is completed and tracked in the same location. All members who receive a mailing from the SummaCare Clinical Campaign team are housed in a database within the SummaCare Data Warehouse and is reported monthly to the Clinical Campaign Team, Quarterly to the Compliance Team and Annually to CMS.	7352	3182
H3664	AULTCARE HEALTH INSURING CORPORATION	2017	1	 	 	 	 	 	0	0
H3668	MOUNT CARMEL HEALTH PLAN, INC.	2017	1	 	 	 	 	 	0	0
H3672	HEALTH PLAN OF THE UPPER OHIO VALLEY	2017	1	 	 	 	 	 	0	0
H3706	GLOBALHEALTH, INC.	2017	1	 	 	 	 	 	0	0
H3708	OKLAHOMA SUPERIOR SELECT, INC.	2017	1	 	 	 	 	 	0	0
H3749	UNITEDHEALTHCARE OF OKLAHOMA, INC.	2017	1	House Calls Program, Renew Rewards	HouseCalls, Annual Physical or Wellness Visit, Fall Prevention Discussion with Doctor or Fall Prevention In-home Activity, Rheumatoid Arthritis Visit, Osteoporosis Screening  Bone Density Test, Eye Exam for Diabetic Care, Colon Cancer Screening, Breast C	Gift Card	The reward is a gift card of a set monetary amount that must be spent down. Reward amounts and gift card options vary based on the health care activity, but are determined based on the amount expected to impact enrollee behavior, but not exceeding the value of the health related activity itself.	HouseCalls Program: HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in an in home visit.  Members can receive information about the opportunity to have a HouseCalls visit by outbound phone outreach from our scheduling agents, mailed materials, or email.  The clinician performing the visit will enter member information into the eHouseCalls app housed on the tablet our clinicians use in the field.  Once the HouseCalls system receives confirmation of a completed visit, the reward is issued., Renew Rewards Program: Enrollees initiate the redemption process by activating their participation in the program through any of three channels (Customer Service, Online/Member Portals, Direct Mail) if they have not done so previously. Members self-report completion of eligible activities through any of these three channels by providing certain required data (e.g., appointment date, clinic name, provider name, provider phone). Once UHC validates the eligibility period for the activity, the reward is issued.	12096	14197
H3755	COMMUNITY CARE HMO, INC	2017	1	 	 	 	 	 	0	0
H3765	HEARTLANDPLAINS HEALTH	2017	1	 	 	 	 	 	0	0
H3794	CARE IMPROVEMENT PLUS WISCONSIN INSURANCE COMPANY	2017	1	House Calls Program, Renew Rewards	HouseCalls, Annual Physical or Wellness Visit, Fall Prevention Discussion with Doctor or Fall Prevention In-home Activity, Rheumatoid Arthritis Visit, Osteoporosis Screening  Bone Density Test, Eye Exam for Diabetic Care, Colon Cancer Screening, Breast C	Gift Card	The reward is a gift card of a set monetary amount that must be spent down. Reward amounts and gift card options vary based on the health care activity, but are determined based on the amount expected to impact enrollee behavior, but not exceeding the value of the health related activity itself.	HouseCalls Program: HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in an in home visit.  Members can receive information about the opportunity to have a HouseCalls visit by outbound phone outreach from our scheduling agents, mailed materials, or email.  The clinician performing the visit will enter member information into the eHouseCalls app housed on the tablet our clinicians use in the field.  Once the HouseCalls system receives confirmation of a completed visit, the reward is issued., Renew Rewards Program: Enrollees initiate the redemption process by activating their participation in the program through any of three channels (Customer Service, Online/Member Portals, Direct Mail) if they have not done so previously. Members self-report completion of eligible activities through any of these three channels by providing certain required data (e.g., appointment date, clinic name, provider name, provider phone). Once UHC validates the eligibility period for the activity, the reward is issued.	2529	2897
H3805	UNITEDHEALTHCARE OF OREGON, INC.	2017	1	House Calls Program, Renew Rewards	HouseCalls, Annual Physical or Wellness Visit, Fall Prevention Discussion with Doctor or Fall Prevention In-home Activity, Rheumatoid Arthritis Visit, Osteoporosis Screening  Bone Density Test, Eye Exam for Diabetic Care, Colon Cancer Screening, Breast C	Gift Card	The reward is a gift card of a set monetary amount that must be spent down. Reward amounts and gift card options vary based on the health care activity, but are determined based on the amount expected to impact enrollee behavior, but not exceeding the value of the health related activity itself.	HouseCalls Program: HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in an in home visit.  Members can receive information about the opportunity to have a HouseCalls visit by outbound phone outreach from our scheduling agents, mailed materials, or email.  The clinician performing the visit will enter member information into the eHouseCalls app housed on the tablet our clinicians use in the field.  Once the HouseCalls system receives confirmation of a completed visit, the reward is issued., Renew Rewards Program: Enrollees initiate the redemption process by activating their participation in the program through any of three channels (Customer Service, Online/Member Portals, Direct Mail) if they have not done so previously. Members self-report completion of eligible activities through any of these three channels by providing certain required data (e.g., appointment date, clinic name, provider name, provider phone). Once UHC validates the eligibility period for the activity, the reward is issued.	37000	43428
H3810	ALLCARE HEALTH PLAN, INC.	2017	1	 	 	 	 	 	0	0
H3811	SAMARITAN HEALTH PLANS, INC.	2017	1	 	 	 	 	 	0	0
H3813	MODA HEALTH PLAN, INC.	2017	1	 	 	 	 	 	0	0
H3814	ATRIO HEALTH PLANS	2017	1	 	 	 	 	 	0	0
H3815	ALIGNMENT HEALTH PLAN	2017	1	Jump Start Assessment	Comprehensive Health Assessment	$25 Grocery Certificate	$25 grocery certificate is valued at 25 USD with equivalent function to a Manufacturer's Coupon	Per populated completion date in the clinical questionnaire that documents the clinical visit JSA App	5469	5330
H3817	REGENCE BLUECROSS BLUESHIELD OF OREGON	2017	1	 	 	 	 	 	0	0
H3818	FAMILYCARE HEALTH PLANS, INC.	2017	1	 	 	 	 	 	0	0
H3822	HEALTH CARE SERVICE CORPORATION	2017	1	Healthy Rewards Program	Annual Wellness Visit, Annual Flu Vaccine, Blood Glucose A1c Screening, Colorectal Screening, Completion of Health Questionnaire, In Home Assessment, Mammogram, Nephropathy Screening, Retinal Exam,  Tracking of Physical Activity over 12 weeks.	Registered members earn Gift Cards total annual maximum rewards is $100.  For members in H3822 we used $25 gift card awards for all Healthy Actions, inclusive of Annual Wellness Visit, Annual Flu Vaccine, Blood Glucose A1c Screening, Colorectal Screening, Completion of Health Questionnaire, In Home Assessment, Mammogram, Nephropathy Screening, Retinal Exam, Tracking of Physical Activity over 12 weeks.	Evaluated the cost value of each service, ensured that the value of the award is less than that of the service provided while significant enough to drive the member to complete it.	We track participation in the in the Healthy Rewards Program, via Weekly Registration reports, Healthy Action Activity Reports and Reward Redemption Reports.	13621	41846
H3832	HAWAII MEDICAL SERVICE ASSOCIATION	2017	1	Steps to Better Health Incentive Program	PCP Exam, Dilated Retinal Eye Exam, HbA1c Tests, Kidney Disease Education, Certified Diabetes Education	Gift Cards	Enrollees may earn a maximum reward value of $100 dependent on the services they complete during the calendar year.  Each service is tied to a different reward value i.e. PCP office visit for diabetes is worth $10, dilated retinal eye exam is worth $20, HbA1c test is worth $10 with up to 2 per year for a total of $20 and disease education is worth $50.  The reward value for each service was determined based on the level of effort and copayment if any required of the enrollee.	Enrollment is tracked manually via opt-in forms returned by enrollees wanting to participate.  Enrollees can also call Customer Service to verbally enroll.  Disease education is tracked manually via the educators attendance records or through claims.  All other services are tracked and verified through claims.	1063	1001
H3832	HAWAII MEDICAL SERVICE ASSOCIATION	2017	2	Breast Cancer Screening Incentive Program	Mammograms	Gift Cards	Enrollees may earn a $25 gift card reward for getting a mammogram.  The reward value was based on the copayment if any required of the enrollee.	Participation is tracked and verified through eligible enrollees mammography claims.	173	173
H3864	PACIFICSOURCE COMMUNITY HEALTH PLANS	2017	1	 	 	 	 	 	0	0
H3890	HOPKINS HEALTH ADVANTAGE, INC.	2017	1	 	 	 	 	 	0	0
H3907	UPMC HEALTH PLAN, INC.	2017	1	Y	Mammogram, Colorectal, Retinal Eye, Hemoglobin A1C preventive screenings	Mammogram: $25 gift card Colorectal: $50 gift card Retinal Eye: $25 gift card Hemoglobin A1C: $25 gift card. Up to $125	Defined gift card  amounts for each screening type	Participation is based on gaps closed. When member completes one or more of the screenings and we receive the claim(s) for the screening(s) the gift cards are issued	55672	52247
H3909	QCC INSURANCE COMPANY	2017	1	Personal Health Visit program	The Inovalon Personal Health Visit program is offered to all Medicare members and administered through a vendor called Inovalon. Members are targeted based on suspected gaps in their medical history by analyzing their claims pharmacy and lab data. The NP performing the visit captures detailed diagnosis codes and quality screening information while performing a complete physical examination discussing medications and any other health concerns the member might have. Members who meet the criteria for having an Osteoporosis Management in Women gap are eligible for an additional incentive. These members have the additional service of a wrist dexa scan performed in the home.	Participants can earn one of six options for a $50 gift card. The retailers offered are CVS Target Walmart Walgreens Barnes and Noble and Home Depot. If the member has the DEXA scan completed as part of the PHV they are eligible for an additional $50 gift card.	Based on CMS regulations the value of the incentive must be less than the value of the health-related service or activity. The Personal Health Visit program is currently being run through Inovalon. Based on Independences agreed upon pricing with Inovalon the contract states that Independence pays Inovalon $331 per Personal Health Visit. Therefore Independence needed to stay below the $331 value. CMS also states that the value of the incentive must have a value that may be expected to affect enrollee behavior. As a result Independence agreed upon a value of $50 per member. Each member is only eligible for one Personal Health Visit per year and therefore is only eligible for $50 per year through this program. Members who meet the OMW STAR measure criteria are also eligible for a $50 gift card if they choose to get a dexa scan when completing the Personal Health Visit. This is in line with the above calculations as Independence does not pay any additional fee to Inovalon for completion of the dexa scan but $100 possible incentive is less than the $331 paid to Inovalon for completion of the visit.	Enrollee participation is tracked through several avenues. First and foremost our vendor outreaches to certain members each month and advertises the program. Most of the participation in the program takes place through proactive outreaches. However in addition members also hear about the program through word-of-mouth our Customer Service area our Case Management team or on our website. Either way members interested in the program end up speaking with an Inovalon call center employee. Through this conversation members choose their preferred gift card and are scheduled for a visit. Upon completion of the visit the data is sent back to Inovalon for processing. Only members who the data has been received correctly completed the service and therefore are entitled to the gift card. The gift card is then mailed to the member within 60 days of the completed Personal Health Visit. Independence has access to a real-time dashboard called INDICES where these reports can be viewed. In addition Independence receives a weekly file listing the operational metrics including member-level. Finally Independence receives a monthly gift card report outlining the members who have received their gift card what gift card they chose and how long it took the member to receive their gift card.	1140	1140
H3909	QCC INSURANCE COMPANY	2017	2	Independence health rewards	The rewards program focused on a plan-specified contract H3909 to close gaps in care for specific measures. Members were rewarded with gift cards to attend the specified health care activities. Members were able to activate into the rewards program attest to their health care activity and redeem gift cards via mail (redemptions) call center and a digital channel.	The members had the option of printing an e-Gift card immediately or having a physical gift card mailed to them. These were merchant gift cards that were not convertible to cash. The health care activities and reward values were as follows: Breast Cancer Screening $25 Colon Cancer Screening (Fecal Occult Blood Test Fecal Immunochemical Test Flexible Sigmoidoscopy Colonoscopy) $25 and Diabetes Eye Exam $25.	The reward value is calculated based on the health care activity the members propensity to complete the health care activity and the CMS guideline pertaining to the value of the health related service or activity.	Members interact through the NovuHealth program via the mail telephonic and digital channels. Member interactions across the channels are captured in NovuHealths CMS-compliant data storage as activations and redemptions (participation).	4761	5925
H3916	HIGHMARK SENIOR HEALTH COMPANY	2017	1	Passport Rewards	Annual Wellness Visit, Diabetic Retinal Eye Exams, Nephropathy test, HbA1c test, a Comprehensive Health Conversation with a Registered Nurse, Bone Mineral Density test, Silver Sneakers participation, Mammogram, Flu Shot, Colorectal Cancer Screening, Hearing Exam, and House Call Visit	Between $25 and $50 gift card (their choice from a list of choices) per rewardable activity completed	Value of the reward is calculated by comparing to the plan value of the rewardable activity or the perceived value of the activity as an indirect impact to multiple other quality related activities.	All active Medicare Advantage (MAPD) members are eligible for participation. Members are provided multiple communications (verbal, telephonic, and digital) advising them of eligibility and rewardable activity completion status throughout the year. Members must opt to participate in the program by acknowledging the terms and actively selecting their reward.	17737	22467
H3923	CAPITAL ADVANTAGE INSURANCE COMPANY	2017	1	Healthy Rewards Annual Wellness Exam	Annual Wellness Exam	Gift Card	Value is calculated based on the average specialist copay	Tracking is completed based on member claim data	14993	4526
H3923	CAPITAL ADVANTAGE INSURANCE COMPANY	2017	2	Healthy Rewards Diabetic Retinal Eye Exam	Diabetic Retinal Eye Exam	Gift Card	Value is calculated based on the average specialist copay	Tracking is completed based on member claim data	2698	2698
H3924	GEISINGER INDEMNITY INSURANCE COMPANY	2017	1	 	 	 	 	 	0	0
H3928	AETNA HEALTH, INC. (LA)	2017	1	 	 	 	 	 	0	0
H3931	AETNA HEALTH INC. (PA)	2017	1	 	 	 	 	 	0	0
H3949	BRAVO HEALTH PENNSYLVANIA, INC.	2017	1	 	 	 	 	 	0	0
H3952	KEYSTONE HEALTH PLAN EAST, INC.	2017	1	Personal Health Visit program	The Inovalon Personal Health Visit program is offered to all Medicare members and administered through a vendor called Inovalon. Members are targeted based on suspected gaps in their medical history by analyzing their claims pharmacy and lab data. The NP performing the visit captures detailed diagnosis codes and quality screening information while performing a complete physical examination discussing medications and any other health concerns the member might have. Members who meet the criteria for having an Osteoporosis Management in Women gap are eligible for an additional incentive. These members have the additional service of a wrist dexa scan performed in the home.	Participants can earn one of six options for a $50 gift card. The retailers offered are CVS Target Walmart Walgreens Barnes and Noble and Home Depot. If the member has the DEXA scan completed as part of the PHV they are eligible for an additional $50 gift card.	Based on CMS regulations the value of the incentive must be less than the value of the health-related service or activity. The Personal Health Visit program is currently being run through Inovalon. Based on Independences agreed upon pricing with Inovalon the contract states that Independence pays Inovalon $331 per Personal Health Visit. Therefore Independence needed to stay below the $331 value. CMS also states that the value of the incentive must have a value that may be expected to affect enrollee behavior. As a result Independence agreed upon a value of $50 per member. Each member is only eligible for one Personal Health Visit per year and therefore is only eligible for $50 per year through this program. Members who meet the OMW STAR measure criteria are also eligible for a $50 gift card if they choose to get a dexa scan when completing the Personal Health Visit. This is in line with the above calculations as Independence does not pay any additional fee to Inovalon for completion of the dexa scan but $100 possible incentive is less than the $331 paid to Inovalon for completion of the visit.	Enrollee participation is tracked through several avenues. First and foremost our vendor outreaches to certain members each month and advertises the program. Most of the participation in the program takes place through proactive outreaches. However in addition members also hear about the program through word-of-mouth our Customer Service area our Case Management team or on our website. Either way members interested in the program end up speaking with an Inovalon call center employee. Through this conversation members choose their preferred gift card and are scheduled for a visit. Upon completion of the visit the data is sent back to Inovalon for processing. Only members who the data has been received correctly completed the service and therefore are entitled to the gift card. The gift card is then mailed to the member within 60 days of the completed Personal Health Visit. Independence has access to a real-time dashboard called INDICES where these reports can be viewed. In addition Independence receives a weekly file listing the operational metrics including member-level. Finally Independence receives a monthly gift card report outlining the members who have received their gift card what gift card they chose and how long it took the member to receive their gift card.	21464	21464
H3952	KEYSTONE HEALTH PLAN EAST, INC.	2017	2	Independence health rewards	The rewards program focused on a plan-specified contract H3952 to close gaps in care for specific measures. Members were rewarded with gift cards to attend the specified health care activities. Members were able to activate into the rewards program attest to their health care activity and redeem gift cards via mail (redemptions) call center and a digital channel.	The members had the option of printing an e-Gift card immediately or having a physical gift card mailed to them. These were merchant gift cards that were not convertible to cash. The health care activities and reward values were as follows: Breast Cancer Screening $25 Colon Cancer Screening (Fecal Occult Blood Test Fecal Immunochemical Test Flexible Sigmoidoscopy Colonoscopy) $25 and Diabetes Eye Exam $25.	The reward value is calculated based on the health care activity the members propensity to complete the health care activity and the CMS guideline pertaining to the value of the health related service or activity.	Members interact through the NovuHealth program via the mail telephonic and digital channels. Member interactions across the channels are captured in NovuHealths CMS-compliant data storage as activations and redemptions (participation).	37023	63500
H3954	GEISINGER HEALTH PLAN	2017	1	 	 	 	 	 	0	0
H3957	HIGHMARK CHOICE COMPANY	2017	1	Passport Rewards	Annual Wellness Visit, Diabetic Retinal Eye Exams, Nephropathy test, HbA1c test, a Comprehensive Health Conversation with a Registered Nurse, Bone Mineral Density test, Silver Sneakers participation, Mammogram, Flu Shot, Colorectal Cancer Screening, Hearing Exam, and House Call Visit	Between $25 and $50 gift card (their choice from a list of choices) per rewardable activity completed.	Value of the reward is calculated by comparing to the plan value of the rewardable activity or the perceived value of the activity as an indirect impact to multiple other quality related activities.	All active Medicare Advantage (MAPD) members are eligible for participation. Members are provided multiple communications (verbal, telephonic, and digital) advising them of eligibility and rewardable activity completion status throughout the year. Members must opt to participate in the program by acknowledging the terms and actively selecting their reward.	17183	21770
H3959	AETNA HEALTH INC. (PA)	2017	1	Coventry Healthy Rewards	Members are incented to complete preventative health screenings as well as initiate conversations with their health care provider.	Members could be incented on the following opportunities:  Annual Wellness Exam, Discussion with Provider regarding Physical Activity, Colorectal Screenings, Diabetic Eye Exam, Diabetic Kidney Screening, Breast Cancer Screening	Our vendor, Novu, sends an activity file which lets us see which members have engaged in the program, and which rewards they have attested to completing. Each reward opportunity has a value assigned to that and we're able to track that per member.	Our vendor, Novu, sends an activity file which lets us see which members have engaged in the program. Members are able to engage via the mail, phone or web.	61344	6173
H3962	KEYSTONE HEALTH PLAN CENTRAL, INC.	2017	1	Healthy Rewards Annual Exam	Annual Wellness Exam	Gift Card	Value is calculated based on the average specialist copay	Tracking is completed based on member claim data	14133	4421
H3962	KEYSTONE HEALTH PLAN CENTRAL, INC.	2017	2	Healthy Rewards Diabetic Retinal Eye Exam	Diabetic Retinal Eye Exam	Gift Card	Value is calculated based on the average specialist copay	Tracking is completed based on member claim data	2617	2617
H3979	GHS HEALTH MAINTENANCE ORGANIZATION, INC.	2017	1	Healthy Rewards Program	Annual Wellness Visit, Annual Flu Vaccine, Blood Glucose A1c Screening, Colorectal Screening, Completion of Health Questionnaire, In Home Assessment, Mammogram, Nephropathy Screening, Retinal Exam,  Tracking of Physical Activity over 12 weeks.	Registered members earn Gift Cards total annual maximum rewards is $100.  For members in H3979 we used $25 gift card awards for all Healthy Actions, inclusive of Annual Wellness Visit, Annual Flu Vaccine, Blood Glucose A1c Screening, Colorectal Screening, Completion of Health Questionnaire, In Home Assessment, Mammogram, Nephropathy Screening, Retinal Exam, Tracking of Physical Activity over 12 weeks.	Evaluated the cost value of each service, ensured that the value of the award is less than that of the service provided while significant enough to drive the member to complete it.	We track participation in the in the Healthy Rewards Program, via Weekly Registration reports, Healthy Action Activity Reports and Reward Redemption Reports.	2280	7339
H4003	MMM HEALTHCARE, LLC	2017	1	Recompensando tu Salud	Special Care Clinics, Eye Exam Clinics, Multi Health Clinics, Vaccination Clinics, Health Education and Quality workshops as well as interventions, and the compliance with the preventive care tests or assessments: Screening Mammography, Colorectal Cancer Screening, Retinopathy test, Annual Health Assessment, Densitometry test, A1c Test, Kidney Disease monitoring, Controlling Blood Pressure.	Mini Fans, hand sanitizers, lunch boxes, tote bags, insect repellants, umbrellas, eyeglass kits, 3 piece salad shakers, seven day pill cases, magnifying glass, memo boards, badge holders, gel pads, fruit fusion bottle, small first aid box, exercise band, 2 section lunch container, emergency oral care kit, mini phone fans, reusable bags & gift cards	We use the value of a similar/equal product on the retail market to determine the value of the specific reward item and then make sure that the value we give out for the completion of the activity to be rewarded does not exceed the value of the activity itself.	Using our Customer Service Application - C3PO, as well as Excel Workbooks and/or attendance sheets provided by departments who are in charge of the clinic.	13749	18611
