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.	2018	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	19060	20761
H0028	CHA HMO, INC.	2018	1	Go365 by Humana	Education: Complete Healthy Assessment (HA), First Step HA (once per lifetime bonus for completion), HA Bonus (complete w/in 120 days of effective date), Interactive health tools such as courses, conversations and  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 density, Flu Shot, Dental Exam, Vision Exam, Body Mass Index (BMI), Blood Pressure, Blood Glucose screening (diabetes test), Cholesterol.	Medicare members can earn Bucks (Rewards) for participating and engaging in the program, such as completing education activities, biometric screening, preventive screenings, and exercising, etc.  Rewards can be redeemed for various items in the 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.	Program participation is tracked for each member through the completion of activities on the web or submitted via paper, uploads from fitness devices, incomings feeds from Silver Sneakers and screening data abstracted from medical claims, etc. As activity data feeds into the system, members are rewarded. Both the activity completion and the reward are posted to the member account.	21958	41937
H0029	COORDINATED CARE OF WASHINGTON, INC.	2018	1	Coordinated Care of Washington- H0029	Annual flu vaccination, breast cancer screening, colorectal cancer screening, diabetes eye exam, 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	159	261
H0062	SUPERIOR HEALTHPLAN COMMUNITY SOLUTIONS, INC.	2018	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	919	110
H0088	WELLCARE HEALTH INSURANCE OF NEW YORK, INC.	2018	1	Healthy Rewards	Annual Wellness Visit,  Colon Cancer Screening, Flu Vaccine, Bone Health, Improve Your Physical Health, Improve Your Mental Health, Controlling Blood Pressure, Diabetic A1C, Diabetic Eye Exam, Diabetic Kidney Exam, Breast Cancer Screening	The members had the option of redeeming or printing an e-Gift card immediately or having a physical gift card or Visa prepaid debit card mailed to them. The merchant gift cards are not convertible to cash. The health care activities and reward values are as follows: Annual Wellness Visit ($25),  Colon Cancer Screening ($50), Flu Vaccine ($50), Bone Health ($50), Improve Your Physical Health ($25), Improve Your Mental Health ($10), Controlling Blood Pressure ($50), Diabetic A1C ($50), Diabetic Eye Exam ($25), Diabetic Kidney Exam ($25), Breast Cancer Screening ($50).	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).	79	0
H0104	BLUE CROSS AND BLUE SHIELD OF ALABAMA	2018	1	 	 	 	 	 	0	0
H0107	HEALTH CARE SERVICE CORPORATION	2018	1	Yes	Annual Wellness Visit, Annual , Fall Risk Assessment, Flu Vaccine, Blood Glucose A1c Screening, Colorectal  Screening, Completion of  Health Questionnaire, In -Home Assessment, Mammogram, Nephropathy  Screening, Retinal Eye Exam, Bone Density Screening, Tracking of Physical Activity  over 12 weeks.	Registered members earn Gift Cards total annual  maximum rewards is $100. For members in this contract  we used $25 gift card awards for all Healthy  Actions, inclusive of Annual Wellness Visit, Annual, Fall Risk Assessment, Flu Vaccine, Blood Glucose, A1 Screening, Colorectal, Screening, Completion of Health Questionnaire, In-Home Assessment, Mammogram, Nephropathy Screening, Retinal Eye Exam, Bone Density Screening	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 Healthy Rewards Program, via Weekly Registration reports, Healthy Action Activity Reports and Reward Redemption Reports.	10441	34405
H0111	WELLCARE OF GEORGIA, INC.	2018	1	Healthy Rewards	Annual Wellness Visit,  Colon Cancer Screening, Flu Vaccine, Bone Health, Improve Your Physical Health, Improve Your Mental Health, Controlling Blood Pressure, Diabetic A1C, Diabetic Eye Exam, Diabetic Kidney Exam, Breast Cancer Screening	The members had the option of redeeming or printing an e-Gift card immediately or having a physical gift card or Visa prepaid debit card mailed to them. The merchant gift cards are not convertible to cash. The health care activities and reward values are as follows: Annual Wellness Visit ($25),  Colon Cancer Screening ($50), Flu Vaccine ($50), Bone Health ($50), Improve Your Physical Health ($25), Improve Your Mental Health ($10), Controlling Blood Pressure ($50), Diabetic A1C ($50), Diabetic Eye Exam ($25), Diabetic Kidney Exam ($25), Breast Cancer Screening ($50).	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).	2363	110
H0137	COMMONWEALTH CARE ALLIANCE, INC.	2018	1	 	 	 	 	 	0	0
H0148	CARE1ST HEALTH PLAN	2018	1	The Incentive program	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, Total Dual Plan (HMO SNP) members only: care plan review with primary care physician (must include pain screening with assessment of ADL's	Blue Fluffy Blanket	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 Blue Shield Promise Health Plan via SFTP with member participation and preventative activities completed by each member.	6065	69
H0154	VIVA HEALTH, INC.	2018	1	 	 	 	 	 	0	0
H0169	UNITEDHEALTHCARE OF THE MIDWEST, INC.	2018	1	House Calls Program, Renew Rewards	HouseCall, 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 Ca	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 receive s 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.	8622	8694
H0174	WELLCARE OF TEXAS, INC.	2018	1	Healthy Rewards	Annual Wellness Visit,  Colon Cancer Screening, Flu Vaccine, Bone Health, Improve Your Physical Health, Improve Your Mental Health, Controlling Blood Pressure, Diabetic A1C, Diabetic Eye Exam, Diabetic Kidney Exam, Breast Cancer Screening	The members had the option of redeeming or printing an e-Gift card immediately or having a physical gift card or Visa prepaid debit card mailed to them. The merchant gift cards are not convertible to cash. The health care activities and reward values are as follows: Annual Wellness Visit ($25),  Colon Cancer Screening ($50), Flu Vaccine ($50), Bone Health ($50), Improve Your Physical Health ($25), Improve Your Mental Health ($10), Controlling Blood Pressure ($50), Diabetic A1C ($50), Diabetic Eye Exam ($25), Diabetic Kidney Exam ($25), Breast Cancer Screening ($50).	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).	36004	3378
H0192	AMERIHEALTH MICHIGAN, INC.	2018	1	Breast Cancer Screening	Mammography	Gift Card	Gift Card Face Value - $10.00 per enrollee per completed screening	Identify and track enrollees in need of the screening. Use claims data to verify screening completion.	664	46
H0192	AMERIHEALTH MICHIGAN, INC.	2018	2	Colorectal Cancer Screening	Colorectal Cancer Screening	Gift Card	Gift Card Face Value - $10.00 per enrollee per completed screening	Identify and track enrollees in need of the screening. Use claims data to verify screening completion.	779	28
H0192	AMERIHEALTH MICHIGAN, INC.	2018	3	Diabetes Screening HA1c	HgA1c testing	Gift Card	Gift Card Face Value - $10.00 per enrollee per completed test	Identify and track enrollees in need of the testing. Use claims data to verify screening completion.	1145	161
H0192	AMERIHEALTH MICHIGAN, INC.	2018	4	Diabetes Screening Nephropathy	Nephropathy testing	Gift Card	Gift Card Face Value - $10.00 per enrollee per completed test	Identify and track enrollees in need of the testing. Use claims data to verify screening completion.	1127	163
H0192	AMERIHEALTH MICHIGAN, INC.	2018	5	Diabetes Screening Eye Exam	Retinal exam	Gift Card	Gift Card Face Value - $10.00 per enrollee per completed test	Identify and track enrollees in need of the testing. Use claims data to verify screening completion.	1815	419
H0192	AMERIHEALTH MICHIGAN, INC.	2018	6	Flu Prevention	Flu vaccine	Gift Card	Gift Card Face Value - $10.00 per enrollee who  received flu vaccine	Identify and track enrollees in need of the vaccine. Use claims data to verify screening completion.	3180	221
H0251	UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.	2018	1	House Calls Program, Renew Rewards	HouseCall, 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 Ca	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 receive s 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.	33713	34645
H0281	ILLINICARE HEALTH PLAN	2018	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	7600	9489
H0294	CARE IMPROVEMENT PLUS WISCONSIN INSURANCE COMPANY	2018	1	House Calls Program, Renew Rewards	HouseCall, 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 Ca	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 receive s 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.	4858	5430
H0302	MEDISUN, INC.	2018	1	 	 	 	 	 	0	0
H0321	ARIZONA PHYSICIANS IPA, INC.	2018	1	House Calls Program, Renew Rewards	HouseCall, 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 Ca	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 receive s 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.	27219	27286
H0332	KS PLAN ADMINISTRATORS, LLC	2018	1	 	 	 	 	 	0	0
H0336	HUMANA HEALTH PLAN, INC.	2018	1	 	 	 	 	 	0	0
H0351	HEALTH NET OF ARIZONA, INC.	2018	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	17662	5752
H0354	CIGNA HEALTHCARE OF ARIZONA, INC.	2018	1	 	 	 	 	 	0	0
H0423	METROPLUS HEALTH PLAN, INC.	2018	1	MetroPlus Rewards	Diabetes retinal eye exam, diabetes HbA1c test, breast cancer screening, adult PCP checkup, colon cancer screening, flu vaccine, Step-Up walking challenge	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.	7859	5777
H0432	UNITEDHEALTHCARE OF ALABAMA, INC.	2018	1	House Calls Program, Renew Rewards	HouseCall, 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 Ca	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 receive s 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.	4285	3910
H0439	CIGNA HEALTHCARE OF GEORGIA, INC.	2018	1	$50 Prevention Bonus Program	360 Exam (wellness exam)	$50 gift card to one of 13 retailers	No calculation is required. The value of the gift card is $50, which is less than the value of a 360 Exam (wellness exam). The reward value was set to $50 to encourage participation.	Customer completes and returns a doctor-signed form attesting that the qualifying exam took place during the eligible program timeframe. Existing customer forms had a unique barcode to identify each customer. New customers completed a separate form and were asked to write in their Customer ID to identify who they are. All returned forms were scanned and documented by a vendor. The vendor provided a weekly list of all returned forms for CHS to audit. All approved and ineligible customer data was managed through Excel spreadsheets in 2018.	24702	5611
H0480	MERIDIAN HEALTH PLAN OF MICHIGAN, INC.	2018	1	 	 	 	 	 	0	0
H0504	CALIFORNIA PHYSICIANS' SERVICE	2018	1	Blue Shield of California 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, Improving bladder control	Gift cards	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 $ that had been spent on the gift cards.	12146	29798
H0523	AETNA HEALTH OF CALIFORNIA INC.	2018	1	Healthy Rewards	Breast Cancer Screening, Colorectal Cancer Screening. Diabetic Eye Exams, Diabetic Kidney Screenings,  blood pressure monitoring, A1C two times per year if they're a diabetic, flu shot, and/or having an annual wellness exam	The Members receive an activation kit that invites them to participate in Healthy Rewards, the kit explains they can "activate" the program by going online, calling in or mailing in coupons that are included in their activation kit. When the members complete any of the activities they attest by submitting the date of service, providers name and address. The member can then select from a variety of retailer a gift card to either be mailed to their home address, or redeemed online via a code. The reward values, per activity, range from $15 to $50 depending on the activity.	Based on analysis we bucket the reward opportunities  into three groups maintain progress and improve. Each grouping dictates a value for the reward and the likelihood we believe we have in moving the membership to be more complaint in obtaining that particular service.	Enrollees attest either online, telephonically, or via mail that they've completed the service. They provide the date of service, provider name and address. We receive monthly activity files that shares which members have redeemed which services and the date the attestation was made.	653	795
H0524	KAISER FOUNDATION HP, INC.	2018	1	Silver&Fit Rewards Program	Fitness facility visits and/or physical activity.	Hats,pins	The value of the reward is the cost per unit. Silver&Fit Rewards are of nominal value.	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.	6954	3728
H0543	UHC OF CALIFORNIA	2018	1	House Calls Program, Renew Rewards	HouseCall, 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 Ca	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 receive s 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.	28281	46694
H0544	BLUE CROSS OF CALIFORNIA	2018	1	Rewards for Health	Annual Routine Physical, Breast Cancer Screening,  Bone Mineral Density Screening _A, Bone Mineral Screening_B	ARP $25 Gift Card, BCS $25 Gift Card, OMW_A $25 Gift Card, OMW_B $50 Gift Card	Value of Gift Card, one gift card for each incentive	Provider Signed Attestations	1597	1554
H0544	BLUE CROSS OF CALIFORNIA	2018	2	Rewards for Health Program	Depression Screening, Colorectal Cancer Screening, Diabetes Care  Blood Sugar Testing (HbA1c), Breast Cancer Screening (Mammogram), Annual Wellness Visit Healthy Start OR Healthy Journey, Physical Activity Monitoring, Diabetes Care  Eye Exam, Blood Pressure Control, Annual Flu or Pneumonia Shot, and Bladder Control and Urine Leakage Problem Discussion	$10 Visa gift cards	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 fulfillment kits 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 address, 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 fulfillment log is generated by the vendor every two weeks once rewards are issued. Data reports are generated by the mailhouse vendor every month with statistics on how many coupons were received during that month, number and types of rewards fulfilled, etc.	16252	11167
H0545	INTER VALLEY HEALTH PLAN, INC.	2018	1	 	 	 	 	 	0	0
H0562	HEALTH NET OF CALIFORNIA,INC.	2018	1	Health Net of California Rewards Program H0562	Breast cancer screening, Diabetic hbA1c, Annual Wellness Visit, Annual Flu Vaccine, Diabetic Eye Exam, Bone Density Test, Rheumatoid Arthritis Management, Breast Cancer Screening, Colon Cancer Screening, Improve Your Physical Health, Improve Your Mental Health	Walmart gift and  Mercahnt Gift cards   The members had the option of printing an eGift card immediately or having a physical gift card mailed to them  Values range 10-50 dollars depenpding upon the activity	Reward values are calculated based on average cost of service for the health plan  It is also 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	Weekly claims sweep of internal systems  Also members interact through the  program via the mail telephonic and digital channels  Member interactions across the channels are captured in CMS compliant data storage as activations and redemptions	14153	20851
H0571	CHINESE COMMUNITY HEALTH PLAN	2018	1	Medicare Member Incentive Program	Mammogram Screening, Colon Cancer Screening, Diabetes Eye Exam, HbA1c Test, BMD Test/DEXA Scan, Fill prescription for drug that treats Rheumatoid Arthritis, Exercise Survey, Fall Prevention Checklist	Gift Cards	Each measure is assigned an associated gift card value ranging from $5 to $50.	Enrollees may report a completed measure by calling member services to report completion of measure(s) or mailing their vouchers to CCHP. Claims validation is required in order for any gift card to be issued.	5421	887
H0609	PACIFICARE OF COLORADO, INC	2018	1	House Calls Program, Renew Rewards	HouseCall, 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 Ca	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 receive s 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.	66370	80730
H0624	UNITEDHEALTHCARE INSURANCE COMPANY	2018	1	House Calls Program, Renew Rewards	HouseCall, 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 Ca	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 receive s 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.	5274	5655
H0630	KAISER FOUNDATION HP OF CO	2018	1	 	 	 	 	 	0	0
H0710	UNITEDHEALTHCARE INSURANCE COMPANY	2018	1	Renew Rewards	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 Cancer Screen	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.	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.	0	0
H0712	WELLCARE OF CONNECTICUT, INC.	2018	1	Healthy Rewards	Annual Wellness Visit,  Colon Cancer Screening, Flu Vaccine, Bone Health, Improve Your Physical Health, Improve Your Mental Health, Controlling Blood Pressure, Diabetic A1C, Diabetic Eye Exam, Diabetic Kidney Exam, Breast Cancer Screening	The members had the option of redeeming or printing an e-Gift card immediately or having a physical gift card or Visa prepaid debit card mailed to them. The merchant gift cards are not convertible to cash. The health care activities and reward values are as follows: Annual Wellness Visit ($25),  Colon Cancer Screening ($50), Flu Vaccine ($50), Bone Health ($50), Improve Your Physical Health ($25), Improve Your Mental Health ($10), Controlling Blood Pressure ($50), Diabetic A1C ($50), Diabetic Eye Exam ($25), Diabetic Kidney Exam ($25), Breast Cancer Screening ($50).	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).	618	1139
H0724	BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS	2018	1	Buckeye Health PlanCommunity Solutions H0724	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	801	1106
H0755	OXFORD HEALTH PLANS (CT), INC.	2018	1	House Calls Program, Renew Rewards	HouseCall, 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 Ca	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 receive s 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.	63480	69677
H0838	UNIVERSAL CARE, INC.	2018	1	Severely and Persistently Mentally Ill Behavioral Health Groups	Medication Compliance Education, Sobriety Counseling, Weight Management,  Smoking Cessation education, Exercise Coaching	Gift Cards	Participation in  the health activity  determines if member qualifies for a gift card.	Rewards and Incentives form is completed when a requirement is met.  The form is then forwarded for entry as an encounter in claims system.	2540	251
H0838	UNIVERSAL CARE, INC.	2018	2	Preventive Care Participation	Health Screenings	Gift Cards	Participation in  the health activity  determines if member qualifies for a gift card.	Rewards and Incentives form is completed when a requirement is met.  The form is then forwarded for entry as an encounter in claims system.	30303	584
H0908	BUCKEYE COMMUNITY HEALTH PLAN, INC.	2018	1	Buckeye Health Plan Advantage Rewards Program H0908	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	511	1426
H0913	WELLCARE HEALTH PLANS OF NEW JERSEY, INC.	2018	1	Healthy Rewards	Annual Wellness Visit,  Colon Cancer Screening, Flu Vaccine, Bone Health, Improve Your Physical Health, Improve Your Mental Health, Controlling Blood Pressure, Diabetic A1C, Diabetic Eye Exam, Diabetic Kidney Exam, Breast Cancer Screening	The members had the option of redeeming or printing an e-Gift card immediately or having a physical gift card or Visa prepaid debit card mailed to them. The merchant gift cards are not convertible to cash. The health care activities and reward values are as follows: Annual Wellness Visit ($25),  Colon Cancer Screening ($50), Flu Vaccine ($50), Bone Health ($50), Improve Your Physical Health ($25), Improve Your Mental Health ($10), Controlling Blood Pressure ($50), Diabetic A1C ($50), Diabetic Eye Exam ($25), Diabetic Kidney Exam ($25), Breast Cancer Screening ($50).	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).	6055	85
H0927	HEALTH CARE SERVICE CORPORATION	2018	1	Yes	The Consumer Advisory Council meeting to educate members on available services.	Gift Cards	Gift Cards are $25.	We track participation in the Consumer Advisory Council meeting using sign-in sheets during the meeting.	130	3250
H0927	HEALTH CARE SERVICE CORPORATION	2018	2	Yes	The Special Beginnings program provides education regarding safe sleepint, well baby care, pregnancy spacing, contraception,nutrition, healthy behaviors, depression, STD prevention, ZIKA and immunization, depression screening post partum.	Registered members earn car seat or pack n play crib for attending prenatal visits, package of diapers for attending post natal visit	Evaluate the cost value of each service, ensured that the value is less than that of the service provided while significant enough to drive member to complete it.	We track participation in the healthy rewards program when members are enrolled into the special beginnings program .	2	0
H1016	AVMED, INC.	2018	1	Medicare 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, Treatment Plan Discussion ( with provider),  Personal Health Assessment, Online Wellness Courses	Gift Cards	Members can complete activities to earn rewards for a maximum of $65 combined	Weekly Activity Reports (Performance Dashboard)	6995	18549
H1019	CAREPLUS HEALTH PLANS, INC.	2018	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 $50 in gift card(s) to be selected from various vendors	With the completion of 4 preventive activities the enrollees earn $50 in gift card(s) to be selected from various vendors	Participation is tracked via claims processing for the specific CPT codes for the preventive activities listed above.	138273	4379
H1032	WELLCARE OF FLORIDA, INC.	2018	1	Healthy Rewards	Annual Wellness Visit,  Colon Cancer Screening, Flu Vaccine, Bone Health, Improve Your Physical Health, Improve Your Mental Health, Controlling Blood Pressure, Diabetic A1C, Diabetic Eye Exam, Diabetic Kidney Exam, Breast Cancer Screening	The members had the option of redeeming or printing an e-Gift card immediately or having a physical gift card or Visa prepaid debit card mailed to them. The merchant gift cards are not convertible to cash. The health care activities and reward values are as follows: Annual Wellness Visit ($25),  Colon Cancer Screening ($50), Flu Vaccine ($50), Bone Health ($50), Improve Your Physical Health ($25), Improve Your Mental Health ($10), Controlling Blood Pressure ($50), Diabetic A1C ($50), Diabetic Eye Exam ($25), Diabetic Kidney Exam ($25), Breast Cancer Screening ($50).	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).	95519	9109
H1035	HEALTH OPTIONS, INC.	2018	1	 	 	 	 	 	0	0
H1036	HUMANA MEDICAL PLAN, INC.	2018	1	Go365 by Humana	Education: Complete Healthy Assessment (HA), First Step HA (once per lifetime bonus for completion), HA Bonus (complete w/in 120 days of effective date), Interactive health tools such as courses, conversations and  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 density, Flu Shot, Dental Exam, Vision Exam, Body Mass Index (BMI), Blood Pressure, Blood Glucose screening (diabetes test), Cholesterol.	Medicare members can earn Bucks (Rewards) for participating and engaging in the program, such as completing education activities, biometric screening, preventive screenings, and exercising, etc.  Rewards can be redeemed for various items in the 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.	Program participation is tracked for each member through the completion of activities on the web or submitted via paper, uploads from fitness devices, incomings feeds from Silver Sneakers and screening data abstracted from medical claims, etc. As activity data feeds into the system, members are rewarded. Both the activity completion and the reward are posted to the member account.	513714	1269588
H1045	PREFERRED CARE PARTNERS, INC.	2018	1	House Calls Program, Renew Rewards	HouseCall, 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 Ca	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 receive s 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.	57383	63712
H1099	HEALTH FIRST HEALTH PLANS	2018	1	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.	40789	17570
H1100	INNOVATION HEALTH INSURANCE COMPANY	2018	1	Healthy Rewards	Breast Cancer Screening, Colorectal Cancer Screening. Diabetic Eye Exams, Diabetic Kidney Screenings,  blood pressure monitoring, A1C two times per year if they're a diabetic, flu shot, and/or having an annual wellness exam	The Members receive an activation kit that invites them to participate in Healthy Rewards, the kit explains they can "activate" the program by going online, calling in or mailing in coupons that are included in their activation kit. When the members complete any of the activities they attest by submitting the date of service, providers name and address. The member can then select from a variety of retailer a gift card to either be mailed to their home address, or redeemed online via a code. The reward values, per activity, range from $15 to $50 depending on the activity.	Based on analysis we bucket the reward opportunities  into three groups  maintain, progress and improve. Each grouping dictates a value for the reward and the likelihood we believe we have in moving the membership to be more complaint in obtaining that particular service.	Enrollees attest either online, telephonically, or via mail that they've completed the service. They provide the date of service, provider name and address. We receive monthly activity files that shares which members have redeemed which services and the date the attestation was made.	173	138
H1109	AETNA HEALTH INC.(GA)	2018	1	Healthy Rewards	Breast Cancer Screening, Colorectal Cancer Screening. Diabetic Eye Exams, Diabetic Kidney Screenings,  blood pressure monitoring, A1C two times per year if they're a diabetic, flu shot, and/or having an annual wellness exam	The Members receive an activation kit that invites them to participate in Healthy Rewards  the kit explains they can "activate" the program by going online  calling in or mailing in coupons that are included in their activation kit. When the members complete any of the activities they attest by submitting the date of service  providers name and address. The member can then select from a variety of retailer a gift card to either be mailed to their home address  or redeemed online via a code. The reward values  per activity  range from $15 to $50 depending on the activity.	Based on analysis we bucket the reward opportunities  into three groups  maintain  progress and improve. Each grouping dictates a value for the reward and the likelihood we believe we have in moving the membership to be more complaint in obtaining that particular service.	Enrollees attest either online  telephonically  or via mail that they've completed the service. They provide the date of service  provider name and address. We receive monthly activity files that shares which members have redeemed which services and the date the attestation was made.	550	1096
H1111	UNITEDHEALTHCARE OF GEORGIA, INC.	2018	1	House Calls Program, Renew Rewards	HouseCall, 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 Ca	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 receive s 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.	7354	7737
H1112	WELLCARE OF GEORGIA, INC.	2018	1	Healthy Rewards	Annual Wellness Visit,  Colon Cancer Screening, Flu Vaccine, Bone Health, Improve Your Physical Health, Improve Your Mental Health, Controlling Blood Pressure, Diabetic A1C, Diabetic Eye Exam, Diabetic Kidney Exam, Breast Cancer Screening	The members had the option of redeeming or printing an e-Gift card immediately or having a physical gift card or Visa prepaid debit card mailed to them. The merchant gift cards are not convertible to cash. The health care activities and reward values are as follows: Annual Wellness Visit ($25),  Colon Cancer Screening ($50), Flu Vaccine ($50), Bone Health ($50), Improve Your Physical Health ($25), Improve Your Mental Health ($10), Controlling Blood Pressure ($50), Diabetic A1C ($50), Diabetic Eye Exam ($25), Diabetic Kidney Exam ($25), Breast Cancer Screening ($50).	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).	48853	6380
H1170	KAISER FOUNDATION HP OF GA, INC.	2018	1	 	 	 	 	 	0	0
H1181	NETWORK HEALTH INSURANCE CORPORATION	2018	1	 	 	 	 	 	0	0
H1189	CHRISTUS HEALTH PLAN	2018	1	 	 	 	 	 	0	0
H1225	HOPKINS HEALTH ADVANTAGE, INC.	2018	1	 	 	 	 	 	0	0
H1230	KAISER FOUNDATION HP, INC.	2018	1	Silver&Fit Rewards Program	Fitness facility visits and/or physical activity.	Hats,pins	The value of the reward is the cost per unit. Silver&Fit Rewards are of nominal value.	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.	608	533
H1286	UNITEDHEALTHCARE INSURANCE COMPANY	2018	1	House Calls Program, Renew Rewards	HouseCall, 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 Ca	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 receive s 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.	6670	7521
H1302	BLUE CROSS OF IDAHO CARE PLUS, INC.	2018	1	Novu Health Rewards Program	Monitor Your Physical Health (Fall Prevention), Bone Density Test, Rheumatoid Arthritis Management, Breast Cancer Screening,  Diabetes Kidney Exam, Improve Bladder Control, Diabetes Blood Test (A1C) #1, Colon Cancer Screening, Flu Shot, Diabetes Eye Exam, Improve Your Physical Health, Diabetes Blood Test (A1C) #2, Improve Your Mental Health	Gift cards	The activities are set at the beginning of the rewards period and based on the complexity of the health care activity.  For example, a flu shot is not as complicated as a colorectal cancer screening therefore the reward for a flu shot is $10.00, whereas the reward for a colorectal cancer screening is $25.00.	We track high level activity weekly related to how many members activate, how many members redeem health care activities and the overall participation rate. We track redemptions monthly. We also track the impact to the HEDIS rates.	35	28
H1304	REGENCE BLUESHIELD OF IDAHO	2018	1	 	 	 	 	 	0	0
H1350	BLUE CROSS OF IDAHO CARE PLUS, INC.	2018	1	Novu Health Rewards Program	Monitor Your Physical Health (Fall Prevention), Bone Density Test, Rheumatoid Arthritis Management, Breast Cancer Screening,  Diabetes Kidney Exam, Improve Bladder Control, Diabetes Blood Test (A1C) #1, Colon Cancer Screening, Flu Shot, Diabetes Eye Exam, Improve Your Physical Health, Diabetes Blood Test (A1C) #2, Improve Your Mental Health	Gift cards	The activities are set at the beginning of the rewards period and based on the complexity of the health care activity.  For example, a flu shot is not as complicated as a colorectal cancer screening therefore the reward for a flu shot is $10.00, whereas the reward for a colorectal cancer screening is $25.00.	We track high level activity weekly related to how many members activate, how many members redeem health care activities and the overall participation rate. We track redemptions monthly. We also track the impact to the HEDIS rates.	1175	1875
H1352	BLUE-ADVANTAGE PLUS OF KANSAS CITY, INC.	2018	1	 	 	 	 	 	0	0
H1365	MARTIN'S POINT GENERATIONS ADVANTAGE, INC.	2018	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 Hannaford 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	300	300
H1372	MARQUIS ADVANTAGE, INC.	2018	1	 	 	 	 	 	0	0
H1415	HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY	2018	1	$50 Prevention Bonus Program	360 Exam (wellness exam)	$50 gift card to one of 13 retailers	No calculation is required. The value of the gift card is $50, which is less than the value of a 360 Exam (wellness exam). The reward value was set to $50 to encourage participation.	Customer completes and returns a doctor-signed form attesting that the qualifying exam took place during the eligible program timeframe. Existing customer forms had a unique barcode to identify each customer. New customers completed a separate form and were asked to write in their Customer ID to identify who they are. All returned forms were scanned  and documented by a vendor. The vendor provided a weekly list of all returned forms for CHS to audit. All approved and ineligible customer data was managed through Excel spreadsheets in 2018.	10949	1745
H1416	HARMONY HEALTH PLAN,  INC.	2018	1	Healthy Rewards	Annual Wellness Visit,  Colon Cancer Screening, Flu Vaccine, Bone Health, Improve Your Physical Health, Improve Your Mental Health, Controlling Blood Pressure, Diabetic A1C, Diabetic Eye Exam, Diabetic Kidney Exam, Breast Cancer Screening	The members had the option of redeeming or printing an e-Gift card immediately or having a physical gift card or Visa prepaid debit card mailed to them. The merchant gift cards are not convertible to cash. The health care activities and reward values are as follows: Annual Wellness Visit ($25),  Colon Cancer Screening ($50), Flu Vaccine ($50), Bone Health ($50), Improve Your Physical Health ($25), Improve Your Mental Health ($10), Controlling Blood Pressure ($50), Diabetic A1C ($50), Diabetic Eye Exam ($25), Diabetic Kidney Exam ($25), Breast Cancer Screening ($50).	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).	17231	9742
H1436	ABSOLUTE TOTAL CARE, INC.	2018	1	Absolute Total Care Rewards Program H1436	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	2270	3501
H1463	HEALTH ALLIANCE CONNECT, INC.	2018	1	Wellness Rewards	Eligible services and associated points are as listed: Annual PCP visit (required) (30 points), Breast Cancer Screening (10 points), Colorectal Cancer Screening (20 points), eye exam (10 points), Flu Shot (5 points), Social Activity (5 points), Tal k with your physician about: Urinary incontinence (5 points), Fall risk (5 points), Female Osteoporosis screening/treatment (5 points), Physical Activity (5 points), Mental Health (5 points)	Fulfilling 50 points out of 105 total possible points will allow the member to receive a $50 Amazon gift card reward	Activities have points assigned to them for the participants to check off and fulfill	Interactive database that can be exported to excel and report.	2429	2429
H1463	HEALTH ALLIANCE CONNECT, INC.	2018	2	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.	129	0
H1468	HUMANA BENEFIT PLAN OF ILLINOIS, INC.	2018	1	Go365 by Humana	Education: Complete Healthy Assessment (HA), First Step HA (once per lifetime bonus for completion), HA Bonus (complete w/in 120 days of effective date), Interactive health tools such as courses, conversations and  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 density, Flu Shot, Dental Exam, Vision Exam, Body Mass Index (BMI), Blood Pressure, Blood Glucose screening (diabetes test), Cholesterol.	Medicare members can earn Bucks (Rewards) for participating and engaging in the program, such as completing education activities, biometric screening, preventive screenings, and exercising, etc.  Rewards can be redeemed for various items in the 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.	Program participation is tracked for each member through the completion of activities on the web or submitted via paper, uploads from fitness devices, incomings feeds from Silver Sneakers and screening data abstracted from medical claims, etc. As activity data feeds into the system, members are rewarded. Both the activity completion and the reward are posted to the member account.	95198	215078
H1537	UNITEDHEALTHCARE INSURANCE COMPANY OF NEW YORK	2018	1	House Calls Program, Renew Rewards	HouseCall, 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 Ca	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 receive s 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.	681	707
H1587	ARKANSAS SUPERIOR SELECT, INC.	2018	1	 	 	 	 	 	0	0
H1607	ANTHEM INSURANCE COMPANIES, INC.	2018	1	Rewards for Health	Annual Routine Physical, Breast Cancer Screening,  Bone Mineral Density Screening_B	ARP $25 Gift Card, BCS $25 Gift Card, OMW_B $50 Gift Card	Value of Gift Card, one gift card for each incentive	Provider Signed Attestations	1358	1342
H1608	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	2018	1	 	 	 	 	 	0	0
H1609	AETNA HEALTH INC. (FL)	2018	1	Healthy Rewards	Breast Cancer Screening, Colorectal Cancer Screening. Diabetic Eye Exams, Diabetic Kidney Screenings,  blood pressure monitoring, A1C two times per year if they're a diabetic, flu shot, and/or having an annual wellness exam	The Members receive an activation kit that invites them to participate in Healthy Rewards  the kit explains they can "activate" the program by going online  calling in or mailing in coupons that are included in their activation kit. When the members complete any of the activities they attest by submitting the date of service  providers name and address. The member can then select from a variety of retailer a gift card to either be mailed to their home address  or redeemed online via a code. The reward values  per activity  range from $15 to $50 depending on the activity.	Based on analysis we bucket the reward opportunities  into three groups  maintain  progress and improve. Each grouping dictates a value for the reward and the likelihood we believe we have in moving the membership to be more complaint in obtaining that particular service.	Enrollees attest either online  telephonically  or via mail that they've completed the service. They provide the date of service  provider name and address. We receive monthly activity files that shares which members have redeemed which services and the date the attestation was made.	430	596
H1609	AETNA HEALTH INC. (FL)	2018	2	Coventry Rewards Program	Welcome to Medicare visit, annual wellness exam, flu shot, bone mass index screening, cardiovascular disease screening, colorectal cancer screening, depression 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.	44473	174328
H1610	COVENTRY HEALTH CARE OF VIRGINIA	2018	1	 	 	 	 	 	0	0
H1659	PIEDMONT COMMUNITY HEALTHCARE, INC.	2018	1	NP Visit Program	Completion of visit with a NP	Gift Card	$25 but 27 members received $50 gift cards due to a miscommunication	Excel Spreadsheet	314	314
H1660	HARVARD PILGRIM HEALTH CARE INC.	2018	1	Harvard Pilgrim Rewards	Annual Wellness Visit, Breast Cancer Screening, Colorectal Cancer Screening, Diabetes Dilated Eye Exam	Beneficiaries may choose gift cards from Amazon, Walmart, Target and Applebees	Beneficiaries are rewarded $25 in gift certificates for completion of the Annual Wellness Visit, Breast Cancer Screening and Diabetes Dilated Eye Exam.  Beneficiaries are rewarded $50 in gift certificates for completion of the Colorectal Cancer Screening.	Beneficiaries are able to attest to the completion of any activity through a web application, an IVR application or by paper mail.  Responses are aggregated in a database to track and monitor activity.	1179	1637
H1664	HOME STATE HEALTH PLAN, INC.	2018	1	HomeState Health Plan- HMO H1664	Annual flu vaccination, annual wellness visit, breast cancer screening, colorectal screening, diabetes hbA1c	Walmart gift card	Reward values are calculated based on average cost of service for the health plan	Weekly claims sweep of internal systems	378	734
H1666	HCSC INSURANCE SERVICES COMPANY	2018	1	Yes	Annual Wellness Visit, Annual , Fall Risk Assessment, Flu Vaccine, Blood Glucose A1c Screening, Colorectal  Screening, Completion of  Health Questionnaire, In -Home Assessment, Mammogram, Nephropathy  Screening, Retinal Eye Exam, Bone Density Screening, Tracking of Physical Activity  over 12 weeks.	Registered members earn Gift Cards total annual  maximum rewards is $100. For members in this contract  we used $25 gift card awards for all Healthy  Actions, inclusive of Annual Wellness Visit, Annual, Fall Risk Assessment, Flu Vaccine, Blood Glucose, A1 Screening, Colorectal, Screening, Completion of Health Questionnaire, In-Home Assessment, Mammogram, Nephropathy Screening, Retinal Eye Exam, Bone Density Screening	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 Healthy Rewards Program, via Weekly Registration reports, Healthy Action Activity Reports and Reward Redemption Reports.	6977	23002
H1692	COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.	2018	1	Healthy Rewards	Breast Cancer Screening, Colorectal Cancer Screening. Diabetic Eye Exams, Diabetic Kidney Screenings,  blood pressure monitoring, A1C two times per year if they're a diabetic, flu shot, and/or having an annual wellness exam	The Members receive an activation kit that invites them to participate in Healthy Rewards  the kit explains they can "activate" the program by going online  calling in or mailing in coupons that are included in their activation kit. When the members complete any of the activities they attest by submitting the date of service  providers name and address. The member can then select from a variety of retailer a gift card to either be mailed to their home address  or redeemed online via a code. The reward values  per activity  range from $15 to $50 depending on the activity.	Based on analysis we bucket the reward opportunities  into three groups  maintain  progress and improve. Each grouping dictates a value for the reward and the likelihood we believe we have in moving the membership to be more complaint in obtaining that particular service.	Enrollees attest either online  telephonically  or via mail that they've completed the service. They provide the date of service  provider name and address. We receive monthly activity files that shares which members have redeemed which services and the date the attestation was made.	617	795
H1723	ABSOLUTE TOTAL CARE, INC.	2018	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	3341	4685
H1737	HEALTH ALLIANCE - MIDWEST, INC.	2018	1	Wellness Rewards	Eligible services and associated points are as listed: Annual PCP visit (required) (30 points), Breast Cancer Screening (10 points), Colorectal Cancer Screening (20 points), eye exam (10 points), Flu Shot (5 points), Social Activity (5 points), Tal k with your physician about: Urinary incontinence (5 points), Fall risk (5 points), Female Osteoporosis screening/treatment (5 points), Physical Activity (5 points), Mental Health (5 points)	Fulfilling 50 points out of 105 total possible points will allow the member to receive a $50 Amazon gift card reward	Activities have points assigned to them for the participants to check off and fulfill	Interactive database that can be exported to excel and report.	83	83
H1737	HEALTH ALLIANCE - MIDWEST, INC.	2018	2	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.	5	0
H1777	CATHOLIC SPECIAL NEEDS PLAN, LLC	2018	1	 	 	 	 	 	0	0
H1787	GOOD SAMARITAN INSURANCE PLAN OF SOUTH DAKOTA, INC	2018	1	 	 	 	 	 	0	0
H1846	MOUNT CARMEL HEALTH INSURANCE COMPANY	2018	1	 	 	 	 	 	0	0
H1894	AMERIGROUP WASHINGTON, INC.	2018	1	 	 	 	 	 	0	0
H1944	UNITEDHEALTHCARE OF NEW ENGLAND, INC.	2018	1	House Calls Program, Renew Rewards	HouseCall, 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 Ca	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 receive s 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.	22844	24076
H1951	HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.	2018	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 $50 in gift card(s) to be selected from various vendors	With the completion of 4 preventive activities the enrollees earn $50 in gift card(s) to be selected from various vendors	Participation is tracked via claims processing for the specific CPT codes for the preventive activities listed above.	11	1
H1951	HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.	2018	2	Go365 by Humana	Education: Complete Healthy Assessment (HA), First Step HA (once per lifetime bonus for completion), HA Bonus (complete w/in 120 days of effective date), Interactive health tools such as courses, conversations and  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 density, Flu Shot, Dental Exam, Vision Exam, Body Mass Index (BMI), Blood Pressure, Blood Glucose screening (diabetes test), Cholesterol.	Medicare members can earn Bucks (Rewards) for participating and engaging in the program, such as completing education activities, biometric screening, preventive screenings, and exercising, etc.  Rewards can be redeemed for various items in the 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.	Program participation is tracked for each member through the completion of activities on the web or submitted via paper, uploads from fitness devices, incomings feeds from Silver Sneakers and screening data abstracted from medical claims, etc. As activity data feeds into the system, members are rewarded. Both the activity completion and the reward are posted to the member account.	155298	305175
H1961	PEOPLES HEALTH, INC.	2018	1	Peoples Health Member Rewards Program  2018	Comprehensive Wellness Assessment, Breast Cancer Screening, Colorectal Cancer Screening, 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 2018 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 and 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)	15037	15891
H1969	REGENCE BLUESHIELD OF IDAHO	2018	1	 	 	 	 	 	0	0
H1977	UPPER PENINSULA HEALTH PLAN, LLC	2018	1	 	 	 	 	 	0	0
H1994	SELECTHEALTH, INC.	2018	1	Healthy Living	"Annual Wellness Visit/Routine Physical Exam, Flu Shot, Colonoscopy, Mammogram, Eye Exam, Enroll in MyHealth online portal, physical activity attestation, and Member's Choice	Gift Card	Face value of gift card	Members track their progress on our website behind a secure login or by calling member services to track activities online for the member, or the member can complete a paper form and send back to SelectHealth.	41311	6335
H1997	REGENCE BLUESHIELD	2018	1	 	 	 	 	 	0	0
H2001	SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	2018	1	House Calls Program, Renew Rewards	HouseCall, 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 Ca	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 receive s 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.	521840	524732
H2029	HUMANA INSURANCE OF PUERTO RICO, INC.	2018	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 $50 in gift card(s) to be selected from various vendors	With the completion of 4 preventive activities the enrollees earn $50 in gift card(s) to be selected from various vendors	Participation is tracked via claims processing for the specific CPT codes for the preventive activities listed above.	1274	2
H2029	HUMANA INSURANCE OF PUERTO RICO, INC.	2018	2	Go365 by Humana	Education: Complete Healthy Assessment (HA), First Step HA (once per lifetime bonus for completion), HA Bonus (complete w/in 120 days of effective date), Interactive health tools such as courses, conversations and  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 density, Flu Shot, Dental Exam, Vision Exam, Body Mass Index (BMI), Blood Pressure, Blood Glucose screening (diabetes test), Cholesterol.	Medicare members can earn Bucks (Rewards) for participating and engaging in the program, such as completing education activities, biometric screening, preventive screenings, and exercising, etc.  Rewards can be redeemed for various items in the 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.	Program participation is tracked for each member through the completion of activities on the web or submitted via paper, uploads from fitness devices, incomings feeds from Silver Sneakers and screening data abstracted from medical claims, etc. As activity data feeds into the system, members are rewarded. Both the activity completion and the reward are posted to the member account.	24	0
H2032	INSURANCE COMPANY OF SCOTT AND WHITE	2018	1	 	 	 	 	 	0	0
H2034	COMMUNITY CARE HEALTH PLAN, INC.	2018	1	 	 	 	 	 	0	0
H2108	BRAVO HEALTH MID-ATLANTIC, INC.	2018	1	$50 Prevention Bonus Program	360 Exam (wellness exam)	$50 gift card to one of 13 retailers	No calculation is required. The value of the gift card is $50, which is less than the value of a 360 Exam (wellness exam). The reward value was set to $50 to encourage participation.	Customer completes and returns a doctor-signed form attesting that the qualifying exam took place during the eligible program timeframe. Existing customer forms had a unique barcode to identify each customer. New customers completed a separate form and were asked to write in their Customer ID to identify who they are. All returned forms were scanned  and documented by a vendor. The vendor provided a weekly list of all returned forms for CHS to audit. All approved and ineligible customer data was managed through Excel spreadsheets in 2018.	18409	3371
H2161	UPPER PENINSULA HEALTH PLAN, LLC	2018	1	 	 	 	 	 	0	0
H2168	VILLAGE SENIOR SERVICES CORPORATION	2018	1	 	 	 	 	 	0	0
H2171	CARE N' CARE INSURANCE COMPANY, INC.	2018	1	HealthFair Mobile Clinic	HealthFair mobile unit are conveniently made available at accessible locations in various Texas cities to perform comprehensive health assessments and screening tests for the members.  Targeted members who have not seen their PCP or have high RAF recapure 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.	154	20
H2171	CARE N' CARE INSURANCE COMPANY, INC.	2018	2	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 Walmart 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.	30	7
H2172	KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES	2018	1	Silver&Fit Rewards Program	Fitness facility visits and/or physical activity.	Hats,pins	The value of the reward is the cost per unit. Silver&Fit Rewards are of nominal value.	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.	34	6
H2174	TRILLIUM COMMUNITY HEALTH PLAN	2018	1	Trillium Advantage Rewards Program H2174	Annual flu vaccination, 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	2700	2812
H2185	LIFEWORKS ADVANTAGE, LLC	2018	1	 	 	 	 	 	0	0
H2224	SENIOR WHOLE HEALTH, LLC	2018	1	SWH Mammogram Screening Incentive	Encouraging women to get a breast cancer screening	Gift card	Gift card value is 30 dollars	All women eligible to get a mammogram according to HEDIS specifications are eligible for the program	1612	145
H2225	COMMONWEALTH CARE ALLIANCE, INC.	2018	1	 	 	 	 	 	0	0
H2226	UNITEDHEALTHCARE INSURANCE COMPANY	2018	1	House Calls Program	HouseCall	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 receive s confirmation of a completed visit, the reward is issued.	6685	6240
H2228	UNITEDHEALTHCARE INSURANCE COMPANY	2018	1	House Calls Program, Renew Rewards	HouseCall, 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 Ca	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 receive s 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.	99665	107675
H2230	BCBS  OF MASSACHUSETTS HMO BLUE, INC.	2018	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.	529	529
H2237	INDEPENDENT CARE HEALTH PLAN, INC.	2018	1	$15 Welcome Catalog	Health Risk Assessment	Catalog gift of up to $15 value	The cost of the catalog gift	Monthly invoices from the catalog vendor	1905	339
H2237	INDEPENDENT CARE HEALTH PLAN, INC.	2018	2	Medicare Annual Wellness Visits	Care of Older Adult members who attend a Medicare Annual Wellness Visit in clinic or home setting	$30 gift card	$30	Monthly query of paid claims	2603	1551
H2241	GOLDEN STATE MEDICARE HEALTH PLAN	2018	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.	2313	408
H2241	GOLDEN STATE MEDICARE HEALTH PLAN	2018	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 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.	441	59
H2247	UNITEDHEALTHCARE COMMUNITY PLAN, INC.	2018	1	House Calls Program, Renew Rewards	HouseCall, 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 Ca	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 receive s 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.	310	271
H2256	TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION	2018	1	 	 	 	 	 	0	0
H2261	BCBS  OF MASSACHUSETTS HMO BLUE, INC.	2018	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.	106	106
H2320	PRIORITY HEALTH	2018	1	CenseoHealth Incentive for Bonus Checkup	Priority Health offers in-home health assessments to all eligible Medicare Advantage members.  Members that decline to have an in-home health assessment are encouraged to reconsider and if they do they are provided a $25 incentive (Visa gift card) when the in-home assessment is completed.  In-home health assessment are provided by a certified physician to document and capture full burden of health and close quality gaps and drive care management if applicable.	$25 Visa gift card	Any member that qualifies for the incentive (Declined in-home assessment previously then subsequently accepted and had an in-home health assessment) will receive the full $25 Visa gift card.  There are no partial reward opportunities included in this program.	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 then subsequently accepted and had an in-home health assessment).	9420	331
H2322	ALLIANCE HEALTH AND LIFE INSURANCE COMPANY	2018	1	Healthy Living Rewards Program	Screenings for breast and colon cancer, discussion with doctor about bladder control, physical activity, and fall risk and retinal, kidney disease, and HbA1c screenings for members with diabetes	Gift Cards of various amounts	The value is based off of Medicare Star weight and prior year rates. The higher the weight, the higher the reward. The lower the rate from the previous year, the highter the reward.	Members may register online or via post mail. Each registration is saved in an Access database and used for tracking services completed and reward values.	356	305
H2322	ALLIANCE HEALTH AND LIFE INSURANCE COMPANY	2018	2	Osteoporosis Management in 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 of members with a short time frame to see their provider for a medication or to have a bone density screening so we felt $100 may help improve this measure	Member list is pulled based on measure criteria to identify population and claims data is ran monthly to determine members who have completed a screening and are due for an award.	44	24
H2334	EON HEALTH, INC. (SC)	2018	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.	3	3
H2354	HEALTH ALLIANCE PLAN OF MICHIGAN	2018	1	Healthy Living Rewards Program	Screenings for breast and colon cancer, discussion with doctor about bladder control, physical activity, and fall risk and retinal, kidney disease, and HbA1c screenings for members with diabetes	Gift Cards of various amounts	The value is based off of Medicare Star weight and prior year rates. The higher the weight, the higher the reward. The lower the rate from the previous year, the highter the reward.	Members may register online or via post mail. Each registration is saved in an Access database and used for tracking services completed and reward values.	5212	4468