H4004	MMM HEALTHCARE, LLC	2017	1	Recompensando tu Salud	Special Care Clinics, Eye Exam Clinics, Multi Health Clinics, Vaccination Clinics, Health Education and Quality workshops as well as interventions, and the compliance with the preventive care tests or assessments: Screening Mammography, Colorectal Cancer Screening, Retinopathy test, Annual Health Assessment, Densitometry test, A1c Test, Kidney Disease monitoring, Controlling Blood Pressure.	Mini Fans, hand sanitizers, lunch boxes, tote bags, insect repellants, umbrellas, eyeglass kits, 3 piece salad shakers, seven day pill cases, magnifying glass, memo boards, badge holders, gel pads, fruit fusion bottle, small first aid box, exercise band, 2 section lunch container, emergency oral care kit, mini phone fans, reusable bags & gift cards	We use the value of a similar/equal product on the retail market to determine the value of the specific reward item and then make sure that the value we give out for the completion of the activity to be rewarded does not exceed the value of the activity itself.	Using our Customer Service Application, C3PO, as well as Excel Workbooks and/or attendance sheets provided by departments who are in charge of the clinic.	1093	1535
H4005	TRIPLE S ADVANTAGE, INC.	2017	1	Preventive Incentives Program	Preventive Care Tests:  Breast Cancer Screening in Women Colorectal Cancer Screening, Diabetic Patients Retinal Eye Exam Diabetic Patients Kidney Disease Monitoring Diabetic Patient Hemoglobin A1c test (HbA1c)	Gift Card	It's a $20.00 fixed amount.	An initial communication was sent during the first quarter of 2017 to the complete membership under this contract.  The Welcome letter explains the enrollee the initiative and why was important for them to comply with preventive health measures and the incentives they were going to receive when tests were completed. During the year communications and orientations were provided to the enrollees regarding different health topics including those related to the required preventive tests.  Also a follow up mailing was done for those non-compliant members.  Monthly reports were generated identifying the non compliant members and were shared with all PCPs for their support to follow up and to ensure their patients complied with the preventive tests needed. Once all targeted tests were performed and properly verified by the Stars Unit Department.  If gaps were closed by Members for their requiered preventive tests the $20 gift card will be sent via mail.  An excel spreadsheet will be mantain maintain with all information regarding the members compliance status and incentive payment.	14076	5412
H4007	HUMANA HEALTH PLANS OF PUERTO RICO, INC.	2017	1	Humana Rewards	Welcome to Medicare Routine Physical, Annual Wellness Visit, Cardiovascular Disease Screening, Diabetes Screening Test, Mammogram, Bone Density Test, Colorectal Cancer Screening, Flu Vaccine Depression Screening, Medical Nutrition Therapy, Diabetes Self-Management Training, Diabetic Retinal Exam, Kidney Tests/Nephropathy Screening, Diabetic Foot Exam, Adult BMI Assessment	With the completion of 4 preventive activities the enrollees earn 5 $10 gift cards to be selected from various vendors	With the completion of 4 preventive activities the enrollees earn 5 $10 gift cards to be selected from various vendors	Participation is tracked via claims processing for the specific CPT codes for the preventive activities listed above.	45857	5923
H4036	ANTHEM INSURANCE COMPANIES, INC.	2017	1	1	Diabetic Retinal Eye Exam	$50 Visa Gift Card	Value of gift card	Provider attestation	5016	2346
H4093	PROVIDER PARTNERS HEALTH PLAN OF PENNSYLVANIA, INC	2017	1	 	 	 	 	 	0	0
H4141	HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.	2017	1	Humana Vitality	Education: Complete Healthy Assessment (HA), First Step HA (once per lifetime bonus for completion), HA Bonus (complete w/in 120 days of effective date), Health Calculators, Update/confirm contact information, Attend Humana health education classes Fitness: First verified workout per lifetime, First verified workout each year,Athletic Event, Highest total Bucks per day rewarded across workout type,Steps, Heart rate monitor, Calories, Participating fitness facility Prevention: Welcome to Medicare (once per lifetime), Annual Wellness Exam, Mammogram, Colorectal Screening, Cardiovascular disease screening, Bone denisty, Flu Shot, Dental Exam, Vision Exam, Body Mass Index (BMI), Blood Pressure, Blood Glucose screening (diabetes test), Cholesterol	With HealthyFood (HF), seniors are eligible to earn an immediate 10% savings upon activating the HF card + $5 load onto their HF Shopping Card for the first and second eligible preventive care activity completed by the member, up to $10 per calendar year.  In addition, Medicare members can earn Bucks for participating and engaging in the program, such as completing a biometric screening, exercising, etc., which can be used to purchase various items in the HV/Go365 Mall.  The approximate values for these items are provided below.  Mall Tile Storefront Item Value Range Pedometers $12.50 - $18.50 Apple products $49 - $499 Go365 co-branded merchandise $31 - $76 Trek products $35 - $499 Gift Cards $10 - $25 Garmin devices $45 - $350 Fitbit devices $45 - $205 Polar devices $45 - $140 Fitbug device $17.50	With HealthyFood (HF), seniors are eligible to earn an immediate 10% savings upon activating the HF card + $5 load onto their HF Shopping Card for the first and second eligible preventive care activity completed by the member, up to $10 per calendar year.  In addition, Medicare members can earn Bucks for participating and engaging in the program, such as completing a biometric screening, exercising, etc., which can be used to purchase various items in the HV/Go365 Mall.  The approximate values for these items are provided below.  Mall Tile Storefront Item Value Range Pedometers $12.50 - $18.50 Apple products $49 - $499 Go365 co-branded merchandise $31 - $76 Trek products $35 - $499 Gift Cards $10 - $25 Garmin devices $45 - $350 Fitbit devices $45 - $205 Polar devices $45 - $140 Fitbug device $17.50	EH:  Medicare Participation is defined as follows: HA Completion Member completes the HA within the Plan Year. HF Transaction Member completes a HealthyFood transaction within the Plan Year. Mall Transaction Member completes a HumanaVitality Mall transaction within the Plan Year. Active Events Member completes various activities requiring member awareness of the HV program within the Plan Year.	45945	77096
H4152	BLUE CROSS & BLUE SHIELD OF RHODE ISLAND	2017	1	CVS ExtraCare Rewards program	Well Visit	25 Extracare Bucks loaded to the member's CVS ExtraCare card	When the participant has their well visit, they are eligible for the reward	We track completion utilizing paid claims data	55190	33945
H4172	NHC ADVANTAGE, LLC	2017	1	 	 	 	 	 	0	0
H4198	COMMUNITYCARE GOVERNMENT PROGRAMS, INC.	2017	1	 	 	 	 	 	0	0
H4213	USABLE MUTUAL INSURANCE COMPANY	2017	1	 	 	 	 	 	0	0
H4227	VISTA HEALTH PLAN, INC.	2017	1	Colorectal Cancer Screening In Home FIT Kit	Preventive Health Screening	Gift Cards	Gift Card Face Value - $10.00 per member that completed & returned the In home Fit Kit Test.	Verify members in need of the preventive health screening and track members.  Verify testing completion by claims and member outreach.	1863	163
H4227	VISTA HEALTH PLAN, INC.	2017	2	Stellar Rx Diabetes Home Testing	Diabetes home visit testing for members in need of services, including retinal imaging, HbA1c testing and urine collection for nephropathy testing.	Gift Cards	Gift Card Face Value - $10.00 per member that completed in home diabetes testing.	Verify members in need of diabetic testing and track members receiving in home testing visits.  Verify testing is complete by claims data and Stellar Rx monthly reporting.	1313	116
H4227	VISTA HEALTH PLAN, INC.	2017	3	Breast Cancer Screening Campaign	Mommography	Gift Cards	Gift Card Face Value - $15.00 per member that completed Mammography	Verify screening  is complete by claims data	920	31
H4227	VISTA HEALTH PLAN, INC.	2017	4	Boys and Girls Club (Mammo Event)	Preventive Health Screening includeing Mammography, BP, Diabetetes retinal imaging, HbA1c testing and urine collection for nephropathy testing	Gift Cards	Gift Card Face Value - $15.00 per member that completed onsite screening at the event	Collect the reciepts of gift carsd that were distributed at the event and enter to the Gift card information to the  database to track and monitor the distribution	137	10
H4227	VISTA HEALTH PLAN, INC.	2017	5	Diabetes Screening  Campaign - A1C	Diabetes screening including retinal imaging, HbA1c testing and urine collection for nephropathy testing	Gift Cards	Gift Card Face Value - $10.00 per member that completed in home diabetes testing.	Verify screening  is complete by claims data	887	73
H4227	VISTA HEALTH PLAN, INC.	2017	6	Diabetes Screening Campaign - Eye Exam	Diabetes screening including retinal imaging, HbA1c testing and urine collection for nephropathy testing	Gift Cards	Gift Card Face Value - $10.00 per member that completed in home diabetes testing.	Verify screening  is complete by claims data	887	77
H4227	VISTA HEALTH PLAN, INC.	2017	7	Diabetes Screening Campaign- Nephropathy	Diabetes screening including retinal imaging, HbA1c testing and urine collection for nephropathy testing	Gift Cards	Gift Card Face Value - $10.00 per member that completed in home diabetes testing.	Verify screening  is complete by claims data	887	21
H4227	VISTA HEALTH PLAN, INC.	2017	8	Colorectal Cancer Screening Outreach Campaign	Colorectal Cancer Screening	Gift Cards	Gift Card Face Value - $25.00 per member that completed & returned the In home Fit Kit Test.	Verify screening  is complete by claims data	1169	229
H4227	VISTA HEALTH PLAN, INC.	2017	9	Telephonic HEDIS Breast Cancer Screening Outreach	Mommography	Gift Cards	Gift Card Face Value - $15.00 per member that completed Mammography.	Verify screening  is complete by contacting the facility where the member completed the screening and claims data	587	63
H4227	VISTA HEALTH PLAN, INC.	2017	10	Member Appreciation - Concilio	Preventive Health Screening includeing BP, Diabetetes retinal imaging, HbA1c testing and urine collection for nephropathy testing	Gift Cards	Gift Card Face Value - $15.00 per member that completed onsite screening at the event	Collect the reciepts of gift carsd that were distributed at the event and enter to the Gift card information to the  database to track and monitor the distribution	521	30
H4227	VISTA HEALTH PLAN, INC.	2017	11	Member Appreciation - Lancaster	Preventive Health Screening includeing BP, Diabetetes retinal imaging, HbA1c testing and urine collection for nephropathy testing	Gift Cards	Gift Card Face Value - $15.00 per member that completed onsite screening at the event	Collect the reciepts of gift carsd that were distributed at the event and enter to the Gift card information to the  database to track and monitor the distribution	97	16
H4227	VISTA HEALTH PLAN, INC.	2017	12	Member Appreciation at John F Street Cummunity Center	Preventive Health Screening includeing BP, Diabetetes retinal imaging, HbA1c testing and urine collection for nephropathy testing	Gift Cards	Gift Card Face Value - $15.00 per member that completed onsite screening at the event	Collect the reciepts of gift carsd that were distributed at the event and enter to the Gift card information to the  database to track and monitor the distribution	497	47
H4227	VISTA HEALTH PLAN, INC.	2017	13	Member Engagement  YMCA West	Preventive Health Screening includeing BP, Diabetetes retinal imaging, HbA1c testing and urine collection for nephropathy testing	Gift Cards	Gift Card Face Value - $15.00 per member that completed onsite screening at the event	Collect the reciepts of gift carsd that were distributed at the event and enter to the Gift card information to the  database to track and monitor the distribution	113	30
H4227	VISTA HEALTH PLAN, INC.	2017	14	PHA Annual Health and Wellness Fair	Preventive Health Screening includeing BP, Diabetetes retinal imaging, HbA1c testing and urine collection for nephropathy testing	Gift Cards	Gift Card Face Value - $15.00 per member that completed onsite screening at the event	Collect the reciepts of gift carsd that were distributed at the event and enter to the Gift card information to the  database to track and monitor the distribution	60	3
H4227	VISTA HEALTH PLAN, INC.	2017	15	Pink On Purpose 2017	Preventive Health Screening includeing Mammography, BP, Diabetetes retinal imaging, HbA1c testing and urine collection for nephropathy testing	Gift Cards	Gift Card Face Value - $15.00 per member that completed onsite screening at the event	Collect the reciepts of gift carsd that were distributed at the event and enter to the Gift card information to the  database to track and monitor the distribution	112	20
H4227	VISTA HEALTH PLAN, INC.	2017	16	YMCA Christian st	Preventive Health Screening includeing BP, Diabetetes retinal imaging, HbA1c testing and urine collection for nephropathy testing	Gift Cards	Gift Card Face Value - $15.00 per member that completed onsite screening at the event	Collect the reciepts of gift carsd that were distributed at the event and enter to the Gift card information to the  database to track and monitor the distribution	550	11
H4279	UPMC FOR YOU, INC	2017	1	Y	Mammogram, Colorectal, Retinal Eye, Hemoglobin A1C preventive screenings	Mammogram: $50 gift card, Colorectal: $50 gift card: Retinal Eye: $25 gift card: Hemoglobin A1C: $25 gift card. Up to $175	Defined gift card  amounts for each screening type	Participation is based on gaps closed. When member completes one or more of the screenings and we receive the claim(s)) for the screening(s) the gift cards are issued	11968	11038
H4346	HMO COLORADO, INC.	2017	1	Rewards for Health Program	Depression Screening, Colorectal Cancer Screening, Diabetes Care  Blood Sugar Testing (HbA1c), Breast Cancer Screening (Mammogram), Annual Wellness Visit (PAHAF), Healthy Start, OR Healthy Journey, Physical Activity Monitoring, Diabetes Care  Eye Exam, Advance Health Care Directive Discussion and/or Provide a Copy of Document, Osteoporosis Testing, Blood Pressure Control, Annual Flu Vaccine, and Bladder Control and Urine Leakage Problem Discussion	FitTracker Smart Watch or $10 Visa gift cards	The FitTracker Smart Watch is rewarded to the member after they complete $50 worth of screenings or exams. Visa gift cards are awarded in $10 increments and members can earn up to five gift cards.	The enrollee participation is tracked by providing the approved fulfillment house vendor a complete membership file used to mail member's fulfillment kit every month. Member mails their attested coupons directly to the fulfillment vendor. Upon receipt of the coupon sheet, the vendor will record the following data in their system: Member's full name, Member ID, Member health service, date coupon was received, date of service, and provider name. The fulfillment vendor references the original membership file and records participation according to the member coupon submitted. A monthly data report is generated by the mailhouse vendor with statistics on how many coupons were received during that month, # of rewards fulfilled, etc.	8221	2368
H4388	SECURITY HEALTH PLAN OF WISCONSIN, INC.	2017	1	 	 	 	 	 	0	0
H4407	HEALTHSPRING OF TENNESSEE, INC.	2017	1	 	 	 	 	 	0	0
H4454	HEALTHSPRING OF TENNESSEE, INC.	2017	1	2017 Diabetes Healthy Rewards Program	Complete all of the following: 3 question survey, Diabetic HbA1C test, Diabetic Retinal Eye Exam, Breast Cancer Screening, Colorectal cancer screening	$75 Gift Card to one choice of: amazon.com, Kroger, Walmart or Subway	When a member completes all the program requirements (survey and screenings), signs and attests the activation kit and mails it back to us prior to 12/31/2017, they will qualify for the $75 Gift Card.	The program has a Master file that tracks all the Activation Kits received and all the Target files sent to the vendor for Gift Card fulfillment.	27626	2735
H4461	CARITEN HEALTH PLAN INC.	2017	1	Humana Rewards	Welcome to Medicare Routine Physical, Annual Wellness Visit, Cardiovascular Disease Screening, Diabetes Screening Test, Mammogram, Bone Density Test, Colorectal Cancer Screening, Flu Vaccine Depression Screening, Medical Nutrition Therapy, Diabetes Self-Management Training, Diabetic Retinal Exam, Kidney Tests/Nephropathy Screening, Diabetic Foot Exam, Adult BMI Assessment	With the completion of 4 preventive activities the enrollees earn 5 $10 gift cards to be selected from various vendors	With the completion of 4 preventive activities the enrollees earn 5 $10 gift cards to be selected from various vendors	Participation is tracked via claims processing for the specific CPT codes for the preventive activities listed above.	28	70
H4461	CARITEN HEALTH PLAN INC.	2017	2	Humana Vitality	Education: Complete Healthy Assessment (HA), First Step HA (once per lifetime bonus for completion), HA Bonus (complete w/in 120 days of effective date), Health Calculators, Update/confirm contact information, Attend Humana health education classes Fitness: First verified workout per lifetime, First verified workout each year,Athletic Event, Highest total Bucks per day rewarded across workout type,Steps, Heart rate monitor, Calories, Participating fitness facility Prevention: Welcome to Medicare (once per lifetime), Annual Wellness Exam, Mammogram, Colorectal Screening, Cardiovascular disease screening, Bone denisty, Flu Shot, Dental Exam, Vision Exam, Body Mass Index (BMI), Blood Pressure, Blood Glucose screening (diabetes test), Cholesterol	With HealthyFood (HF), seniors are eligible to earn an immediate 10% savings upon activating the HF card + $5 load onto their HF Shopping Card for the first and second eligible preventive care activity completed by the member, up to $10 per calendar year.  In addition, Medicare members can earn Bucks for participating and engaging in the program, such as completing a biometric screening, exercising, etc., which can be used to purchase various items in the HV/Go365 Mall.  The approximate values for these items are provided below.  Mall Tile Storefront Item Value Range Pedometers $12.50 - $18.50 Apple products $49 - $499 Go365 co-branded merchandise $31 - $76 Trek products $35 - $499 Gift Cards $10 - $25 Garmin devices $45 - $350 Fitbit devices $45 - $205 Polar devices $45 - $140 Fitbug device $17.50	With HealthyFood (HF), seniors are eligible to earn an immediate 10% savings upon activating the HF card + $5 load onto their HF Shopping Card for the first and second eligible preventive care activity completed by the member, up to $10 per calendar year.  In addition, Medicare members can earn Bucks for participating and engaging in the program, such as completing a biometric screening, exercising, etc., which can be used to purchase various items in the HV/Go365 Mall.  The approximate values for these items are provided below.  Mall Tile Storefront Item Value Range Pedometers $12.50 - $18.50 Apple products $49 - $499 Go365 co-branded merchandise $31 - $76 Trek products $35 - $499 Gift Cards $10 - $25 Garmin devices $45 - $350 Fitbit devices $45 - $205 Polar devices $45 - $140 Fitbug device $17.50	EH:  Medicare Participation is defined as follows: HA Completion Member completes the HA within the Plan Year. HF Transaction Member completes a HealthyFood transaction within the Plan Year. Mall Transaction Member completes a HumanaVitality Mall transaction within the Plan Year. Active Events Member completes various activities requiring member awareness of the HV program within the Plan Year.	109677	301079
H4490	MISSOURI MEDICARE SELECT, LLC	2017	1	 	 	 	 	 	0	0
H4497	MEDICAL MUTUAL OF OHIO	2017	1	Medical Mutual Wellness Rewards Program	Annual wellness visit, BP screening, Bone density screening, Breast cancer screening, Cholesterol screening, Colorectal cancer screening, Dilated eye exam, FBS screening, Flu Shot, QuitLine, Weight Watchers, SilverSneakers, Care coordination programs	$50 Bob Evans gift card	Schedule or complete a wellness visit and complete three of the following activities that include BP, bone density, mammogram, cholesterol, colorectal cancer screening, FBS or A1c, Flu shot, Enroll in QuitLine, Weight Watchers, SilverSneakers, Care coordination programs	A database is maintained that tracks the member involvement in the program from enrollment through year end	9055	2008
H4506	SELECTCARE OF TEXAS, INC.	2017	1	LH Rewards	Annual Flu Shot, Annual Physical Exam or Annual Wellness Visit, Cholesterol Screening, Breast Cancer Screening, Colorectal Cancer Screening, Diabetes Prevention Screening: HgA1c Test, Diabetes Management Screening: Retinal Eye Exam	Rewards Gift Card	$50 gift card for completion of 5 health actions	Enrollees are tracked by first registering in the member portal second by completing the health survey and third by completing required health actions for rewards cards	4532	2440
H4513	HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.	2017	1	 	 	 	 	 	0	0
H4514	UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.	2017	1	House Calls Program, Renew Rewards	HouseCalls, Annual Physical or Wellness Visit, Fall Prevention Discussion with Doctor or Fall Prevention In-home Activity, Rheumatoid Arthritis Visit, Osteoporosis Screening  Bone Density Test, Eye Exam for Diabetic Care, Colon Cancer Screening, Breast C	Gift Card	The reward is a gift card of a set monetary amount that must be spent down. Reward amounts and gift card options vary based on the health care activity, but are determined based on the amount expected to impact enrollee behavior, but not exceeding the value of the health related activity itself.	HouseCalls Program: HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in an in home visit.  Members can receive information about the opportunity to have a HouseCalls visit by outbound phone outreach from our scheduling agents, mailed materials, or email.  The clinician performing the visit will enter member information into the eHouseCalls app housed on the tablet our clinicians use in the field.  Once the HouseCalls system receives confirmation of a completed visit, the reward is issued., Renew Rewards Program: Enrollees initiate the redemption process by activating their participation in the program through any of three channels (Customer Service, Online/Member Portals, Direct Mail) if they have not done so previously. Members self-report completion of eligible activities through any of these three channels by providing certain required data (e.g., appointment date, clinic name, provider name, provider phone). Once UHC validates the eligibility period for the activity, the reward is issued.	17112	18116
H4523	AETNA HEALTH INC. (TX)	2017	1	 	 	 	 	 	0	0
H4527	PHYSICIANS HEALTH CHOICE OF TEXAS, LLC	2017	1	House Calls Program, Renew Rewards	HouseCalls, Annual Physical or Wellness Visit, Fall Prevention Discussion with Doctor or Fall Prevention In-home Activity, Rheumatoid Arthritis Visit, Osteoporosis Screening  Bone Density Test, Eye Exam for Diabetic Care, Colon Cancer Screening, Breast C	Gift Card	The reward is a gift card of a set monetary amount that must be spent down. Reward amounts and gift card options vary based on the health care activity, but are determined based on the amount expected to impact enrollee behavior, but not exceeding the value of the health related activity itself.	HouseCalls Program: HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in an in home visit.  Members can receive information about the opportunity to have a HouseCalls visit by outbound phone outreach from our scheduling agents, mailed materials, or email.  The clinician performing the visit will enter member information into the eHouseCalls app housed on the tablet our clinicians use in the field.  Once the HouseCalls system receives confirmation of a completed visit, the reward is issued., Renew Rewards Program: Enrollees initiate the redemption process by activating their participation in the program through any of three channels (Customer Service, Online/Member Portals, Direct Mail) if they have not done so previously. Members self-report completion of eligible activities through any of these three channels by providing certain required data (e.g., appointment date, clinic name, provider name, provider phone). Once UHC validates the eligibility period for the activity, the reward is issued.	14785	17496