H2354	HEALTH ALLIANCE PLAN OF MICHIGAN	2018	2	Osteoporosis Management in 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 of members with a short time frame to see their provider for a medication or to have a bone density screening so we felt $100 may help improve this measure	Member list is pulled based on measure criteria to identify population and claims data is ran monthly to determine members who have completed a screening and are due for an award.	472	245
H2392	KANSAS SUPERIOR SELECT, INC.	2018	1	 	 	 	 	 	0	0
H2400	SIGNATURE ADVANTAGE, LLC	2018	1	 	 	 	 	 	0	0
H2406	SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	2018	1	House Calls Program, Renew Rewards	HouseCall, 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 Ca	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 receive s 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.	7951	8687
H2416	PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE	2018	1	 	 	 	 	 	0	0
H2417	ITASCA MEDICAL CARE	2018	1	 	 	 	 	 	0	0
H2419	SOUTH COUNTRY HEALTH ALLIANCE	2018	1	Wellness Programs  and Preventive Care Reward Program	Exercising at a fitness center or health club, participation in up to five Community Education classes per calendar year, and an Annual Dental visit, Annual Mammogram Screening for breast cancer	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, a $25 gift card for enrollees who complete an annual Dental Visit, and a $25 gift card reward for women completing an annual Mammogram Screening	Scholarships for health club membership fees, scholarships for Community Education class fees, annual dental visit gift card, and mammogram screening gift card 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.	158	158
H2422	HEALTHPARTNERS, INC.	2018	1	MSHO Preventative Care Rewards	Mammography, Colorectol Cancer Screening, Osteoperosis Screening, Annual Wellness Visit	Gift Cards	$25 upon completion of the service	Claims submission of completed service	3129	841
H2422	HEALTHPARTNERS, INC.	2018	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	25	9
H2425	BLUE PLUS	2018	1	Osteoporosis Management in Women Who Had a Fracture (OMW), Breast Cancer Screening (BCS)	Bone scan, mammogram	$25 (OMW) Visa Gift Card, $50 (BCS) 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 service, vendor or member provides us with reporting showing who completed the scan or completed form, 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	351	27
H2456	UCARE MINNESOTA	2018	1	Wellness Incentive	annual wellness visit or preventive checkup	gift card	Value of the activity or service and budget available for the estimated number of participants	member database of rewards and incentive activity	11989	978
H2456	UCARE MINNESOTA	2018	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	2573	752
H2456	UCARE MINNESOTA	2018	3	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	12798	180
H2456	UCARE MINNESOTA	2018	4	Dental Incentive	Dental 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	6563	151
H2456	UCARE MINNESOTA	2018	5	Diabetes Incentive	Hemoglobin A1c HbA1c testing	gift card	Value of the activity or service and budget available for the estimated number of participants	member database of rewards and incentive activity	1103	254
H2456	UCARE MINNESOTA	2018	6	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	1195	208
H2456	UCARE MINNESOTA	2018	7	Diabetes Incentive	nephropathy test	gift card	Value of the activity or service and budget available for the estimated number of participants	member database of rewards and incentive activity	619	139
H2456	UCARE MINNESOTA	2018	8	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	1562	488
H2456	UCARE MINNESOTA	2018	9	Osteoporosis Screening	osteoporosis screening	gift card	Value of the activity or service and budget available for the estimated number of participants	member database of rewards and incentive activity	147	26
H2458	MEDICA HEALTH PLANS	2018	1	 	 	 	 	 	0	0
H2459	UCARE MINNESOTA	2018	1	Asthma Incentive	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 care management system	1	1
H2459	UCARE MINNESOTA	2018	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	12565	777
H2459	UCARE MINNESOTA	2018	3	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	81651	640
H2459	UCARE MINNESOTA	2018	4	Diabetes Incentive	Hemoglobin A1c HbA1c testing	gift card	Value of the activity or service and budget available for the estimated number of participants	member database of rewards and incentive activity	3358	1154
H2459	UCARE MINNESOTA	2018	5	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	3439	1014
H2459	UCARE MINNESOTA	2018	6	Diabetes Incentive	nephropathy test	gift card	Value of the activity or service and budget available for the estimated number of participants	member database of rewards and incentive activity	1874	531
H2459	UCARE MINNESOTA	2018	7	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	5043	856
H2459	UCARE MINNESOTA	2018	8	Osteoporosis Screening	osteoporosis screening	gift card	Value of the activity or service and budget available for the estimated number of participants	member database of rewards and incentive activity	714	115
H2486	HUMANA MEDICAL PLAN OF UTAH, INC.	2018	1	Go365 by Humana	Education: Complete Healthy Assessment (HA), First Step HA (once per lifetime bonus for completion), HA Bonus (complete w/in 120 days of effective date), Interactive health tools such as courses, conversations and  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 density, Flu Shot, Dental Exam, Vision Exam, Body Mass Index (BMI), Blood Pressure, Blood Glucose screening (diabetes test), Cholesterol.	Medicare members can earn Bucks (Rewards) for participating and engaging in the program, such as completing education activities, biometric screening, preventive screenings, and exercising, etc.  Rewards can be redeemed for various items in the 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.	Program participation is tracked for each member through the completion of activities on the web or submitted via paper, uploads from fitness devices, incomings feeds from Silver Sneakers and screening data abstracted from medical claims, etc. As activity data feeds into the system, members are rewarded. Both the activity completion and the reward are posted to the member account.	3513	4269
H2491	WELLCARE HEALTH INSURANCE OF ARIZONA, INC.	2018	1	Healthy Rewards	Annual Wellness Visit,  Colon Cancer Screening, Flu Vaccine, Bone Health, Improve Your Physical Health, Improve Your Mental Health, Controlling Blood Pressure, Diabetic A1C, Diabetic Eye Exam, Diabetic Kidney Exam, Breast Cancer Screening	The members had the option of redeeming or printing an e-Gift card immediately or having a physical gift card or Visa prepaid debit card mailed to them. The merchant gift cards are not convertible to cash. The health care activities and reward values are as follows: Annual Wellness Visit ($25),  Colon Cancer Screening ($50), Flu Vaccine ($50), Bone Health ($50), Improve Your Physical Health ($25), Improve Your Mental Health ($10), Controlling Blood Pressure ($50), Diabetic A1C ($50), Diabetic Eye Exam ($25), Diabetic Kidney Exam ($25), Breast Cancer Screening ($50).	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).	4588	392
H2506	AETNA BETTER HEALTH, INC. (IL)	2018	1	 	 	 	 	 	0	0
H2531	UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.	2018	1	House Calls Program	HouseCall	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 receive s confirmation of a completed visit, the reward is issued.	4403	177
H2533	MOLINA HEALTHCARE OF SOUTH CAROLINA, LLC.	2018	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, appointment status reports from IHA partners.	3224	1318
H2533	MOLINA HEALTHCARE OF SOUTH CAROLINA, LLC.	2018	2	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 then activity completion is validated against claim data per HEDIS specifications. Members can receive a maximum of one incentive per activity but can earn multiple incentives if they are eligible and complete multiple activities.	1324	157
H2563	OPTIMA HEALTH PLAN	2018	1	 	 	 	 	 	0	0
H2591	HEALTH ALLIANCE - MIDWEST, INC.	2018	1	Wellness Rewards	Eligible services and associated points are as listed: Annual PCP visit (required) (30 points), Breast Cancer Screening (10 points), Colorectal Cancer Screening (20 points), eye exam (10 points), Flu Shot (5 points), Social Activity (5 points), Tal k with your physician about: Urinary incontinence (5 points), Fall risk (5 points), Female Osteoporosis screening/treatment (5 points), Physical Activity (5 points), Mental Health (5 points)	Fulfilling 50 points out of 105 total possible points will allow the member to receive a $50 Amazon gift card reward	Activities have points assigned to them for the participants to check off and fulfill	Interactive database that can be exported to excel and report.	22	22
H2591	HEALTH ALLIANCE - MIDWEST, INC.	2018	2	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.	12	0
H2593	AMERIGROUP TEXAS, INC.	2018	1	Rewards for Health Program	Depression Screening, Colorectal Cancer Screening, Diabetes Care  Blood Sugar Testing (HbA1c), Breast Cancer Screening (Mammogram), Annual Wellness Visit Healthy Start OR Healthy Journey, Physical Activity Monitoring, Diabetes Care  Eye Exam, Blood Pressure Control, Annual Flu or Pneumonia Shot, and Bladder Control and Urine Leakage Problem Discussion	$10 Visa gift cards	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 fulfillment kits 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 address, 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 fulfillment log is generated by the vendor every two weeks once rewards are issued. Data reports are generated by the mailhouse vendor every month with statistics on how many coupons were received during that month, number and types of rewards fulfilled, etc.	13653	14519
H2610	ESSENCE HEALTHCARE, INC.	2018	1	 	 	 	 	 	0	0
H2663	COVENTRY HEALTH CARE OF MISSOURI, INC	2018	1	 	 	 	 	 	0	0
H2758	BEHEALTHY FLORIDA, INC.	2018	1	 	 	 	 	 	0	0
H2773	QUALITY HEALTH PLANS OF NEW YORK, INC.	2018	1	Preventative Screening Program	Wellness exams	Gift cards	Members earn gift cards of various amounts depending on the nunber of screenings and or exams they have completed. $10-Physical Exam, $5-Cholesterol Screening, $10-Diabetes Screening, $5-Blood Pressure Screening, $10-Colorectal Exam, $10-Eye Exam, $15-Flu Vaccine, $5-Pain Screening. Maximum reward totals $70 per member	Data is captured in a data file and reports are generated to track and monitor progress	394	394
H2775	AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY	2018	1	Healthy Rewards	Annual Wellness Visit,  Colon Cancer Screening, Flu Vaccine, Bone Health, Improve Your Physical Health, Improve Your Mental Health, Controlling Blood Pressure, Diabetic A1C, Diabetic Eye Exam, Diabetic Kidney Exam, Breast Cancer Screening	The members had the option of redeeming or printing an e-Gift card immediately or having a physical gift card or Visa prepaid debit card mailed to them. The merchant gift cards are not convertible to cash. The health care activities and reward values are as follows: Annual Wellness Visit ($25),  Colon Cancer Screening ($50), Flu Vaccine ($50), Bone Health ($50), Improve Your Physical Health ($25), Improve Your Mental Health ($10), Controlling Blood Pressure ($50), Diabetic A1C ($50), Diabetic Eye Exam ($25), Diabetic Kidney Exam ($25), Breast Cancer Screening ($50).	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).	33779	6581
H2802	UNITEDHEALTHCARE OF THE MIDLANDS, INC.	2018	1	House Calls Program, Renew Rewards	HouseCall, 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 Ca	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 receive s 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.	97684	107605
H2816	AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY	2018	1	Healthy Rewards	Annual Wellness Visit,  Colon Cancer Screening, Flu Vaccine, Bone Health, Improve Your Physical Health, Improve Your Mental Health, Controlling Blood Pressure, Diabetic A1C, Diabetic Eye Exam, Diabetic Kidney Exam, Breast Cancer Screening	The members had the option of redeeming or printing an e-Gift card immediately or having a physical gift card or Visa prepaid debit card mailed to them. The merchant gift cards are not convertible to cash. The health care activities and reward values are as follows: Annual Wellness Visit ($25),  Colon Cancer Screening ($50), Flu Vaccine ($50), Bone Health ($50), Improve Your Physical Health ($25), Improve Your Mental Health ($10), Controlling Blood Pressure ($50), Diabetic A1C ($50), Diabetic Eye Exam ($25), Diabetic Kidney Exam ($25), Breast Cancer Screening ($50).	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).	20125	4206
H2829	INNOVATION HEALTH PLAN, INC.	2018	1	Healthy Rewards	Breast Cancer Screening, Colorectal Cancer Screening. Diabetic Eye Exams, Diabetic Kidney Screenings,  blood pressure monitoring, A1C two times per year if they're a diabetic, flu shot, and/or having an annual wellness exam	The Members receive an activation kit that invites them to participate in Healthy Rewards  the kit explains they can "activate" the program by going online  calling in or mailing in coupons that are included in their activation kit. When the members complete any of the activities they attest by submitting the date of service  providers name and address. The member can then select from a variety of retailer a gift card to either be mailed to their home address  or redeemed online via a code. The reward values  per activity  range from $15 to $50 depending on the activity.	Based on analysis we bucket the reward opportunities  into three groups  maintain  progress and improve. Each grouping dictates a value for the reward and the likelihood we believe we have in moving the membership to be more complaint in obtaining that particular service.	Enrollees attest either online  telephonically  or via mail that they've completed the service. They provide the date of service  provider name and address. We receive monthly activity files that shares which members have redeemed which services and the date the attestation was made.	406	445
H2879	MOLINA HEALTHCARE OF WISCONSIN, INC.	2018	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, appointment status reports from IHA partners.	1216	794
H2879	MOLINA HEALTHCARE OF WISCONSIN, INC.	2018	2	QI Medicare Planner Incentives	Breast Cancer Screening, Colorectal Cancer Screening, Flu Vaccine, HbA1c Test, Nephropathy Screening, Retinal Eye Exam	$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.	Members must mail or fax a program postcard to Molina to confirm activity/activities are completed. Members can receive a maximum of one incentive per activity but can earn multiple incentives if they are eligible and complete multiple activities.	1002	34
H2906	HOMETOWN HEALTH PLAN, INC.	2018	1	Colorectal Cancer Screening Initiative	Completion of Annual FIT Test	Non Cash Value Incentive	The same for every member	Electronic Record	1344	137
H2906	HOMETOWN HEALTH PLAN, INC.	2018	2	Diabetic Eye Exam Inititiative	Completion of Annual Diabetic Eye Exam	Non Cash Value Incentive	The same for every member	Electronic Record	780	36
H2906	HOMETOWN HEALTH PLAN, INC.	2018	3	Annual Wellness Visit Initiative	Completion of Annual Wellness Visit	Non Cash Value Incentive	The same for every member	Electronic Record	4185	30
H2906	HOMETOWN HEALTH PLAN, INC.	2018	4	Health Fair Participation	Participation in Health Fair	Non Cash Value Incentive	The same for every member	Electronic Record	398	122
H2915	PENNSYLVANIA HEALTH & WELLNESS, INC.	2018	1	Pennsylvania Health and Wellness- DSNP/MAPD- H2915	Annual flu vaccination, breast cancer screening, colorectal cancer screening, diabetes eye exam, diabetes hbA1c, 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	315	577
H2926	PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE	2018	1	 	 	 	 	 	0	0
H2944	HUMANA INSURANCE COMPANY	2018	1	Go365 by Humana	Education: Complete Healthy Assessment (HA), First Step HA (once per lifetime bonus for completion), HA Bonus (complete w/in 120 days of effective date), Interactive health tools such as courses, conversations and  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 density, Flu Shot, Dental Exam, Vision Exam, Body Mass Index (BMI), Blood Pressure, Blood Glucose screening (diabetes test), Cholesterol.	Medicare members can earn Bucks (Rewards) for participating and engaging in the program, such as completing education activities, biometric screening, preventive screenings, and exercising, etc.  Rewards can be redeemed for various items in the 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.	Program participation is tracked for each member through the completion of activities on the web or submitted via paper, uploads from fitness devices, incomings feeds from Silver Sneakers and screening data abstracted from medical claims, etc. As activity data feeds into the system, members are rewarded. Both the activity completion and the reward are posted to the member account.	8775	3790
H2960	HOMETOWN HEALTH PLAN, INC.	2018	1	Colorectal Cancer Screening Initiative	Completion of Annual FIT Test	Non Cash Value Incentive	The same for every member	Electronic Record	3516	416
H2960	HOMETOWN HEALTH PLAN, INC.	2018	2	Diabetic Eye Exam Inititiative	Completion of Annual Diabetic Eye Exam	Non Cash Value Incentive	The same for every member	Electronic Record	905	115
H2960	HOMETOWN HEALTH PLAN, INC.	2018	3	Annual Wellness Visit Initiative	Completion of Annual Wellness Visit	Non Cash Value Incentive	The same for every member	Electronic Record	15758	278
H2960	HOMETOWN HEALTH PLAN, INC.	2018	4	Bone Density Screening Initative	Completion of Bone Density Screening	Non Cash Value Incentive	The same for every member	Electronic Record	13	3
H2960	HOMETOWN HEALTH PLAN, INC.	2018	5	Health Fair Participation	Participation in Health Fair	Non Cash Value Incentive	The same for every member	Electronic Record	1370	95
H2962	ULTIMATE HEALTH PLANS, INC.	2018	1	Preventive Services Rewards	Breast Cancer Screening, Colorectal Cancer Screening, Diabetic Retinal Screening, Nephropathy Screening	Gift card	All rewards are the same $25 value gift card per preventive service	Claim received for each preventive service	2769	2377
H2986	STANFORD HEALTHCARE ADVANTAGE	2018	1	 	 	 	 	 	0	0
H3018	CENTERS PLAN FOR HEALTHY LIVING, LLC	2018	1	 	 	 	 	 	0	0
H3054	CONSTELLATION HEALTH, LLC.	2018	1	 	 	 	 	 	0	0
H3071	COMMUNITY CARE ALLIANCE OF ILLINOIS, NFP	2018	1	 	 	 	 	 	0	0
H3113	OXFORD HEALTH PLANS (NJ), INC.	2018	1	House Calls Program, Renew Rewards	HouseCall, 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 Ca	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 receive s 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.	22672	22200
H3132	AHF MCO OF FLORIDA, INC.	2018	1	YES. Colonoscopy  Member Incentive Program.	Colorectal cancer Screening. By completing a colonoscopy by a Gastroenterologist (GI) specialist. Qualified members must be ages 50 years and older and have not completed a screening within the last 10 years, or as advised by their doctor. Each qualified member is outreached to my mail and phone, informing them of the program.	Members will be mailed a $50 grocery store Gift cards, upon verification of completion.	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 as a reward.	Members will be tracked by the Quality team based on the returned letters that must be signed by their provider and are received via mail. The Quality team will also retrieve member claims records to verify the members screening completion.  .	404	45
H3132	AHF MCO OF FLORIDA, INC.	2018	2	Diabetic Retinal Eye Exam  Member Incentive Program.	The diabetic retinal eye exam 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 outreached to by mailed letters and phone calls, informing them of the program.	Members will be mailed a $20 grocery store Gift cards, upon verification of completion.	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 also promotes good health, therefore a $20 grocery gift card that cannot be spent on alcohol or cigarettes seems rational as a reward.	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 members screening completion	389	63
H3152	AETNA HEALTH INC. (NJ)	2018	1	 	 	 	 	 	0	0
H3154	HORIZON INSURANCE COMPANY	2018	1	2018 Rewards and Incentive Program	Breast Cancer Screening, Colorectal Cancer Screening/Colonoscopy or Sigmoidoscopy, Colorectal Cancer Screening/CT Colonography/FOBT Kit or Stool DNA Test, Diabetic Eye Exam, 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 paired with claims data	23443	2893
H3170	SAPPHIRE EDGE, INC.	2018	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 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.	123	104
H3204	PRESBYTERIAN HEALTH PLAN	2018	1	 	 	 	 	 	0	0
H3206	PRESBYTERIAN INSURANCE COMPANY, INC.	2018	1	 	 	 	 	 	0	0
H3227	KALOS HEALTH, INC.	2018	1	 	 	 	 	 	0	0
H3237	HEALTH NET COMMUNITY SOLUTIONS, INC.	2018	1	 	 	 	 	 	0	0
H3240	AMERIGROUP NEW JERSEY, INC.	2018	1	Rewards for Health	Annual Routine Physical, Breast Cancer Screening,  Colorectal Cancer Screening, Diabetic Retinal Eye Exam	$25 Gift Card for each screening	Value of Gift Card, one gift card for each incentive	Provider Signed Attestations	10	10
H3251	HEALTH CARE SERVICE CORPORATION	2018	1	Yes	Annual Wellness Visit, Annual , Fall Risk Assessment, Flu Vaccine, Blood Glucose A1c Screening, Colorectal  Screening, Completion of  Health Questionnaire, In -Home Assessment, Mammogram, Nephropathy  Screening, Retinal Eye Exam, Bone Density Screening, Tracking of Physical Activity  over 12 weeks.	Registered members earn Gift Cards total annual  maximum rewards is $100. For members in this contract  we used $25 gift card awards for all Healthy  Actions, inclusive of Annual Wellness Visit, Annual, Fall Risk Assessment, Flu Vaccine, Blood Glucose, A1 Screening, Colorectal, Screening, Completion of Health Questionnaire, In-Home Assessment, Mammogram, Nephropathy Screening, Retinal Eye Exam, Bone Density Screening	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 Healthy Rewards Program, via Weekly Registration reports, Healthy Action Activity Reports and Reward Redemption Reports.	4252	13826
H3259	VOLUNTEER STATE HEALTH PLAN	2018	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.	15827	19867
H3291	PRUITTHEALTH PREMIER, INC.	2018	1	 	 	 	 	 	0	0
H3305	MVP HEALTH PLAN, INC.	2018	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.	35282	4987
H3307	OXFORD HEALTH PLANS (NY), INC.	2018	1	House Calls Program, Renew Rewards	HouseCall, 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 Ca	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 receive s 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.	34718	42089
H3312	AETNA HEALTH INC. (NY)	2018	1	 	 	 	 	 	0	0
H3328	THE NEW YORK STATE CATHOLIC HEALTH PLAN, INC.	2018	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), Diabetes HbA1c Test (one test per calendar year).	$50.00 gift card for a mammogram, $50.00 gift card for a colonoscopy, $50.00 gift card for a bone scan, $50.00 gift card for an HbA1c test.	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.	73366	38785
H3330	HEALTH INSURANCE PLAN OF GREATER NEW YORK	2018	1	Health and Wellness/Prevention and Bone Mineral Density Incentive Program	Annual checkup with primary care physician, mammogram-breast cancer screening, colorectal (colon) cancer screening which includes colonoscopy or stool test, diabetes tests which includes HbA1c blood test, urine test and dilated eye exam, lastly a bone mineral density screening	Reward Cards in the amounts of: $15, $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.	9716	6048
H3335	EXCELLUS HEALTH PLAN, INC.	2018	1	 	 	 	 	 	0	0
H3342	EMPIRE HEALTHCHOICE ASSURANCE, INC.	2018	1	Rewards for Health	Annual Routine Physical, Breast Cancer Screening,  Colorectal Cancer Screening, Diabetic Retinal Eye Exam, Bone Mineral Density Screening_B	ARP $25 Gift Card, BCS $25 Gift Card, COL $25 Gift Card, Diabetic Eye Exam $25 Gift Card, OMW_B $50 Gift Card	Value of Gift Card, one gift card for each incentive	Provider Signed Attestations	977	959
H3344	INDEPENDENT HEALTH BENEFITS CORPORATION	2018	1	Independent Health's FitWorks Medicare	Enhanced Annual Visit, joining a gym, preventive screening services, preventive vision services, preventive dental services, Medication Therapy Management, telemedicine.	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), participate in Medication Therapy Management (10 points), register for the supplemental telemedicine benefit (10 points), and join a gym through Independent Health's Healthy Benefits program (10 points). 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.	4657	587
H3347	ELDERPLAN, INC.	2018	1	Elderplan Wellness Incentive Program	Colorectal Cancer Screening, Flu Shot, Mammogram, Retinal Eye Exam, Medications Management for Members with Rheumatoid Arthritis	$15 Visa Gift Card	A $15 incentive is rewarded through a VISA gift card to enrollees for each eligible completed health service.	Enrollees submit a completed reward coupon for each service to participate in the program. Once received, the coupons are scanned and logged for tracking.  Submitted services  are then validated via claims and/or medical records for reward processing.	431	916
H3351	EXCELLUS HEALTH PLAN, INC.	2018	1	 	 	 	 	 	0	0
H3359	HEALTHFIRST HEALTH PLAN, INC.	2018	1	Yes	Bone Density Test, Breast Cancer Screening, Colorectal Cancer Screening, Diabetic Retinal Exam, Completion of Health Risk Assessment, Office Visit to Rheumatologist for Rheumatoid Arthritis	Members are offered a reward card that can be used in-stores and online shops	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	36314	37149
H3362	INDEPENDENT HEALTH ASSOCIATION, INC.	2018	1	Independent Health's FitWorks Medicare	Enhanced Annual Visit, joining a gym, preventive screening services, preventive vision services, preventive dental services, Medication Therapy Management, telemedicine.	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), participate in Medication Therapy Management (10 points), register for the supplemental telemedicine benefit (10 points), and join a gym through Independent Health's Healthy Benefits program (10 points). 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.	63560	10721
H3379	UNITEDHEALTHCARE OF NEW YORK, INC.	2018	1	House Calls Program, Renew Rewards	HouseCall, 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 Ca	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 receive s 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.	13223	14556
H3384	HEALTHNOW NEW YORK INC.	2018	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.	33139	19602
H3384	HEALTHNOW NEW YORK INC.	2018	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.	33139	1960
H3387	UNITEDHEALTHCARE OF NEW YORK, INC.	2018	1	House Calls Program, Renew Rewards	HouseCall, 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 Ca	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 receive s 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.	47311	50869
H3388	CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.	2018	1	Fall Risk Assessment	getting a fall risk assessment	15 dollar gift card	actual value	excel spreadsheet	662	662
H3404	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	2018	1	Yes	The plan targets members who are documented or are suspected of having multiple chronic conditions for an in home assessment.	Participating enrolees can earn a $50 retail gift card.	The value of the reward is less than the value of the medical service received.	The vendor completing the assessments reports to BCBSNC weekly which members have undergone assessments.  BCBSNC also received a medical record as a result of the assessment.	10371	2517
H3404	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	2018	2	Yes	Annual Wellness Visit	$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 mailed versus rewards issued	26125	11599
H3404	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	2018	3	Yes	Breast Cancer Education and Screening	$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 mailed versus rewards issued	13099	7231
H3404	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	2018	4	Yes	Diabetes Health and Wellness Education and HbA1c Screening	$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 mailed versus rewards issued	26125	7113
H3404	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	2018	5	Yes	Diabetes Health and Wellness Education and 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 mailed versus rewards issued	26125	4378
H3404	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	2018	6	Yes	Diabetes Health and Wellness Education and Nephropathy Screening	$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 mailed versus rewards issued	26125	5755
H3404	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	2018	7	Yes	Colorectal Cancer Education and Screening	$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 mailed versus rewards issued	14328	4462
H3404	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	2018	8	Yes	Osteoporosis Education and Bone Mineral Density Scan	$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	14582	2577
H3416	HEALTHPARTNERS UNITYPOINT HEALTH, INC.	2018	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	21	15
H3447	HEALTHKEEPERS, INC.	2018	1	Rewards for Health	Breast Cancer Screening, Colorectal Cancer Screening, Diabetic Bundle Screening (A1c Test, Diabetic Retinal Eye Exam, Diabetic Kidney Screen, Blood Pressure)	BCS $25 Gift Card, COL $25 Gift Card, Diabetic Bundle $100 Gift Card	Value of Gift Card, one gift card for each incentive	Provider Signed Attestations	127	122
H3447	HEALTHKEEPERS, INC.	2018	2	Rewards for Health Program	Depression Screening, Colorectal Cancer Screening, Diabetes Care  Blood Sugar Testing (HbA1c), Breast Cancer Screening (Mammogram), Annual Wellness Visit Healthy Start OR Healthy Journey, Physical Activity Monitoring, Diabetes Care  Eye Exam, Blood Pressure Control, Annual Flu or Pneumonia Shot, and Bladder Control and Urine Leakage Problem Discussion	$10 Visa gift cards	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 fulfillment kits 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 address, 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 fulfillment log is generated by the vendor every two weeks once rewards are issued. Data reports are generated by the mailhouse vendor every month with statistics on how many coupons were received during that month, number and types of rewards fulfilled, etc.	5975	4901
H3449	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	2018	1	Yes	The plan targets members who are documented or are suspected of having multiple chronic conditions for an in home assessment.	Participating enrolees can earn a $50 retail gift card.	The value of the reward is less than the value of the medical service received.	The vendor completing the assessments reports to BCBSNC weekly which members have undergone assessments.  BCBSNC also received a medical record as a result of the assessment.	17114	4578
H3449	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	2018	2	Yes	Annual Wellness Visit	$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 mailed versus rewards issued	46544	15461
H3449	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	2018	3	Yes	Breast Cancer Education and Screening	$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 mailed versus rewards issued	23220	10820
H3449	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	2018	4	Yes	Diabetes Health and Wellness Education and HbA1c Screening	$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 mailed versus rewards issued	46544	13180
H3449	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	2018	5	Yes	Diabetes Health and Wellness Education and 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 mailed versus rewards issued	46544	7737
H3449	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	2018	6	Yes	Diabetes Health and Wellness Education and Nephropathy Screening	$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 mailed versus rewards issued	46544	10289
H3449	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	2018	7	Yes	Colorectal Cancer Education and Screening	$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 mailed versus rewards issued	25716	6663
H3449	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	2018	8	Yes	Osteoporosis Education and Bone Mineral Density Scan	$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	22929	3684
H3464	UNITEDHEALTHCARE OF ARKANSAS, INC.	2018	1	House Calls Program, Renew Rewards	HouseCall, 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 Ca	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 receive s 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.	2042	1929
H3471	HEALTH ALLIANCE NORTHWEST HEALTH PLAN	2018	1	Wellness Rewards	Eligible services and associated points are as listed: Annual PCP visit (required) (30 points), Breast Cancer Screening (10 points), Colorectal Cancer Screening (20 points), eye exam (10 points), Flu Shot (5 points), Social Activity (5 points), Tal k with your physician about: Urinary incontinence (5 points), Fall risk (5 points), Female Osteoporosis screening/treatment (5 points), Physical Activity (5 points), Mental Health (5 points)	Fulfilling 50 points out of 105 total possible points will allow the member to receive a $50 Amazon gift card reward	Activities have points assigned to them for the participants to check off and fulfill	Interactive database that can be exported to excel and report.	206	206
H3471	HEALTH ALLIANCE NORTHWEST HEALTH PLAN	2018	2	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.	57	0
H3499	COORDINATED CARE CORPORATION	2018	1	Managed Health Services- IN HMO H3499	Annual flu vaccination, annual wellness visit, breast cancer screening, colorectal screening, diabetes eye exam, diabetes hbA1c, diabetes kidney screening	CVS gift card	Reward values are calculated based on average cost of service for the health plan	Weekly claims sweep of internal systems	800	1078
H3528	CONNECTICARE, INC.	2018	1	 	 	 	 	 	0	0
H3533	HUMANA HEALTH COMPANY OF NEW YORK, INC.	2018	1	Go365 by Humana	Education: Complete Healthy Assessment (HA), First Step HA (once per lifetime bonus for completion), HA Bonus (complete w/in 120 days of effective date), Interactive health tools such as courses, conversations and  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 density, Flu Shot, Dental Exam, Vision Exam, Body Mass Index (BMI), Blood Pressure, Blood Glucose screening (diabetes test), Cholesterol.	Medicare members can earn Bucks (Rewards) for participating and engaging in the program, such as completing education activities, biometric screening, preventive screenings, and exercising, etc.  Rewards can be redeemed for various items in the 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.	Program participation is tracked for each member through the completion of activities on the web or submitted via paper, uploads from fitness devices, incomings feeds from Silver Sneakers and screening data abstracted from medical claims, etc. As activity data feeds into the system, members are rewarded. Both the activity completion and the reward are posted to the member account.	24528	24620
H3536	MATTHEW THORNTON HEALTH PLAN, INC.	2018	1	Rewards for Health	Annual Routine Physical, Breast Cancer Screening,  Colorectal Cancer Screening, Diabetic Retinal Eye Exam	$25 Gift Card for each screening	Value of Gift Card, one gift card for each incentive	Provider Signed Attestations	722	701
H3561	HEALTH NET COMMUNITY SOLUTIONS, INC.	2018	1	Health Net of California Rewards Program H3561	Annual flu vaccination, breast cancer screening, colorectal cancer screening, diabetic HbA1c testing, diabetic retinopathy screening, Annual Wellness Visit, Annual Flu Vaccine, Diabetic Eye Exam, Bone Density Test, Rheumatoid Arthritis Management, Breast Cancer Screening, Colon Cancer Screening, Improve Your Physical Health, Improve Your Mental Health"	Walmart gift and  Mercahnt Gift cards   The members had the option of printing an eGift card immediately or having a physical gift card mailed to them  Values range 10-50 dollars depenpding upon the activity	Reward values are calculated based on average cost of service for the health plan  It is also 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	Weekly claims sweep of internal systems  Also members interact through the  program via the mail telephonic and digital channels  Member interactions across the channels are captured in CMS compliant data storage as activations and redemptions	18221	27597
H3597	AETNA HEALTH INC. (ME)	2018	1	 	 	 	 	 	0	0
H3653	PARAMOUNT CARE, INC.	2018	1	Elite Member Incentive Program	Complete an annual wellness exam visit AND two preventive services from recommended by doctor from list which includes basica metabolic or lipid panel labs, colorectal screening, DEXA scan, flu or pneumonia vaccine, and mammorgram.  If diabetic choice includes nephropathy and/or retinopahty screening	$50 visa gift card	The perceived benefit to the member includes time taken to scheduled/attend visit, money spendin 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 HEDIS code sets.  We use an Excel spreadsheet to track member compliance with the program	16102	8237
H3655	COMMUNITY INSURANCE COMPANY	2018	1	Rewards for Health	Breast Cancer Screening, Diabetic Retinal Eye Exam, Bone Mineral Density Screening _A, Bone Mineral Screening_B	BCS $25 Gift Card, Diabetic Retinal Eye Exam $25 Gift Card, OMW_A $25 Gift Card, OMW_B $50 Gift Card	Value of Gift Card, one gift card for each incentive	Provider Signed Attestations	16246	15970
H3660	SUMMACARE INC.	2018	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.	10551	1502
H3664	AULTCARE HEALTH INSURING CORPORATION	2018	1	 	 	 	 	 	0	0
H3668	MOUNT CARMEL HEALTH PLAN, INC.	2018	1	 	 	 	 	 	0	0
H3672	THE HEALTH PLAN OF WEST VIRGINIA	2018	1	 	 	 	 	 	0	0
H3706	GLOBALHEALTH, INC.	2018	1	 	 	 	 	 	0	0
H3708	OKLAHOMA SUPERIOR SELECT, INC.	2018	1	 	 	 	 	 	0	0
H3749	UNITEDHEALTHCARE OF OKLAHOMA, INC.	2018	1	House Calls Program, Renew Rewards	HouseCall, 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 Ca	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 receive s 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.	13664	14741
H3755	COMMUNITY CARE HMO, INC	2018	1	 	 	 	 	 	0	0
H3794	CARE IMPROVEMENT PLUS WISCONSIN INSURANCE COMPANY	2018	1	House Calls Program, Renew Rewards	HouseCall, 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 Ca	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 receive s 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.	5670	6012
H3805	UNITEDHEALTHCARE OF OREGON, INC.	2018	1	House Calls Program, Renew Rewards	HouseCall, 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 Ca	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 receive s 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.	42836	48068
H3810	ALLCARE HEALTH PLAN, INC.	2018	1	 	 	 	 	 	0	0
H3811	SAMARITAN HEALTH PLANS, INC.	2018	1	 	 	 	 	 	0	0
H3813	MODA HEALTH PLAN, INC.	2018	1	 	 	 	 	 	0	0
H3814	ATRIO HEALTH PLANS	2018	1	 	 	 	 	 	0	0
H3815	ALIGNMENT HEALTH PLAN	2018	1	 	 	 	 	 	0	0
H3817	REGENCE BLUECROSS BLUESHIELD OF OREGON	2018	1	 	 	 	 	 	0	0
H3822	HEALTH CARE SERVICE CORPORATION	2018	1	Yes	Annual Wellness Visit, Annual , Fall Risk Assessment, Flu Vaccine, Blood Glucose A1c Screening, Colorectal  Screening, Completion of  Health Questionnaire, In -Home Assessment, Mammogram, Nephropathy  Screening, Retinal Eye Exam, Bone Density Screening, Tracking of Physical Activity  over 12 weeks.	Registered members earn Gift Cards total annual  maximum rewards is $100. For members in this contract  we used $25 gift card awards for all Healthy  Actions, inclusive of Annual Wellness Visit, Annual, Fall Risk Assessment, Flu Vaccine, Blood Glucose, A1 Screening, Colorectal, Screening, Completion of Health Questionnaire, In-Home Assessment, Mammogram, Nephropathy Screening, Retinal Eye Exam, Bone Density Screening	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 Healthy Rewards Program, via Weekly Registration reports, Healthy Action Activity Reports and Reward Redemption Reports.	18611	60400
H3832	HAWAII MEDICAL SERVICE ASSOCIATION	2018	1	Steps to Better Health Incentive Program	PCP Exam, Dilated Retinal Eye Exam, HbA1c Tests	Gift Cards	Enrollees may earn a maximum reward value of $75 dependent on the services they complete during the calendar year.  For example, PCP office visit for diabetes is worth $25, dilated retinal eye exam is worth $25, HbA1c test is worth $25. One award per year for each service. 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. All services are tracked and verified through claims.	1216	1207
H3864	PACIFICSOURCE COMMUNITY HEALTH PLANS	2018	1	 	 	 	 	 	0	0
H3890	HOPKINS HEALTH ADVANTAGE, INC.	2018	1	 	 	 	 	 	0	0
H3907	UPMC HEALTH PLAN, INC.	2018	1	Y- Medicare/SNP Preventive Incentive	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	34364	34455
H3909	QCC INSURANCE COMPANY	2018	1	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, Diabetes Eye Exam $25, Diabetic HbA1C testing 2x$10, Osteoporosis Screening (DEXA scan) $25, Diabetic Nutrition Counseling $25, Annual Wellness Visit $10	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).	9017	583
H3909	QCC INSURANCE COMPANY	2018	2	Personal Health Visit (PHV) program	The Personal Health Visit program is offered to Medicare members who are not in the Diabetic, Low Income Subsidy or Osteoperosis Management in Women denominators, 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 Nurse Practictioner (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.	Participants can earn one of five options for a $50 gift card. The retailers offered are Target, Walmart, Walgreens, Barnes and Noble, and Home Depot.	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.	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.	1061	1061
H3916	HIGHMARK SENIOR HEALTH COMPANY	2018	1	Passport Rewards Program	Annual Wellness Visit or Annual Physical Exam, Diabetic retinal eye exam, Breast cancer screening, Colorectal cancer screening, Nephropathy test, Bone Mineral Density Test, Dental exam, Hearing exam, SilverSneakers utilization	Once the necessary activity(ies) are completed by a member, they can earn between $25 and $50 gift card of their choice. The member will receive a gift card selection mailer where they can choose the gift card of their choice from the restaurant/retailers being offered: Amazon, Lowes, Target, Applebees, Eatn Park, Weis, Macys, Dicks Sporting Goods, GNC, Sheetz, Darden, Walmart, Kohl's, AMC Theaters, Bed Bath And Beyond	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.	We track enrollee participation via the Welltok reporting that is sent on a monthly basis. We receive member level data for members that are eligible for a reward and have redeemed a gift card.	148595	90321
H3923	CAPITAL ADVANTAGE INSURANCE COMPANY	2018	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	2018	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	2018	1	 	 	 	 	 	0	0
H3928	AETNA HEALTH, INC. (LA)	2018	1	Healthy Rewards	Breast Cancer Screening, Colorectal Cancer Screening. Diabetic Eye Exams, Diabetic Kidney Screenings,  blood pressure monitoring, A1C two times per year if they're a diabetic, flu shot, and/or having an annual wellness exam	The Members receive an activation kit that invites them to participate in Healthy Rewards  the kit explains they can "activate" the program by going online  calling in or mailing in coupons that are included in their activation kit. When the members complete any of the activities they attest by submitting the date of service  providers name and address. The member can then select from a variety of retailer a gift card to either be mailed to their home address  or redeemed online via a code. The reward values  per activity  range from $15 to $50 depending on the activity.	Based on analysis we bucket the reward opportunities  into three groups  maintain  progress and improve. Each grouping dictates a value for the reward and the likelihood we believe we have in moving the membership to be more complaint in obtaining that particular service.	Enrollees attest either online  telephonically  or via mail that they've completed the service. They provide the date of service  provider name and address. We receive monthly activity files that shares which members have redeemed which services and the date the attestation was made.	180	387
H3930	SPARTAN PLAN NY, INC.	2018	1	 	 	 	 	 	0	0
H3931	AETNA HEALTH INC. (PA)	2018	1	 	 	 	 	 	0	0
H3949	BRAVO HEALTH PENNSYLVANIA, INC.	2018	1	$50 Prevention Bonus Program	360 Exam (wellness exam)	$50 gift card to one of 13 retailers	No calculation is required. The value of the gift card is $50, which is less than the value of a 360 Exam (wellness exam). The reward value was set to $50 to encourage participation.	Customer completes and returns a doctor-signed form attesting that the qualifying exam took place during the eligible program timeframe. Existing customer forms had a unique barcode to identify each customer. New customers completed a separate form and were asked to write in their Customer ID to identify who they are. All returned forms were scanned  and documented by a vendor. The vendor provided a weekly list of all returned forms for CHS to audit. All approved and ineligible customer data was managed through Excel spreadsheets in 2018.	43318	7194
H3952	KEYSTONE HEALTH PLAN EAST, INC.	2018	1	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, Diabetes Eye Exam $25, Diabetic HbA1C testing 2x$10, Osteoporosis Screening (DEXA scan) $25, Diabetic Nutrition Counseling $25, Annual Wellness Visit $10	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).	93480	8415
H3952	KEYSTONE HEALTH PLAN EAST, INC.	2018	2	Personal Health Visit (PHV) program	The Personal Health Visit program is offered to Medicare members who do not qualify for Low Income Subsidy, diabetes or Osteoperosis Management in Women, 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 Nurse Practictioner (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.	Participants can earn one of five options for a $50 gift card. The retailers offered are Target, Walmart, Walgreens, Barnes and Noble, and Home Depot.	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.	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.	19462	19462
H3954	GEISINGER HEALTH PLAN	2018	1	 	 	 	 	 	0	0
H3957	HIGHMARK CHOICE COMPANY	2018	1	Passport Rewards Program	Annual Wellness Visit or Annual Physical Exam, Diabetic retinal eye exam, Breast cancer screening, Colorectal cancer screening, Nephropathy test, Bone Mineral Density Test, Dental exam, Hearing exam, SilverSneakers utilization	Once the necessary activity(ies) are completed by a member, they can earn between $25 and $50 gift card of their choice. The member will receive a gift card selection mailer where they can choose the gift card of their choice from the restaurant/retailers being offered: Amazon, Lowes, Target, Applebees, Eatn Park, Weis, Macys, Dicks Sporting Goods, GNC, Sheetz, Darden, Walmart, Kohl's, AMC Theaters, Bed Bath And Beyond	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.	We track enrollee participation via the Welltok reporting that is sent on a monthly basis. We receive member level data for members that are eligible for a reward and have redeemed a gift card.	107519	83275
H3959	AETNA HEALTH INC. (PA)	2018	1	Healthy Rewards	Breast Cancer Screening, Colorectal Cancer Screening. Diabetic Eye Exams, Diabetic Kidney Screenings,  blood pressure monitoring, A1C two times per year if they're a diabetic, flu shot, and/or having an annual wellness exam	The Members receive an activation kit that invites them to participate in Healthy Rewards  the kit explains they can "activate" the program by going online  calling in or mailing in coupons that are included in their activation kit. When the members complete any of the activities they attest by submitting the date of service  providers name and address. The member can then select from a variety of retailer a gift card to either be mailed to their home address  or redeemed online via a code. The reward values  per activity  range from $15 to $50 depending on the activity.	Based on analysis we bucket the reward opportunities  into three groups  maintain  progress and improve. Each grouping dictates a value for the reward and the likelihood we believe we have in moving the membership to be more complaint in obtaining that particular service.	Enrollees attest either online  telephonically  or via mail that they've completed the service. They provide the date of service  provider name and address. We receive monthly activity files that shares which members have redeemed which services and the date the attestation was made.	5777	16619
H3962	KEYSTONE HEALTH PLAN CENTRAL, INC.	2018	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.	2018	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.	2018	1	Yes	Annual Wellness Visit, Annual , Fall Risk Assessment, Flu Vaccine, Blood Glucose A1c Screening, Colorectal  Screening, Completion of  Health Questionnaire, In -Home Assessment, Mammogram, Nephropathy  Screening, Retinal Eye Exam, Bone Density Screening, Tracking of Physical Activity  over 12 weeks.	Registered members earn Gift Cards total annual  maximum rewards is $100. For members in this contract  we used $25 gift card awards for all Healthy  Actions, inclusive of Annual Wellness Visit, Annual, Fall Risk Assessment, Flu Vaccine, Blood Glucose, A1 Screening, Colorectal, Screening, Completion of Health Questionnaire, In-Home Assessment, Mammogram, Nephropathy Screening, Retinal Eye Exam, Bone Density Screening	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 Healthy Rewards Program, via Weekly Registration reports, Healthy Action Activity Reports and Reward Redemption Reports.	2161	7168
H4003	MMM HEALTHCARE, LLC	2018	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, Blood Pressure. In addition to this the patients when performing the tests accumulate points and those points can be redeemed in our mobile application MMM Members App	Promo Items: Android Charging Cable, Compressed Towel, Cooler Folding Bag, Dental Kit, Excersise Band, Eye Glass Kit, First Aid Kit, Fruit Fusion Bottle, Grocery Folding Bag, Hand Sanitizer, Iphone Charging Cable, Note Pads, Pastilleros, Radio FM, Sombrilla Clear, Tote Bag Clear View. Gifts Cards:Walmart Gift Card $10, Subway Gift Card $5, Marshalls Gift Card $10, Sizzler Gift Card $5, Home Depot Gift Card $10, Walgreens Gift Card $10, Chillis Gift Card $10, Capri Gift Card $10, JC Penney Gidt Card $10, El Meson Gift Certificate $10, El Meson Gift Certificate $5.	We use the value of a similar or 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.	33072	49720
H4004	MMM HEALTHCARE, LLC	2018	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, Blood Pressure. In addition to this the patients when performing the tests accumulate points and those points can be redeemed in our mobile application MMM Members App	Promo Items: Android Charging Cable, Compressed Towel, Cooler Folding Bag, Dental Kit, Excersise Band, Eye Glass Kit, First Aid Kit, Fruit Fusion Bottle, Grocery Folding Bag, Hand Sanitizer, Iphone Charging Cable, Note Pads, Pastilleros, Radio FM, Sombrilla Clear, Tote Bag Clear View. Gifts Cards: Walmart Gift Card $10, Subway Gift Card $5, Marshalls Gift Card $10, Sizzler Gift Card $5, Home Depot Gift Card $10, Walgreens Gift Card $10, Chillis Gift Card $10, Capri Gift Card $10, JC Penney Gidt Card $10, El Meson Gift Certificate $10, El Meson Gift Certificate $5.	We use the value of a similar or 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.	5097	8331
H4005	TRIPLE S ADVANTAGE, INC.	2018	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)	Gift Card	25.00 fixed amount	An initial communication was sent during the first quarter of 2018 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 care 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.  Weekly reports were generated and included in Mi Triple S Collaborative Platform 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 preventive care was completed by Members a $25 gift card was sent via mail.  An excel spreadsheet will be maintain with all information regarding the members compliance status and incentive payment.	13725	3558
H4007	HUMANA HEALTH PLANS OF PUERTO RICO, INC.	2018	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 $50 in gift card(s) to be selected from various vendors	With the completion of 4 preventive activities the enrollees earn $50 in gift card(s) to be selected from various vendors	Participation is tracked via claims processing for the specific CPT codes for the preventive activities listed above.	43764	69
H4036	ANTHEM INSURANCE COMPANIES, INC.	2018	1	Rewards for Health	Breast Cancer Screening, Diabetic Retinal Eye Exam, Bone Mineral Density Screening _A, Bone Mineral Screening_B	BCS $25 Gift Card, Diabetic Retinal Eye Exam $25 Gift Card, OMW_A $25 Gift Card, OMW_B $50 Gift Card	Value of Gift Card, one gift card for each incentive	Provider Signed Attestations	2322	2297
H4089	UNITEDHEALTHCARE OF LOUISIANA, INC.	2018	1	House Calls Program, Renew Rewards	HouseCall, 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 Ca	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 receive s 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.	173	149
H4091	SIMPRA ADVANTAGE, INC.	2018	1	 	 	 	 	 	0	0
H4093	PROVIDER PARTNERS HEALTH PLAN OF PENNSYLVANIA, INC	2018	1	 	 	 	 	 	0	0
H4141	HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.	2018	1	Go365 by Humana	Education: Complete Healthy Assessment (HA), First Step HA (once per lifetime bonus for completion), HA Bonus (complete w/in 120 days of effective date), Interactive health tools such as courses, conversations and  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 density, Flu Shot, Dental Exam, Vision Exam, Body Mass Index (BMI), Blood Pressure, Blood Glucose screening (diabetes test), Cholesterol.	Medicare members can earn Bucks (Rewards) for participating and engaging in the program, such as completing education activities, biometric screening, preventive screenings, and exercising, etc.  Rewards can be redeemed for various items in the 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.	Program participation is tracked for each member through the completion of activities on the web or submitted via paper, uploads from fitness devices, incomings feeds from Silver Sneakers and screening data abstracted from medical claims, etc. As activity data feeds into the system, members are rewarded. Both the activity completion and the reward are posted to the member account.	55750	93535