H4590	UNITEDHEALTHCARE BENEFITS OF TEXAS, INC.	2017	1	House Calls Program, Renew Rewards	HouseCalls, Annual Physical or Wellness Visit, Fall Prevention Discussion with Doctor or Fall Prevention In-home Activity, Rheumatoid Arthritis Visit, Osteoporosis Screening  Bone Density Test, Eye Exam for Diabetic Care, Colon Cancer Screening, Breast C	Gift Card	The reward is a gift card of a set monetary amount that must be spent down. Reward amounts and gift card options vary based on the health care activity, but are determined based on the amount expected to impact enrollee behavior, but not exceeding the value of the health related activity itself.	HouseCalls Program: HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in an in home visit.  Members can receive information about the opportunity to have a HouseCalls visit by outbound phone outreach from our scheduling agents, mailed materials, or email.  The clinician performing the visit will enter member information into the eHouseCalls app housed on the tablet our clinicians use in the field.  Once the HouseCalls system receives confirmation of a completed visit, the reward is issued., Renew Rewards Program: Enrollees initiate the redemption process by activating their participation in the program through any of three channels (Customer Service, Online/Member Portals, Direct Mail) if they have not done so previously. Members self-report completion of eligible activities through any of these three channels by providing certain required data (e.g., appointment date, clinic name, provider name, provider phone). Once UHC validates the eligibility period for the activity, the reward is issued.	46660	66755
H4604	UNITEDHEALTHCARE OF UTAH, INC.	2017	1	House Calls Program, Renew Rewards	HouseCalls, Annual Physical or Wellness Visit, Fall Prevention Discussion with Doctor or Fall Prevention In-home Activity, Rheumatoid Arthritis Visit, Osteoporosis Screening  Bone Density Test, Eye Exam for Diabetic Care, Colon Cancer Screening, Breast C	Gift Card	The reward is a gift card of a set monetary amount that must be spent down. Reward amounts and gift card options vary based on the health care activity, but are determined based on the amount expected to impact enrollee behavior, but not exceeding the value of the health related activity itself.	HouseCalls Program: HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in an in home visit.  Members can receive information about the opportunity to have a HouseCalls visit by outbound phone outreach from our scheduling agents, mailed materials, or email.  The clinician performing the visit will enter member information into the eHouseCalls app housed on the tablet our clinicians use in the field.  Once the HouseCalls system receives confirmation of a completed visit, the reward is issued., Renew Rewards Program: Enrollees initiate the redemption process by activating their participation in the program through any of three channels (Customer Service, Online/Member Portals, Direct Mail) if they have not done so previously. Members self-report completion of eligible activities through any of these three channels by providing certain required data (e.g., appointment date, clinic name, provider name, provider phone). Once UHC validates the eligibility period for the activity, the reward is issued.	16131	18506
H4605	REGENCE BLUECROSS BLUESHIELD OF UTAH	2017	1	 	 	 	 	 	0	0
H4754	PACIFICSOURCE COMMUNITY HEALTH PLANS	2017	1	 	 	 	 	 	0	0
H4875	PRIORITY HEALTH	2017	1	Censeo Incentive Program	In-home health assessment provided by a certified physician to document and capture full burden of health - close quality gaps - and drive care management if applicable.	$25 Visa gift card	Any member who participates in the incentive receives the $25 Visa gift card.	Our vendor who performs the in-home health assessments - CenseoHealth - provides Priority Health with a list of members that qualify for the incentive (Declined in-home assessment previously - subsequently accepted and had an in-home health assessment).	2879	112
H4876	CONSTELLATION HEALTH, LLC.	2017	1	 	 	 	 	 	0	0
H4909	ANTHEM INSURANCE COMPANIES, INC.	2017	1	 	 	 	 	 	0	0
H4922	AGEWELL NEW YORK, LLC	2017	1	RewardWell	Mandatory are: Annual Wellness Visit with in-network physician, In-home Assessment with an AgeWell New York Nurse Practitioner, Optional are: Completed Advanced Directives Form, Medication Review with Pharmacist or network Physician, Flu Vaccination, Mammogram, Colorectal Cancer Screening, Pneumococcal Vaccine, Participation in Pharmacy Mail Order Service, Participation in Fitness Program.	A Gift Card with a total value $50	Members must complete one mandatory health action and three optional health actions.	Health actions are tracked using claims data, plan's care management system, and other data reports supplied by our PBM, EnvisionRx, Silver Sneakers, and providers data. Once all criteria are met, the member is notified.	1497	94
H4931	UNIVERSITY CARE ADVANTAGE, INC.	2017	1	Annual Well Visit Incentive Program for UCA member enrolled in the Plan during 2017	Annual Wellness Visit	Gift Card to Subway or JC Penney	Members receive a $25 gift card if they obtain a provider signature on an approved incentive form attesting to completion of an Annual Wellness Vist and the service is confirmed through claims.	Completed incentive forms are tracked in an Excel spreadsheet	5474	206
H4931	UNIVERSITY CARE ADVANTAGE, INC.	2017	2	Preventative Services Incentive Program for UCA members 55+ enrolled PY2017	Breast Cancer Screening (women only), Adult BMI Assessment (men only), Colorectal Cancer Screening, Care For Older Adults - Medication Review, Care for Older Adults - Functional Status Assessment, Care For Older Adults - Pain Screening,  and Annual Flu Shot	Gift Card to Subway or JC Penney	Members receive a $25 gift card if they obtain provider signatures on an approved incentive form attesting to completion of all six applicable preventative services and the breast and colorectal cancer screenings are confirmed through claims	Completed incentive forms are tracked in an Excel spreadsheet	5722	127
H5008	UNITEDHEALTHCARE INSURANCE COMPANY	2017	1	House Calls Program, Renew Rewards	HouseCalls, Annual Physical or Wellness Visit, Fall Prevention Discussion with Doctor or Fall Prevention In-home Activity, Rheumatoid Arthritis Visit, Osteoporosis Screening  Bone Density Test, Eye Exam for Diabetic Care, Colon Cancer Screening, Breast C	Gift Card	The reward is a gift card of a set monetary amount that must be spent down. Reward amounts and gift card options vary based on the health care activity, but are determined based on the amount expected to impact enrollee behavior, but not exceeding the value of the health related activity itself.	HouseCalls Program: HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in an in home visit.  Members can receive information about the opportunity to have a HouseCalls visit by outbound phone outreach from our scheduling agents, mailed materials, or email.  The clinician performing the visit will enter member information into the eHouseCalls app housed on the tablet our clinicians use in the field.  Once the HouseCalls system receives confirmation of a completed visit, the reward is issued., Renew Rewards Program: Enrollees initiate the redemption process by activating their participation in the program through any of three channels (Customer Service, Online/Member Portals, Direct Mail) if they have not done so previously. Members self-report completion of eligible activities through any of these three channels by providing certain required data (e.g., appointment date, clinic name, provider name, provider phone). Once UHC validates the eligibility period for the activity, the reward is issued.	11121	12229
H5009	REGENCE BLUESHIELD	2017	1	 	 	 	 	 	0	0
H5010	ASURIS NORTHWEST HEALTH	2017	1	 	 	 	 	 	0	0
H5042	CDPHP UNIVERSAL BENEFITS, INC.	2017	1	 	 	 	 	 	0	0
H5050	KAISER FOUNDATION HEALTH PLAN OF WASHINGTON	2017	1	 	 	 	 	 	0	0
H5087	EASY CHOICE HEALTH PLAN INC.	2017	1	 	 	 	 	 	0	0
H5106	HIGHMARK SENIOR SOLUTIONS COMPANY	2017	1	Passport Rewards	Annual Wellness Visit, Diabetic Retinal Eye Exams, Nephropathy test, HbA1c test, a Comprehensive Health Conversation with a Registered Nurse, Bone Mineral Density test, Silver Sneakers participation, Mammogram, Flu Shot, Colorectal Cancer Screening, Hearing Exam, and House Call Visit.	Between $25 and $50 gift card (their choice from a list of choices) per rewardable activity completed.	Value of the reward is calculated by comparing to the plan value of the rewardable activity or the perceived value of the activity as an indirect impact to multiple other quality related activities.	All active Medicare Advantage (MAPD) members are eligible for participation. Members are provided multiple communications (verbal, telephonic, and digital) advising them of eligibility and rewardable activity completion status throughout the year. Members must opt to participate in the program by acknowledging the terms and actively selecting their reward.	351	456
H5141	CLOVER INSURANCE COMPANY	2017	1	Hello to Healthy Rewards by Clover	First Diabetes Blood Sugar Test (HbA1c), Second Diabetes Blood Sugar Test (HbA2c), Diabetes Eye Exam, Diabetes Kidney Screening, Colon Cancer Screening, Flu Shot, Health Assessment, Clover Care Visit, Annual Wellness Visit, Telemedicine Signup	Gift Cards (Physical)	The reward value is calculated based on the health care activity, the members’ propensity to complete the health care activity, and the CMS guideline pertaining to the value of the health related service or activity. The determined dollar values were: First Diabetes Blood Sugar Test (HbA1c) $25, Second Diabetes Blood Sugar Test (HbA2c) $25, Diabetes Eye Exam $50, Diabetes Kidney Screening $50, Colon Cancer Screening $25, Flu Shot $25, Health Assessment $15, Clover Care Visit $50, Annual Wellness Visit $15, Telemedicine Signup $15.	Members were able to activate into the rewards program, attest to their health care activity and redeem gift cards through the NovuHealth program via the mail, telephonic and digital channels. Member interactions across the channels are captured in NovuHealth’s CMS-compliant data storage as activations and redemptions (“participation”).	29530	1054845
H5172	COMMUNITY HEALTH GROUP	2017	1	IHA Member Incentive	Initial/Annual Health Assessment. This visit includes a review of enrollee medical and social history, education and counseling about preventive services, including certain screenings, shots, and referrals for other care, if needed.	$50 Visa gift card.	The value of the reward is the same for each completed Initial/Annual Health Assessment.	Enrollees who participate in the program are tracked in an Excel database.	5582	4260
H5190	SUNSHINE STATE HEALTH PLAN, INC.	2017	1	Sunshine Health Advantage Rewards Program H5190	Annual flu vaccination, diabetic HbA1c testing, diabetic retinopathy screening, diabetic kidney screening, annual wellness visit	Walmart gift card	Reward values are calculated based on average cost of service for the health plan	Weekly claims sweep of internal systems	1161	1495
H5209	CARE WISCONSIN HEALTH PLAN, INC.	2017	1	 	 	 	 	 	0	0
H5211	SECURITY HEALTH PLAN OF WISCONSIN, INC.	2017	1	 	 	 	 	 	0	0
H5215	NETWORK HEALTH INSURANCE CORPORATION	2017	1	 	 	 	 	 	0	0
H5216	HUMANA INSURANCE COMPANY	2017	1	Humana Vitality	Education: Complete Healthy Assessment (HA), First Step HA (once per lifetime bonus for completion), HA Bonus (complete w/in 120 days of effective date), Health Calculators, Update/confirm contact information, Attend Humana health education classes Fitness: First verified workout per lifetime, First verified workout each year,Athletic Event, Highest total Bucks per day rewarded across workout type,Steps, Heart rate monitor, Calories, Participating fitness facility Prevention: Welcome to Medicare (once per lifetime), Annual Wellness Exam, Mammogram, Colorectal Screening, Cardiovascular disease screening, Bone denisty, Flu Shot, Dental Exam, Vision Exam, Body Mass Index (BMI), Blood Pressure, Blood Glucose screening (diabetes test), Cholesterol	With HealthyFood (HF), seniors are eligible to earn an immediate 10% savings upon activating the HF card + $5 load onto their HF Shopping Card for the first and second eligible preventive care activity completed by the member, up to $10 per calendar year.  In addition, Medicare members can earn Bucks for participating and engaging in the program, such as completing a biometric screening, exercising, etc., which can be used to purchase various items in the HV/Go365 Mall.  The approximate values for these items are provided below.  Mall Tile Storefront Item Value Range Pedometers $12.50 - $18.50 Apple products $49 - $499 Go365 co-branded merchandise $31 - $76 Trek products $35 - $499 Gift Cards $10 - $25 Garmin devices $45 - $350 Fitbit devices $45 - $205 Polar devices $45 - $140 Fitbug device $17.50	With HealthyFood (HF), seniors are eligible to earn an immediate 10% savings upon activating the HF card + $5 load onto their HF Shopping Card for the first and second eligible preventive care activity completed by the member, up to $10 per calendar year.  In addition, Medicare members can earn Bucks for participating and engaging in the program, such as completing a biometric screening, exercising, etc., which can be used to purchase various items in the HV/Go365 Mall.  The approximate values for these items are provided below.  Mall Tile Storefront Item Value Range Pedometers $12.50 - $18.50 Apple products $49 - $499 Go365 co-branded merchandise $31 - $76 Trek products $35 - $499 Gift Cards $10 - $25 Garmin devices $45 - $350 Fitbit devices $45 - $205 Polar devices $45 - $140 Fitbug device $17.50	EH:  Medicare Participation is defined as follows: HA Completion Member completes the HA within the Plan Year. HF Transaction Member completes a HealthyFood transaction within the Plan Year. Mall Transaction Member completes a HumanaVitality Mall transaction within the Plan Year. Active Events Member completes various activities requiring member awareness of the HV program within the Plan Year.	47660	80225
H5253	UNITEDHEALTHCARE OF WISCONSIN, INC.	2017	1	House Calls Program, Renew Rewards	HouseCalls, Annual Physical or Wellness Visit, Fall Prevention Discussion with Doctor or Fall Prevention In-home Activity, Rheumatoid Arthritis Visit, Osteoporosis Screening  Bone Density Test, Eye Exam for Diabetic Care, Colon Cancer Screening, Breast C	Gift Card	The reward is a gift card of a set monetary amount that must be spent down. Reward amounts and gift card options vary based on the health care activity, but are determined based on the amount expected to impact enrollee behavior, but not exceeding the value of the health related activity itself.	HouseCalls Program: HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in an in home visit.  Members can receive information about the opportunity to have a HouseCalls visit by outbound phone outreach from our scheduling agents, mailed materials, or email.  The clinician performing the visit will enter member information into the eHouseCalls app housed on the tablet our clinicians use in the field.  Once the HouseCalls system receives confirmation of a completed visit, the reward is issued., Renew Rewards Program: Enrollees initiate the redemption process by activating their participation in the program through any of three channels (Customer Service, Online/Member Portals, Direct Mail) if they have not done so previously. Members self-report completion of eligible activities through any of these three channels by providing certain required data (e.g., appointment date, clinic name, provider name, provider phone). Once UHC validates the eligibility period for the activity, the reward is issued.	200536	236979
H5262	GUNDERSEN HEALTH PLAN	2017	1	Wellness Giftcard Incentive Program	Enrollee completion of annual wellness visit or preventive physical exam within the calendar year	Gift Card	If criteria are met, award value is $50 giftcard, which is 100% of the value	Tracked through claims received and processed	14936	9789
H5280	MOLINA HEALTHCARE OF OHIO, INC.	2017	1	ACE/IHA Member Incentive	Annual Comprehensive Exam/In-Home Assessment	$25 Walmart gift card	Amount was chosen based on existing health and wellness incentives within the contract and/or market, and CMS guidance/State regulations	CPT codes submitted through medical claims data, documentation received from providers and IHA partners	17259	9509
H5294	SUPERIOR HEALTH PLAN, INC.	2017	1	Superior HealthPlan Advantage Rewards Program H5294	Annual flu vaccination, breast cancer screening, colorectal cancer screening, annual wellness visit	Walmart gift card	Reward values are calculated based on average cost of service for the health plan	Weekly claims sweep of internal systems	899	984
H5302	AETNA HEALTH INC. (GA)	2017	1	 	 	 	 	 	0	0
H5322	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	2017	1	House Calls Program, Renew Rewards	HouseCalls, Annual Physical or Wellness Visit, Fall Prevention Discussion with Doctor or Fall Prevention In-home Activity, Rheumatoid Arthritis Visit, Osteoporosis Screening  Bone Density Test, Eye Exam for Diabetic Care, Colon Cancer Screening, Breast C	Gift Card	The reward is a gift card of a set monetary amount that must be spent down. Reward amounts and gift card options vary based on the health care activity, but are determined based on the amount expected to impact enrollee behavior, but not exceeding the value of the health related activity itself.	HouseCalls Program: HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in an in home visit.  Members can receive information about the opportunity to have a HouseCalls visit by outbound phone outreach from our scheduling agents, mailed materials, or email.  The clinician performing the visit will enter member information into the eHouseCalls app housed on the tablet our clinicians use in the field.  Once the HouseCalls system receives confirmation of a completed visit, the reward is issued., Renew Rewards Program: Enrollees initiate the redemption process by activating their participation in the program through any of three channels (Customer Service, Online/Member Portals, Direct Mail) if they have not done so previously. Members self-report completion of eligible activities through any of these three channels by providing certain required data (e.g., appointment date, clinic name, provider name, provider phone). Once UHC validates the eligibility period for the activity, the reward is issued.	4577	5053
H5355	IEHP HEALTH ACCESS	2017	1	IEHP Family Asthma Program	The IEHP Family Asthma Program is designed to educate and assist Members in understanding and controlling their asthma. It consists of one (1), 2  hour group session. The sessions are available for child Members and their caregivers, or adult Members who are diagnosed with asthma.  Program topics include the signs and symptoms of asthma, triggers, how to use a peak flow meter and aero chamber, and the correct use of medication.  The Family Asthma Program is taught by Respiratory Therapists, Registered Nurses (RN), and/or Health Educators at various locations in Riverside and San Bernardino Counties.	Members will receive an Asthma kit, a hypoallergenic mattress cover, and pillow case.	A $40 value is based on the wholesale cost of the kit and linens: Kit=$25, Linens=$15	Program is tracked in OpenSIS / Health Education Database	2	14
H5355	IEHP HEALTH ACCESS	2017	2	IEHP Car Seat Safety Program	The IEHP Child Safety Programs is provided to educate eligible Members on the correct use of child safety seats and vehicle restraints to reduce morbidity and mortality rates of vehicle-related injuries among young children.  Program topics covered in class includes current Child Passenger Safety laws, age-appropriate child restraints, and installation of a child restraint using lower anchors or vehicle safety belt with top tether.	Upon completion of a Car Seat Safety class, participants receive one (1) car seat per infant. Members pregnant with multiple infants receive one car seat for each infant.	The $50.00 value is based the wholesale cost of the carseat including tax and shipping	Program is tracked in OpenSIS / Health Education Database	0	4
H5355	IEHP HEALTH ACCESS	2017	3	IEHP Living Well with a Disability Program	IEHP provides the Living Well with a Disability (Living Well) program for Members with disability age 18 and over in various locations within the service area.  IEHP Members may access the Living Well program without a referral or prior authorization and at no cost.  Members attending the program learn how to set goals, identify and overcome obstacles, deal with frustrations in a healthy way, prevent depression and have healthy relationships, eat well and be physically active, maintain healthier lifestyle and make their community a better place for people with disabilities.  Program classes are available in English and American Sign Language.	The Living Well program consists of 12 hours of education in a group setting. The program is instructed by trained staff at the contracted Independent Living Center facility. IEHP Members who attend the program receive a cookbook and exercise DVD.	The $20 value is based on the wholesale cost of the cookbook and DVD: Cookbook=$10, DVD=$10	Program is tracked in OpenSIS / Health Education Database	0	4
H5355	IEHP HEALTH ACCESS	2017	4	IEHP Adult/Pediatric Weight Loss Program  Gear Up for Healthy Living	Members attend one 2-hour session each week for eight (8) weeks.  Eligibility: Members 7  17 years old. (At least one parent or guardian is required to attend all sessions with the Member).  Topics include how to increase daily physical activities, serving sizes, My Plate, food label reading, psychosocial issues involved in weight loss, and stress management.  For each eight (8) week series, Member must attend seven (7) weeks in order to finish the program with a completion grade.	Members who complete the program receive tools such as resistance bands and an exercise DVD..	The $20 value is based on the wholesale cost of the bands and DVD: Bands: $6, DVD:$14	Program is tracked in OpenSIS / Health Education Database	0	4
H5355	IEHP HEALTH ACCESS	2017	5	IEHP Adult/Pediatric Weight Loss Program  Weight Watchers	The IEHP Weight Loss Program has pediatric and adult programs available to IEHP Members who are overweight or obese. Pediatric Members Eligibility: Members 13-19 years old (At least one parent or guardian is required to attend all sessions with the Member).  Adult Members Eligibility: Members 20 years and over. Members can register and attend the Weight Watchers program twice during their membership with IEHP as a Health Education benefit maximum per Member/lifetime (10 weeks at a time for a total of 20 weeks through the Weight Watcher - General program).  Members who have a documented denial for bariatric consult and are trying to meet criteria for bariatric surgery, may access the Weight Watchers program at no cost for up to 25 weeks (through the Weight Watcher  Bariatric program). This option is available one time during their membership with IEHP.  Members attending program learn general principles of nutrition, increasing physical activity, stress management, portion control, tips for eating out, and positive self image.	Members receive Weight Watchers coupons according to program selected (General or Bariatric). Each coupon is valid for one (1) Weight Watchers meeting not to exceed 22 coupons per Member.	The reward must be of such value as to motivate the Member to attend the WW meetings as well as to support them in implementing/maintaining the self-care behavior after the program.	Program is tracked in OpenSIS / Health Education Database	0	129
H5386	SHARP HEALTH PLAN	2017	1	 	 	 	 	 	0	0
H5410	HEALTHSPRING OF FLORIDA	2017	1	 	 	 	 	 	0	0
H5420	MEDICA HEALTHCARE PLANS, INC.	2017	1	House Calls Program	HouseCalls	Gift Card	The reward is a gift card of a set monetary amount that must be spent down. Reward amounts and gift card options vary based on the health care activity, but are determined based on the amount expected to impact enrollee behavior, but not exceeding the value of the health related activity itself.	HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in an in home visit.  Members can receive information about the opportunity to have a HouseCalls visit by outbound phone outreach from our scheduling agents, mailed materials, or email.  The clinician performing the visit will enter member information into the eHouseCalls app housed on the tablet our clinicians use in the field.  Once the HouseCalls system receives confirmation of a completed visit, the reward is issued.	10313	9402
H5422	BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA	2017	1	 	 	 	 	 	0	0
H5425	SCAN HEALTH PLAN	2017	1	 	 	 	 	 	0	0
H5427	FREEDOM HEALTH, INC.	2017	1	 	 	 	 	 	0	0
H5430	ONECARE BY CARE1ST HEALTH PLAN ARIZONA INC.	2017	1	 	 	 	 	 	0	0
H5431	HEALTHSUN HEALTH PLANS, INC.	2017	1	 	 	 	 	 	0	0
H5433	ORANGE COUNTY HEALTH AUTHORITY	2017	1	 	 	 	 	 	0	0
H5434	BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.	2017	1	Healthy Blue Rewards	The Healthy Blue Rewards program focused on a plan-specified contract, H5434, to close gaps in care for specific measures. Members were rewarded with gift cards to attend the specified health care activities. Members were able to activate into the Healthy Blue Rewards program, attest to their health care activity and redeem gift cards via mail (redemptions), call center and a digital channel.	The members had the option of printing an e-Gift card immediately or having a physical gift card mailed to them. These were merchant gift cards that were not convertible to cash. The health care activities and reward values were as follows: Annual Wellness $25, Annual Flu $10, Breast Cancer Screening $25, Colon Cancer Screening (Fecal Occult Blood Test, Fecal Immunochemical Test, Flexible Sigmoidoscopy, Colonoscopy) $50, Diabetes Care Eye Exam $50, Diabetes Care Kidney Exam $25, Diabetes Care A1C $25, Osteoporosis (BMD Screening) $25	The reward value is calculated based on the health care activity, the members propensity to complete the health care activity, and the CMS guideline pertaining to the value of the health related service or activity.	Members interact through the NovuHealth program via the mail, telephonic and digital channels. Member interactions across the channels are captured in NovuHealths CMS-compliant data storage as activations and redemptions (participation).	1606	4237
H5435	UNITEDHEALTHCARE INSURANCE COMPANY	2017	1	House Calls Program, Renew Rewards	HouseCalls, Annual Physical or Wellness Visit, Fall Prevention Discussion with Doctor or Fall Prevention In-home Activity, Rheumatoid Arthritis Visit, Osteoporosis Screening  Bone Density Test, Eye Exam for Diabetic Care, Colon Cancer Screening, Breast C	Gift Card	The reward is a gift card of a set monetary amount that must be spent down. Reward amounts and gift card options vary based on the health care activity, but are determined based on the amount expected to impact enrollee behavior, but not exceeding the value of the health related activity itself.	HouseCalls Program: HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in an in home visit.  Members can receive information about the opportunity to have a HouseCalls visit by outbound phone outreach from our scheduling agents, mailed materials, or email.  The clinician performing the visit will enter member information into the eHouseCalls app housed on the tablet our clinicians use in the field.  Once the HouseCalls system receives confirmation of a completed visit, the reward is issued., Renew Rewards Program: Enrollees initiate the redemption process by activating their participation in the program through any of three channels (Customer Service, Online/Member Portals, Direct Mail) if they have not done so previously. Members self-report completion of eligible activities through any of these three channels by providing certain required data (e.g., appointment date, clinic name, provider name, provider phone). Once UHC validates the eligibility period for the activity, the reward is issued.	10938	12583
H5441	HEALTHFIRST HEALTH PLAN, INC.	2017	1	 	 	 	 	 	0	0
H5471	SIMPLY HEALTHCARE PLANS, INC.	2017	1	 	 	 	 	 	0	0
H5475	MERIDIAN HEALTH PLAN OF MICHIGAN, INC.	2017	1	 	 	 	 	 	0	0
H5521	AETNA LIFE INSURANCE COMPANY	2017	1	 	 	 	 	 	0	0
H5522	HEALTHASSURANCE PENNSYLVANIA, INC.	2017	1	Coventry Healthy Rewards	Members are incented to complete preventative health screenings as well as initiate conversations with their health care provider.	Members could be incented on the following opportunities:  Annual Wellness Exam, Discussion with Provider regarding Physical Activity, Colorectal Screenings, Diabetic Eye Exam, Diabetic Kidney Screening, Breast Cancer Screening	Our vendor, Novu, sends an activity file which lets us see which members have engaged in the program, and which rewards they have attested to completing. Each reward opportunity has a value assigned to that and we're able to track that per member.	Our vendor, Novu, sends an activity file which lets us see which members have engaged in the program. Members are able to engage via the mail, phone or web.	69790	5857
H5525	HUMANA BENEFIT PLAN OF ILLINOIS, INC.	2017	1	Humana Rewards	Welcome to Medicare Routine Physical, Annual Wellness Visit, Cardiovascular Disease Screening, Diabetes Screening Test, Mammogram, Bone Density Test, Colorectal Cancer Screening, Flu Vaccine Depression Screening, Medical Nutrition Therapy, Diabetes Self-Management Training, Diabetic Retinal Exam, Kidney Tests/Nephropathy Screening, Diabetic Foot Exam, Adult BMI Assessment	With the completion of 4 preventive activities the enrollees earn 5 $10 gift cards to be selected from various vendors	With the completion of 4 preventive activities the enrollees earn 5 $10 gift cards to be selected from various vendors	Participation is tracked via claims processing for the specific CPT codes for the preventive activities listed above.	1896	800
H5525	HUMANA BENEFIT PLAN OF ILLINOIS, INC.	2017	2	Humana Vitality	Education: Complete Healthy Assessment (HA), First Step HA (once per lifetime bonus for completion), HA Bonus (complete w/in 120 days of effective date), Health Calculators, Update/confirm contact information, Attend Humana health education classes Fitness: First verified workout per lifetime, First verified workout each year,Athletic Event, Highest total Bucks per day rewarded across workout type,Steps, Heart rate monitor, Calories, Participating fitness facility Prevention: Welcome to Medicare (once per lifetime), Annual Wellness Exam, Mammogram, Colorectal Screening, Cardiovascular disease screening, Bone denisty, Flu Shot, Dental Exam, Vision Exam, Body Mass Index (BMI), Blood Pressure, Blood Glucose screening (diabetes test), Cholesterol	With HealthyFood (HF), seniors are eligible to earn an immediate 10% savings upon activating the HF card + $5 load onto their HF Shopping Card for the first and second eligible preventive care activity completed by the member, up to $10 per calendar year.  In addition, Medicare members can earn Bucks for participating and engaging in the program, such as completing a biometric screening, exercising, etc., which can be used to purchase various items in the HV/Go365 Mall.  The approximate values for these items are provided below.  Mall Tile Storefront Item Value Range Pedometers $12.50 - $18.50 Apple products $49 - $499 Go365 co-branded merchandise $31 - $76 Trek products $35 - $499 Gift Cards $10 - $25 Garmin devices $45 - $350 Fitbit devices $45 - $205 Polar devices $45 - $140 Fitbug device $17.50	With HealthyFood (HF), seniors are eligible to earn an immediate 10% savings upon activating the HF card + $5 load onto their HF Shopping Card for the first and second eligible preventive care activity completed by the member, up to $10 per calendar year.  In addition, Medicare members can earn Bucks for participating and engaging in the program, such as completing a biometric screening, exercising, etc., which can be used to purchase various items in the HV/Go365 Mall.  The approximate values for these items are provided below.  Mall Tile Storefront Item Value Range Pedometers $12.50 - $18.50 Apple products $49 - $499 Go365 co-branded merchandise $31 - $76 Trek products $35 - $499 Gift Cards $10 - $25 Garmin devices $45 - $350 Fitbit devices $45 - $205 Polar devices $45 - $140 Fitbug device $17.50	EH:  Medicare Participation is defined as follows: HA Completion Member completes the HA within the Plan Year. HF Transaction Member completes a HealthyFood transaction within the Plan Year. Mall Transaction Member completes a HumanaVitality Mall transaction within the Plan Year. Active Events Member completes various activities requiring member awareness of the HV program within the Plan Year.	72690	103162
H5526	HEALTHNOW NEW YORK INC.	2017	1	Annual Wellness Visit	Annual Wellness Visits, In-Home Assessments	$20 Gift Card	If the services required are billed the member receives the gift card.	Corporate reporting is in place to monitor the enrollees that complete the eligible services and those who receive gift cards.	19201	9061
H5526	HEALTHNOW NEW YORK INC.	2017	2	Member Rewards	Preventive Screenings, Chronic Conditions	Gift Card	Based on the service billed, a pre-set amount is loaded onto the member gift card.	Corporate reporting is in place to monitor the enrollees that complete the eligible services and those who receive gift cards.	19201	1865
H5528	GROUP HEALTH INCORPORATED	2017	1	 	 	 	 	 	0	0
H5533	UPMC HEALTH NETWORK, INC.	2017	1	Y	Mammogram, Colorectal, Retinal Eye, Hemoglobin A1C preventive screenings	Mammogram: $25 gift card, Colorectal: $50 gift card, Retinal Eye $25 gift card, Hemoglobin A1C: $25 gift card. Up to $125	Defined gift card  amounts for each screening type	Participation is based on gaps closed. When member completes one or more of the screenings and we receive the claim(s)) for the screening(s) the gift cards are issued	3424	7312
H5549	VNS CHOICE	2017	1	 	 	 	 	 	0	0
H5576	VANTAGE HEALTH PLAN, INC.	2017	1	 	 	 	 	 	0	0
H5577	MCS ADVANTAGE, INC.	2017	1	MCS Te Cuida	Breast Cancer Screening, Colorectal Cancer Screening, Annual Flu Vaccine, Diabetes Care - Eye Exam	Gift cards	$10 gift card from Walgreens, Walmart, or K-Mart for each eligible health related activity completed by the member	Every member receives a brochure to notify them of the program. It contains information about the health related services they qualify for completion. Once the member returns the brochure completed the information is uploaded into the CRM system and the member is enrolled in the program	216635	3670
H5580	SOUTHWEST CATHOLIC HEALTH NETWORK CORPORATION	2017	1	1	Mammograms to screen for breast cancer	$15.00 gift card to Target	All members are eligible to receive the same award denomination. The value of the award was selected as it is believed to be significant enough to influence member behavior	An annual offer is mailed to members. Those who choose to take advantage of the offer are required to complete the form that is included in the offer letter, which is also signed by a representative at the imaging facility, and return it to the plan. Upon receipt, the plan confirms that a claim has been received as evidence of the service being completed, and documents it in a tracking database which triggers the mailing of the gift card.	44	44
H5580	SOUTHWEST CATHOLIC HEALTH NETWORK CORPORATION	2017	2	1	A single Mercy Care Advantage Rewards program which includes incentives for members to complete breast cancer screening, colon cancer screening, bone density testing, flu shot, and monitor your physical health	Gift cards from a list of vendors.  Breast cancer screening $25, colon cancer screening $25, bone density testing $25, flu shot $10, and monitor your physical health $25	All members are eligible to receive the flu shot on monitor your physical health rewards.  All other rewards are targeted to specific member based on clinical indicators or standards of care.  The value of the award was selected to balance the cost of the reward the ability to influence member behavior	Participation is tracked using a weekly dashboard from the vendor.  An annual offer is mailed to members and available on a website. Those who choose to take advantage of the offer are required to attest that the activity has been completed by mail, phone, or website.  Mail and phone will trigger a mailing of the gift card.   Website offers the additional option of a digital eGift card	456	775
H5587	HEALTH CHOICE ARIZONA, INC.	2017	1	 	 	 	 	 	0	0
H5590	BRIDGEWAY HEALTH SOLUTIONS	2017	1	Bridgeway Health Solutions Medicare Advantage Rewards Program H5590	Breast cancer screening, colorectal cancer screening	Target gift card, Walmart gift card	Reward values are calculated based on average cost of service for the health plan	Weekly claims sweep of internal systems	1071	178
H5591	MARTIN'S POINT GENERATIONS ADVANTAGE, INC.	2017	1	Grocery Gift Card for completion of Home Risk Assessment or attend Mobile Health Center event	Annual Wellness Visits and preventative screenings.	$20 Hannaford Gift Card	$20 Gift Card per year per person triggered by the completion of a visit	Vendors send weekly reports indicating which members have participated in the program	6764	6764
H5594	OPTIMUM HEALTHCARE, INC.	2017	1	 	 	 	 	 	0	0
H5608	DENVER HEALTH MEDICAL PLAN, INC.	2017	1	 	 	 	 	 	0	0
H5613	MVP HEALTH PLAN, INC.	2017	1	 	 	 	 	 	0	0
H5619	ARCADIAN HEALTH PLAN, INC.	2017	1	Humana Vitality	Education: Complete Healthy Assessment (HA), First Step HA (once per lifetime bonus for completion), HA Bonus (complete w/in 120 days of effective date), Health Calculators, Update/confirm contact information, Attend Humana health education classes Fitness: First verified workout per lifetime, First verified workout each year,Athletic Event, Highest total Bucks per day rewarded across workout type,Steps, Heart rate monitor, Calories, Participating fitness facility Prevention: Welcome to Medicare (once per lifetime), Annual Wellness Exam, Mammogram, Colorectal Screening, Cardiovascular disease screening, Bone denisty, Flu Shot, Dental Exam, Vision Exam, Body Mass Index (BMI), Blood Pressure, Blood Glucose screening (diabetes test), Cholesterol	With HealthyFood (HF), seniors are eligible to earn an immediate 10% savings upon activating the HF card + $5 load onto their HF Shopping Card for the first and second eligible preventive care activity completed by the member, up to $10 per calendar year.  In addition, Medicare members can earn Bucks for participating and engaging in the program, such as completing a biometric screening, exercising, etc., which can be used to purchase various items in the HV/Go365 Mall.  The approximate values for these items are provided below.  Mall Tile Storefront Item Value Range Pedometers $12.50 - $18.50 Apple products $49 - $499 Go365 co-branded merchandise $31 - $76 Trek products $35 - $499 Gift Cards $10 - $25 Garmin devices $45 - $350 Fitbit devices $45 - $205 Polar devices $45 - $140 Fitbug device $17.50	With HealthyFood (HF), seniors are eligible to earn an immediate 10% savings upon activating the HF card + $5 load onto their HF Shopping Card for the first and second eligible preventive care activity completed by the member, up to $10 per calendar year.  In addition, Medicare members can earn Bucks for participating and engaging in the program, such as completing a biometric screening, exercising, etc., which can be used to purchase various items in the HV/Go365 Mall.  The approximate values for these items are provided below.  Mall Tile Storefront Item Value Range Pedometers $12.50 - $18.50 Apple products $49 - $499 Go365 co-branded merchandise $31 - $76 Trek products $35 - $499 Gift Cards $10 - $25 Garmin devices $45 - $350 Fitbit devices $45 - $205 Polar devices $45 - $140 Fitbug device $17.50	EH:  Medicare Participation is defined as follows: HA Completion Member completes the HA within the Plan Year. HF Transaction Member completes a HealthyFood transaction within the Plan Year. Mall Transaction Member completes a HumanaVitality Mall transaction within the Plan Year. Active Events Member completes various activities requiring member awareness of the HV program within the Plan Year.	73000	77049
H5628	MOLINA HEALTHCARE OF UTAH, INC.	2017	1	ACE/IHA Member Incentive	Annual Comprehensive Exam/In-Home Assessment	$25 Walmart gift card	Amount was chosen based on existing health and wellness incentives within the contract and/or market, and CMS guidance/State regulations	CPT codes submitted through medical claims data, documentation received from providers and IHA partners	10316	7772
H5628	MOLINA HEALTHCARE OF UTAH, INC.	2017	2	MHU Medicare Incentives	Breast Cancer Screening, Retinal Eye Exam, HbA1C Test, Nephropathy Screening, Colorectal Cancer Screening, Osteoporosis Management	$40 Walmart gift card	Amount was chosen based on existing health and wellness incentives within the contract and/or market, CMS guidance/State regulations, and member feedback from a telephone survey	Members must call Molina to confirm activity/activities are completed then completion is validated against claim data. Members can receive a maximum of one incentive per HEDIS missing activity that needed to be closed, but can earn multiple incentives if they are eligible and complete multiple activities	10794	321
H5649	CENTRAL HEALTH PLAN OF CALIFORNIA, INC.	2017	1	$15 Grocery Store Gift Cards are offered for attendance	Diabetes and Hyperlipidemia Management Classes	$15 Grocery Store Gift Cards	Each supermarket gift card has a value of $15. This is the minimum value that can be purchased in bulk from the supermarket retailer and remain in compliance with the OIG guidance on gift cards.	The class coordinator provides a sign-in sheet for members attending the class.	13146	98
H5649	CENTRAL HEALTH PLAN OF CALIFORNIA, INC.	2017	2	Passport to a Health You	The 2017 Passport to a Healthy You is an incentive program that rewards members for completing their yearly preventive screenings. Screenings include selected Star related measures such as BMI, depression screening, and colon cancer screening. Members must complete the screenings with their providers and provider signature is required in order to redeem the gift card. Members may also visit the Central Health Wellness Centers to complete their screenings and receive the gift card on the same day of their visit.	$15 Target gift card	Gift card has a value of $15	Each returned and completed passport is reviewed by the Star Department. The passports, members information, and gift card numbers are logged into Plan App. Members can only redeem this reward once per year.	37849	6183
H5649	CENTRAL HEALTH PLAN OF CALIFORNIA, INC.	2017	3	Wellness Center	Central Health Medicare Plan (CHMP) has two Wellness Centers. Any eligible members can call and make appointment with one of the Wellness Centers for preventive cares such as consultations of exercises and fall preventions, medication reviews, flu vaccination, depression screening, ultrasound bone density tests, ankle brachial index tests, and spirometry tests. Some screenings are limited to members who have higher risks or symptoms. For example spirometry tests are only offered to members who have long term smoking history or have symptoms of chronic bronchitis. After members completed their visit Wellness Center staff will provide them $15 supermarket gift card. Members may only get this incentive reward once a year regardless how many visits they have with Wellness Centers during the year. Member must complete a full visit to be eligible of getting this incentive which means that we have enough details to document subjective objective assessment and plan information to progress note. Visits such as health fairs are not eligible to such incentive.	Each member may receive a $15 supermarket gift card.	Each supermarket gift card has a value of $15. This is the minimum value that can be purchased in bulk from the supermarket retailer and remain in compliance with the OIG guidance on gift cards.	Wellness Center staffs update the Excel tracking list and CHMPs computer database (called Plan Application) as soon as possible after gift cards are given to the members. The update is completed every business day unless the staff cannot return to the main office within one business day. Because all members need an appointment to come to the Wellness Center for a full visit, our staff can check computer database prior the appointment to see if the member already received the gift card for this years incentive program. Because some members might have multiple visits at Wellness Center during the calendar year (e.g. coming to Wellness Centers again to review the lab results that were ordered in prior visit), we want to make sure they do not receive extra gift cards. All eligible members are enrolled in this program. Wellness Center staffs check the eligibility when members make appointment. If they are termed on the days of appointments, they are not eligible for this program. The member population changes through the calendar year.	36326	523
H5652	SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	2017	1	 	 	 	 	 	0	0
H5656	SELECTCARE HEALTH PLANS, INC.	2017	1	LH Rewards	Annual Flu Shot, Annual Physical Exam or Annual Wellness Visit, Cholesterol Screening, Breast Cancer Screening, Colorectal Cancer Screening, Diabetes Prevention Screening: HgA1c Test, Diabetes Management Screening: Retinal Eye Exam	Rewards Gift Card	$50 gift card for completion of 5 health actions	Enrollees are tracked by first registering in the member portal second by completing the health survey and third by completing required health actions for rewards cards	88	44
H5703	SOUTH COUNTRY HEALTH ALLIANCE	2017	1	Take Charge Be Rewarded Wellness Programs	Prenatal Care exam, Postpartum Care exam, Young Adult Well Care exam, annual Mammogram screening for breast cancer, exercising at a fitness center or health club, participation in up to five Community Education classes per calendar year.	$50 gift card reward for enrollees ages 18 to 21 who complete an annual Young Adult Well Care Exam and a $25 gift card bonus for completing the Chlamydia screeening during the exam, $75 gift card reward for completing  the first Prenatal Care visit with a healthcare provider during the first trimester of pregnancy, $75 gift card reward for completing  Postpartum Care with a healthcare provider between 21 and 56 days after delivery,  $50 gift card reward for completing an annual Mammogram Screening for women ages 40 and older, up to $20 off  a monthly health club membership fee, provide up to $15 of the registration fee for Community Education classes for up to five classes per calendar year.	The value of gift card rewards, scholarships for health club membership fees and scholarships for Community Education class fees is based on an annual review of current best practices for designing and maintaining successful incentive programs, an annual analysis of reward and incentive participation across all South Country products, set standards (policies and procedures) of eligibility for each gift card reward and scholarship program based on budgetary allotment.	Participation is tracked via manual data entry in South Countrys enrollee database system (Client Contact Manager) by enrollee name, date of service or class, name of incentive or scholarship, incentive or scholarship amount, healthcare provider if applicable, program participation voucher source if applicable, and whether or not enrollee meets the eligibility requirements for the gift card reward or scholarship program.	165	165
H5746	AMERIGROUP COMMUNITY CARE OF NEW MEXICO, INC.	2017	1	 	 	 	 	 	0	0