H4152	BLUE CROSS & BLUE SHIELD OF RHODE ISLAND	2018	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	2018	1	 	 	 	 	 	0	0
H4198	COMMUNITYCARE GOVERNMENT PROGRAMS, INC.	2018	1	 	 	 	 	 	0	0
H4213	USABLE MUTUAL INSURANCE COMPANY	2018	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 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.	500	371
H4227	VISTA HEALTH PLAN, INC.	2018	1	Colorectal Cancer Screening In Home FIT Kit	Preventive Health screening	Gift Cards	Gift Card Face Value - $20.00 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 monthly claims reporting and LabCorp weekly reporting.	2762	86
H4227	VISTA HEALTH PLAN, INC.	2018	2	Diabetic Screening Event - Mann Older Adult Center	Preventive Health Screening includeing BP, Diabetetes retinal imaging, HbA1c testing and urine collection for nephropathy testing	Gift Cards	Gift Card Face Value - $25.00 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	73	10
H4227	VISTA HEALTH PLAN, INC.	2018	3	Eagles Event - Dec 2018	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	4221	60
H4227	VISTA HEALTH PLAN, INC.	2018	4	HEDIS BCS Outreach	Mommography	Gift Cards	Gift Card Face Value - $15.00 per member that completed mammography services.	Verify members in need of breast cancer screenings and track members.  Veify testing completion by monthly claims reporting. (Offered July 31 - August 31, 2018)	1431	21
H4227	VISTA HEALTH PLAN, INC.	2018	5	HEDIS BCS Outreach	Mommography	Gift Cards	Gift Card Face Value - $25.00 per member that completed mammography services.	Verify members in need of breast cancer screenings and track members.  Veify testing completion by monthly claims reporting. (Offered September 1 -Decembert 31, 2018)	1431	129
H4227	VISTA HEALTH PLAN, INC.	2018	6	Member Appreciation - Chester City 2018 Hall	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	404	49
H4227	VISTA HEALTH PLAN, INC.	2018	7	Member Appreciation - Chester City Hall Dec 2018	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	352	24
H4227	VISTA HEALTH PLAN, INC.	2018	8	Member Appreciation - Darby Rec	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	182	25
H4227	VISTA HEALTH PLAN, INC.	2018	9	Member Appreciation - West Oaklane	Preventive Health Screening includeing BP, Diabetetes retinal imaging, HbA1c testing and urine collection for nephropathy testing	Gift Cards	Gift Card Face Value - $15.00 ($10 and $5 gift cards) 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	201	98
H4227	VISTA HEALTH PLAN, INC.	2018	10	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	494	34
H4227	VISTA HEALTH PLAN, INC.	2018	11	Member appreciation- Ezekiel	Preventive Health Screening includeing BP, Diabetetes retinal imaging, HbA1c testing and urine collection for nephropathy testing	Gift Cards	Gift Card Face Value - $25.00 ($15 nad $10 gift cards) 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	421	62
H4227	VISTA HEALTH PLAN, INC.	2018	12	Member Engagement -  YMCA West 2018	Preventive Health Screening includeing BP, Diabetetes retinal imaging, HbA1c testing and urine collection for nephropathy testing	Gift Cards	Gift Card Face Value - $15.00 ($10 and $5 gift cards) 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	269	81
H4227	VISTA HEALTH PLAN, INC.	2018	13	Member Engagement - Dixon House	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	215	28
H4227	VISTA HEALTH PLAN, INC.	2018	14	Pink on Purpose 2018	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	32	6
H4227	VISTA HEALTH PLAN, INC.	2018	15	Stellar Rx Diabetes Screening In Home Visits	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.	1517	229
H4227	VISTA HEALTH PLAN, INC.	2018	16	LabCorp/Professional Technicians Diabetes Screening In Home Visits	Diabetes home visit testing for members in need of services, including 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 LabCorp weekly reporting.	1517	11
H4227	VISTA HEALTH PLAN, INC.	2018	17	Diabetic Retinal Exams	Diabetic Preventive Health screening	Gift Cards	Gift Card Face Value - $25.00 per member with diabetes that completed a diabetic retinal exam.	Verify members in need of diabetic retinal eye exams and track members.  Veify testing completion by monthly claims reporting.	1517	174
H4236	SPARTAN PLAN PA, INC.	2018	1	 	 	 	 	 	0	0
H4279	UPMC FOR YOU, INC	2018	1	Y- Medicare/SNP Preventive Incentive	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	8528	9196
H4346	HMO COLORADO, INC.	2018	1	Rewards for Health	Breast Cancer Screening, Diabetic Retinal Eye Exam, Bone Mineral Screening_B	BCS $25 Gift Card, Diabetic Retinal Eye Exam $25 Gift Card,  OMW_B $50 Gift Card	Value of Gift Card, one gift card for each incentive	Provider Signed Attestations	145	144
H4346	HMO COLORADO, INC.	2018	2	Rewards for Health Program	Depression Screening, Colorectal Cancer Screening, Diabetes Care  Blood Sugar Testing (HbA1c), Breast Cancer Screening (Mammogram), Annual Wellness Visit Healthy Start OR Healthy Journey, Physical Activity Monitoring, Diabetes Care  Eye Exam, Blood Pressure Control, Annual Flu or Pneumonia Shot, and Bladder Control and Urine Leakage Problem Discussion	$10 Visa gift cards	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 fulfillment kits 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 address, 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 fulfillment log is generated by the vendor every two weeks once rewards are issued. Data reports are generated by the mailhouse vendor every month with statistics on how many coupons were received during that month, number and types of rewards fulfilled, etc.	8501	5777
H4388	SECURITY HEALTH PLAN OF WISCONSIN, INC.	2018	1	 	 	 	 	 	0	0
H4407	HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY	2018	1	$50 Prevention Bonus Program	360 Exam (wellness exam)	$50 gift card to one of 13 retailers	No calculation is required. The value of the gift card is $50, which is less than the value of a 360 Exam (wellness exam). The reward value was set to $50 to encourage participation.	Customer completes and returns a doctor-signed form attesting that the qualifying exam took place during the eligible program timeframe. Existing customer forms had a unique barcode to identify each customer. New customers completed a separate form and were asked to write in their Customer ID to identify who they are. All returned forms were scanned  and documented by a vendor. The vendor provided a weekly list of all returned forms for CHS to audit. All approved and ineligible customer data was managed through Excel spreadsheets in 2018.	10759	2837
H4461	CARITEN HEALTH PLAN INC.	2018	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 $50 in gift card(s) to be selected from various vendors	With the completion of 4 preventive activities the enrollees earn $50 in gift card(s) to be selected from various vendors	Participation is tracked via claims processing for the specific CPT codes for the preventive activities listed above.	29	1
H4461	CARITEN HEALTH PLAN INC.	2018	2	Go365 by Humana	Education: Complete Healthy Assessment (HA), First Step HA (once per lifetime bonus for completion), HA Bonus (complete w/in 120 days of effective date), Interactive health tools such as courses, conversations and  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 density, Flu Shot, Dental Exam, Vision Exam, Body Mass Index (BMI), Blood Pressure, Blood Glucose screening (diabetes test), Cholesterol.	Medicare members can earn Bucks (Rewards) for participating and engaging in the program, such as completing education activities, biometric screening, preventive screenings, and exercising, etc.  Rewards can be redeemed for various items in the 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.	Program participation is tracked for each member through the completion of activities on the web or submitted via paper, uploads from fitness devices, incomings feeds from Silver Sneakers and screening data abstracted from medical claims, etc. As activity data feeds into the system, members are rewarded. Both the activity completion and the reward are posted to the member account.	118760	294835
H4490	MISSOURI MEDICARE SELECT, LLC	2018	1	 	 	 	 	 	0	0
H4497	MEDICAL MUTUAL OF OHIO	2018	1	Medical Mutual Wellness Rewards Program	Annual Wellness visit, Breast cancer screening, Colorectal cancer screening, Retinal eye exam, Hemoglobin A1c, Nephropathy testing (Urine test), Flu shot (vaccine)	$10-50 AM-EX (American Express gift card)	Complete a wellness visit to earn an incentive ($10).  Additional activities that earn an additional $10 up to $50 include: Breast cancer screening, Colorectal cancer screening, Retinal eye exam, Hemoglobin A1c, Nephropathy testing (Urine test), Flu shot (vaccine)	A database is maintained that tracks the member involvement in the program from enrollment through year end.	8760	487
H4506	SELECTCARE OF TEXAS, INC.	2018	1	Healthy Rewards	Annual Wellness Visit,  Colon Cancer Screening, Flu Vaccine, Bone Health, Improve Your Physical Health, Improve Your Mental Health, Controlling Blood Pressure, Diabetic A1C, Diabetic Eye Exam, Diabetic Kidney Exam, Breast Cancer Screening	The members had the option of redeeming or printing an e-Gift card immediately or having a physical gift card or Visa prepaid debit card mailed to them. The merchant gift cards are not convertible to cash. The health care activities and reward values are as follows: Annual Wellness Visit ($25),  Colon Cancer Screening ($50), Flu Vaccine ($50), Bone Health ($50), Improve Your Physical Health ($25), Improve Your Mental Health ($10), Controlling Blood Pressure ($50), Diabetic A1C ($50), Diabetic Eye Exam ($25), Diabetic Kidney Exam ($25), Breast Cancer Screening ($50).	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).	64637	11432
H4513	HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.	2018	1	$50 Prevention Bonus Program	360 Exam (wellness exam)	$50 gift card to one of 13 retailers	No calculation is required. The value of the gift card is $50, which is less than the value of a 360 Exam (wellness exam). The reward value was set to $50 to encourage participation.	Customer completes and returns a doctor-signed form attesting that the qualifying exam took place during the eligible program timeframe. Existing customer forms had a unique barcode to identify each customer. New customers completed a separate form and were asked to write in their Customer ID to identify who they are. All returned forms were scanned  and documented by a vendor. The vendor provided a weekly list of all returned forms for CHS to audit. All approved and ineligible customer data was managed through Excel spreadsheets in 2018.	228550	52839
H4514	UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.	2018	1	House Calls Program, Renew Rewards	HouseCall, 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 Ca	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 receive s 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.	19470	20139
H4523	AETNA HEALTH INC. (TX)	2018	1	Healthy Rewards	Breast Cancer Screening, Colorectal Cancer Screening. Diabetic Eye Exams, Diabetic Kidney Screenings,  blood pressure monitoring, A1C two times per year if they're a diabetic flu shot and/or having an annual wellness exam	The Members receive an activation kit that invites them to participate in Healthy Rewards  the kit explains they can "activate" the program by going online  calling in or mailing in coupons that are included in their activation kit. When the members complete any of the activities they attest by submitting the date of service  providers name and address. The member can then select from a variety of retailer a gift card to either be mailed to their home address or redeemed online via a code. The reward values  per activity  range from $15 to $50 depending on the activity.	Based on analysis we bucket the reward opportunities  into three groups  maintain  progress and improve. Each grouping dictates a value for the reward and the likelihood we believe we have in moving the membership to be more complaint in obtaining that particular service.	Enrollees attest either online  telephonically  or via mail that they've completed the service. They provide the date of service  provider name and address. We receive monthly activity files that shares which members have redeemed which services and the date the attestation was made.	4203	9958
H4527	PHYSICIANS HEALTH CHOICE OF TEXAS, LLC	2018	1	House Calls Program, Renew Rewards	HouseCall, 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 Ca	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 receive s 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.	19597	21904
H4590	UNITEDHEALTHCARE BENEFITS OF TEXAS, INC.	2018	1	House Calls Program, Renew Rewards	HouseCall, 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 Ca	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 receive s 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.	49809	63570
H4604	UNITEDHEALTHCARE OF UTAH, INC.	2018	1	House Calls Program, Renew Rewards	HouseCall, 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 Ca	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 receive s 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.	23226	25051
H4605	REGENCE BLUECROSS BLUESHIELD OF UTAH	2018	1	 	 	 	 	 	0	0
H4754	PACIFICSOURCE COMMUNITY HEALTH PLANS	2018	1	 	 	 	 	 	0	0
H4778	SPARTAN PLAN IL, INC.	2018	1	 	 	 	 	 	0	0
H4853	BRIGHT HEALTH COMPANY OF ARIZONA	2018	1	 	 	 	 	 	0	0
H4868	WELLCARE OF NEW YORK, INC.	2018	1	Healthy Rewards	Annual Wellness Visit,  Colon Cancer Screening, Flu Vaccine, Bone Health, Improve Your Physical Health, Improve Your Mental Health, Controlling Blood Pressure, Diabetic A1C, Diabetic Eye Exam, Diabetic Kidney Exam, Breast Cancer Screening	The members had the option of redeeming or printing an e-Gift card immediately or having a physical gift card or Visa prepaid debit card mailed to them. The merchant gift cards are not convertible to cash. The health care activities and reward values are as follows: Annual Wellness Visit ($25),  Colon Cancer Screening ($50), Flu Vaccine ($50), Bone Health ($50), Improve Your Physical Health ($25), Improve Your Mental Health ($10), Controlling Blood Pressure ($50), Diabetic A1C ($50), Diabetic Eye Exam ($25), Diabetic Kidney Exam ($25), Breast Cancer Screening ($50).	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).	42068	4841
H4875	PRIORITY HEALTH	2018	1	CenseoHealth Incentive for Bonus Checkup	Priority Health offers in-home health assessments to all eligible Medicare Advantage members.  Members that decline to have an in-home health assessment are encouraged to reconsider and if they do they are provided a $25 incentive (Visa gift card) when the in-home assessment is completed.  In-home health assessment are provided by a certified physician to document and capture full burden of health and close quality gaps and drive care management if applicable.	$25 Visa gift card	Any member that qualifies for the incentive (Declined in-home assessment previously then subsequently accepted and had an in-home health assessment) will receive the full $25 Visa gift card.  There are no partial reward opportunities included in this program.	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 then subsequently accepted and had an in-home health assessment).	2730	138
H4876	CONSTELLATION HEALTH, LLC.	2018	1	 	 	 	 	 	0	0
H4882	HEALTHPARTNERS, INC.	2018	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	482	490
H4909	ANTHEM INSURANCE COMPANIES, INC.	2018	1	Rewards for Health	Annual Routine Physical, Breast Cancer Screening, Colorectal Cancer Screening, Diabetic Bundle Screening (A1c Test, Diabetic Retinal Eye Exam, Diabetic Kidney Screen, Blood Pressure), Diabetic Retinal Eye Exam, Bone Mineral Screening_B	ARP $25 Gift Card, BCS $25 Gift Card, COL $25 Gift Card, Diabetic Bundle $100 Gift Card, Diabetic Retinal Eye Exam $25 Gift Card, OMW_B $50 Gift Card	Value of Gift Card, one gift card for each incentive	Provider Signed Attestations	2511	2464
H4922	AGEWELL NEW YORK, LLC	2018	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.	2089	27
H4931	BANNER - UNIVERSITY CARE ADVANTAGE	2018	1	Annual Well Visit Incentive Program for UCA members enrolled in the Plan during 2018	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	Completed incentive forms are tracked in an Excel spreadsheet	9203	713
H4931	BANNER - UNIVERSITY CARE ADVANTAGE	2018	2	Breast Cancer Screening Incentive Program for UCA female members 50 - 74 years of age	Breast Cancer Screening	Gift Card to Subway or JC Penney	Members receive a $10 gift card if they obtain provider signature on an approved incentive form attesting to completion of screening for breast cancer	Completed incentive forms are tracked in an Excel spreadsheet	3420	208
H4931	BANNER - UNIVERSITY CARE ADVANTAGE	2018	3	Colorectal Cancer Screening Incentive Program for UCA members 50 - 75 years of age	Colorectal Cancer Screening	Gift Card to Subway or JC Penney	Members receive a $10 gift card if they obtain provider signature on an approved incentive form attesting to completion of screening for colon cancer	Completed incentive forms are tracked in an Excel spreadsheet	6317	256
H5008	UNITEDHEALTHCARE INSURANCE COMPANY	2018	1	House Calls Program, Renew Rewards	HouseCall, 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 Ca	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 receive s 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.	18858	19019
H5009	REGENCE BLUESHIELD	2018	1	 	 	 	 	 	0	0
H5010	ASURIS NORTHWEST HEALTH	2018	1	 	 	 	 	 	0	0
H5042	CDPHP UNIVERSAL BENEFITS, INC.	2018	1	Fall Risk Assessment	getting a fall risk assessment	15 dollar gift card	actual value	excel spreadsheet	56	56
H5050	KAISER FOUNDATION HEALTH PLAN OF WASHINGTON	2018	1	Silver&Fit Rewards Program	Fitness facility visits and/or physical activity.	Hats,pins	The value of the reward is the cost per unit. Silver&Fit Rewards are of nominal value.	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.	0	0
H5087	EASY CHOICE HEALTH PLAN INC.	2018	1	Healthy Rewards	Annual Wellness Visit,  Colon Cancer Screening, Flu Vaccine, Bone Health, Improve Your Physical Health, Improve Your Mental Health, Controlling Blood Pressure, Diabetic A1C, Diabetic Eye Exam, Diabetic Kidney Exam, Breast Cancer Screening	The members had the option of redeeming or printing an e-Gift card immediately or having a physical gift card or Visa prepaid debit card mailed to them. The merchant gift cards are not convertible to cash. The health care activities and reward values are as follows: Annual Wellness Visit ($25),  Colon Cancer Screening ($50), Flu Vaccine ($50), Bone Health ($50), Improve Your Physical Health ($25), Improve Your Mental Health ($10), Controlling Blood Pressure ($50), Diabetic A1C ($50), Diabetic Eye Exam ($25), Diabetic Kidney Exam ($25), Breast Cancer Screening ($50).	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).	30501	3004
H5106	HIGHMARK SENIOR SOLUTIONS COMPANY	2018	1	Passport Rewards Program	Annual Wellness Visit or Annual Physical Exam, Diabetic retinal eye exam, Breast cancer screening, Colorectal cancer screening, Nephropathy test, Bone Mineral Density Test, Dental exam, Hearing exam, SilverSneakers utilization	Once the necessary activity(ies) are completed by a member, they can earn between $25 and $50 gift card of their choice. The member will receive a gift card selection mailer where they can choose the gift card of their choice from the restaurant/retailers being offered: Amazon, Lowes, Target, Applebees, Eatn Park, Weis, Macys, Dicks Sporting Goods, GNC, Sheetz, Darden, Walmart, Kohl's, AMC Theaters, Bed Bath And Beyond	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.	We track enrollee participation via the Welltok reporting that is sent on a monthly basis. We receive member level data for members that are eligible for a reward and have redeemed a gift card.	4175	1913
H5117	LOUISIANA HEALTHCARE CONNECTIONS, INC.	2018	1	Louisiana Healthcare Connections- H5117	Annual flu vaccination, 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	78	79
H5141	CLOVER INSURANCE COMPANY	2018	1	Hello to Healthy Rewards by Clover	Breast Cancer Screening, Colon Cancer Screening, Flu Shot, Clover Care Visit, Wellness Activity	Gift Cards (Physical & Electronic)	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: Breast Cancer Screening $25, Colon Cancer Screening $25, Flu Shot $15, Wellness Activity $15, Clover Care Visit $50.	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 NovuHealths CMS-compliant data storage as activations and redemptions (participation).	32938	32430
H5172	COMMUNITY HEALTH GROUP	2018	1	Annual Physician Assessment	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.	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.	6127	4997
H5190	SUNSHINE STATE HEALTH PLAN, INC.	2018	1	Sunshine Health Advantage Rewards Program H5190	Annual flu vaccination, diabetic HbA1c testing, diabetic retinopathy screening, diabetic kidney screening, annual wellness visit, breast cancer screening,  colorectal screening	Walmart gift card	Reward values are calculated based on average cost of service for the health plan	Weekly claims sweep of internal systems	2150	1494
H5199	WELLCARE HEALTH INSURANCE OF ARIZONA, INC.	2018	1	Healthy Rewards	Annual Wellness Visit,  Colon Cancer Screening, Flu Vaccine, Bone Health, Improve Your Physical Health, Improve Your Mental Health, Controlling Blood Pressure, Diabetic A1C, Diabetic Eye Exam, Diabetic Kidney Exam, Breast Cancer Screening	The members had the option of redeeming or printing an e-Gift card immediately or having a physical gift card or Visa prepaid debit card mailed to them. The merchant gift cards are not convertible to cash. The health care activities and reward values are as follows: Annual Wellness Visit ($25),  Colon Cancer Screening ($50), Flu Vaccine ($50), Bone Health ($50), Improve Your Physical Health ($25), Improve Your Mental Health ($10), Controlling Blood Pressure ($50), Diabetic A1C ($50), Diabetic Eye Exam ($25), Diabetic Kidney Exam ($25), Breast Cancer Screening ($50).	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).	206	0
H5209	CARE WISCONSIN HEALTH PLAN, INC.	2018	1	 	 	 	 	 	0	0
H5211	SECURITY HEALTH PLAN OF WISCONSIN, INC.	2018	1	 	 	 	 	 	0	0
H5215	NETWORK HEALTH INSURANCE CORPORATION	2018	1	 	 	 	 	 	0	0
H5216	HUMANA INSURANCE COMPANY	2018	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 $50 in gift card(s) to be selected from various vendors	With the completion of 4 preventive activities the enrollees earn $50 in gift card(s) to be selected from various vendors	Participation is tracked via claims processing for the specific CPT codes for the preventive activities listed above.	33664	205
H5216	HUMANA INSURANCE COMPANY	2018	2	Go365 by Humana	Education: Complete Healthy Assessment (HA), First Step HA (once per lifetime bonus for completion), HA Bonus (complete w/in 120 days of effective date), Interactive health tools such as courses, conversations and  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 density, Flu Shot, Dental Exam, Vision Exam, Body Mass Index (BMI), Blood Pressure, Blood Glucose screening (diabetes test), Cholesterol.	Medicare members can earn Bucks (Rewards) for participating and engaging in the program, such as completing education activities, biometric screening, preventive screenings, and exercising, etc.  Rewards can be redeemed for various items in the 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.	Program participation is tracked for each member through the completion of activities on the web or submitted via paper, uploads from fitness devices, incomings feeds from Silver Sneakers and screening data abstracted from medical claims, etc. As activity data feeds into the system, members are rewarded. Both the activity completion and the reward are posted to the member account.	1218382	1892154
H5253	UNITEDHEALTHCARE OF WISCONSIN, INC.	2018	1	House Calls Program, Renew Rewards	HouseCall, 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 Ca	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 receive s 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.	220536	241370
H5262	GUNDERSEN HEALTH PLAN	2018	1	Gift Card Incentive Program for Annual Visit	annual wellness visit or preventive physical exam	$50 Visa gift card	100% reward for completing entire program	claim submission for AWV or PPE	16715	10087
H5280	MOLINA HEALTHCARE OF OHIO, INC.	2018	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, appointment status reports from IHA partners.	17381	9994
H5280	MOLINA HEALTHCARE OF OHIO, INC.	2018	2	QI MMP Planner Incentives	Flu Vaccine	$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.	Members must mail or fax a program postcard to Molina to confirm activity is completed.	13618	18
H5294	SUPERIOR HEALTH PLAN, INC.	2018	1	Superior HealthPlan Advantage Rewards Program H5294	Annual flu vaccination, breast cancer screening, colorectal cancer screening, annual wellness visit, diabetic hbA1c screening	Walmart gift card	Reward values are calculated based on average cost of service for the health plan	Weekly claims sweep of internal systems	1523	623
H5302	AETNA HEALTH INC. (GA)	2018	1	 	 	 	 	 	0	0
H5322	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	2018	1	House Calls Program, Renew Rewards	HouseCall, 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 Ca	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 receive s 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.	13147	12973
H5355	IEHP HEALTH ACCESS	2018	1	IEHP Family Asthma Program	The Family Asthma Program is perfect for all newly diagnosed patients of all ages who are interested in controlling their asthma using medication, environmental changes, and communication with their healthcare provider.  They will learn to identify asthma symptoms, environmental triggers, and times to seek out medical attention.   Technical assistance is provided for the use of a peak flow meter and aero chamber use along with an Asthma Action Plan.   The importance of having both controller and rescue medication is emphasized. Format: Large Group. Duration: One (1) 2.5-hour session	Upon completion of the class, Members will receive an Asthma kit (spacer and peak flow meter), 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	Participation is tracked using rosters which are entered into POWER BI database.	0	12
H5355	IEHP HEALTH ACCESS	2018	2	Healthy Me Healthy Baby Prenatal Classes	Healthy Me, Healthy Baby Workshop is an interactive 3-hour session for pregnant IEHP Members that covers topics such as prenatal/postpartum care, nutrition, injury prevention, well-baby checkups, immunizations, and community resources. This workshop is perfect for new moms or moms who want a pregnancy refresher.  Format: Large Group.  Duration: One (1) 3-hour session	Upon completion of the class, members are eligible to receive a free car seat and installation training.	Cost of the Car Seat =$140.00	Participation is tracked using rosters which are entered into POWER BI database.	0	7