H5774	TRIPLE S ADVANTAGE, INC.	2017	1	Rewards and Incentives Program	Preventive Care Tests:  Breast Cancer Screening in Women, Colorectal Cancer Screening Diabetic Patients Retinal Eye Exam  Diabetic Patients Kidney Disease Monitoring, Diabetic Patient Hemoglobin A1c test (HbA1c).  Osteoporosis Management in Women who Had a Fracture.	Gift Card	It's a $20.00 fixed amount	An initial communication was sent during the first quarter of 2017 to the complete membership under this contract.  The Welcome letter explains the enrollee the initiative and why was important for them to comply with preventive health measures and the incentives they were going to receive when tests were completed. During the year communications and orientations were provided to the enrollees regarding different health topics including those related to the required preventive tests.  Also a follow up mailing was done for those non compliant members.  Monthly reports were generated identifying the non compliant members and were shared with all PCPs for their support to follow up and to ensure their patients complied with the preventive tests needed.  Once all targeted tests were performed and properly verified by the Stars Unit Department.  If gaps were closed by Members for their requiered preventive tests the $20 gift card will be sent via mail.  An excel spreadsheet will be mantain maintain with all information regarding the members compliance status and incentive payment.	99973	38424
H5779	MERIDIAN HEALTH PLAN OF ILLINOIS, INC.	2017	1	 	 	 	 	 	0	0
H5793	AETNA HEALTH INC. (CT)	2017	1	 	 	 	 	 	0	0
H5810	MOLINA HEALTHCARE OF CALIFORNIA	2017	1	ACE/IHA Member Incentive	Annual Comprehensive Exam/In-Home Assessment	$25 Food4Less gift card	Amount was chosen based on existing health and wellness incentives within the contract and/or market, and CMS guidance/State regulations	CPT codes submitted through medical claims data, documentation received from providers and IHA partners	4966	3247
H5810	MOLINA HEALTHCARE OF CALIFORNIA	2017	2	CBP Member Incentive	Hypertension Screening	$25 Walmart gift card	Amount was chosen based on existing health and wellness incentives within the contract and/or market, and CMS guidance/State regulations	Documentation received from providers. Members can complete the activity a maximum of two times and will receive one incentive for each.	1487	421
H5817	AMERIGROUP TEXAS, INC.	2017	1	1	Diabetic Retinal Eye Exam|HbA1c Lab	$50 Visa Gift Card	Value of gift card	Provider attestation| Member Self Attest	41364	3668
H5823	MOLINA HEALTHCARE OF WASHINGTON, INC.	2017	1	ACE/IHA Member Incentive	Annual Comprehensive Exam/In-Home Assessment	Molina fleece blanket and tote bag	Amount was chosen based on existing health and wellness incentives within the contract and/or market, and CMS guidance/State regulations	CPT codes submitted through medical claims data, documentation received from providers and IHA partners	11612	6458
H5826	COMMUNITY HEALTH PLAN OF WASHINGTON	2017	1	MORE (Member Outreach Reminders and Education) Program	Diabetes A1C testing, Annual PCP visit, Breast Cancer Screening, Colorectal Cancer Screening	7,722	Each service is rewarded at the same value of $15	Enrollees are automatically enrolled in the program and all members are tracked for earning rewards through claims	7722	339
H5852	AIDS HEALTHCARE FOUNDATION	2017	1	Colonoscopy  Member Incentive Program	Colorectal cancer screening by completing a colonoscopy by a Gastroenterologist (GI) specialist. To be qualified, members must be age 50 years and older and have not completed a screening. Each qualified member is mailed letters informing them of the program.	$50 grocery store giftcards	The value amount of the incentive is weighed on the value of the service and the commitment and time required of the member to carry out the desired action. The colonoscopy is procedure performed by a doctor experienced in the procedure and lasts approximately 30-60 minutes. There are medications will be given to the patients before and during the procedure. Since the service is semi-extensive and promotes good health, therefore a $50 grocery gift card that cannot be spent on alcohol or cigarettes seems rational.	Members will be tracked by the Quality team based on the returned letters that are signed by their provider and are received via mail. The Quality team will also retrieve member claims records to verify the member's screening completion.	235	13
H5852	AIDS HEALTHCARE FOUNDATION	2017	2	Diabetic Retinal Eye Exam Member Incentive Program	The diabetic retinal eye exam Colorectal cancer is to be completed by an optometrist or an ophthalmologist. To be qualified, members must be diabetic and have not completed a screening in the current year. Each qualified member is mailed letters informing them of the program.	$20 grocery store Gift cards	The value amount of the incentive is weighed on the value of the service and the commitment and time required of the member to carry out the desired action. The eye exam is and outpatient service and is not extensive and promotes good health, therefore a $20 grocery gift card that cannot be spent on alcohol or cigarettes seems rational.	Members will be tracked by the Quality team based on the returned letters that are signed by their provider and are received via mail. The Quality team will also retrieve member claims records to verify the member's screening completion.	132	28
H5854	ANTHEM HEALTH PLANS, INC.	2017	1	1	Diabetic Retinal Eye Exam	$50 Visa Gift Card	Value of gift card	Provider attestation	10287	3642
H5859	HEALTH PLAN OF CAREOREGON, INC.	2017	1	A gift card for Preventive care	Preventive Screenings, Flu Shot, Annual Wellness Visits	Gift Cards	Up to two Twenty-Five dollar gift cards per member based on completion of a preventive service and a flu shot	Self-reported by member via phone or mail acknowledged by a medical professional or validated by a claim when not acknowledged or reported by phone.	1362	1478
H5883	BLUE CARE NETWORK OF MICHIGAN	2017	1	Basic-MPSERs Incentive Rewards	Member health evaluation (wellness exam)	$50 gift card to Meijer, Walmart, Amazon, or CVS	We chose the $50 value as it doesn't exceed the medical visit cost but wanted the value to encourage the member to see a doctor. The benefits of a doctor visit are numerous and outweigh a $50 incentive.	Patient Clinical Summary (PCS) webapp	25353	2004
H5883	BLUE CARE NETWORK OF MICHIGAN	2017	2	In Home Assessment	Wellness assessment	$50 gift card	The assessments range from $340-$350 per completions members are offered a $50 dollar gift card for their participation.	Weekly reporting	25901	5047
H5883	BLUE CARE NETWORK OF MICHIGAN	2017	3	Osteoporosis (OMW)	Osteoporosis management in women. The measure is women age 67 - 85 who suffered a large bone fracture and either had a bone mineral density test done or they were started on prescription drugs to treat osteoporosis, in an attempt to prevent secondary fractures, resulting from osteoporosis in older women.	$25 Meijer gift card	The value of the reward is $25 which is based on past behaviors of members responding to our reward levels. We find that they are most responsive to this level of reward given while taking into account the preventive health value of the osteoporosis test.	Access Database and 2017 HEDIS Engine	374	189
H5883	BLUE CARE NETWORK OF MICHIGAN	2017	4	Welvie	Direct Decision Support for preference sensitive surgeries	$25 Meijer gift card	The value of the gift card was recommended by the vendor based on experience with other health plan MA populations and the value needed to maximize participation in the program.	Welvie (vendor) tracks program use at the member level. They determine which members have completed the steps required to qualify for the incentive. Welvie provides a file of qualified members to BCN on a monthly basis. BCN confirms eligibility (active membership) and sends the member a $25 Meijer gift card.	6326	4751
H5926	MOLINA HEALTHCARE OF MICHIGAN, INC.	2017	1	ACE/IHA Member Incentive	Annual Comprehensive Exam/In-Home Assessment	$25 Walmart gift card	Amount was chosen based on existing health and wellness incentives within the contract and/or market, and CMS guidance/State regulations	CPT codes submitted through medical claims data, documentation received from providers and IHA partners	13862	8681
H5928	CARE1ST HEALTH PLAN	2017	1	Yes	Members are required to complete 3 out of 10 activities. The following 10 preventative activities are offered: Adult Vaccinations: Flu vaccine, Hepatitis B vaccine (For members at risk) or pneumonia vaccine (as applicable), Annual BMI Assessment: Annually assure PCP documents a weight and Body Mass Index (BMI) calculation. Your PCP should educate you on your BMI and if any goals are needed, Annual Wellness Visit: Yearly full physical with your PCP, which should include a functional status assessment, pain assessment, medication review, and any routine preventive monitoring labs your PCP recommends, Blood pressure monitoring, Breast cancer screening (Female),Colorectal cancer screening, Diabetes Screening(if applicable): Diabetes blood sugar screening, diabetic eye exam by an eye specialist, Physical health and Mental health counseling, Smoking and Tobacco-use cessation counseling,Care1st Total Dual Plan (HMO SNP) members only: care plan review with primary care physician (must include pain screening with assessment of ADL's	Once enrollees complete 3 preventative activities, the participate will receive a free gift  a Care1st pedometer (smart watch).	Incentive Gift Cost: Manufacturing	Enrollees are required to mail in completed forms with activity completion date and provide the name of the provider. The activities are tracked by the vendor and a weekly report is delivered to Care1st via SFTP with member participation and preventative activities completed by each member.	71682	1835
H5932	GATEWAY HEALTH PLAN, INC.	2017	1	Goodness Rewards - Healthy Dialogues (Mental And Physical Health)	A provider visit that includes discussion around falls mental health physical health and exercise and medicaition management. Members are provided a "Healthy Dialogues" booklet to help guide the discussion.	$10 on a reloadable gift card	The value of this reward was determined based on industry best practice research on the best way to influence positive behavior. Gateway  follows the business rule of not setting a reward at a value higher than the cost of the service to the Health Plan.	Participation is tracked on a monthly basis my monitoring member attestations to activities and the verification of claims receipt. Participation is also monitored via bi-weekly tracking of completed/paid activities.	6190	2441
H5932	GATEWAY HEALTH PLAN, INC.	2017	2	Goodness Rewards - Diabetic A1c Test	Two A1c blood tests	$20 total on a reloadable gift card $10 for the first opportunity and      $10 for the second opportunity	The value of this reward was determined based on industry best practice research on the best way to influence positive behavior. Gateway  follows the business rule of not setting a reward at a value higher than the cost of the service to the Health Plan.	Participation is tracked on a monthly basis my monitoring member attestations to activities and the verification of claims receipt. Participation is also monitored via bi-weekly tracking of completed/paid activities.	2537	2251
H5932	GATEWAY HEALTH PLAN, INC.	2017	3	Goodness Rewards - Breast Cancer Screening	A mammogram between July  and December of 2017	$25 on a reloadable gift card	The value of this reward was determined based on industry best practice research on the best way to influence positive behavior. Gateway  follows the business rule of not setting a reward at a value higher than the cost of the service to the Health Plan.	Participation is tracked on a monthly basis my monitoring member attestations to activities and the verification of claims receipt. Participation is also monitored via bi-weekly tracking of completed/paid activities.	1583	293
H5932	GATEWAY HEALTH PLAN, INC.	2017	4	Goodness Rewards - Diabetic Retinal Eye Exam	Rentinal eye exam	$25 on a reloadable gift card	The value of this reward was determined based on industry best practice research on the best way to influence positive behavior. Gateway  follows the business rule of not setting a reward at a value higher than the cost of the service to the Health Plan.	Participation is tracked on a monthly basis my monitoring member attestations to activities and the verification of claims receipt. Participation is also monitored via bi-weekly tracking of completed/paid activities.	2537	1465
H5932	GATEWAY HEALTH PLAN, INC.	2017	5	Goodness Rewards - Blood Pressure Screening	Two blood Pressure screenings	$20 total on a reloadable gift card $10 for the first opportunity and      $10 for the second opportunity	The value of this reward was determined based on industry best practice research on the best way to influence positive behavior. Gateway  follows the business rule of not setting a reward at a value higher than the cost of the service to the Health Plan.	Participation is tracked on a monthly basis my monitoring member attestations to activities and the verification of claims receipt. Participation is also monitored via bi-weekly tracking of completed/paid activities.	3832	3361
H5932	GATEWAY HEALTH PLAN, INC.	2017	6	Goodness Rewards - Colorectal Cancer Screening	Colonoscopy or Flexible sigmoidoscopy	$25 or $50 a reloadable gift card. $25 for a Flexible sigmoidoscopy or $50 for a Colonoscopy	A colonoscopy is seen as best practice and only needs to be completed once every 10 years while a flexible sigmoidoscopy needs to be completed every 5 years. The determination was made to incent a colonoscopy at a higher rate to better influence the decision to complete a colonoscopy. The overall value of this reward was determined based on industry best practice research on the best way to influence positive behavior. Gateway  follows the business rule of not setting a reward at a value higher than the cost of the service to the Health Plan.	Participation is tracked on a monthly basis my monitoring member attestations to activities and the verification of claims receipt. Participation is also monitored via bi-weekly tracking of completed/paid activities.	3262	1165
H5932	GATEWAY HEALTH PLAN, INC.	2017	7	Goodness Rewards - Flu Vaccine	Flu vaccine between July  and December of 2017	$10 on a reloadable gift card	The value of this reward was determined based on industry best practice research on the best way to influence positive behavior. Gateway  follows the business rule of not setting a reward at a value higher than the cost of the service to the Health Plan.	Participation is tracked on a monthly basis my monitoring member attestations to activities and the verification of claims receipt. Participation is also monitored via bi-weekly tracking of completed/paid activities.	6322	2610
H5932	GATEWAY HEALTH PLAN, INC.	2017	8	Goodness Rewards - Diabetic Microalbumin Screening	Microalbumin urine screening between July  and December of 2017	$15 on a reloadable gift card	The value of this reward was determined based on industry best practice research on the best way to influence positive behavior. Gateway  follows the business rule of not setting a reward at a value higher than the cost of the service to the Health Plan.	Participation is tracked on a monthly basis my monitoring member attestations to activities and the verification of claims receipt. Participation is also monitored via bi-weekly tracking of completed/paid activities.	2252	102
H5932	GATEWAY HEALTH PLAN, INC.	2017	9	Breast Cancer Awareness Key Chain	Submit date of a recent mammogram or date of a scheduled mammogram	Breast Cancer Keychain	The value of this reward was  based on the overall retail value for the purchase of the keychain. Gateway  follows the business rule of not setting a reward at a value higher than the cost of the service to the Health Plan.	Participation is tracked on a monthly basis my monitoring member attestations to having completed a mammogram and the verification of claims receipt from the future scheduled date.	13	13
H5932	GATEWAY HEALTH PLAN, INC.	2017	10	Stay Healthy Gateway	Preventative health screening	$50 merchant Gift Card	The value of this reward was determined based on industry best practice research on the best way to influence positive behavior. Gateway  follows the business rule of not setting a reward at a value higher than the cost of the service to the Health Plan.	Participation is tracked on a monthly basis my monitoring member attestations to activities and the verification of claims receipt. Participation is also monitored via Monthly tracking of completed/paid activities.	49276	10886
H5937	UCARE MINNESOTA	2017	1	Community Education	wellness session, health related activity, wellbeing activity	session discount	Value of the activity or service and budget available for the estimated number of participants	member database of rewards and incentive activity	1490	157
H5937	UCARE MINNESOTA	2017	2	Colonoscopy Incentive	fecal occult blood test, flexible sigmoidoscopy, colonoscopy	gift card	Value of the activity or service and budget available for the estimated number of participants	member database of rewards and incentive activity	311	4
H5937	UCARE MINNESOTA	2017	3	Mammogram Incentive	mammogram	gift card	Value of the activity or service and budget available for the estimated number of participants	member database of rewards and incentive activity	122	11
H5937	UCARE MINNESOTA	2017	4	Child Health Incentive	Adolescent Well-Care Visit	gift card	Value of the activity or service and budget available for the estimated number of participants	member database of rewards and incentive activity	2	0
H5937	UCARE MINNESOTA	2017	5	MOMS Incentive	Prenatal and Postpartum Care visits	gift card	Value of the activity or service and budget available for the estimated number of participants	member database of rewards and incentive activity	20	3
H5937	UCARE MINNESOTA	2017	6	Asthma Incentive :DM	Respiratory Therapist home visit and care management phone support for asthma	gift card	Value of the activity or service and budget available for the estimated number of participants	member database of rewards and incentive activity	141	43
H5938	CAPITAL HEALTH PLAN	2017	1	 	 	 	 	 	0	0
H5943	SCAN HEALTH PLAN	2017	1	 	 	 	 	 	0	0
H5945	PROMINENCE HEALTHFIRST	2017	1	 	 	 	 	 	0	0
H5969	ALOHACARE	2017	1	Member Incentive Program	Education about health assessments and screenings, Adult BMI and Blood Pressure Assessment, Breast Cancer Screening, Colorectal Cancer Screening, Care for Older Adults Wellness Visit, Functional Status Assessment, Pain Assessment, Medication Review, tips to stay healthy, discussion topics with doctor	Gift Card, Tote Bag	Through review of regulations and guidance, it was determined during the planning stages of the Incentive Program that the greatest value of an award would be capped at $15	Manually entering information into a Sharepoint database	182	446
H5970	HUMANA INSURANCE COMPANY OF NEW YORK	2017	1	Humana Vitality	Education: Complete Healthy Assessment (HA), First Step HA (once per lifetime bonus for completion), HA Bonus (complete w/in 120 days of effective date), Health Calculators, Update/confirm contact information, Attend Humana health education classes Fitness: First verified workout per lifetime, First verified workout each year,Athletic Event, Highest total Bucks per day rewarded across workout type,Steps, Heart rate monitor, Calories, Participating fitness facility Prevention: Welcome to Medicare (once per lifetime), Annual Wellness Exam, Mammogram, Colorectal Screening, Cardiovascular disease screening, Bone denisty, Flu Shot, Dental Exam, Vision Exam, Body Mass Index (BMI), Blood Pressure, Blood Glucose screening (diabetes test), Cholesterol	With HealthyFood (HF), seniors are eligible to earn an immediate 10% savings upon activating the HF card + $5 load onto their HF Shopping Card for the first and second eligible preventive care activity completed by the member, up to $10 per calendar year.  In addition, Medicare members can earn Bucks for participating and engaging in the program, such as completing a biometric screening, exercising, etc., which can be used to purchase various items in the HV/Go365 Mall.  The approximate values for these items are provided below.  Mall Tile Storefront Item Value Range Pedometers $12.50 - $18.50 Apple products $49 - $499 Go365 co-branded merchandise $31 - $76 Trek products $35 - $499 Gift Cards $10 - $25 Garmin devices $45 - $350 Fitbit devices $45 - $205 Polar devices $45 - $140 Fitbug device $17.50	With HealthyFood (HF), seniors are eligible to earn an immediate 10% savings upon activating the HF card + $5 load onto their HF Shopping Card for the first and second eligible preventive care activity completed by the member, up to $10 per calendar year.  In addition, Medicare members can earn Bucks for participating and engaging in the program, such as completing a biometric screening, exercising, etc., which can be used to purchase various items in the HV/Go365 Mall.  The approximate values for these items are provided below.  Mall Tile Storefront Item Value Range Pedometers $12.50 - $18.50 Apple products $49 - $499 Go365 co-branded merchandise $31 - $76 Trek products $35 - $499 Gift Cards $10 - $25 Garmin devices $45 - $350 Fitbit devices $45 - $205 Polar devices $45 - $140 Fitbug device $17.50	EH:  Medicare Participation is defined as follows: HA Completion Member completes the HA within the Plan Year. HF Transaction Member completes a HealthyFood transaction within the Plan Year. Mall Transaction Member completes a HumanaVitality Mall transaction within the Plan Year. Active Events Member completes various activities requiring member awareness of the HV program within the Plan Year.	11210	18959
H5989	CENTERLIGHT HEALTHCARE, INC.	2017	1	 	 	 	 	 	0	0
H5991	AFFINITY HEALTH PLAN, INC.	2017	1	Preventive and Follow Up Services	Annual wellness visit, Breast cancer screening, Colorectal cancer screening, Comprehensive diabetes care, Follow-up after hospitalization for mental illness, Osteoporosis management in women who had a fracture	$15 CVS Gift Card, $25 CVS Gift Card, $75 CVS Gift Card	From experience with our Medicaid line of business, we determined that a $25 incentive is effective in motivating members to make their preventive care visits. Affinity expects this program to reduce members reliance on expensive urgent and emergency care due to preventable illness, which would be significantly more expensive than the value of the incentive.  From experience with our Medicaid line of business, we determined that a $25 incentive is effective in motivating members to be screened for breast cancer. Affinity expects this program to increase the number of early detection breast cancer diagnoses, which would improve outcomes for both the member and the health plan.  From experience with our Medicaid line of business, we determined that a $25 incentive is effective in motivating members to be screened for colorectal cancer. Affinity expects this program to increase the number of early detection colorectal cancer diagnoses, which would improve outcomes for both the member and the health plan.   From experience with our Medicaid line of business, we determined that a $75 incentive is effective in motivating members to participate in this incentive program and take the steps necessary to manage their diabetes. Affinity expects this program to reduce the number of members who experience complications from unmanaged diabetes, for which the cost of care would be far more expensive than the value of the incentive.  The cost of re-admission due to lack of proper follow up care far outweighs the value of the incentive. Affinity expects this program to increase the number of members who complete their 7 and 30 day post-discharge follow-ups.   From experience with our Medicaid line of business, we determined that a $25 incentive is effective in motivating members to participate in this incentive program and take the steps necessary to manage their osteoporosis. Affinity expects this program to reduce the number of members who experience complications from unmanaged osteoporosis for which the cost of care would be far more expensive than the value of the incentive.	Member reporting/attestation and provider claims reporting	193	193
H5992	SENIOR WHOLE HEALTH OF NEW YORK, INC.	2017	1	 	 	 	 	 	0	0
H5995	ATRIO HEALTH PLANS	2017	1	 	 	 	 	 	0	0
H6080	MERIDIAN HEALTH PLAN OF ILLINOIS, INC.	2017	1	 	 	 	 	 	0	0
H6229	BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC.	2017	1	Healthy Rewards Card Program, Community Based Adult Services (CBAS)	Completing a wellness exam, successful attendance (over 30 days) in CBAS	Gift Card	All Healthy Rewards gift cards have a $25.00 value. If a Healthy Start or Healthy Journey wellness exam is completed the Member is issued one gift card. Only one gift card can be earned per calendar year. CBAS is a one time award for new enrollees into CBAS to encourage attendance.  No calculation is necessary.  If the member completes 30 days they receive the $100 reward.	An internal report is generated weekly to identify all Members who completed a qualified wellness exam since the last submission to the fulfillment vendor. Complete tracking of all Members who earn a gift card is stored in a spreadsheet.	3733	1570
H6237	REGENCE BLUECROSS BLUESHIELD OF OREGON	2017	1	 	 	 	 	 	0	0
H6306	FIRSTCAROLINACARE INSURANCE COMPANY	2017	1	Health Risk Assessment,Jump Start Assessment Program	Completion of Health Risk Assessment or Jump Start Assessment by a physician or provider, Head-to-toe screenings that go beyond your regular check-ups including vision fall risk memory and preventive services. Review of all your medications including over-the-counter vitamins and supplements. Dedicated time with a clinician who understands and can help you maximize your specific health plan benefits.Opportunity to enroll in specialized programs that promote ongoing health improvement.	$25 Walmart Gift Card, $25 Gift Certificate to local grocery store upon completion of the health assessment.	The reward is valued by the vendor.	Reward distribution is tracked via log containing member and gift card information, We track rewards through our health assessment application	6491	3713
H6308	AGEWELL NEW YORK, LLC	2017	1	 	 	 	 	 	0	0
H6320	FRESENIUS HEALTH PLANS OF NORTH CAROLINA, INC.	2017	1	ESRD Patient Health Incentive	Comprehensive Health Assessment completion, Dialysis prescription adherence	Grocery Gift Cards	If a plan member visits the Nephrology provider to complete their annual CHA within 3 months of their PY effective date and both the completed CHA and associated claim are sent to the health plan the member will receive a $100 grocery gift card,  each month that a plan member completes the total number of prescribed dialysis treatments and the duration of each treatment is within 5 minutes of the prescribed duration they will receive a $50 grocery gift card, each month that a member completes all but one of their prescribed dialysis treatments (quantity and duration) they will receive a $25 grocery gift card	Participation in the CHA incentive is logged when the nephrology provider submits a completed claim and CHA for any plan member residing in the North Carolina market,  participation in the dialysis adherence portion of the incentive is tracked via dialysis clinic treatment systems or patient treatment log sheets	153	576
H6328	CARE N' CARE INSURANCE COMPANY, INC.	2017	1	Diabetic Eye Exam	Collaboration with Care N' Care health plan to encourage enrollees to visit an eye care professional for routine vision and diabetic retinal screen (DRS). Geomapping was used to provide 3 of the closest eye providers to their home address.	Members earn a $25.00 Visa gift card upon completion of comprehensive eye exam and DRS.	Reward recommended by past initiatives with high return.	Enrollee are asked to contact their dedicated Health Care Concierge and report the details of their completed eye exam. Completion and status is tracked on an Excel spreadsheet.	566	11
H6328	CARE N' CARE INSURANCE COMPANY, INC.	2017	2	HealthFair Mobile Clinic	HealthFair mobile unit are conveniently made available at accessible locations in various Texas and North Carolina city to perform comprehensive health assessments and screening tests for the members. Targeted members who have not seen their PCP for the current year and or non-compliant for their wellness screenings.	Member earn a $25.00 Visa gift card upon completion of health assessment.	Reward recommended by vendor based on their other clients experiences.	The HealthFair vendor provide a daily and weekly Excel status update of who has scheduled and seen for an event.	5652	1295
H6328	CARE N' CARE INSURANCE COMPANY, INC.	2017	3	CNC Direct Attestation	Collaboration with Care N' Care health plan to encourage enrollees to visit their PCP for health maintenance and screenings.	Members earn a $15.00 CVS gift card for completing a visit with their PCP.	Reward recommended by past initiatives with high return.	An attestation form was return. Additionally coder validate visit.	270	125
H6396	CARESOURCE	2017	1	Yes	The program encouraged and rewarded members for completing their annual wellness visit.  Included in the rewards booklet are tips and checklists for managing the members health.	Entertainment coupon booklet and digital membership.  Three communication pieces creating awareness of the program included a modest number of coupons.	Entertainment Corp. used a retail value approach that compares the CareSource booklet to the content that is found in the full consumer product  Entertainment Book (valued at $35). The value of the communications and reward pieces are: #1 Launch Piece ~25 Offers Retail Value = $0.87 #2 Reminder Newsletters 8 Offers Retail Value = $0.28 #3 Rewards Book w/ Digital Membership ~72 Offers Retail Value = $2.52	Participation is tracked by identifying members who have completed their annual wellness visit based on provider claims submitted for specific procedure codes. The information is pulled monthly and rewards are mailed monthly.	3700	479
H6453	HMO LOUISIANA, INC.	2017	1	 	 	 	 	 	0	0
H6528	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	2017	1	House Calls Program, Renew Rewards	HouseCalls, Annual Physical or Wellness Visit, Fall Prevention Discussion with Doctor or Fall Prevention In-home Activity, Rheumatoid Arthritis Visit, Osteoporosis Screening  Bone Density Test, Eye Exam for Diabetic Care, Colon Cancer Screening, Breast C	Gift Card	The reward is a gift card of a set monetary amount that must be spent down. Reward amounts and gift card options vary based on the health care activity, but are determined based on the amount expected to impact enrollee behavior, but not exceeding the value of the health related activity itself.	HouseCalls Program: HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in an in home visit.  Members can receive information about the opportunity to have a HouseCalls visit by outbound phone outreach from our scheduling agents, mailed materials, or email.  The clinician performing the visit will enter member information into the eHouseCalls app housed on the tablet our clinicians use in the field.  Once the HouseCalls system receives confirmation of a completed visit, the reward is issued., Renew Rewards Program: Enrollees initiate the redemption process by activating their participation in the program through any of three channels (Customer Service, Online/Member Portals, Direct Mail) if they have not done so previously. Members self-report completion of eligible activities through any of these three channels by providing certain required data (e.g., appointment date, clinic name, provider name, provider phone). Once UHC validates the eligibility period for the activity, the reward is issued.	1797	1917
H6622	HUMANA WI HEALTH ORGANIZATION INSURANCE CORP	2017	1	Humana Rewards	Welcome to Medicare Routine Physical, Annual Wellness Visit, Cardiovascular Disease Screening, Diabetes Screening Test, Mammogram, Bone Density Test, Colorectal Cancer Screening, Flu Vaccine Depression Screening, Medical Nutrition Therapy, Diabetes Self-Management Training, Diabetic Retinal Exam, Kidney Tests/Nephropathy Screening, Diabetic Foot Exam, Adult BMI Assessment	With the completion of 4 preventive activities the enrollees earn 5 $10 gift cards to be selected from various vendors	With the completion of 4 preventive activities the enrollees earn 5 $10 gift cards to be selected from various vendors	Participation is tracked via claims processing for the specific CPT codes for the preventive activities listed above.	45	15
H6622	HUMANA WI HEALTH ORGANIZATION INSURANCE CORP	2017	2	Humana Vitality	Education: Complete Healthy Assessment (HA), First Step HA (once per lifetime bonus for completion), HA Bonus (complete w/in 120 days of effective date), Health Calculators, Update/confirm contact information, Attend Humana health education classes Fitness: First verified workout per lifetime, First verified workout each year,Athletic Event, Highest total Bucks per day rewarded across workout type,Steps, Heart rate monitor, Calories, Participating fitness facility Prevention: Welcome to Medicare (once per lifetime), Annual Wellness Exam, Mammogram, Colorectal Screening, Cardiovascular disease screening, Bone denisty, Flu Shot, Dental Exam, Vision Exam, Body Mass Index (BMI), Blood Pressure, Blood Glucose screening (diabetes test), Cholesterol	With HealthyFood (HF), seniors are eligible to earn an immediate 10% savings upon activating the HF card + $5 load onto their HF Shopping Card for the first and second eligible preventive care activity completed by the member, up to $10 per calendar year.  In addition, Medicare members can earn Bucks for participating and engaging in the program, such as completing a biometric screening, exercising, etc., which can be used to purchase various items in the HV/Go365 Mall.  The approximate values for these items are provided below.  Mall Tile Storefront Item Value Range Pedometers $12.50 - $18.50 Apple products $49 - $499 Go365 co-branded merchandise $31 - $76 Trek products $35 - $499 Gift Cards $10 - $25 Garmin devices $45 - $350 Fitbit devices $45 - $205 Polar devices $45 - $140 Fitbug device $17.50	With HealthyFood (HF), seniors are eligible to earn an immediate 10% savings upon activating the HF card + $5 load onto their HF Shopping Card for the first and second eligible preventive care activity completed by the member, up to $10 per calendar year.  In addition, Medicare members can earn Bucks for participating and engaging in the program, such as completing a biometric screening, exercising, etc., which can be used to purchase various items in the HV/Go365 Mall.  The approximate values for these items are provided below.  Mall Tile Storefront Item Value Range Pedometers $12.50 - $18.50 Apple products $49 - $499 Go365 co-branded merchandise $31 - $76 Trek products $35 - $499 Gift Cards $10 - $25 Garmin devices $45 - $350 Fitbit devices $45 - $205 Polar devices $45 - $140 Fitbug device $17.50	EH:  Medicare Participation is defined as follows: HA Completion Member completes the HA within the Plan Year. HF Transaction Member completes a HealthyFood transaction within the Plan Year. Mall Transaction Member completes a HumanaVitality Mall transaction within the Plan Year. Active Events Member completes various activities requiring member awareness of the HV program within the Plan Year.	104054	242395
H6672	EON HEALTH, INC. (GA)	2017	1	Better Health 4 You	Annual Flu Shot (Influenza Vaccination), Annual Wellness Visit, Colorectal Cancer Screening, (iFOBT, Colonoscopy or Flex Sigmoidoscopy), Mammogram (Breast Cancer Screening)	Gift Cards	$15 gift card for annual wellness visit, $10 gift card for Annual Flu Shot (Influenza Vaccination),  Colorectal Cancer Screening, (iFOBT, Colonoscopy or Flex Sigmoidoscopy), Mammogram (Breast Cancer Screening)	The member takes the Better Health 4 You booklet to the appointment for completion by their physician. The physician form must be completed, signed, dated and faxed to Eon Health. Once the completed form is received at Eon, the Enrollment Team processes the form by completing the Incentive Tracker. The Better Health 4 You Booklet includes a Provider Reference Code List. Participation in the program is confirmed upon processing of claim with corresponding claims codes at which time the Gift card is approved and mailed to member.	13	14
H6723	MEDICAL MUTUAL OF OHIO	2017	1	Medical Mutual Wellness Rewards Program	Annual wellness visit, BP screening, Bone density screening, Breast cancer screening, Cholesterol screening, Colorectal cancer screening, Dilated eye exam, FBS screening, Flu Shot, QuitLine, Weight Watchers, SilverSneakers, Care coordination programs	$50 Bob Evans gift card	Schedule or complete a wellness visit and complete three of the following activities that include BP, bone density, mammogram, cholesterol, colorectal cancer screening, FBS or A1c, Flu shot, Enroll in QuitLine, Weight Watchers, SilverSneakers, Care coordination programs	A database is maintained that tracks the member involvement in the program from enrollment through year end	17439	3532
H6743	ATRIO HEALTH PLANS	2017	1	 	 	 	 	 	0	0
H6750	HARVARD PILGRIM HEALTH CARE OF NEW ENGLAND, INC.	2017	1	 	 	 	 	 	0	0
H6776	ELDERSERVE HEALTH, INC.	2017	1	 	 	 	 	 	0	0
H6786	ANTHEM HEALTH PLANS OF MAINE, INC.	2017	1	 	 	 	 	 	0	0
H6815	HEALTH NET HEALTH PLAN OF OREGON	2017	1	 	 	 	 	 	0	0
H6864	GUILDNET, INC.	2017	1	Passport to Good Health	Healthcare screenings,  when they get their blood pressure checked, body mass index measured, medications reviewed by their PCP, completes an annual eye examination, Flu vaccine, when the member  has a discussion with the Physician about advance care planning, A1C Testing	Gift Card rewards  in the amounts of $20  $15  or $10	Rewards are predetermined for the types of screenings completed	Member rewards are documented in an access database	83	117
H6870	SUPERIOR HEALTH PLAN, INC.	2017	1	Superior HealthPlan STAR+PLUS Medicare-Medicaid Plan Rewards Program H6870	Annual flu vaccination, annual wellness visit	Subway gift card	Reward values are calculated based on average cost of service for the health plan	Weekly claims sweep of internal systems	9509	5053
H6947	QUALCHOICE ADVANTAGE	2017	1	 	 	 	 	 	0	0
H6988	CENTERS PLAN FOR HEALTHY LIVING, LLC	2017	1	 	 	 	 	 	0	0
H7006	ATRIO HEALTH PLANS	2017	1	 	 	 	 	 	0	0
H7020	CIGNA HEALTHCARE OF SOUTH CAROLINA, INC.	2017	1	 	 	 	 	 	0	0
H7115	MEMORIAL HERMANN HEALTH PLAN	2017	1	Memorial Hermann Healthy Advantage Passport Program	Routine eye exam including glaucoma screening, annual wellness exam with primary care physician, prostrate screening, breast screening, colorectal screening, annual flu shot, pneumonia vaccine, cardiovascular screening, diabetes screening and self management training, annual medication review, obesity screening and counseling, and depression screening.	A $50 CVS gift card (programed for the purchase of health related items only) is awarded to the enrolle for completing five of the twelve health related services during the plan year.	Value of reward is equal to the dollar amount assigned to the Gift Card.	The Healthy Advantage Passport Program is documented, tracked and retained within a secured password protected plan site. Tracker is utilized to capture member's passport receipt date, activity validation and reward distribution. Routine reporting is provided to appropriate committees (e.g. Stars, Quality Improvement, etc.). RI Program information is securely maintained as per the 10-year record retention policy and will be provided to CMS upon request.	418	380
H7149	AETNA HEALTH INC. (PA)	2017	1	 	 	 	 	 	0	0
H7172	AETNA BETTER HEALTH, INC. (OH)	2017	1	 	 	 	 	 	0	0
H7173	PEACH STATE HEALTH PLAN, INC.	2017	1	Peach State Health Plan Advantage Rewards Program H7173	Annual flu vaccination, breast cancer screening, colorectal cancer screening, diabetic HbA1c testing, diabetic retinopathy screening, diabetic kidney screening, annual wellness visit	Walmart gift card	Reward values are calculated based on average cost of service for the health plan	Weekly claims sweep of internal systems	446	730
H7200	AMERIGROUP TENNESSEE, INC.	2017	1	 	 	 	 	 	0	0
H7220	INDIANA UNIVERSITY HEALTH PLANS, INC.	2017	1	 	 	 	 	 	0	0
H7245	PREMERA BLUE CROSS	2017	1	 	 	 	 	 	0	0
H7301	COVENTRY HEALTH CARE OF ILLINOIS, INC.	2017	1	 	 	 	 	 	0	0
H7419	TUFTS HEALTH PUBLIC PLANS, INC.	2017	1	 	 	 	 	 	0	0
H7522	MMM HEALTHCARE, LLC	2017	1	Recompensando tu Salud	Special Care Clinics, Eye Exam Clinics, Multi Health Clinics, Vaccination Clinics, Health Education and Quality workshops as well as interventions, and the compliance with the preventive care tests or assessments: Screening Mammography, Colorectal Cancer Screening, Retinopathy test, Annual Health Assessment, Densitometry test, A1c Test, Kidney Disease monitoring, Controlling Blood Pressure.	Mini Fans, hand sanitizers, lunch boxes, tote bags, insect repellants, umbrellas, eyeglass kits, 3 piece salad shakers, seven day pill cases, magnifying glass, memo boards, badge holders, gel pads, fruit fusion bottle, small first aid box, exercise band, 2 section lunch container, emergency oral care kit, mini phone fans, reusable bags & gift cards	We use the value of a similar/equal product on the retail market to determine the value of the specific reward item and then make sure that the value we give out for the completion of the activity to be rewarded does not exceed the value of the activity itself.	Using our Customer Service Application, C3PO, as well as Excel Workbooks and/or attendance sheets provided by departments who are in charge of the clinic.	125	124
H7678	MOLINA HEALTHCARE OF TEXAS, INC.	2017	1	ACE/IHA Member Incentive	Annual Comprehensive Exam/In-Home Assessment	$20 Walmart gift card	Amount was chosen based on existing health and wellness incentives within the contract and/or market, and CMS guidance/State regulations	CPT codes submitted through medical claims data, documentation received from providers and IHA partners	2631	1790
H7680	PROMINENCE HEALTHFIRST OF TEXAS	2017	1	 	 	 	 	 	0	0
H7728	ANTHEM HEALTH PLANS OF NEW HAMPSHIRE, INC.	2017	1	 	 	 	 	 	0	0
H7787	HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.	2017	1	 	 	 	 	 	0	0
H7833	UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.	2017	1	 	 	 	 	 	0	0
H7844	MOLINA HEALTHCARE OF MICHIGAN, INC.	2017	1	ACE/IHA Member Incentive	Annual Comprehensive Exam/In-Home Assessment	$25 Walmart gift card	Amount was chosen based on existing health and wellness incentives within the contract and/or market, and CMS guidance/State regulations	CPT codes submitted through medical claims data, documentation received from providers and IHA partners	13862	7857
H7885	SAN MATEO HEALTH COMMISSION	2017	1	 	 	 	 	 	0	0
H7890	SANTA CLARA COUNTY HEALTH AUTHORITY	2017	1	 	 	 	 	 	0	0
H7917	BLUECROSS BLUESHIELD OF TENNESSEE, INC.	2017	1	2017 MyHealthpath Rewards and Incentive Program	Annual Wellness Visit, Breast Cancer Screening, Colorectal Cancer Screening, Diabetes HbA1C testing, Diabetes Urine Nephropathy Screening, Diabetes Retinal Eye Screening, Bone Density Screening for Women	Gift Cards	Market research was conducted to determine an appropriate value that would have a positive outcome on member behavior. The defined incentive values vary by individual measure and the type of screening required for fulfilling the participation requirements.	BCSBT provides My Healthpath Rewards Program eligibility data to a fulfillment vendor. Activity is tracked by the vendor to determine members who opt into the programand complete gatekeeper activities. Completed incentive activity data is configured through claims verification. Once verification is completed, an award file is securely transferred to the vendor for fulfillment to be completed. Summary activity reports are produced by the vendor on a weekly basis and monthly incentive payout reports are maintained by the plan.	11436	18886
H7917	BLUECROSS BLUESHIELD OF TENNESSEE, INC.	2017	2	2017 Welvie: Your Surgery Decision-Support Program	Surgery Decision-Support Program	Gift Cards	A flat amount of $25 was selected.	The program is tracked electronically through an on-line portal available to participants at https://www.welvie.com/.	4609	3523
H7917	BLUECROSS BLUESHIELD OF TENNESSEE, INC.	2017	3	2016 MyHealthpath Rewards and Incentive Program	Annual Wellness Visit, Breast Cancer Screening, Colorectal Cancer Screening, Diabetes HbA1C testing, Diabetes Urine Nephropathy Screening, Diabetes Retinal Eye Screening, Bone Density Screening for Women with a Fracture	Gift Cards	Market research was conducted to determine an appropriate value that would have a positive outcome on member behavior. The defined incentive values vary by individual measure and the type of screening required for fulfilling the participation requirements.	BCSBT provides My Healthpath Rewards Program eligibility data to a fulfillment vendor. Activity is tracked by the vendor to determine members who opt into the program and attest to completing an activity. This information is securely transferred back to the plan for completing claims verification. Once verification is completed, an award file is issued to the vendor for fulfillment to be completed. Summary activity reports are produced by the vendor on a weekly basis and monthly incentive payout reports are maintained by the plan.	0	4852
H7971	HORIZON INSURANCE COMPANY	2017	1	2017 Rewards and Incentive program	Breast Cancer Screening, Colorectal Cancer Screening, HbA1C Test, Retinal Eye exam, Kidney function test, Bone Mineral Density Test	CVS Gift card for completing the screening	Gift card amount is set for each measure, based on the complexity of how the care gap is closed	This is tracked by way of Gift card redemption forms received from members	58625	3843
H8016	ORANGE COUNTY HEALTH AUTHORITY	2017	1	 	 	 	 	 	0	0
H8026	AETNA BETTER HEALTH OF MICHIGAN INC.	2017	1	 	 	 	 	 	0	0
H8029	ELDERPLAN, INC.	2017	1	 	 	 	 	 	0	0
H8046	MOLINA HEALTHCARE OF ILLINOIS, INC.	2017	1	ACE/IHA Member Incentive	Annual Comprehensive Exam/In-Home Assessment	$25 Walmart gift card	Amount was chosen based on existing health and wellness incentives within the contract and/or market, and CMS guidance/State regulations	CPT codes submitted through medical claims data, documentation received from providers and IHA partners	8374	2761
H8064	FIRSTCAROLINACARE INSURANCE COMPANY	2017	1	Health Risk Assessment or Jump Start Assessment Program	Complete Health Risk Assessment or Jump Start Assessment by a physician or provider.	$25 Walmart Gift Card	The reward is valued by the vendor.	Reward distribution is tracked via log containing member and gift card information	1035	572
H8067	PROVIDER PARTNERS HEALTH PLAN, INC.	2017	1	 	 	 	 	 	0	0
H8130	MOLINA HEALTHCARE OF FLORIDA, INC.	2017	1	ACE/IHA Member Incentive	Annual Comprehensive Exam/In-Home Assessment	$25 Walmart gift card	Amount was chosen based on existing health and wellness incentives within the contract and/or market, and CMS guidance/State regulations	CPT codes submitted through medical claims data, documentation received from providers and IHA partners	3745	2169
H8133	GHS INSURANCE COMPANY	2017	1	Healthy Rewards Program	Annual Wellness Visit, Annual Flu Vaccine, Blood Glucose A1c Screening, Colorectal Screening, Completion of Health Questionnaire, In Home Assessment, Mammogram, Nephropathy Screening, Retinal Exam,  Tracking of Physical Activity over 12 weeks.	Registered members earn Gift Cards total annual maximum rewards is $100.  For members in H8133 we used $25 gift card awards for all Healthy Actions, inclusive of Annual Wellness Visit, Annual Flu Vaccine, Blood Glucose A1c Screening, Colorectal Screening, Completion of Health Questionnaire, In Home Assessment, Mammogram, Nephropathy Screening, Retinal Exam, Tracking of Physical Activity over 12 weeks.	Evaluated the cost value of each service, ensured that the value of the award is less than that of the service provided while significant enough to drive the member to complete it.	We track participation in the in the Healthy Rewards Program, via Weekly Registration reports, Healthy Action Activity Reports and Reward Redemption Reports.	1994	5490