H5355	IEHP HEALTH ACCESS	2018	3	Eat Healthy Be Active	The Eat Healthy Be Active Workshop series is open to any IEHP Member who is motivated to make lifestyle changes through healthy eating and exercise. Sample menus and recipes are featured along with food substitutions and calorie comparisons. Other popular topics include choosing healthier options at the grocery store, eating out, food safety, food labeling, and describes the physical activity recommendations and offers examples of aerobic and muscle and strengthening exercises for all ages, including older adults.  Six 2 hour sessions.  Sessions may be completed consecutively or out of sequence.  All Ages	Upon completion of the class, members are eligible to receive a free Slow Cooker or Crock pot	Cost of Item=$20	Participation is tracked using rosters which are entered into POWER BI database.	3	21
H5355	IEHP HEALTH ACCESS	2018	4	Diabetes Prevention Program	The Diabetes Prevention Program is ideal for patients who have a diagnosis of pre-diabetes.  It is a year-long lifestyle change program to help IEHP Members with prediabetes improve eating and exercise habits to prevent the onset of diabetes.  Social support is a key element of this community-based program.  Focuses on maintaining lifestyle changes all year long.  Weekly weigh-ins are required.  Format: Small/Large Group.  Duration: Twenty- Six (26) 1-hour sessions over one (1) year period.  Ages: 13 and over	Upon completion of the class, members are eligible to receive a choice of a smoothie maker, a scale, or a lunch box.	Cost of each Item=$20	Participation is tracked using rosters which are entered into POWER BI database.	6	6
H5355	IEHP HEALTH ACCESS	2018	5	Baby N ME Perinatal Tracker (Phone or Tablet Application)	This is a free app for IEHP Members who are pregnant or have a baby under 2 years old. On this app pregnant Members can get up-to-date information about their growing baby like ultrasound videos, get handy tools like a weight gain calculator, complete a survey that screens for postpartum depression, set appointment reminders, and much more!  Parents of a baby under 2 years old can get parenting tips and advice, age-adapted information about their babys growth, feeding patterns, and tools to track diaper changes, growth, and vaccines.  App is free through iTunes or Google Play.	Upon completion of download, Member receives a Target Gift Card valued at $25.	Cost of the Gift Card=$25	Participation is tracked using rosters which are entered into POWER BI database.	5	5
H5386	SHARP HEALTH PLAN	2018	1	 	 	 	 	 	0	0
H5410	HEALTHSPRING OF FLORIDA	2018	1	$50 Prevention Bonus Program	360 Exam (wellness exam)	$50 gift card to one of 13 retailers	No calculation is required. The value of the gift card is $50, which is less than the value of a 360 Exam (wellness exam). The reward value was set to $50 to encourage participation.	Customer completes and returns a doctor-signed form attesting that the qualifying exam took place during the eligible program timeframe. Existing customer forms had a unique barcode to identify each customer. New customers completed a separate form and were asked to write in their Customer ID to identify who they are. All returned forms were scanned  and documented by a vendor. The vendor provided a weekly list of all returned forms for CHS to audit. All approved and ineligible customer data was managed through Excel spreadsheets in 2018.	5980	1561
H5420	MEDICA HEALTHCARE PLANS, INC.	2018	1	House Calls Program	HouseCall	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 receive s confirmation of a completed visit, the reward is issued.	9556	9001
H5422	BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA	2018	1	Rewards for Health	Breast Cancer Screening, Colorectal Cancer Screening, Diabetic Bundle Screening (A1c Test, Diabetic Retinal Eye Exam, Diabetic Kidney Screen, Blood Pressure), Annual Routine Physical, Bone Mineral Screening_B	BCS $25 Gift Card, COL $25 Gift Card, Diabetic Bundle $100 Gift Card, ARP $50 Gift Card, OMW_B $50 Gift Card	Value of Gift Card, one gift card for each incentive	Provider Signed Attestations	841	800
H5425	SCAN HEALTH PLAN	2018	1	 	 	 	 	 	0	0
H5427	FREEDOM HEALTH, INC.	2018	1	HEDIS Disease-Modifying Anti-Rheumatics Drug Therapy for Rheumatoid Arthritis Mbr Incentive Program	Disease-Modifying Anti-Rheumatics Drug Therapy (DMARD) for Rheumatoid Arthritis Medication Management	Disease-Modifying Anti-Rheumatics Drug Therapy (DMARD) Program Gift Card 1- DMARD discussion with physician	RA Gift card 1- DMARD discussion with physician calculated at $25 to be enough to elicit member initiation of physician DMARD discussion action while not exceeding DMARD costs or specialist physician appointments	Members qualifying into the HEDIS measures with rewards/incentive programs are identified through our HEDIS certified software. Member level cases are then created in our Case Management software by health plan HEDIS Improvement Coordinators. Health Plan Analysts complete ongoing reward/incentive program reporting to track members completing health services/activities that earn them program rewards.	1155	784
H5427	FREEDOM HEALTH, INC.	2018	2	HEDIS Disease-Modifying Anti-Rheumatics Drug Therapy for Rheumatoid Arthritis Mbr Incentive Program	Disease-Modifying Anti-Rheumatics Drug Therapy (DMARD) for Rheumatoid Arthritis Medication Management	Disease-Modifying Anti-Rheumatics Drug Therapy (DMARD) Program Gift Card 2 -DMARD prescription fill	RA Gift Card 2- DMARD prescription fill calculated at $25 to be enough to elicit member action while not exceeding average DMARD RX costs	Members qualifying into the HEDIS measures with rewards/incentive programs are identified through our HEDIS certified software. Member level cases are then created in our Case Management software by health plan HEDIS Improvement Coordinators. Health Plan Analysts complete ongoing reward/incentive program reporting to track members completing health services/activities that earn them program rewards.	1155	766
H5427	FREEDOM HEALTH, INC.	2018	3	HEDIS Osteoporosis Management for Women (OMW) Member Incentive Program	Bone Density Testing and/or Osteoporosis Medication management for Women post fracture	Osteoporosis Management for Women (OMW) Program Gift Card	OMW $50 reward calculated based on not exceeding average osteoporosis medications costs, cost of subsequent fracture or cost of bone density test and associated follow-up while ensuring the reward was deemed to be an amount that would elicit timely action by eligible members.	Members qualifying into the HEDIS measures with rewards/incentive programs are identified through our HEDIS certified software. Member level cases are then created in our Case Management software by health plan HEDIS Improvement Coordinators. Health Plan Analysts complete ongoing reward/incentive program reporting to track members completing health services/activities that earn them program rewards.	1122	289
H5430	ONECARE BY CARE1ST HEALTH PLAN ARIZONA INC.	2018	1	Healthy Rewards	Annual Wellness Visit,  Colon Cancer Screening, Flu Vaccine, Bone Health, Improve Your Physical Health, Improve Your Mental Health, Controlling Blood Pressure, Diabetic A1C, Diabetic Eye Exam, Diabetic Kidney Exam, Breast Cancer Screening	The members had the option of redeeming or printing an e-Gift card immediately or having a physical gift card or Visa prepaid debit card mailed to them. The merchant gift cards are not convertible to cash. The health care activities and reward values are as follows: Annual Wellness Visit ($25),  Colon Cancer Screening ($50), Flu Vaccine ($50), Bone Health ($50), Improve Your Physical Health ($25), Improve Your Mental Health ($10), Controlling Blood Pressure ($50), Diabetic A1C ($50), Diabetic Eye Exam ($25), Diabetic Kidney Exam ($25), Breast Cancer Screening ($50).	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).	1740	322
H5431	HEALTHSUN HEALTH PLANS, INC.	2018	1	 	 	 	 	 	0	0
H5433	ORANGE COUNTY HEALTH AUTHORITY	2018	1	 	 	 	 	 	0	0
H5434	BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.	2018	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 $30, In Home Assessment $30, Annual Flu Shot $20, Breast Cancer Screening $25, Colon Cancer Screening (Fecal Occult Blood Test/Fecal Immunochemical Test/Flexible Sigmoidoscopy Colonoscopy) $10 to $50, Diabetes Care Eye Exam $25, Diabetes Care Kidney Exam $15, Diabetes Care A1C $20, Osteoporosis (BMD Screening) $25 Mailed physical gift cards,  Amazon e-Gift card can be printed immediately by the member. The merchant gift cards offered are not convertible to cash.	The reward value is based on Chapter 4 CMS guidelines pertaining to the value of the health related service and  the status of members completing their health activity in the 2018 plan year based on a combination of claims data received by Florida Blue and member self-reported activity.	Members interact through the HealthyBlue program via telephonic and digital channels. Member interactions across the channels are captured in Welltoks CMS-compliant data storage as activations and redemptions (participation).	2120	753
H5435	UNITEDHEALTHCARE INSURANCE COMPANY	2018	1	House Calls Program, Renew Rewards	HouseCall, 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 Ca	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 receive s 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.	7607	8181
H5439	HEALTH NET LIFE INSURANCE COMPANY	2018	1	 	 	 	 	 	0	0
H5441	HEALTHFIRST HEALTH PLAN, INC.	2018	1	 	 	 	 	 	0	0
H5471	SIMPLY HEALTHCARE PLANS, INC.	2018	1	 	 	 	 	 	0	0
H5475	MERIDIAN HEALTH PLAN OF MICHIGAN, INC.	2018	1	MeridianCare Healthy Rewards	Annual Flu Vaccine, Annual Wellness Visit, Breast Cancer Screening, Care for Older Adults, Diabetes Care Retinal Eye Exam, Diabetes Care Hemoglobin A1c Testing, Diabetes Care Nephropathy Screening	Gift Card	MeridianCare calculated the values of these rewards based on year-over-year performance on Star Ratings measures. Comprehensive Diabetes Care requires multiple components and potential office visits, resulting in a higher reward value. A flu has a lower reward value due to the simplicity and availability of the service.	When a member redeems an incentive, a unique code is stamped in the members profile and entered into a tracking grid and dashboard.	6309	2043
H5496	IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.	2018	1	 	 	 	 	 	0	0
H5521	AETNA LIFE INSURANCE COMPANY	2018	1	Aetna Healthy Rewards - Group Medicare	Breast Cancer Screening, Colorectal Cancer Screening. Diabetic Eye Exams, Diabetic Kidney Screenings, A1C two times per year if they're a diabetic, flu shot, annual wellness exam, tell us about your PCP and Silver Sneakers utilization.	Members are incented for obtaining preventative services. Rewards are provided in the form of gift cards from national and regional merchants.	The value is set based on the amount we believe is required to motivate  the membership to be more complaint in obtaining that particular service  but is less than the value of the service provided. The values generally range from $10 - $50 per activity completed.	Enrollees attest either online  telephonically  or via mail that they've completed the service. They provide the date of service  provider name and address. We receive monthly activity files that shares which members have redeemed which services and the date the attestation was made.	18542	57741
H5522	HEALTHASSURANCE PENNSYLVANIA, INC.	2018	1	Healthy Rewards	Breast Cancer Screening, Colorectal Cancer Screening. Diabetic Eye Exams, Diabetic Kidney Screenings,  blood pressure monitoring, A1C two times per year if they're a diabetic, flu shot, and/or having an annual wellness exam	The Members receive an activation kit that invites them to participate in Healthy Rewards  the kit explains they can "activate" the program by going online  calling in or mailing in coupons that are included in their activation kit. When the members complete any of the activities they attest by submitting the date of service  providers name and address. The member can then select from a variety of retailer a gift card to either be mailed to their home address  or redeemed online via a code. The reward values  per activity  range from $15 to $50 depending on the activity.	Based on analysis we bucket the reward opportunities  into three groups  maintain  progress and improve. Each grouping dictates a value for the reward and the likelihood we believe we have in moving the membership to be more complaint in obtaining that particular service.	Enrollees attest either online  telephonically  or via mail that they've completed the service. They provide the date of service  provider name and address. We receive monthly activity files that shares which members have redeemed which services and the date the attestation was made.	8210	21980
H5522	HEALTHASSURANCE PENNSYLVANIA, INC.	2018	2	Healthy Connections	The Healthy Connections program is a telephonic member journey to support Members in maintaining and improving their Health Outcomes.	Members receive an incentive to activate the journey and complete module 1. They receive another reward after they complete Module 8. The incentives for this program are gift cards to WalMart.	The total reward potential is $25 ($10 for completing Module 1 and $15 for completing Module 8). Analytical analysis suggests this value will help to progress our Health Outcome Survey results and improve members mental and physical activity levels.	We receive an activity file at the completion of Module 8 which provides the Members that completed Module 1 and Module 8.	4455	8269
H5525	HUMANA BENEFIT PLAN OF ILLINOIS, INC.	2018	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 $50 in gift card(s) to be selected from various vendors	With the completion of 4 preventive activities the enrollees earn $50 in gift card(s) to be selected from various vendors	Participation is tracked via claims processing for the specific CPT codes for the preventive activities listed above.	1475	2
H5525	HUMANA BENEFIT PLAN OF ILLINOIS, INC.	2018	2	Go365 by Humana	Education: Complete Healthy Assessment (HA), First Step HA (once per lifetime bonus for completion), HA Bonus (complete w/in 120 days of effective date), Interactive health tools such as courses, conversations and  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 density, Flu Shot, Dental Exam, Vision Exam, Body Mass Index (BMI), Blood Pressure, Blood Glucose screening (diabetes test), Cholesterol.	Medicare members can earn Bucks (Rewards) for participating and engaging in the program, such as completing education activities, biometric screening, preventive screenings, and exercising, etc.  Rewards can be redeemed for various items in the 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.	Program participation is tracked for each member through the completion of activities on the web or submitted via paper, uploads from fitness devices, incomings feeds from Silver Sneakers and screening data abstracted from medical claims, etc. As activity data feeds into the system, members are rewarded. Both the activity completion and the reward are posted to the member account.	81214	100421
H5526	HEALTHNOW NEW YORK INC.	2018	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.	19309	10470
H5526	HEALTHNOW NEW YORK INC.	2018	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.	19309	1317
H5528	GROUP HEALTH INCORPORATED	2018	1	 	 	 	 	 	0	0
H5533	UPMC HEALTH NETWORK, INC.	2018	1	Y- Medicare/SNP Preventive Incentive	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	2294	2103
H5549	VNS CHOICE	2018	1	 	 	 	 	 	0	0
H5576	VANTAGE HEALTH PLAN, INC.	2018	1	 	 	 	 	 	0	0
H5577	MCS ADVANTAGE, INC.	2018	1	MCS Te Cuida	Breast Cancer Screening, Colorectal Cancer Screening, Annual Flu Vaccine,  Diabetes Care - Eye Exam	Gift cards	The cost of the gift card is lower than preventive care cost as established in CMS Guidelines. For Flu Vaccine - $10 gift card, Diabetes Care Eye Exam - $20 Gift Card, Breast Cancer Screening and Colorectal Cancer Screening - a gift card of $25 applies to each.	Every member receives a brochure to notify them about the program. It contains information related to the preventive services they are eligible. Members could qualify from 1 to 4 measures according to CMS definition in Stars Ratings. Once the member returns the brochure completed, the information is uploaded into the CRM system and the member is enrolled in the program.	244214	17352
H5580	MERCY CARE	2018	1	Mercy Care Advantage Rewards	breast cancer screening, colon cancer screening, bone density testing, diabetes blood test Jan-Jun, diabetes blood test Jul-Dec, diabetes eye exam, diabetes kidney exam, flu shot, annual wellness visit	Gift cards	All members are eligible to receive the flu shot or annual wellness visit rewards.  Other rewards target members based on specific clinical indicators or standards of care.  The value of the award was derived by selecting a level that maximized member participation at a reasonable cost.  Reward values are breast cancer screening $25, colon cancer screening $50, bone density testing $25, diabetes blood test Jan-Jun $15, diabetes blood test Jul-Dec $15, diabetes eye exam $25, diabetes kidney exam $15, flu shot $15, and annual wellness visit $25	Participation is tracked using a weekly dashboard and data files from the vendor	1057	2824
H5587	HEALTH CHOICE ARIZONA, INC.	2018	1	 	 	 	 	 	0	0
H5590	BRIDGEWAY HEALTH SOLUTIONS	2018	1	Bridgeway Health Solutions Medicare Advantage Rewards Program H5590	Annual flu vaccine, Breast cancer screening, colorectal 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	600	319
H5591	MARTIN'S POINT GENERATIONS ADVANTAGE, INC.	2018	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 Hannaford 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	6253	6253
H5594	OPTIMUM HEALTHCARE, INC.	2018	1	HEDIS Disease-Modifying Anti-Rheumatics Drug Therapy for Rheumatoid Arthritis Mbr Incentive Program	Disease-Modifying Anti-Rheumatics Drug Therapy (DMARD) for Rheumatoid Arthritis Medication Management	Disease-Modifying Anti-Rheumatics Drug Therapy (DMARD) Program Gift Card 1- DMARD discussion with physician	RA Gift card 1- DMARD discussion with physician calculated at $25 to be enough to elicit member initiation of physician DMARD discussion action while not exceeding DMARD costs or specialist physician appointments	Members qualifying into the HEDIS measures with rewards/incentive programs are identified through our HEDIS certified software. Member level cases are then created in our Case Management software by health plan HEDIS Improvement Coordinators. Health Plan Analysts complete ongoing reward/incentive program reporting to track members completing health services/activities that earn them program rewards.	912	618
H5594	OPTIMUM HEALTHCARE, INC.	2018	2	HEDIS Disease-Modifying Anti-Rheumatics Drug Therapy for Rheumatoid Arthritis Mbr Incentive Program	Disease-Modifying Anti-Rheumatics Drug Therapy (DMARD) for Rheumatoid Arthritis Medication Management	Disease-Modifying Anti-Rheumatics Drug Therapy (DMARD) Program Gift Card 2 -DMARD prescription fill	RA Gift Card 2- DMARD prescription fill calculated at $25 to be enough to elicit member action while not exceeding average DMARD RX costs	Members qualifying into the HEDIS measures with rewards/incentive programs are identified through our HEDIS certified software. Member level cases are then created in our Case Management software by health plan HEDIS Improvement Coordinators. Health Plan Analysts complete ongoing reward/incentive program reporting to track members completing health services/activities that earn them program rewards.	912	611
H5594	OPTIMUM HEALTHCARE, INC.	2018	3	HEDIS Osteoporosis Management for Women (OMW) Member Incentive Program	Bone Density Testing and/or Osteoporosis Medication management for Women post fracture	Osteoporosis Management for Women (OMW) Program Gift Card	OMW $50 reward calculated based on not exceeding average osteoporosis medications costs, cost of subsequent fracture or cost of bone density test and associated follow-up while ensuring the reward was deemed to be an amount that would elicit timely action by eligible members.	Members qualifying into the HEDIS measures with rewards/incentive programs are identified through our HEDIS certified software. Member level cases are then created in our Case Management software by health plan HEDIS Improvement Coordinators. Health Plan Analysts complete ongoing reward/incentive program reporting to track members completing health services/activities that earn them program rewards.	771	196
H5608	DENVER HEALTH MEDICAL PLAN, INC.	2018	1	 	 	 	 	 	0	0
H5613	MVP HEALTH PLAN, INC.	2018	1	 	 	 	 	 	0	0
H5619	ARCADIAN HEALTH PLAN, INC.	2018	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 $50 in gift card(s) to be selected from various vendors	With the completion of 4 preventive activities the enrollees earn $50 in gift card(s) to be selected from various vendors	Participation is tracked via claims processing for the specific CPT codes for the preventive activities listed above.	86	1
H5619	ARCADIAN HEALTH PLAN, INC.	2018	2	Go365 by Humana	Education: Complete Healthy Assessment (HA), First Step HA (once per lifetime bonus for completion), HA Bonus (complete w/in 120 days of effective date), Interactive health tools such as courses, conversations and  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 density, Flu Shot, Dental Exam, Vision Exam, Body Mass Index (BMI), Blood Pressure, Blood Glucose screening (diabetes test), Cholesterol.	Medicare members can earn Bucks (Rewards) for participating and engaging in the program, such as completing education activities, biometric screening, preventive screenings, and exercising, etc.  Rewards can be redeemed for various items in the 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.	Program participation is tracked for each member through the completion of activities on the web or submitted via paper, uploads from fitness devices, incomings feeds from Silver Sneakers and screening data abstracted from medical claims, etc. As activity data feeds into the system, members are rewarded. Both the activity completion and the reward are posted to the member account.	335328	571394
H5628	MOLINA HEALTHCARE OF UTAH, INC.	2018	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, appointment status reports from IHA partners.	12259	9164
H5628	MOLINA HEALTHCARE OF UTAH, INC.	2018	2	QI Medicare Planner Incentives	Breast Cancer Screening, Colorectal Cancer Screening, Flu Vaccine, HbA1c Test, Nephropathy Screening, Retinal Eye Exam	$40 Walmart 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 or fax a program postcard to Molina to confirm activity/activities are completed. Members can receive a maximum of one incentive per activity but can earn multiple incentives if they are eligible and complete multiple activities.	10926	927
H5649	CENTRAL HEALTH PLAN OF CALIFORNIA, INC.	2018	1	Diabetes and Hyperlipidemia Management Classes	Diabetes and Hyperlipidemia  educational and dietary Management Classes. $15 Grocery Store Gift Cards are offered for attendance	$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.	12393	218
H5649	CENTRAL HEALTH PLAN OF CALIFORNIA, INC.	2018	2	Passport to a Healthy You	The 2018 Passport to a Healthy You is an incentive program that rewards members for completing their yearly preventive screenings. Members must complete the screenings with their providers and the providers signature is required on the passport in order to receive the gift card. Members may also visit the Central Health Wellness Center 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 our internal tracking system (Plan Apps). Members can only redeem this reward once per year.	39710	6624
H5649	CENTRAL HEALTH PLAN OF CALIFORNIA, INC.	2018	3	Wellness Center	Members who receive a full preventive visit at Central Health Medicare Plans (CHMP) Wellness Center receive gift card rewards. When the member has a full visit at CHPCs Wellness Center, our clinician would obtain histories from the member, review labs and medications with the member, conduct physical exams and screenings, provide assessments, health education and recommendations to the member. CHPCs clinician would complete as many applicable HEDIS/Star measurements as possible. The report is faxed to the members PCP and the member is advised to follow up with PCP for the remaining of the care. Members who come to the Health Fair events at Wellness Centers are not qualified for this reward. Member can only get the reward once in every calendar year regardless how many visits they have at Wellness Centers in the same year.	$15 Target or Ralphs Gift Card	Gift Card has a value of $15	When the gift card is issued to the member, Wellness Center staff records the information on paper. After returning to CHPCs main office, staff transfer the information onto an Excel tracking list and CHPCs computer database (Plan Application). CHPCs Medical Affairs Departments manager conducts validation on Excel and Plan Application tracking monthly and any errors would be corrected right away. The Excel list is submitted to Finance Department monthly as well. Because the Wellness Center team also helps to distribute gift cards for members who completed the Passport to a Healthy You incentive program, they also update the tracking of Passport gift card in the Excel and Plan Application. Before giving member the Passport gift cards, staff check the Plan Application to make sure that member did not receive the Passport gift card already. After issuing the gift card, we update the Plan Application tracking as soon as possible (usually within one business day) to help avoid giving the gift card again to the member in case the member mails in their passport after receiving the gift card at the Wellness Center.	40853	848
H5649	CENTRAL HEALTH PLAN OF CALIFORNIA, INC.	2018	4	Diabetes Prevention Program	$15 Grocery Store Gift Cards are offered for completing 8 regular or make-up sessions, Pedometers are awarded for completing 10 regular or make-up sessions of the program, Measuring spoons are awarded for completing 14 regular or make-up sessions, $15 Grocery Store Gift Cards are offered for completing 6 months of the program or 20 regular or make-up sessions. Members were entered into a drawing for an additional $15 gift card with equal chances of winning. Members are awarded 3 tickets for their completion of sessions whether its a regular or make-up session. If member is unable to attend then the session may be completed telephonically and will receive the 3 tickets for completing the session. Members are also awarded 2 tickets for completion of their food and fitness logs. Member may use different methods of recording food and fitness such as photographs, mobile applications, or booklets they are given in class. All members of the program are entered into a drawing at the 6 month mark for a fitness tracker and at the 12 month mark completion of the program for a fitness tracker. All members have equal opportunity to earn equal amounts of tickets to be entered into both drawings.	$15 Grocery Store Gift Cards, pedometers,  measuring spoons, fitness trackers	The value of the other rewards is calculated based off of the market value of the item	The program coordinator provides a sign-in sheet for members attending the class. All data for completion of sessions (regular or make-up) is kept in a database.  CDC requires data submission every six months	8	56
H5652	SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	2018	1	 	 	 	 	 	0	0
H5656	SELECTCARE HEALTH PLANS, INC.	2018	1	Healthy Rewards	Annual Wellness Visit,  Colon Cancer Screening, Flu Vaccine, Bone Health, Improve Your Physical Health, Improve Your Mental Health, Controlling Blood Pressure, Diabetic A1C, Diabetic Eye Exam, Diabetic Kidney Exam, Breast Cancer Screening	The members had the option of redeeming or printing an e-Gift card immediately or having a physical gift card or Visa prepaid debit card mailed to them. The merchant gift cards are not convertible to cash. The health care activities and reward values are as follows: Annual Wellness Visit ($25),  Colon Cancer Screening ($50), Flu Vaccine ($50), Bone Health ($50), Improve Your Physical Health ($25), Improve Your Mental Health ($10), Controlling Blood Pressure ($50), Diabetic A1C ($50), Diabetic Eye Exam ($25), Diabetic Kidney Exam ($25), Breast Cancer Screening ($50).	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).	1944	261
H5703	SOUTH COUNTRY HEALTH ALLIANCE	2018	1	Wellness Programs and Preventive Care Reward Program	Prenatal Care exam, Postpartum Care exam, Young Adult Well Care exam including Chlamydia screening, Mammogram screening for breast cancer, Cervical cancer screening, Dental visit, exercising at a fitness center or health club, participation in up to five Community Education classes per calendar year, ECFE (Early Childhood Family Education) classes.	$50 gift card reward for completing  the first Prenatal Care visit with a healthcare provider during the first trimester of pregnancy, $50 gift card reward for completing  Postpartum Care with a healthcare provider between 21 and 56 days after delivery, $25 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 screening during the exam, $25 gift card reward for completing an annual Mammogram Screening for women ages 40 and older, $25 gift card reward for completing a Cervical cancer screening, $25 Dental gift card for completing an annual dental visit, 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, unlimited ECFE classes.	The value of gift card rewards, scholarships for health club membership fees and scholarships for Community Education classes and ECFE (Early Childhood Family Education) classes 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.	189	189
H5746	AMERIGROUP COMMUNITY CARE OF NEW MEXICO, INC.	2018	1	Rewards for Health	Colorectal Cancer Screening, Diabetic Retinal Eye Exam	$25 Gift Card for each screening	Value of Gift Card, one gift card for each incentive	Provider Signed Attestations	40	37
H5774	TRIPLE S ADVANTAGE, INC.	2018	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)	Gift Card	25.00 fixed amount	An initial communication was sent during the first quarter of 2018 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 care 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.  Weekly reports were generated and included in Mi Triple S Collaborative Platform 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 preventive care was completed by Members a $25 gift card was sent via mail.  An excel spreadsheet will be maintain with all information regarding the members compliance status and incentive payment.	94949	16921
H5779	MERIDIAN HEALTH PLAN OF ILLINOIS, INC.	2018	1	MeridianCare Healthy Rewards	Annual Flu Vaccine, Annual Wellness Visit, Breast Cancer Screening, Colorectal Cancer Screening, Diabetes Care Retinal Eye Exam, Diabetes Care Hemoglobin A1c Testing, Diabetes Care Nephropathy Screening	Gift Card	MeridianCare calculated the values of these rewards based on year-over-year performance on Star Ratings measures. Comprehensive Diabetes Care requires multiple components and potential office visits, resulting in a higher reward value. A flu vaccine has a lower reward value due to the simplicity and availability of the service.	When a member redeems an incentive, a unique code is stamped in the members profile and entered into a tracking grid and dashboard.	1097	363
H5793	AETNA HEALTH INC. (CT)	2018	1	 	 	 	 	 	0	0
H5810	MOLINA HEALTHCARE OF CALIFORNIA	2018	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, appointment status reports from IHA partners.	2660	1383
H5810	MOLINA HEALTHCARE OF CALIFORNIA	2018	2	QI Medicare Planner Incentives	Breast Cancer Screening, Colorectal Cancer Screening, Flu Vaccine, HbA1c Test, Nephropathy Screening, Retinal Eye Exam	$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.	Members must mail or fax a program postcard to Molina to confirm activity/activities are completed. Members can receive a maximum of one incentive per activity but can earn multiple incentives if they are eligible and complete multiple activities.	1902	33
H5823	MOLINA HEALTHCARE OF WASHINGTON, INC.	2018	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, appointment status reports from IHA partners.	9746	5888
H5823	MOLINA HEALTHCARE OF WASHINGTON, INC.	2018	2	QI Medicare Planner Incentives	Breast Cancer Screening, Colorectal Cancer Screening, Flu Vaccine, HbA1c Test, Nephropathy Screening, Retinal Eye Exam	$40 Walmart 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 or fax a program postcard to Molina to confirm activity/activities are completed. Members can receive a maximum of one incentive per activity but can earn multiple incentives if they are eligible and complete multiple activities.	9809	419
H5826	COMMUNITY HEALTH PLAN OF WASHINGTON	2018	1	FITCHEK at home colon cancer screening program	At home Colorectal Cancer Screening	Members who participate are sent a gift certificate for participating.	$15 is the standard reward amount used.	Enrollees eligible for an in-home test based on colorectal cancer screening guidelines are automatically enrolled in the program and are tracked for earning rewards through a returned screening kit.	8163	500
H5852	AIDS HEALTHCARE FOUNDATION	2018	1	YES. Colonoscopy  Member Incentive Program.	Colorectal cancer Screening. By completing a colonoscopy by a Gastroenterologist (GI) specialist. Qualified members must be ages 50 years and older and have not completed a screening within the last 10 years, or as advised by their doctor. Each qualified member is outreached to my mail and phone, informing them of the program.	Members will be mailed a $50 grocery store Gift cards, upon verification of completion.   .	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 as a reward.	Members will be tracked by the Quality team based on the returned letters that must be signed by their provider and are received via mail. The Quality team will also retrieve member claims records to verify the members screening completion.	199	16
H5852	AIDS HEALTHCARE FOUNDATION	2018	2	Diabetic Retinal Eye Exam  Member Incentive Program.	The diabetic retinal eye exam 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 outreached to by mailed letters and phone calls, informing them of the program.	Members will be mailed a $20 grocery store Gift cards, upon verification of completion	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 also promotes good health, therefore a $20 grocery gift card that cannot be spent on alcohol or cigarettes seems rational as a reward.	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 members screening completion.	184	19
H5854	ANTHEM HEALTH PLANS, INC.	2018	1	Rewards for Health	Annual Routine Physical, Breast Cancer Screening, Colorectal Cancer Screening, Diabetic Retinal Eye Exam, Bone Mineral Screening_A, Bone Mineral Screening_B	ARP $25 Gift Card, BCS $25 Gift Card, COL $25 Gift Card, Diabetic Retinal Eye Exam $25 Gift Card, OMW_A $25 Gift Card, OMW_B $50 Gift Card	Value of Gift Card, one gift card for each incentive	Provider Signed Attestations	12024	11607
H5859	HEALTH PLAN OF CAREOREGON, INC.	2018	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.	3194	4376
H5883	BLUE CARE NETWORK OF MICHIGAN	2018	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 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 addition 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.	6506	5052
H5883	BLUE CARE NETWORK OF MICHIGAN	2018	2	In Home Assesment program also known as Home Health Review (IHA)	A full comphresive medical assesment that occurs in the members home and or faclility	$50.00 gift card to Meijer, CVS or Target	The cost of the assessments range from $340-$350. Upon completion of the assessment members are offered a $50 dollar gift card for their participation.	We receive member reports with member demograhics with all the members that have completed an assesesment	20960	5157
H5926	MOLINA HEALTHCARE OF MICHIGAN, INC.	2018	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, appointment status reports from IHA partners.	13590	9016
H5926	MOLINA HEALTHCARE OF MICHIGAN, INC.	2018	2	QI Medicare Planner Incentives	Breast Cancer Screening, Colorectal Cancer Screening, Flu Vaccine, HbA1c Test, Nephropathy Screening, Retinal Eye Exam	$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.	Members must mail or fax a program postcard to Molina to confirm activity/activities are completed. Members can receive a maximum of one incentive per activity but can earn multiple incentives if they are eligible and complete multiple activities.	11600	702
H5928	CARE1ST HEALTH PLAN	2018	1	The Incentive program	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,Total Dual Plan (HMO SNP) members only: care plan review with primary care physician (must include pain screening with assessment of ADL's	Blue Fluffy Blanket	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.	74164	2049
H5932	GATEWAY HEALTH PLAN, INC.	2018	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.	3333	2437
H5932	GATEWAY HEALTH PLAN, INC.	2018	2	Goodness Rewards - Diabetic A1c Test	Two A1c blood tests	$10 total 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.	4661	2461
H5932	GATEWAY HEALTH PLAN, INC.	2018	3	Goodness Rewards - Breast Cancer Screening	A mammogram between July  and December of 2018	$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.	1567	434
H5932	GATEWAY HEALTH PLAN, INC.	2018	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.	2346	1194
H5932	GATEWAY HEALTH PLAN, INC.	2018	5	Goodness Rewards - Blood Pressure Screening	Two blood Pressure screenings	$10 total 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.	4205	3987
H5932	GATEWAY HEALTH PLAN, INC.	2018	6	Goodness Rewards - Colorectal Cancer Screening	Colonoscopy or other colon cancer screening	$50 or $25 a reloadable gift card	A colonoscopy is seen as best practice and only needs to be completed once every 10 years while all others have a shorter duration. 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.	3310	1252
H5932	GATEWAY HEALTH PLAN, INC.	2018	7	Goodness Rewards - Flu Vaccine	Flu vaccine between July  and December of 2018	$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.	6552	3232
H5932	GATEWAY HEALTH PLAN, INC.	2018	8	Goodness Rewards - Diabetic Microalbumin Screening	Microalbumin urine screening between July  and December of 2018	$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.	564	91
H5932	GATEWAY HEALTH PLAN, INC.	2018	9	Goodness Rewards - Annual Wellness Visit	Preventative health screening	$50  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 Monthly tracking of completed/paid activities.	6695	5982
H5937	UCARE MINNESOTA	2018	1	Wellness Incentive	annual wellness visit or preventive checkup	gift card	Value of the activity or service and budget available for the estimated number of participants	member database of rewards and incentive activity	2075	230
H5937	UCARE MINNESOTA	2018	2	Asthma Incentive	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 care management system	17	54
H5937	UCARE MINNESOTA	2018	3	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	2440	132
H5937	UCARE MINNESOTA	2018	4	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	572	20
H5937	UCARE MINNESOTA	2018	5	Dental Incentive	Dental 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	1339	48
H5937	UCARE MINNESOTA	2018	6	Diabetes Incentive	Hemoglobin A1c HbA1c testing	gift card	Value of the activity or service and budget available for the estimated number of participants	member database of rewards and incentive activity	242	71
H5937	UCARE MINNESOTA	2018	7	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	271	46
H5937	UCARE MINNESOTA	2018	8	Diabetes Incentive	nephropathy test	gift card	Value of the activity or service and budget available for the estimated number of participants	member database of rewards and incentive activity	169	39
H5937	UCARE MINNESOTA	2018	9	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	261	119
H5937	UCARE MINNESOTA	2018	10	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	0	0
H5937	UCARE MINNESOTA	2018	11	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	8	5
H5938	CAPITAL HEALTH PLAN	2018	1	 	 	 	 	 	0	0
H5943	SCAN HEALTH PLAN	2018	1	 	 	 	 	 	0	0
H5945	PROMINENCE HEALTHFIRST	2018	1	Perspective Members Program	Attend prospective member meetings	Gift Cards	The value of the gift card was established to elicit enrollee behavior but not to exceed the value of the health related service or activity	Sign in sheet	418	418
H5945	PROMINENCE HEALTHFIRST	2018	2	Annual Health Assessment Program	Annual Health Assessment	Gift Cards	The value of the gift card was established to elicit enrollee behavior but not to exceed the value of the health related service or activity	Provider completes a patient care form and documents visit in electronic health record system	2476	2476
H5945	PROMINENCE HEALTHFIRST	2018	3	Prominence Perks Healthy Rewards Program	Colorectal Cancer Screening, Diabetes A1C Screening, Diabetes Nephropathy Screening, Diabetes Retinal Eye Exam, Breast Cancer Screening, Flu Shot	Gift Cards	The value of the gift card was established to elicit enrollee behavior but does not to exceed the value of the health related service or activity	Member sends in voucher as proof of service	1480	1480
H5959	BLUE CROSS AND BLUE SHIELD OF MINNESOTA	2018	1	 	 	 	 	 	0	0
H5969	ALOHACARE	2018	1	Member Incentive Program	Education about health assessments and screenings, Adult BMI and Blood Pressure Assessment, Breast Cancer Screening, Colorectal Cancer Screening, Pneumococcal and Influenza Vaccinations, 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	2186	369
H5970	HUMANA INSURANCE COMPANY OF NEW YORK	2018	1	Go365 by Humana	Education: Complete Healthy Assessment (HA), First Step HA (once per lifetime bonus for completion), HA Bonus (complete w/in 120 days of effective date), Interactive health tools such as courses, conversations and  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 density, Flu Shot, Dental Exam, Vision Exam, Body Mass Index (BMI), Blood Pressure, Blood Glucose screening (diabetes test), Cholesterol.	Medicare members can earn Bucks (Rewards) for participating and engaging in the program, such as completing education activities, biometric screening, preventive screenings, and exercising, etc.  Rewards can be redeemed for various items in the 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.	Program participation is tracked for each member through the completion of activities on the web or submitted via paper, uploads from fitness devices, incomings feeds from Silver Sneakers and screening data abstracted from medical claims, etc. As activity data feeds into the system, members are rewarded. Both the activity completion and the reward are posted to the member account.	10849	10701
H5989	CENTERLIGHT HEALTHCARE, INC.	2018	1	 	 	 	 	 	0	0
H5991	HEALTH INSURANCE PLAN OF GREATER NEW YORK	2018	1	Affinity Medicare Preventive and Follow Up Care Incentives	Annual Wellness Visit, Breast Cancer Screening, Colorectal Cancer Screening, Comprehensive Diabetes Care, Osteoporosis Management In Women Who Had A Fracture	$25 CVS gift card, $25 CVS gift card, , $25 CVS gift card, , $75 CVS gift card, , $25 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.   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 and Provider Reporting.	22477	51
H5992	SENIOR WHOLE HEALTH OF NEW YORK, INC.	2018	1	 	 	 	 	 	0	0
H5995	ATRIO HEALTH PLANS	2018	1	 	 	 	 	 	0	0
H6080	MERIDIAN HEALTH PLAN OF ILLINOIS, INC.	2018	1	IL Passport Incentive Program	Controlling High Blood Pressure, Breast Cancer Screening, Colorectal Cancer Screening and Care for Older Adults	Gift card	Meridian calculated the values of these rewards based on year-over-year HEDIS performance and historical performance of utilizing the same value to impact performance in other incentive programs. Success of the incentive program is evaluated two months after the applicable incentive timeframe (in order to account for claims lag). Successful impact is determined by the number of members who received notification of the incentive and then completed their needed health services within timeframe	When a member is invited to participate in an incentive program, a unique code is stamped in the members profile in Meridians Managed Care System. When members are awarded an incentive, another unique code is stamped in the members profile in Meridians Managed Care System and entered into a tracking grid	2463	7
H6080	MERIDIAN HEALTH PLAN OF ILLINOIS, INC.	2018	2	Flu Vaccine	Flu Vaccine	Gift card	The value of this reward was calculated based on comparable incentive programs offered by Meridian that utilize the same reward value and resulted in positive impact on performance. Success of the incentive program is evaluated two months after the applicable incentive timeframe (in order to account for claims lag). Successful impact is determined by the number of members who received notification of the flu vaccine incentive and then received their flu vaccine within timeframe	When a member is invited to participate in an incentive program, a unique code is stamped in the members profile in Meridians Managed Care System. When members are awarded an incentive, another unique code is stamped in the members profile in Meridians Managed Care System and entered into a tracking grid	7928	10
H6154	MEDICA HEALTH PLANS	2018	1	 	 	 	 	 	0	0
H6229	BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC.	2018	1	Anthem Member Rewards	Annual flu vaccine	20 reward dollars redeemable for OTCs and health care products	Member rewarded for receiving an annual flu vaccine	All members are auto enrolled into Anthem Member Rewards upon enrollment into the health plan. Internal reporting validates activities based on claims reports. Validated rewards are credited to members reward account housed with reward fulfillment vendor and are available for redemption. Redemption reports are provided by vendor.	2653	579
H6229	BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC.	2018	2	Anthem Member Rewards	Annual PCP visit	10 reward dollars redeemable for OTCs and health care products	Member rewarded for completing annual PCP visit.	All members are auto enrolled into Anthem Member Rewards upon enrollment into the health plan. Internal reporting validates activities based on claims reports. Validated rewards are credited to members reward account housed with reward fulfillment vendor and are available for redemption. Redemption reports are provided by vendor.	2653	2326
H6229	BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC.	2018	3	Anthem Member Rewards	Retinopathy exam	20 reward dollars redeemable for OTCs and health care products	Diabetic members rewarded for receiving a retinopathy exam	All members are auto enrolled into Anthem Member Rewards upon enrollment into the health plan. Internal reporting validates activities based on claims reports. Validated rewards are credited to members reward account housed with reward fulfillment vendor and are available for redemption. Redemption reports are provided by vendor.	2653	15
H6229	BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC.	2018	4	Anthem Member Rewards	Kidney disease monitoring test	20 reward dollars redeemable for OTCs and health care products	Diabetic members rewarded for receiving a  kidney disease monitoring test	All members are auto enrolled into Anthem Member Rewards upon enrollment into the health plan. Internal reporting validates activities based on claims reports. Validated rewards are credited to members reward account housed with reward fulfillment vendor and are available for redemption. Redemption reports are provided by vendor.	2653	1
H6229	BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC.	2018	5	Anthem Member Rewards	Breast cancer screening	20 reward dollars redeemable for OTCs and health care products	Members 40 or older are rewarded for receiving a cancer screening	All members are auto enrolled into Anthem Member Rewards upon enrollment into the health plan. Internal reporting validates activities based on claims reports. Validated rewards are credited to members reward account housed with reward fulfillment vendor and are available for redemption. Redemption reports are provided by vendor.	2653	2
H6229	BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC.	2018	6	Anthem Member Rewards	Colorectal cancer screening	20 reward dollars redeemable for OTCs and health care products	Members 50 or older are rewarded for receiving a colorectal cancer screening	All members are auto enrolled into Anthem Member Rewards upon enrollment into the health plan. Internal reporting validates activities based on claims reports. Validated rewards are credited to members reward account housed with reward fulfillment vendor and are available for redemption. Redemption reports are provided by vendor.	2653	273
H6229	BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC.	2018	7	Anthem Member Rewards	Participation in Interdisciplinary Care Team (IDT) meeting	10 reward dollars redeemable for OTCs and health care products	$20 gift care for participation in the Interdisciplinary Team (IDT) meeting with service coordinator, physician optional	All members are auto enrolled into Anthem Member Rewards upon enrollment into the health plan. Internal reporting validates activities based on claims reports. Validated rewards are credited to members reward account housed with reward fulfillment vendor and are available for redemption. Redemption reports are provided by vendor.	2653	1331
H6229	BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC.	2018	8	Anthem Member Rewards	HbA1c blood testing	20 reward dollars redeemable for OTCs and health care products	Diabetic members rewarded for completing an HbA1c blood test. Reward available two times per year	All members are auto enrolled into Anthem Member Rewards upon enrollment into the health plan. Internal reporting validates activities based on claims reports. Validated rewards are credited to members reward account housed with reward fulfillment vendor and are available for redemption. Redemption reports are provided by vendor.	2653	1775
H6229	BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC.	2018	9	Anthem Member Rewards	Post discharge assessment	20 reward dollars redeemable for OTCs and health care products	Member rewarded for calling service coordinator within three days of a hospital, SNF or NF discharge and completing an assessment	All members are auto enrolled into Anthem Member Rewards upon enrollment into the health plan. Internal reporting validates activities based on claims reports. Validated rewards are credited to members reward account housed with reward fulfillment vendor and are available for redemption. Redemption reports are provided by vendor.	2653	216
H6229	BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC.	2018	10	Anthem Member Rewards	Post discharge PCP visit	20 reward dollars redeemable for OTCs and health care products	Member rewarded for follow-up visit with their PCP within 14 days of a hospital, SNF or NF discharge	All members are auto enrolled into Anthem Member Rewards upon enrollment into the health plan. Internal reporting validates activities based on claims reports. Validated rewards are credited to members reward account housed with reward fulfillment vendor and are available for redemption. Redemption reports are provided by vendor.	2653	225
H6229	BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC.	2018	11	Rewards for Health Program	Depression Screening, Colorectal Cancer Screening, Diabetes Care  Blood Sugar Testing (HbA1c), Breast Cancer Screening (Mammogram), Annual Wellness Visit Healthy Start OR Healthy Journey, Physical Activity Monitoring, Diabetes Care  Eye Exam, Blood Pressure Control, Annual Flu or Pneumonia Shot, and Bladder Control and Urine Leakage Problem Discussion	$10 Visa gift cards	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 fulfillment kits 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 address, 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 fulfillment log is generated by the vendor every two weeks once rewards are issued. Data reports are generated by the mailhouse vendor every month with statistics on how many coupons were received during that month, number and types of rewards fulfilled, etc.	3376	1155
H6237	REGENCE BLUECROSS BLUESHIELD OF OREGON	2018	1	 	 	 	 	 	0	0
H6306	FIRSTCAROLINACARE INSURANCE COMPANY	2018	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	$15 Walmart Gift Card for completing a health assessment,$25 Walmart Gift Card to members who have completed patient portion of health risk assessment form and also had a visit by a physician or provider by August 1 2018 or by December 31 2018 for any member who enrolled after July 1 2018,  $25 Walmart Gift Card to qualified members who completed a Jump Start Assessment in 2018	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	6369	4219
H6328	CARE N' CARE INSURANCE COMPANY, INC.	2018	1	HealthFair Mobile Clinic	HealthFair mobile unit are conveniently made available at accessible locations in various Texas cities to perform comprehensive health assessments and screening tests for the members.  Targeted members who have not seen their PCP or have high RAF recapure 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.	1531	169
H6328	CARE N' CARE INSURANCE COMPANY, INC.	2018	2	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 Walmart 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.	863	115
H6348	COORDINATED CARE CORPORATION	2018	1	Managed Health Services- IN PPO H6348	Annual flu vaccination, annual wellness visit, breast cancer screening, colorectal screening, diabetes eye exam, diabetes hbA1c, diabetes kidney screening	CVS gift card	Reward values are calculated based on average cost of service for the health plan	Weekly claims sweep of internal systems	800	1008
H6351	LIBERTY ADVANTAGE, LLC	2018	1	 	 	 	 	 	0	0
H6396	CARESOURCE	2018	1	MyHealth Rewards	Comprehensive Diabetes Screenings, including HbA1c, retinal eye, micro-albumin	Gift Cards	Members earn $25 dollars for completing all three diabetic screenings.	All MA members are automatically enrolled in the MyHealth Rewards program when they enroll with CareSource. Program began in August 2018. Members earn the reward once all three diabetic screenings have been completed in a calendar year. CareSource tracks screening completions through provider claims.	675	45