H8145	HUMANA INSURANCE COMPANY	2017	1	Humana Vitality	Education: Complete Healthy Assessment (HA), First Step HA (once per lifetime bonus for completion), HA Bonus (complete w/in 120 days of effective date), Health Calculators, Update/confirm contact information, Attend Humana health education classes Fitness: First verified workout per lifetime, First verified workout each year,Athletic Event, Highest total Bucks per day rewarded across workout type,Steps, Heart rate monitor, Calories, Participating fitness facility Prevention: Welcome to Medicare (once per lifetime), Annual Wellness Exam, Mammogram, Colorectal Screening, Cardiovascular disease screening, Bone denisty, Flu Shot, Dental Exam, Vision Exam, Body Mass Index (BMI), Blood Pressure, Blood Glucose screening (diabetes test), Cholesterol	With HealthyFood (HF), seniors are eligible to earn an immediate 10% savings upon activating the HF card + $5 load onto their HF Shopping Card for the first and second eligible preventive care activity completed by the member, up to $10 per calendar year.  In addition, Medicare members can earn Bucks for participating and engaging in the program, such as completing a biometric screening, exercising, etc., which can be used to purchase various items in the HV/Go365 Mall.  The approximate values for these items are provided below.  Mall Tile Storefront Item Value Range Pedometers $12.50 - $18.50 Apple products $49 - $499 Go365 co-branded merchandise $31 - $76 Trek products $35 - $499 Gift Cards $10 - $25 Garmin devices $45 - $350 Fitbit devices $45 - $205 Polar devices $45 - $140 Fitbug device $17.50	With HealthyFood (HF), seniors are eligible to earn an immediate 10% savings upon activating the HF card + $5 load onto their HF Shopping Card for the first and second eligible preventive care activity completed by the member, up to $10 per calendar year.  In addition, Medicare members can earn Bucks for participating and engaging in the program, such as completing a biometric screening, exercising, etc., which can be used to purchase various items in the HV/Go365 Mall.  The approximate values for these items are provided below.  Mall Tile Storefront Item Value Range Pedometers $12.50 - $18.50 Apple products $49 - $499 Go365 co-branded merchandise $31 - $76 Trek products $35 - $499 Gift Cards $10 - $25 Garmin devices $45 - $350 Fitbit devices $45 - $205 Polar devices $45 - $140 Fitbug device $17.50	EH:  Medicare Participation is defined as follows: HA Completion Member completes the HA within the Plan Year. HF Transaction Member completes a HealthyFood transaction within the Plan Year. Mall Transaction Member completes a HumanaVitality Mall transaction within the Plan Year. Active Events Member completes various activities requiring member awareness of the HV program within the Plan Year.	99355	111717
H8170	AMERICA'S 1ST CHOICE OF SOUTH CAROLINA, INC.	2017	1	 	 	 	 	 	0	0
H8189	MANAGED HEALTH SERVICES, WISCONSIN	2017	1	MHS Health Wisconsin Advantage Rewards Program H8189	Annual flu vaccination, breast cancer screening, colorectal cancer screening, diabetic HbA1c testing, diabetic retinopathy screening, annual wellness visit	Walmart gift card	Reward values are calculated based on average cost of service for the health plan	Weekly claims sweep of internal systems	955	1347
H8197	MOLINA HEALTHCARE OF TEXAS, INC.	2017	1	ACE/IHA Member Incentive	Annual Comprehensive Exam/In-Home Assessment	$20 Dollar Tree gift card	Amount was chosen based on existing health and wellness incentives within the contract and/or market, and CMS guidance/State regulations	CPT codes submitted through medical claims data, documentation received from providers and IHA partners	17331	10659
H8197	MOLINA HEALTHCARE OF TEXAS, INC.	2017	2	MHT MMP Incentives	Breast Cancer Screening, Cervical Cancer Screening, Cholesterol Blood Test, Colorectal Cancer Screening, HbA1C Test, Retinal Eye Exam	$20 Dollar Tree gift card	Amount was chosen based on existing health and wellness incentives within the contract and/or market, and CMS guidance/State regulations	Members must call Molina to confirm activity/activities are completed then completion is validated against claim data. Members can receive a maximum of one incentive per activity but can earn multiple incentives if they are eligible and complete multiple activities.	17331	63
H8213	SELECT HEALTH OF SOUTH CAROLINA, INC.	2017	1	 	 	 	 	 	0	0
H8237	INSURANCE COMPANY OF SCOTT AND WHITE	2017	1	 	 	 	 	 	0	0
H8258	LOCAL INITIATIVE HEALTH AUTHORITY FOR L.A. COUNTY	2017	1	Follow up after Hospitalization for Mental Illness Incentive Program.	Follow up after hospitalization for mental illness measures the percentage of members six years of age or older who were hospitalized for treatment of selected mental illness diagnoses and who had a follow up visit with a mental health practitioner within thirty days.	One emergency preparedness package per qualifying Medicare CalMediconnect member.	We add the price of each item in the kit which is estimated to be a total of thirty dollars.	LA Care's contracted vendor Beacon does outreach to qualifiying members and based on their tracking they send L.A. Care a file every two weeks with the members who have received the service and are eligible to be awarded. L.A. Care tracks this information in a database.	35	5
H8266	CONSTELLATION HEALTH, LLC.	2017	1	 	 	 	 	 	0	0
H8298	HORIZON HEALTHCARE OF NEW JERSEY, INC.	2017	1	 	 	 	 	 	0	0
H8423	HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.	2017	1	 	 	 	 	 	0	0
H8432	EMPIRE HEALTHCHOICE HMO, INC.	2017	1	 	 	 	 	 	0	0
H8452	CARESOURCE	2017	1	 	 	 	 	 	0	0
H8490	VNS CHOICE	2017	1	 	 	 	 	 	0	0
H8506	MODA HEALTH PLAN, INC.	2017	1	 	 	 	 	 	0	0
H8552	ANTHEM BLUE CROSS LIFE AND HEALTH INS COMPANY	2017	1	 	 	 	 	 	0	0
H8554	GHS INSURANCE COMPANY	2017	1	Voucher Program	Mammogram, Diabetic Eye Exam, Colorectal Exam	Gift Cards	Reward amounts were determined by the CMO.  All gift cards are in the amount of 25 dollars for CVS.	Comprehensive Excel Spreadsheet. Members are offered the opportunity to participate. Participation is tracked through a field in the system that indicates if they chose to participate or not.	1122	35
H8578	HEALTH NEW ENGLAND, INC.	2017	1	 	 	 	 	 	0	0
H8604	THP INSURANCE COMPANY	2017	1	 	 	 	 	 	0	0
H8634	HEALTH CARE SERVICE CORPORATION	2017	1	Healthy Rewards Program	Annual Wellness Visit, Annual Flu Vaccine, Blood Glucose A1c Screening, Colorectal Screening, Completion of Health Questionnaire, In Home Assessment, Mammogram, Nephropathy Screening, Retinal Exam,  Tracking of Physical Activity over 12 weeks.	Registered members earn Gift Cards total annual maximum rewards is $100.  For members in H8634 we used $25 gift card awards for all Healthy Actions, inclusive of Annual Wellness Visit, Annual Flu Vaccine, Blood Glucose A1c Screening, Colorectal Screening, Completion of Health Questionnaire, In Home Assessment, Mammogram, Nephropathy Screening, Retinal Exam, Tracking of Physical Activity over 12 weeks.	Evaluated the cost value of each service, ensured that the value of the award is less than that of the service provided while significant enough to drive the member to complete it.	We track participation in the in the Healthy Rewards Program, via Weekly Registration reports, Healthy Action Activity Reports and Reward Redemption Reports.	11108	35789
H8649	AETNA HEALTH OF UTAH, INC	2017	1	 	 	 	 	 	0	0
H8677	MOLINA HEALTHCARE OF CALIFORNIA	2017	1	ACE/IHA Member Incentive	Annual Comprehensive Exam/In-Home Assessment	$25 Food4Less gift card	Amount was chosen based on existing health and wellness incentives within the contract and/or market, and CMS guidance/State regulations	CPT codes submitted through medical claims data, documentation received from providers and IHA partners	14922	7867
H8677	MOLINA HEALTHCARE OF CALIFORNIA	2017	2	CBP Member Incentive	Hypertension Screening	$25 Walmart gift card	Amount was chosen based on existing health and wellness incentives within the contract and/or market, and CMS guidance/State regulations	Documentation received from providers. Members can complete the activity a maximum of two times and will receive one incentive for each.	3473	978
H8748	UNITEDHEALTHCARE INSURANCE COMPANY	2017	1	House Calls Program, Renew Rewards	HouseCalls, Annual Physical or Wellness Visit, Fall Prevention Discussion with Doctor or Fall Prevention In-home Activity, Rheumatoid Arthritis Visit, Osteoporosis Screening  Bone Density Test, Eye Exam for Diabetic Care, Colon Cancer Screening, Breast C	Gift Card	The reward is a gift card of a set monetary amount that must be spent down. Reward amounts and gift card options vary based on the health care activity, but are determined based on the amount expected to impact enrollee behavior, but not exceeding the value of the health related activity itself.	HouseCalls Program: HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in an in home visit.  Members can receive information about the opportunity to have a HouseCalls visit by outbound phone outreach from our scheduling agents, mailed materials, or email.  The clinician performing the visit will enter member information into the eHouseCalls app housed on the tablet our clinicians use in the field.  Once the HouseCalls system receives confirmation of a completed visit, the reward is issued., Renew Rewards Program: Enrollees initiate the redemption process by activating their participation in the program through any of three channels (Customer Service, Online/Member Portals, Direct Mail) if they have not done so previously. Members self-report completion of eligible activities through any of these three channels by providing certain required data (e.g., appointment date, clinic name, provider name, provider phone). Once UHC validates the eligibility period for the activity, the reward is issued.	4200	4477
H8764	ASPIRE HEALTH PLAN	2017	1	Aspire Rewards	Annual Wellness Visit Or Health At Home Visit, Breast Cancer Screening, Colon Cancer Screening, Diabetes A1C Control Screening, Diabetes Eye Exam, Diabetes Kidney Screening	Gift Cards	The member earns a single $25 gift card for the completion of each of the health activities by calling Aspire Rewards or attesting online on Aspire Rewards website	We receive a file from reward vendor showing activity completed	490	772
H8786	AMERIGROUP TEXAS, INC.	2017	1	Healthy Rewards	Participation in Interdisciplinary Care Team (IDT) meeting	$10 Gift Card for OTCs	$20 gift care for participation in the Interdisciplinary Team (IDT) meeting with service coordinator	Program registration, internal reporting	230	168
H8786	AMERIGROUP TEXAS, INC.	2017	2	Healthy Rewards	High level of engagement with PCP and Interdisciplinary Team	$125 Gift Card for OTCs	$125 gift card for high level of engagement with their assigned physician and Interdisciplinary Team	Program registration, internal reporting	1	1
H8786	AMERIGROUP TEXAS, INC.	2017	3	Healthy Rewards	Retinopathy exam	$20 Gift Card for OTCs	$20 gift card for diabetic members for completing a retinopathy exam	Program registration, internal reporting, vendor analysis of claims data	230	36
H8786	AMERIGROUP TEXAS, INC.	2017	4	Healthy Rewards	HbA1c blood testing	$20 Gift Card for OTCs	$20 gift card for diabetic members for completing an HbA1c blood test	Program registration, internal reporting, vendor analysis of claims data	230	65
H8786	AMERIGROUP TEXAS, INC.	2017	5	Healthy Rewards	Post discharge assessment	$10 Gift Card for OTCs	$10 gift card for calling service coordinator within three days of a hospital, SNF or NF discharge and completing an assessment	Program registration, internal reporting	230	4
H8786	AMERIGROUP TEXAS, INC.	2017	6	Healthy Rewards	Post discharge PCP visit	$10 Gift Card for OTCs	$10 gift card for follow-up visit with their PCP within 14 days of a hospital, SNF or NF discharge	Program registration, internal reporting	230	23
H8786	AMERIGROUP TEXAS, INC.	2017	7	Healthy Rewards	Annual flu vaccine	$20 Gift Card for OTCs	$20 gift card for receiving an annual flu vaccine	Program registration, internal reporting, vendor analysis of claims data	230	31
H8786	AMERIGROUP TEXAS, INC.	2017	8	Healthy Rewards	Kidney disease monitoring test	$20 Gift Card for OTCs	$20 gift card for diabetic members for completing a kidney disease monitoring test	Program registration, internal reporting, vendor analysis of claims data	230	33
H8786	AMERIGROUP TEXAS, INC.	2017	9	Healthy Rewards	Breast cancer screening	$20 Gift Card for OTCs	$20 gift card for completing breast cancer screening for members 40 or older	Program registration, internal reporting, vendor analysis of claims data	230	24
H8786	AMERIGROUP TEXAS, INC.	2017	10	Healthy Rewards	Colorectal cancer screening	$20 Gift Card for OTCs	$20 gift card for completing a colorectal cancer screening for members age 50	Program registration, internal reporting, vendor analysis of claims data	230	11
H8786	AMERIGROUP TEXAS, INC.	2017	11	Personal Disaster Plan	Personal Disaster Plan	First aid kit	First aid kit for completing an online Personal Disaster Plan	Internal reporting	0	0
H8786	AMERIGROUP TEXAS, INC.	2017	12	Healthy Rewards	Blood cholesterol level testing	$20 Gift Card for OTCs	$20 gift card for members with cardiovascular disease after completing a cholesterol blood test	Program registration, internal reporting, vendor analysis of claims data	230	47
H8786	AMERIGROUP TEXAS, INC.	2017	13	Healthy Rewards	HbA1c blood testing scoring less than 8	$20 Gift Card for OTCs	$20 gift card for diabetic members achieving HbA1c blood test results less than 8	Program registration, internal reporting	230	60
H8786	AMERIGROUP TEXAS, INC.	2017	14	Healthy Rewards	Home fall risk assessment	$20 Gift Card for OTCs	$20 gift card for completing a home fall risk assessment	Incentive not deployed due to Corporate deployment of a fall risk assessment program	0	0
H8786	AMERIGROUP TEXAS, INC.	2017	15	Personalized labels	Assist members manage personal items	Labels	Personalized labels for members in NF or identified by service coordinators with Alzheimers or Dimentia and would benefit from lables to identify personal belongings including clothing, shoes and personal items	Internal reporting	1587	1587
H8851	SENIOR WHOLE HEALTH OF NEW YORK, INC.	2017	1	 	 	 	 	 	0	0
H8854	UNIVERSITY OF MARYLAND HEALTH ADVANTAGE, INC.	2017	1	 	 	 	 	 	0	0
H8908	HUMANA MEDICAL PLAN OF MICHIGAN, INC.	2017	1	Humana Vitality	Education: Complete Healthy Assessment (HA), First Step HA (once per lifetime bonus for completion), HA Bonus (complete w/in 120 days of effective date), Health Calculators, Update/confirm contact information, Attend Humana health education classes Fitness: First verified workout per lifetime, First verified workout each year,Athletic Event, Highest total Bucks per day rewarded across workout type,Steps, Heart rate monitor, Calories, Participating fitness facility Prevention: Welcome to Medicare (once per lifetime), Annual Wellness Exam, Mammogram, Colorectal Screening, Cardiovascular disease screening, Bone denisty, Flu Shot, Dental Exam, Vision Exam, Body Mass Index (BMI), Blood Pressure, Blood Glucose screening (diabetes test), Cholesterol	With HealthyFood (HF), seniors are eligible to earn an immediate 10% savings upon activating the HF card + $5 load onto their HF Shopping Card for the first and second eligible preventive care activity completed by the member, up to $10 per calendar year.  In addition, Medicare members can earn Bucks for participating and engaging in the program, such as completing a biometric screening, exercising, etc., which can be used to purchase various items in the HV/Go365 Mall.  The approximate values for these items are provided below.  Mall Tile Storefront Item Value Range Pedometers $12.50 - $18.50 Apple products $49 - $499 Go365 co-branded merchandise $31 - $76 Trek products $35 - $499 Gift Cards $10 - $25 Garmin devices $45 - $350 Fitbit devices $45 - $205 Polar devices $45 - $140 Fitbug device $17.50	With HealthyFood (HF), seniors are eligible to earn an immediate 10% savings upon activating the HF card + $5 load onto their HF Shopping Card for the first and second eligible preventive care activity completed by the member, up to $10 per calendar year.  In addition, Medicare members can earn Bucks for participating and engaging in the program, such as completing a biometric screening, exercising, etc., which can be used to purchase various items in the HV/Go365 Mall.  The approximate values for these items are provided below.  Mall Tile Storefront Item Value Range Pedometers $12.50 - $18.50 Apple products $49 - $499 Go365 co-branded merchandise $31 - $76 Trek products $35 - $499 Gift Cards $10 - $25 Garmin devices $45 - $350 Fitbit devices $45 - $205 Polar devices $45 - $140 Fitbug device $17.50	EH:  Medicare Participation is defined as follows: HA Completion Member completes the HA within the Plan Year. HF Transaction Member completes a HealthyFood transaction within the Plan Year. Mall Transaction Member completes a HumanaVitality Mall transaction within the Plan Year. Active Events Member completes various activities requiring member awareness of the HV program within the Plan Year.	5268	6691
H9001	FALLON COMMUNITY HEALTH PLAN	2017	1	Health Risk Assessment (HRA)	No health related activities are available at this time.  Completed HRA's are forwarded to Case Management and uploaded into TruCare.  Members with actionable needs/triggers are referred into Case Management for follow-up by a Navigator, i.e. member is a smoker, has history of falls, has health related issues, needs assistance with ADL's.	$10 CVS gift card	All members who complete the HRA receive the incentive.	Our current tracking tool is an Excel spreadsheet.	101	101
H9003	KAISER FOUNDATION HP OF THE N W	2017	1	Silver&Fit Rewards Program	Fitness facility visits,physical activity	Hats,pins	The value of the reward is the cost per unit.	Members are offered the opportunity to participate in the rewards program upon enrollment. Their participation is tracked through a field in the system that indicates whether they choose to participate or not.	1143	940
H9047	PROVIDENCE HEALTH ASSURANCE	2017	1	 	 	 	 	 	0	0
H9082	MOLINA HEALTHCARE OF NEW MEXICO, INC.	2017	1	ACE/IHA Member Incentive	Annual Comprehensive Exam/In-Home Assessment	$25 Walmart gift card	Amount was chosen based on existing health and wellness incentives within the contract and/or market, and CMS guidance/State regulations	CPT codes submitted through medical claims data, documentation received from providers and IHA partners	5891	3304
H9096	DEAN HEALTH PLAN, INC.	2017	1	 	 	 	 	 	0	0
H9104	SCAN HEALTH PLAN	2017	1	 	 	 	 	 	0	0
H9115	METROPLUS HEALTH PLAN, INC.	2017	1	 	 	 	 	 	0	0
H9153	WEST VIRGINIA SENIOR ADVANTAGE, INC.	2017	1	 	 	 	 	 	0	0
H9190	GATEWAY HEALTH PLAN OF OHIO, INC.	2017	1	Goodness Rewards - Healthy Dialogues (Mental And Physical Health)	A provider visit that includes discussion around falls mental health physical health and exercise and medicaition management. Members are provided a "Healthy Dialogues" booklet to help guide the discussion.	$10 on a reloadable gift card	The value of this reward was determined based on industry best practice research on the best way to influence positive behavior. Gateway  follows the business rule of not setting a reward at a value higher than the cost of the service to the Health Plan.	Participation is tracked on a monthly basis my monitoring member attestations to activities and the verification of claims receipt. Participation is also monitored via bi-weekly tracking of completed/paid activities.	1167	528
H9190	GATEWAY HEALTH PLAN OF OHIO, INC.	2017	2	Goodness Rewards - Diabetic A1c Test	Two A1c blood tests	$20 total on a reloadable gift card $10 for the first opportunity and      $10 for the second opportunity	The value of this reward was determined based on industry best practice research on the best way to influence positive behavior. Gateway  follows the business rule of not setting a reward at a value higher than the cost of the service to the Health Plan.	Participation is tracked on a monthly basis my monitoring member attestations to activities and the verification of claims receipt. Participation is also monitored via bi-weekly tracking of completed/paid activities.	426	356
H9190	GATEWAY HEALTH PLAN OF OHIO, INC.	2017	3	Goodness Rewards - Breast Cancer Screening	A mammogram between July  and December of 2017	$25 on a reloadable gift card	The value of this reward was determined based on industry best practice research on the best way to influence positive behavior. Gateway  follows the business rule of not setting a reward at a value higher than the cost of the service to the Health Plan.	Participation is tracked on a monthly basis my monitoring member attestations to activities and the verification of claims receipt. Participation is also monitored via bi-weekly tracking of completed/paid activities.	445	81
H9190	GATEWAY HEALTH PLAN OF OHIO, INC.	2017	4	Goodness Rewards - Diabetic Retinal Eye Exam	Rentinal eye exam	$25 on a reloadable gift card	The value of this reward was determined based on industry best practice research on the best way to influence positive behavior. Gateway  follows the business rule of not setting a reward at a value higher than the cost of the service to the Health Plan.	Participation is tracked on a monthly basis my monitoring member attestations to activities and the verification of claims receipt. Participation is also monitored via bi-weekly tracking of completed/paid activities.	426	196
H9190	GATEWAY HEALTH PLAN OF OHIO, INC.	2017	5	Goodness Rewards - Blood Pressure Screening	Two blood Pressure screenings	$20 total on a reloadable gift card $10 for the first opportunity and      $10 for the second opportunity	The value of this reward was determined based on industry best practice research on the best way to influence positive behavior. Gateway  follows the business rule of not setting a reward at a value higher than the cost of the service to the Health Plan.	Participation is tracked on a monthly basis my monitoring member attestations to activities and the verification of claims receipt. Participation is also monitored via bi-weekly tracking of completed/paid activities.	507	566
H9190	GATEWAY HEALTH PLAN OF OHIO, INC.	2017	6	Goodness Rewards - Colorectal Cancer Screening	Colonoscopy or Flexible sigmoidoscopy	$25 or $50 a reloadable gift card. $25 for a Flexible sigmoidoscopy or $50 for a Colonoscopy	A colonoscopy is seen as best practice and only needs to be completed once every 10 years while a flexible sigmoidoscopy needs to be completed every 5 years. The determination was made to incent a colonoscopy at a higher rate to better influence the decision to complete a colonoscopy. The overall value of this reward was determined based on industry best practice research on the best way to influence positive behavior. Gateway  follows the business rule of not setting a reward at a value higher than the cost of the service to the Health Plan.	Participation is tracked on a monthly basis my monitoring member attestations to activities and the verification of claims receipt. Participation is also monitored via bi-weekly tracking of completed/paid activities.	964	290
H9190	GATEWAY HEALTH PLAN OF OHIO, INC.	2017	7	Goodness Rewards - Flu Vaccine	Flu vaccine between July  and December of 2017	$10 on a reloadable gift card	The value of this reward was determined based on industry best practice research on the best way to influence positive behavior. Gateway  follows the business rule of not setting a reward at a value higher than the cost of the service to the Health Plan.	Participation is tracked on a monthly basis my monitoring member attestations to activities and the verification of claims receipt. Participation is also monitored via bi-weekly tracking of completed/paid activities.	1281	498
H9190	GATEWAY HEALTH PLAN OF OHIO, INC.	2017	8	Goodness Rewards - Diabetic Microalbumin Screening	Microalbumin urine screening between July  and December of 2017	$15 on a reloadable gift card	The value of this reward was determined based on industry best practice research on the best way to influence positive behavior. Gateway  follows the business rule of not setting a reward at a value higher than the cost of the service to the Health Plan.	Participation is tracked on a monthly basis my monitoring member attestations to activities and the verification of claims receipt. Participation is also monitored via bi-weekly tracking of completed/paid activities.	270	26
H9190	GATEWAY HEALTH PLAN OF OHIO, INC.	2017	9	Breast Cancer Awareness Key Chain	Submit date of a recent mammogram or date of a scheduled mammogram	Breast Cancer Keychain	The value of this reward was  based on the overall retail value for the purchase of the keychain. Gateway  follows the business rule of not setting a reward at a value higher than the cost of the service to the Health Plan.	Participation is tracked on a monthly basis my monitoring member attestations to having completed a mammogram and the verification of claims receipt from the future scheduled date.	0	0
H9190	GATEWAY HEALTH PLAN OF OHIO, INC.	2017	10	Stay Healthy Gateway	Preventative health screening	$50 merchant Gift Card	The value of this reward was determined based on industry best practice research on the best way to influence positive behavior. Gateway  follows the business rule of not setting a reward at a value higher than the cost of the service to the Health Plan.	Participation is tracked on a monthly basis my monitoring member attestations to activities and the verification of claims receipt. Participation is also monitored via Monthly tracking of completed/paid activities.	10446	1153
H9207	HEALTH PARTNERS PLANS, INC.	2017	1	 	 	 	 	 	0	0
H9208	RIVERLINK HEALTH	2017	1	 	 	 	 	 	0	0
H9276	SUNSHINE HEALTH COMMUNITY SOLUTIONS, INC.	2017	1	Sunshine Health Advantage Rewards Program H9276	Annual flu vaccination, diabetic HbA1c testing, diabetic retinopathy screening, diabetic kidney screening, annual wellness visit	Walmart gift card	Reward values are calculated based on average cost of service for the health plan	Weekly claims sweep of internal systems	186	198
H9287	HEALTH NET COMMUNITY SOLUTIONS OF ARIZONA, INC.	2017	1	 	 	 	 	 	0	0
H9302	SOUNDPATH HEALTH	2017	1	 	 	 	 	 	0	0
H9312	FRESENIUS HEALTH PLANS INSURANCE COMPANY	2017	1	 	 	 	 	 	0	0
H9345	VILLAGE SENIOR SERVICES CORPORATION	2017	1	 	 	 	 	 	0	0
H9403	EON HEALTH, INC. (SC)	2017	1	Better Health 4 You	Annual Flu Shot (Influenza Vaccination), Annual Wellness Visit, Colorectal Cancer Screening, (iFOBT, Colonoscopy or Flex Sigmoidoscopy), Mammogram (Breast Cancer Screening)	Gift Cards	$15 gift card for annual wellness visit, $10 gift card for Annual Flu Shot (Influenza Vaccination),  Colorectal Cancer Screening, (iFOBT, Colonoscopy or Flex Sigmoidoscopy), Mammogram (Breast Cancer Screening)	The member takes the Better Health 4 You booklet to the appointment for completion by their physician. The physician form must be completed, signed, dated and faxed to Eon Health. Once the completed form is received at Eon, the Enrollment Team processes the form by completing the Incentive Tracker. The Better Health 4 You Booklet includes a Provider Reference Code List. Participation in the program is confirmed upon processing of claim with corresponding claims codes at which time the Gift card is approved and mailed to member.	2	2
H9408	VIBRA HEALTH PLAN, INC.	2017	1	Initial or Comprehensive Preventive Physical Exam/ Annual Wellness Visit	Initial or Comprehensive Preventive Physical Exam/ Annual Wellness Visit	Gift Card	Market driven incentive	Tracking is completed based on member claim data	338	338
H9460	CIGNA HEALTHCARE OF ST LOUIS, INC.	2017	1	 	 	 	 	 	0	0
H9487	MICHIGAN COMPLETE HEALTH, INC.	2017	1	Michigan Complete Health Rewards Program H9487	Diabetic HbA1c testing, diabetic retinopathy screening	CVS gift card	Reward values are calculated based on average cost of service for the health plan	Weekly claims sweep of internal systems	2565	714
H9525	COMPCARE HEALTH SERVICES INSURANCE CORPORATION	2017	1	 	 	 	 	 	0	0
H9572	BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY	2017	1	Welvie	Welvie provides a consumer-friendly approach to improving health quality by improving the decision-making process and surgical outcomes. Welvies unique approach centers on the patient and is designed to provide value by inspiring consumer engagement and promoting better consumer decision-making related to surgery. Use of Welvies Decision Engine insures surgical candidates, in conjunction with their physician, make the best decision with awareness of surgical complexity/risks and all treatment alternatives available.  Armed with this knowledge and simple tools, consumers can prevent many life threatening complications and errors. Understanding their options and weighing the risks and benefits of each with their physician, 25% of consumers will either determine a preference sensitive surgery is not necessary or choose a less aggressive alternative. Welvie includes a comprehensive consumer engagement program which provides a robust consumer marketing campaign with the objective of creating widespread awareness of the risks and complexities of surgery.	25 Dollar Gift Card	The reward is based on the time participants must invest in completing the 3 educational modules of the decision tool and providing survey feedback.	Enrollees must complete 3 educational modules that cover getting the right diagnosis, finding the right doctor, and making a decision, in additional to a survey, to earn the reward.  The Welvie Decision Engine is an opt-in, curriculum-based shared decision-support program.  The curriculum is presented through an easy to use multimedia-rich interface.  To enhance readability, the program uses active voice and common, every day terms with short sentences to balance the complicated, multi-syllable medical terms that are necessary for surgery education.  The content is presented using a variety of mediums (e.g. text, video, quizzes). The program is written at a 6th grade level and is available in the 10 most common languages in the US, including Spanish. Consumers are able to work at their own speed within the program, keeping track of their progress and responses to questions.  For consumers without internet access, Welvie can also be delivered via booklet mailed to members home. Welvie does not prescribe or favor one alternative over another, but rather is designed to educate the enrollee in order to facilitate better communication with their physician.  The programs educational process is divided into six segments which cover the entire surgery journey from getting the right diagnosis and understanding various treatment options with their doctors (Steps 1-3), to preparing for surgery and recovery at home (Steps 4-6).  The program has, as a specific goal, better communication between providers and patients regarding evidence-based medicine elements.	20722	15183
H9576	NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND	2017	1	 	 	 	 	 	0	0
H9585	BOSTON MEDICAL CENTER HEALTH PLAN, INC.	2017	1	 	 	 	 	 	0	0
H9589	EON HEALTH, INC. (GA)	2017	1	Better Health 4 You	Annual Flu Shot (Influenza Vaccination), Annual Wellness Visit, Colorectal Cancer Screening, (iFOBT, Colonoscopy or Flex Sigmoidoscopy), Mammogram (Breast Cancer Screening)	Gift Cards	$15 gift card for annual wellness visit, $10 gift card for Annual Flu Shot (Influenza Vaccination),  Colorectal Cancer Screening, (iFOBT, Colonoscopy or Flex Sigmoidoscopy), Mammogram (Breast Cancer Screening)	The member takes the Better Health 4 You booklet to the appointment for completion by their physician. The physician form must be completed, signed, dated and faxed to Eon Health. Once the completed form is received at Eon, the Enrollment Team processes the form by completing the Incentive Tracker. The Better Health 4 You Booklet includes a Provider Reference Code List. Participation in the program is confirmed upon processing of claim with corresponding claims codes at which time the Gift card is approved and mailed to member.	1	1
H9615	MVP HEALTH PLAN, INC.	2017	1	Medicare Wellness Rewards	Welcome to Medicare visit or Annual Wellness visit, Blood pressure check, Height Weight and BMI Measurement, Colorectal cancer screening, Flu shot	$75.00	The reward is calcuated by the member meeting all of the five preventitive services.  There are no incremental rewards.	The member completes the Wellness Rewards form.  His/her physician attests that he/she met the requirements.  The member then submits the form to MVP for processing.	23457	2783
H9699	HMO PARTNERS, INC.	2017	1	 	 	 	 	 	0	0
H9712	HAP MIDWEST HEALTH PLAN, INC.	2017	1	 	 	 	 	 	0	0
H9725	CIGNA HEALTHCARE OF NORTH CAROLINA, INC.	2017	1	 	 	 	 	 	0	0
H9730	WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC	2017	1	$25 Gift Card for completion of the Welvie Program	Direct Decision Support for preference sensitive surgeries	$25 gift card (not redeamable for cash)	Limited to $25	Enrollees must register in the program and program progress is tracked electronically	553	323
H9808	CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA	2017	1	HealthFair Mobile Clinic	HealthFair mobile unit are conveniently made available at accessible locations in various Texas and North Carolina city to perform comprehensive health assessments and screening tests for the members.  Targeted members who have not seen their PCP for the current year and or non-compliant for their wellness screenings.	Member earn a $25.00 Visa gift card upon completion of health assessment.	Reward recommended by vendor based on their other client's experiences.	The HealthFair vendor provide a daily and weekly Excel status update of who has scheduled and seen for an event.	571	104
H9811	MAGNOLIA HEALTH PLAN, INC.	2017	1	Magnolia Health Medicare Advantage Rewards Program H9811	Annual flu vaccination, diabetic HbA1c testing, annual wellness visit	Walmart gift card	Reward values are calculated based on average cost of service for the health plan	Weekly claims sweep of internal systems	369	284
H9834	GUNDERSEN HEALTH PLAN OF MINNESOTA	2017	1	Wellness Giftcard Incentive Program	Enrollee completion of annual wellness visit or preventive physical exam within the calendar year	Gift Card	If criteria are met, award value is $50 giftcard, which is 100% of the value	Tracked through claims received and processed	745	544
H9869	PARTNERS HEALTH PLAN, INC.	2017	1	 	 	 	 	 	0	0
H9870	UNIVERSITY HEALTH CARE, INC.	2017	1	 	 	 	 	 	0	0
H9877	VIRGINIA PREMIER HEALTH PLAN, INC.	2017	1	 	 	 	 	 	0	0
H9886	HMO MISSOURI, INC.	2017	1	 	 	 	 	 	0	0
H9915	MEDSTAR FAMILY CHOICE, INC.	2017	1	 	 	 	 	 	0	0
H9954	ANTHEM INSURANCE COMPANIES, INC.	2017	1	 	 	 	 	 	0	0
R3175	UNITEDHEALTHCARE INSURANCE COMPANY	2017	1	House Calls Program, Renew Rewards	HouseCalls, Annual Physical or Wellness Visit, Fall Prevention Discussion with Doctor or Fall Prevention In-home Activity, Rheumatoid Arthritis Visit, Osteoporosis Screening  Bone Density Test, Eye Exam for Diabetic Care, Colon Cancer Screening, Breast C	Gift Card	The reward is a gift card of a set monetary amount that must be spent down. Reward amounts and gift card options vary based on the health care activity, but are determined based on the amount expected to impact enrollee behavior, but not exceeding the value of the health related activity itself.	HouseCalls Program: HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in an in home visit.  Members can receive information about the opportunity to have a HouseCalls visit by outbound phone outreach from our scheduling agents, mailed materials, or email.  The clinician performing the visit will enter member information into the eHouseCalls app housed on the tablet our clinicians use in the field.  Once the HouseCalls system receives confirmation of a completed visit, the reward is issued., Renew Rewards Program: Enrollees initiate the redemption process by activating their participation in the program through any of three channels (Customer Service, Online/Member Portals, Direct Mail) if they have not done so previously. Members self-report completion of eligible activities through any of these three channels by providing certain required data (e.g., appointment date, clinic name, provider name, provider phone). Once UHC validates the eligibility period for the activity, the reward is issued.	1940	2003
R3332	BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.	2017	1	Healthy Blue Rewards	The Healthy Blue Rewards program focused on a plan-specified contract, R3332, to close gaps in care for specific measures. Members were rewarded with gift cards to attend the specified health care activities. Members were able to activate into the Healthy Blue Rewards program, attest to their health care activity and redeem gift cards via mail (redemptions), call center and a digital channel.	The members had the option of printing an e-Gift card immediately or having a physical gift card mailed to them. These were merchant gift cards that were not convertible to cash. The health care activities and reward values were as follows: Annual Wellness $25, Annual Flu $10, Breast Cancer Screening $25, Colon Cancer Screening (Fecal Occult Blood Test, Fecal Immunochemical Test, Flexible Sigmoidoscopy, Colonoscopy) $50, Diabetes Care Eye Exam $50, Diabetes Care Kidney Exam $25, Diabetes Care A1C $25, Osteoporosis (BMD Screening) $25.	The reward value is calculated based on the health care activity, the members' propensity to complete the health care activity, and the CMS guideline pertaining to the value of the health related service or activity.	Members interact through the NovuHealth program via the mail, telephonic and digital channels. Member interactions across the channels are captured in NovuHealth's CMS-compliant data storage as activations and redemptions (participation).	7410	18835
R3444	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	2017	1	House Calls Program, Renew Rewards	HouseCalls, Annual Physical or Wellness Visit, Fall Prevention Discussion with Doctor or Fall Prevention In-home Activity, Rheumatoid Arthritis Visit, Osteoporosis Screening  Bone Density Test, Eye Exam for Diabetic Care, Colon Cancer Screening, Breast C	Gift Card	The reward is a gift card of a set monetary amount that must be spent down. Reward amounts and gift card options vary based on the health care activity, but are determined based on the amount expected to impact enrollee behavior, but not exceeding the value of the health related activity itself.	HouseCalls Program: HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in an in home visit.  Members can receive information about the opportunity to have a HouseCalls visit by outbound phone outreach from our scheduling agents, mailed materials, or email.  The clinician performing the visit will enter member information into the eHouseCalls app housed on the tablet our clinicians use in the field.  Once the HouseCalls system receives confirmation of a completed visit, the reward is issued., Renew Rewards Program: Enrollees initiate the redemption process by activating their participation in the program through any of three channels (Customer Service, Online/Member Portals, Direct Mail) if they have not done so previously. Members self-report completion of eligible activities through any of these three channels by providing certain required data (e.g., appointment date, clinic name, provider name, provider phone). Once UHC validates the eligibility period for the activity, the reward is issued.	43975	48729
R5329	SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	2017	1	House Calls Program, Renew Rewards	HouseCalls, Annual Physical or Wellness Visit, Fall Prevention Discussion with Doctor or Fall Prevention In-home Activity, Rheumatoid Arthritis Visit, Osteoporosis Screening  Bone Density Test, Eye Exam for Diabetic Care, Colon Cancer Screening, Breast C	Gift Card	The reward is a gift card of a set monetary amount that must be spent down. Reward amounts and gift card options vary based on the health care activity, but are determined based on the amount expected to impact enrollee behavior, but not exceeding the value of the health related activity itself.	HouseCalls Program: HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in an in home visit.  Members can receive information about the opportunity to have a HouseCalls visit by outbound phone outreach from our scheduling agents, mailed materials, or email.  The clinician performing the visit will enter member information into the eHouseCalls app housed on the tablet our clinicians use in the field.  Once the HouseCalls system receives confirmation of a completed visit, the reward is issued., Renew Rewards Program: Enrollees initiate the redemption process by activating their participation in the program through any of three channels (Customer Service, Online/Member Portals, Direct Mail) if they have not done so previously. Members self-report completion of eligible activities through any of these three channels by providing certain required data (e.g., appointment date, clinic name, provider name, provider phone). Once UHC validates the eligibility period for the activity, the reward is issued.	787	858
R5342	UNITEDHEALTHCARE INSURANCE COMPANY OF NEW YORK	2017	1	House Calls Program, Renew Rewards	HouseCalls, Annual Physical or Wellness Visit, Fall Prevention Discussion with Doctor or Fall Prevention In-home Activity, Rheumatoid Arthritis Visit, Osteoporosis Screening  Bone Density Test, Eye Exam for Diabetic Care, Colon Cancer Screening, Breast C	Gift Card	The reward is a gift card of a set monetary amount that must be spent down. Reward amounts and gift card options vary based on the health care activity, but are determined based on the amount expected to impact enrollee behavior, but not exceeding the value of the health related activity itself.	HouseCalls Program: HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in an in home visit.  Members can receive information about the opportunity to have a HouseCalls visit by outbound phone outreach from our scheduling agents, mailed materials, or email.  The clinician performing the visit will enter member information into the eHouseCalls app housed on the tablet our clinicians use in the field.  Once the HouseCalls system receives confirmation of a completed visit, the reward is issued., Renew Rewards Program: Enrollees initiate the redemption process by activating their participation in the program through any of three channels (Customer Service, Online/Member Portals, Direct Mail) if they have not done so previously. Members self-report completion of eligible activities through any of these three channels by providing certain required data (e.g., appointment date, clinic name, provider name, provider phone). Once UHC validates the eligibility period for the activity, the reward is issued.	52695	60060
R5826	HUMANA INSURANCE COMPANY	2017	1	Humana Rewards	Welcome to Medicare Routine Physical, Annual Wellness Visit, Cardiovascular Disease Screening, Diabetes Screening Test, Mammogram, Bone Density Test, Colorectal Cancer Screening, Flu Vaccine Depression Screening, Medical Nutrition Therapy, Diabetes Self-Management Training, Diabetic Retinal Exam, Kidney Tests/Nephropathy Screening, Diabetic Foot Exam, Adult BMI Assessment	With the completion of 4 preventive activities the enrollees earn 5 $10 gift cards to be selected from various vendors	With the completion of 4 preventive activities the enrollees earn 5 $10 gift cards to be selected from various vendors	Participation is tracked via claims processing for the specific CPT codes for the preventive activities listed above.	3593	1945
R5826	HUMANA INSURANCE COMPANY	2017	2	Humana Vitality	Education: Complete Healthy Assessment (HA), First Step HA (once per lifetime bonus for completion), HA Bonus (complete w/in 120 days of effective date), Health Calculators, Update/confirm contact information, Attend Humana health education classes Fitness: First verified workout per lifetime, First verified workout each year,Athletic Event, Highest total Bucks per day rewarded across workout type,Steps, Heart rate monitor, Calories, Participating fitness facility Prevention: Welcome to Medicare (once per lifetime), Annual Wellness Exam, Mammogram, Colorectal Screening, Cardiovascular disease screening, Bone denisty, Flu Shot, Dental Exam, Vision Exam, Body Mass Index (BMI), Blood Pressure, Blood Glucose screening (diabetes test), Cholesterol	With HealthyFood (HF), seniors are eligible to earn an immediate 10% savings upon activating the HF card + $5 load onto their HF Shopping Card for the first and second eligible preventive care activity completed by the member, up to $10 per calendar year.  In addition, Medicare members can earn Bucks for participating and engaging in the program, such as completing a biometric screening, exercising, etc., which can be used to purchase various items in the HV/Go365 Mall.  The approximate values for these items are provided below.  Mall Tile Storefront Item Value Range Pedometers $12.50 - $18.50 Apple products $49 - $499 Go365 co-branded merchandise $31 - $76 Trek products $35 - $499 Gift Cards $10 - $25 Garmin devices $45 - $350 Fitbit devices $45 - $205 Polar devices $45 - $140 Fitbug device $17.50	With HealthyFood (HF), seniors are eligible to earn an immediate 10% savings upon activating the HF card + $5 load onto their HF Shopping Card for the first and second eligible preventive care activity completed by the member, up to $10 per calendar year.  In addition, Medicare members can earn Bucks for participating and engaging in the program, such as completing a biometric screening, exercising, etc., which can be used to purchase various items in the HV/Go365 Mall.  The approximate values for these items are provided below.  Mall Tile Storefront Item Value Range Pedometers $12.50 - $18.50 Apple products $49 - $499 Go365 co-branded merchandise $31 - $76 Trek products $35 - $499 Gift Cards $10 - $25 Garmin devices $45 - $350 Fitbit devices $45 - $205 Polar devices $45 - $140 Fitbug device $17.50	EH:  Medicare Participation is defined as follows: HA Completion Member completes the HA within the Plan Year. HF Transaction Member completes a HealthyFood transaction within the Plan Year. Mall Transaction Member completes a HumanaVitality Mall transaction within the Plan Year. Active Events Member completes various activities requiring member awareness of the HV program within the Plan Year.	434235	498586
R5941	ANTHEM INSURANCE COMPANIES, INC.	2017	1	1	Diabetic Retinal Eye Exam	$50 Visa Gift Card	Value of gift card	Provider attestation	29064	10244
R6694	AETNA LIFE INSURANCE COMPANY	2017	1	 	 	 	 	 	0	0
R6801	CARE IMPROVEMENT PLUS OF TEXAS INSURANCE COMPANY	2017	1	House Calls Program, Renew Rewards	HouseCalls, Annual Physical or Wellness Visit, Fall Prevention Discussion with Doctor or Fall Prevention In-home Activity, Rheumatoid Arthritis Visit, Osteoporosis Screening  Bone Density Test, Eye Exam for Diabetic Care, Colon Cancer Screening, Breast C	Gift Card	The reward is a gift card of a set monetary amount that must be spent down. Reward amounts and gift card options vary based on the health care activity, but are determined based on the amount expected to impact enrollee behavior, but not exceeding the value of the health related activity itself.	HouseCalls Program: HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in an in home visit.  Members can receive information about the opportunity to have a HouseCalls visit by outbound phone outreach from our scheduling agents, mailed materials, or email.  The clinician performing the visit will enter member information into the eHouseCalls app housed on the tablet our clinicians use in the field.  Once the HouseCalls system receives confirmation of a completed visit, the reward is issued., Renew Rewards Program: Enrollees initiate the redemption process by activating their participation in the program through any of three channels (Customer Service, Online/Member Portals, Direct Mail) if they have not done so previously. Members self-report completion of eligible activities through any of these three channels by providing certain required data (e.g., appointment date, clinic name, provider name, provider phone). Once UHC validates the eligibility period for the activity, the reward is issued.	51096	53504
R7444	UNITEDHEALTHCARE INSURANCE COMPANY	2017	1	House Calls Program, Renew Rewards	HouseCalls, Annual Physical or Wellness Visit, Fall Prevention Discussion with Doctor or Fall Prevention In-home Activity, Rheumatoid Arthritis Visit, Osteoporosis Screening  Bone Density Test, Eye Exam for Diabetic Care, Colon Cancer Screening, Breast C	Gift Card	The reward is a gift card of a set monetary amount that must be spent down. Reward amounts and gift card options vary based on the health care activity, but are determined based on the amount expected to impact enrollee behavior, but not exceeding the value of the health related activity itself.	HouseCalls Program: HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in an in home visit.  Members can receive information about the opportunity to have a HouseCalls visit by outbound phone outreach from our scheduling agents, mailed materials, or email.  The clinician performing the visit will enter member information into the eHouseCalls app housed on the tablet our clinicians use in the field.  Once the HouseCalls system receives confirmation of a completed visit, the reward is issued., Renew Rewards Program: Enrollees initiate the redemption process by activating their participation in the program through any of three channels (Customer Service, Online/Member Portals, Direct Mail) if they have not done so previously. Members self-report completion of eligible activities through any of these three channels by providing certain required data (e.g., appointment date, clinic name, provider name, provider phone). Once UHC validates the eligibility period for the activity, the reward is issued.	251999	281568