H6435	ELDERSERVE HEALTH, INC.	2018	1	 	 	 	 	 	0	0
H6453	HMO LOUISIANA, INC.	2018	1	 	 	 	 	 	0	0
H6502	MISSOURI VALLEY LIFE AND HEALTH INSURANCE COMPANY	2018	1	 	 	 	 	 	0	0
H6526	UNITEDHEALTHCARE OF NEW MEXICO, INC.	2018	1	House Calls Program, Renew Rewards	HouseCall, 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 Ca	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 receive s 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.	467	421
H6528	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	2018	1	House Calls Program, Renew Rewards	HouseCall, 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 Ca	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 receive s 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.	2113	2192
H6550	SUNFLOWER STATE HEALTH PLAN, INC.	2018	1	Sunflower Health Plan- MAPD- H6550	Annual flu vaccination, breast cancer screening, colorectal cancer screening, diabetes eye exam, 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	500	241
H6622	HUMANA WI HEALTH ORGANIZATION INSURANCE CORP	2018	1	Go365 by Humana	Education: Complete Healthy Assessment (HA), First Step HA (once per lifetime bonus for completion), HA Bonus (complete w/in 120 days of effective date), Interactive health tools such as courses, conversations and  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 density, Flu Shot, Dental Exam, Vision Exam, Body Mass Index (BMI), Blood Pressure, Blood Glucose screening (diabetes test), Cholesterol.	Medicare members can earn Bucks (Rewards) for participating and engaging in the program, such as completing education activities, biometric screening, preventive screenings, and exercising, etc.  Rewards can be redeemed for various items in the 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.	Program participation is tracked for each member through the completion of activities on the web or submitted via paper, uploads from fitness devices, incomings feeds from Silver Sneakers and screening data abstracted from medical claims, etc. As activity data feeds into the system, members are rewarded. Both the activity completion and the reward are posted to the member account.	233740	457315
H6672	EON HEALTH, INC. (GA)	2018	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.	41	26
H6723	MEDICAL MUTUAL OF OHIO	2018	1	Medical Mutual Wellness Rewards Program	Annual Wellness visit, Breast cancer screening, Colorectal cancer screening, Retinal eye exam, Hemoglobin A1c, Nephropathy testing (Urine test), Flu shot (vaccine)	$10-50 AM-EX (American Express gift card)	Complete a wellness visit to earn an incentive ($10).  Additional activities that earn an additional $10 up to $50 include: Breast cancer screening, Colorectal cancer screening, Retinal eye exam, Hemoglobin A1c, Nephropathy testing (Urine test), Flu shot (vaccine)	A database is maintained that tracks the member involvement in the program from enrollment through year end.	24093	1186
H6743	ATRIO HEALTH PLANS	2018	1	 	 	 	 	 	0	0
H6750	HARVARD PILGRIM HEALTH CARE OF NEW ENGLAND, INC.	2018	1	Harvard Pilgrim Rewards	Annual Wellness Visit, Breast Cancer Screening, Colorectal Cancer Screening, Diabetes Dilated Eye Exam	Beneficiaries may choose gift cards from Amazon, Walmart, Target and Applebees	Beneficiaries are rewarded $25 in gift certificates for completion of the Annual Wellness Visit, Breast Cancer Screening and Diabetes Dilated Eye Exam. Beneficiaries are rewarded $50 in gift certificates for completion of the Colorectal Cancer Screening.	Beneficiaries are able to attest to the completion of any activity through a web application, an IVR application or by paper mail. Responses are aggregated in a database to track and monitor activity.	1312	1795
H6776	ELDERSERVE HEALTH, INC.	2018	1	 	 	 	 	 	0	0
H6786	ANTHEM HEALTH PLANS OF MAINE, INC.	2018	1	Rewards for Health	Annual Routine Physical, Breast Cancer Screening,  Colorectal Cancer Screening, Diabetic Retinal Eye Exam	$25 Gift Card for each screening	Value of Gift Card, one gift card for each incentive	Provider Signed Attestations	18	17
H6815	HEALTH NET HEALTH PLAN OF OREGON	2018	1	 	 	 	 	 	0	0
H6870	SUPERIOR HEALTH PLAN, INC.	2018	1	Superior HealthPlan STAR+PLUS Medicare-Medicaid Plan Rewards Program H6870	Annual flu vaccination, annual wellness visit, breast cancer screening, colorectal screening, diabetes eye exam, diabetes hbA1c	Subway gift card	Reward values are calculated based on average cost of service for the health plan	Weekly claims sweep of internal systems	9212	15908
H6988	CENTERS PLAN FOR HEALTHY LIVING, LLC	2018	1	 	 	 	 	 	0	0
H7006	ATRIO HEALTH PLANS	2018	1	 	 	 	 	 	0	0
H7020	CIGNA HEALTHCARE OF SOUTH CAROLINA, INC.	2018	1	$50 Prevention Bonus Program	360 Exam (wellness exam)	$50 gift card to one of 13 retailers	No calculation is required. The value of the gift card is $50, which is less than the value of a 360 Exam (wellness exam). The reward value was set to $50 to encourage participation.	Customer completes and returns a doctor-signed form attesting that the qualifying exam took place during the eligible program timeframe. Existing customer forms had a unique barcode to identify each customer. New customers completed a separate form and were asked to write in their Customer ID to identify who they are. All returned forms were scanned  and documented by a vendor. The vendor provided a weekly list of all returned forms for CHS to audit. All approved and ineligible customer data was managed through Excel spreadsheets in 2018.	5712	1199
H7115	MEMORIAL HERMANN HEALTH PLAN	2018	1	Memorial Hermann Healthy Advantage Wellness Program	Routine eye exam including glaucoma screening, annual wellness exam with primary care physician, breast screening, and colorectal screening.	A gift card is awarded to the member for completing one or more of the five wellness/preventive related services during the plan year.	The value of a reward is equal to the dollar amount assigned to the gift card applicable to the service completed.	We track member participation in the program by running monthly claims reports to determine completed services. The members are then notified when he or she has completed one or more of the five wellness/preventive related service. The written notification informs the member to select a gift card of their choice that the health plan offers. Tracking of the gift card redemptions and fulfillment of such are maintained in a secure database. We track the member's gift card selection, the date the gift card was issued, the gift card tracking number and the specific wellness/preventive service that qualified for a reward.	4180	1806
H7149	AETNA HEALTH INC. (PA)	2018	1	Healthy Rewards	Breast Cancer Screening, Colorectal Cancer Screening. Diabetic Eye Exams, Diabetic Kidney Screenings,  blood pressure monitoring, A1C two times per year if they're a diabetic, flu shot, and/or having an annual wellness exam	The Members receive an activation kit that invites them to participate in Healthy Rewards  the kit explains they can "activate" the program by going online  calling in or mailing in coupons that are included in their activation kit. When the members complete any of the activities they attest by submitting the date of service  providers name and address. The member can then select from a variety of retailer a gift card to either be mailed to their home address  or redeemed online via a code. The reward values  per activity  range from $15 to $50 depending on the activity.	Based on analysis we bucket the reward opportunities  into three groups  maintain  progress and improve. Each grouping dictates a value for the reward and the likelihood we believe we have in moving the membership to be more complaint in obtaining that particular service.	Enrollees attest either online  telephonically  or via mail that they've completed the service. They provide the date of service  provider name and address. We receive monthly activity files that shares which members have redeemed which services and the date the attestation was made.	413	588
H7165	BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA	2018	1	 	 	 	 	 	0	0
H7172	AETNA BETTER HEALTH, INC. (OH)	2018	1	Hypertension Engagement Program	Members were encouraged to have PCP visits to address their hypertension	Members eligible have the opportunity to earn a maximum of $50 (Up to2 PCP visits/$25 each)	Claims data is used to determine the value of the reward.	Weekly reports are provided to the plan by the fulfillment vendor and imported into an internal database that is accessible to both Member Services and the Care Management Team. Database allows both departments to look up member reward status/reward codes.	4995	971
H7173	PEACH STATE HEALTH PLAN, INC.	2018	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	1160	2721
H7220	INDIANA UNIVERSITY HEALTH PLANS NFP, INC.	2018	1	 	 	 	 	 	0	0
H7245	PREMERA BLUE CROSS	2018	1	 	 	 	 	 	0	0
H7301	COVENTRY HEALTH CARE OF ILLINOIS, INC.	2018	1	 	 	 	 	 	0	0
H7317	HAWAII MEDICAL SERVICE ASSOCIATION (HMSA)	2018	1	 	 	 	 	 	0	0
H7326	WELLCARE OF SOUTH CAROLINA, INC.	2018	1	Healthy Rewards	Annual Wellness Visit,  Colon Cancer Screening, Flu Vaccine, Bone Health, Improve Your Physical Health, Improve Your Mental Health, Controlling Blood Pressure, Diabetic A1C, Diabetic Eye Exam, Diabetic Kidney Exam, Breast Cancer Screening	The members had the option of redeeming or printing an e-Gift card immediately or having a physical gift card or Visa prepaid debit card mailed to them. The merchant gift cards are not convertible to cash. The health care activities and reward values are as follows: Annual Wellness Visit ($25),  Colon Cancer Screening ($50), Flu Vaccine ($50), Bone Health ($50), Improve Your Physical Health ($25), Improve Your Mental Health ($10), Controlling Blood Pressure ($50), Diabetic A1C ($50), Diabetic Eye Exam ($25), Diabetic Kidney Exam ($25), Breast Cancer Screening ($50).	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).	1925	80
H7419	TUFTS HEALTH PUBLIC PLANS, INC.	2018	1	 	 	 	 	 	0	0
H7464	UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.	2018	1	House Calls Program, Renew Rewards	HouseCall, 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 Ca	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 receive s 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.	1155	1094
H7511	GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.	2018	1	 	 	 	 	 	0	0
H7522	MMM HEALTHCARE, LLC	2018	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, Blood Pressure. In addition to this the patients when performing the tests accumulate points and those points can be redeemed in our mobile application MMM Members App	Promo Items: Android Charging Cable, Compressed Towel, Cooler Folding Bag, Dental Kit, Excersise Band, Eye Glass Kit, First Aid Kit, Fruit Fusion Bottle, Grocery Folding Bag, Hand Sanitizer, Iphone Charging Cable, Note Pads, Pastilleros, Radio FM, Sombrilla Clear, Tote Bag Clear View. Gifts Cards: Walmart Gift Card $10, Subway Gift Card $5, Marshalls Gift Card $10, Sizzler Gift Card $5, Home Depot Gift Card $10, Walgreens Gift Card $10, Chillis Gift Card $10, Capri Gift Card $10, JC Penney Gidt Card $10, El Meson Gift Certificate $10, El Meson Gift Certificate $5.	We use the value of a similar or 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.	203	219
H7678	MOLINA HEALTHCARE OF TEXAS, INC.	2018	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, appointment status reports from IHA partners.	1878	1350
H7678	MOLINA HEALTHCARE OF TEXAS, INC.	2018	2	QI Medicare Planner Incentives	Breast Cancer Screening, Colorectal Cancer Screening, Flu Vaccine, HbA1c Test, Nephropathy Screening, Retinal Eye Exam	$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.	Members must mail or fax a program postcard to Molina to confirm activity/activities are completed. Members can receive a maximum of one incentive per activity but can earn multiple incentives if they are eligible and complete multiple activities.	1535	56
H7680	PROMINENCE HEALTHFIRST OF TEXAS	2018	1	Perspective Members Program	Attend prospective member meetings	Gift Cards	The value of the gift card was established to elicit enrollee behavior but not to exceed the value of the health related service or activity	Sign in sheet	46	46
H7680	PROMINENCE HEALTHFIRST OF TEXAS	2018	2	Annual Health Assessment Program	Annual Health Assessment	Gift Cards	The value of the gift card was established to elicit enrollee behavior but not to exceed the value of the health related service or activity	Provider completes a patient care form and documents visit in electronic health record system	645	645
H7680	PROMINENCE HEALTHFIRST OF TEXAS	2018	3	Prominence Perks Healthy Rewards Program	Colorectal Cancer Screening, Diabetes A1C Screening, Diabetes Nephropathy Screening, Diabetes Retinal Eye Exam, Breast Cancer Screening, Flu Shot	Gift Cards	The value of the gift card was established to elicit enrollee behavior but not to exceed the value of the health related service or activity	Member sends in voucher as proof of service	358	358
H7728	ANTHEM HEALTH PLANS OF NEW HAMPSHIRE, INC.	2018	1	Rewards for Health	Annual Routine Physical, Breast Cancer Screening, Colorectal Cancer Screening, Diabetic Retinal Eye Exam, Bone Mineral Screening_B, GA LPPO Annual Routine Physical	ARP $25 Gift Card, BCS $25 Gift Card, COL $25 Gift Card, Diabetic Retinal Eye Exam $25 Gift Card, OMW_B $50 Gift Card, GA LPPO Annual Routine Physical $50 Gift Card	Value of Gift Card, one gift card for each incentive	Provider Signed Attestations	1944	1905
H7787	HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.	2018	1	$50 Prevention Bonus Program	360 Exam (wellness exam)	$50 gift card to one of 13 retailers	No calculation is required. The value of the gift card is $50, which is less than the value of a 360 Exam (wellness exam). The reward value was set to $50 to encourage participation.	Customer completes and returns a doctor-signed form attesting that the qualifying exam took place during the eligible program timeframe. Existing customer forms had a unique barcode to identify each customer. New customers completed a separate form and were asked to write in their Customer ID to identify who they are. All returned forms were scanned  and documented by a vendor. The vendor provided a weekly list of all returned forms for CHS to audit. All approved and ineligible customer data was managed through Excel spreadsheets in 2018.	2208	257
H7802	SPARTAN PLAN VA, INC.	2018	1	 	 	 	 	 	0	0
H7833	UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.	2018	1	 	 	 	 	 	0	0
H7844	MOLINA HEALTHCARE OF MICHIGAN, INC.	2018	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, appointment status reports from IHA partners.	12148	8360
H7844	MOLINA HEALTHCARE OF MICHIGAN, INC.	2018	2	QI MMP Planner Incentives	Flu Vaccine	$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.	Members must mail or fax a program postcard to Molina to confirm activity is completed.	10929	25
H7853	BRIGHT HEALTH INSURANCE COMPANY	2018	1	 	 	 	 	 	0	0
H7885	SAN MATEO HEALTH COMMISSION	2018	1	 	 	 	 	 	0	0
H7890	SANTA CLARA COUNTY HEALTH AUTHORITY	2018	1	 	 	 	 	 	0	0
H7917	BLUECROSS BLUESHIELD OF TENNESSEE, INC.	2018	1	2018 myHealthpath	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, health risk assessment, R&I digital opt-in	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.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.	19517	37858
H7917	BLUECROSS BLUESHIELD OF TENNESSEE, INC.	2018	2	2017 myHealthpath	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.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.	11784	510
H7971	HORIZON INSURANCE COMPANY	2018	1	2018 Rewards and Incentive Program	Breast Cancer Screening, Colorectal Cancer Screening/Colonoscopy or Sigmoidoscopy, Colorectal Cancer Screening/CT Colonography/FOBT Kit or Stool DNA Test, Diabetic Eye Exam, 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 paired with claims data	59465	10130
H8003	BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA	2018	1	 	 	 	 	 	0	0
H8016	ORANGE COUNTY HEALTH AUTHORITY	2018	1	 	 	 	 	 	0	0
H8026	AETNA BETTER HEALTH OF MICHIGAN INC.	2018	1	 	 	 	 	 	0	0
H8029	ELDERPLAN, INC.	2018	1	Elderplan Wellness Incentive Program	Colorectal Cancer Screening, Flu Shot, Mammogram, Retinal Eye Exam, Medications Management for Members with Rheumatoid Arthritis	$15 Visa Gift Card for each health screening/service.	A $15 incentive is rewarded through a VISA gift card to enrollees for each eligible completed health service.	Enrollees submit a completed reward coupon for each service to participate in the program. Once received, the coupons are scanned and logged for tracking.  Submitted services  are then validated via claims and/or medical records for reward processing.	6	10
H8046	MOLINA HEALTHCARE OF ILLINOIS, INC.	2018	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, appointment status reports from IHA partners.	4235	1959
H8046	MOLINA HEALTHCARE OF ILLINOIS, INC.	2018	2	QI MMP Planner Incentives	Flu Vaccine	$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.	Members must mail or fax a program postcard to Molina to confirm activity is completed.	3531	8
H8064	FIRSTCAROLINACARE INSURANCE COMPANY	2018	1	Health Risk Assessment,  Jump Start Assessment Program	Complete Health Risk Assessment or Jump Start Assessment by a physician or provider.	$25 Walmart Gift Card to members who have completed patient portion of health risk assessment form and also had a visit by a physician or provider by August 1  2018 or by December 31 2018 for any member who enrolled after July 1 2018, $25 Walmart Gift Card to qualified members who completed a Jump Start Assessment in 2018	The reward is valued by the vendor.	Reward distribution is tracked via log containing member and gift card information	1099	581
H8067	PROVIDER PARTNERS HEALTH PLAN, INC.	2018	1	 	 	 	 	 	0	0
H8130	MOLINA HEALTHCARE OF FLORIDA, INC.	2018	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, appointment status reports from IHA partners.	3179	1921
H8130	MOLINA HEALTHCARE OF FLORIDA, INC.	2018	2	QI Medicare Planner Incentives	Breast Cancer Screening, Colorectal Cancer Screening, Flu Vaccine, HbA1c Test, Nephropathy Screening, Retinal Eye Exam	$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.	Members must mail or fax a program postcard to Molina to confirm activity/activities are completed. Members can receive a maximum of one incentive per activity but can earn multiple incentives if they are eligible and complete multiple activities.	2524	45
H8133	GHS INSURANCE COMPANY	2018	1	Yes	Annual Wellness Visit, Annual , Fall Risk Assessment, Flu Vaccine, Blood Glucose A1c Screening, Colorectal  Screening, Completion of  Health Questionnaire, In -Home Assessment, Mammogram, Nephropathy  Screening, Retinal Eye Exam, Bone Density Screening, Tracking of Physical Activity  over 12 weeks.	Registered members earn Gift Cards total annual  maximum rewards is $100. For members in this contract  we used $25 gift card awards for all Healthy  Actions, inclusive of Annual Wellness Visit, Annual, Fall Risk Assessment, Flu Vaccine, Blood Glucose, A1 Screening, Colorectal, Screening, Completion of Health Questionnaire, In-Home Assessment, Mammogram, Nephropathy Screening, Retinal Eye Exam, Bone Density Screening	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 Healthy Rewards Program, via Weekly Registration reports, Healthy Action Activity Reports and Reward Redemption Reports.	2835	8455
H8142	SCOTT AND WHITE HEALTH PLAN	2018	1	 	 	 	 	 	0	0
H8145	HUMANA INSURANCE COMPANY	2018	1	Go365 by Humana	Education: Complete Healthy Assessment (HA), First Step HA (once per lifetime bonus for completion), HA Bonus (complete w/in 120 days of effective date), Interactive health tools such as courses, conversations and  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 density, Flu Shot, Dental Exam, Vision Exam, Body Mass Index (BMI), Blood Pressure, Blood Glucose screening (diabetes test), Cholesterol.	Medicare members can earn Bucks (Rewards) for participating and engaging in the program, such as completing education activities, biometric screening, preventive screenings, and exercising, etc.  Rewards can be redeemed for various items in the 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.	Program participation is tracked for each member through the completion of activities on the web or submitted via paper, uploads from fitness devices, incomings feeds from Silver Sneakers and screening data abstracted from medical claims, etc. As activity data feeds into the system, members are rewarded. Both the activity completion and the reward are posted to the member account.	86170	66752
H8170	AMERICA'S 1ST CHOICE OF SOUTH CAROLINA, INC.	2018	1	HEDIS Disease-Modifying Anti-Rheumatics Drug Therapy for Rheumatoid Arthritis Mbr Incentive Program	Disease-Modifying Anti-Rheumatics Drug Therapy (DMARD) for Rheumatoid Arthritis Medication Management	Disease-Modifying Anti-Rheumatics Drug Therapy (DMARD) Program Gift Card 1- DMARD discussion with physician	RA Gift card 1- DMARD discussion with physician calculated at $25 to be enough to elicit member initiation of physician DMARD discussion action while not exceeding DMARD costs or specialist physician appointments	Members qualifying into the HEDIS measures with rewards/incentive programs are identified through our HEDIS certified software. Member level cases are then created in our Case Management software by health plan HEDIS Improvement Coordinators. Health Plan Analysts complete ongoing reward/incentive program reporting to track members completing health services/activities that earn them program rewards.	9	5
H8170	AMERICA'S 1ST CHOICE OF SOUTH CAROLINA, INC.	2018	2	HEDIS Disease-Modifying Anti-Rheumatics Drug Therapy for Rheumatoid Arthritis Mbr Incentive Program	Disease-Modifying Anti-Rheumatics Drug Therapy (DMARD) for Rheumatoid Arthritis Medication Management	Disease-Modifying Anti-Rheumatics Drug Therapy (DMARD) Program Gift Card 2 -DMARD prescription fill	RA Gift Card 2- DMARD prescription fill calculated at $25 to be enough to elicit member action while not exceeding average DMARD RX costs	Members qualifying into the HEDIS measures with rewards/incentive programs are identified through our HEDIS certified software. Member level cases are then created in our Case Management software by health plan HEDIS Improvement Coordinators. Health Plan Analysts complete ongoing reward/incentive program reporting to track members completing health services/activities that earn them program rewards.	9	5
H8170	AMERICA'S 1ST CHOICE OF SOUTH CAROLINA, INC.	2018	3	HEDIS Osteoporosis Management for Women (OMW) Member Incentive Program	Bone Density Testing and/or Osteoporosis Medication management for Women post fracture	Osteoporosis Management for Women (OMW) Program Gift Card	OMW $50 reward calculated based on not exceeding average osteoporosis medications costs, cost of subsequent fracture or cost of bone density test and associated follow-up while ensuring the reward was deemed to be an amount that would elicit timely action by eligible members.	Members qualifying into the HEDIS measures with rewards/incentive programs are identified through our HEDIS certified software. Member level cases are then created in our Case Management software by health plan HEDIS Improvement Coordinators. Health Plan Analysts complete ongoing reward/incentive program reporting to track members completing health services/activities that earn them program rewards.	13	2
H8170	AMERICA'S 1ST CHOICE OF SOUTH CAROLINA, INC.	2018	4	Preventive Services Member Incentive Program	Preventive Services	This Program offers Gift Cards for enrollees who meet requirements for the following quality measures:  Body Mass Index (BMI)	A $20 Gift Card reward per compliant quality measure. The value of these rewards is calculated based on average expenses a patient could potentially incur when visiting medical service providers to complete the necessary services.	Members qualifying into the HEDIS measures with rewards/incentive programs are identified through our HEDIS certified software. Health Plan Analysts complete ongoing reward/incentive program reporting to track members completing health services/activities that earn them program rewards.	322	276
H8170	AMERICA'S 1ST CHOICE OF SOUTH CAROLINA, INC.	2018	5	Preventive Services Member Incentive Program	Preventive Services	This Program offers Gift Cards for enrollees who meet requirements for the following quality measures:  Breast Cancer Screening	A $20 Gift Card reward per compliant quality measure. The value of these rewards is calculated based on average expenses a patient could potentially incur when visiting medical service providers to complete the necessary services.	Members qualifying into the HEDIS measures with rewards/incentive programs are identified through our HEDIS certified software. Health Plan Analysts complete ongoing reward/incentive program reporting to track members completing health services/activities that earn them program rewards.	34	20
H8170	AMERICA'S 1ST CHOICE OF SOUTH CAROLINA, INC.	2018	6	Preventive Services Member Incentive Program	Preventive Services	This Program offers Gift Cards for enrollees who meet requirements for the following quality measures:  Functional Status	A $20 Gift Card reward per compliant quality measure. The value of these rewards is calculated based on average expenses a patient could potentially incur when visiting medical service providers to complete the necessary services.	Members qualifying into the HEDIS measures with rewards/incentive programs are identified through our HEDIS certified software. Health Plan Analysts complete ongoing reward/incentive program reporting to track members completing health services/activities that earn them program rewards.	160	31
H8170	AMERICA'S 1ST CHOICE OF SOUTH CAROLINA, INC.	2018	7	Preventive Services Member Incentive Program	Preventive Services	This Program offers Gift Cards for enrollees who meet requirements for the following quality measures:  Pain Assessment	A $20 Gift Card reward per compliant quality measure. The value of these rewards is calculated based on average expenses a patient could potentially incur when visiting medical service providers to complete the necessary services.	Members qualifying into the HEDIS measures with rewards/incentive programs are identified through our HEDIS certified software. Health Plan Analysts complete ongoing reward/incentive program reporting to track members completing health services/activities that earn them program rewards.	160	37
H8170	AMERICA'S 1ST CHOICE OF SOUTH CAROLINA, INC.	2018	8	Preventive Services Member Incentive Program	Preventive Services	This Program offers Gift Cards for enrollees who meet requirements for the following quality measures:  Medication Review	A $20 Gift Card reward per compliant quality measure. The value of these rewards is calculated based on average expenses a patient could potentially incur when visiting medical service providers to complete the necessary services.	Members qualifying into the HEDIS measures with rewards/incentive programs are identified through our HEDIS certified software. Health Plan Analysts complete ongoing reward/incentive program reporting to track members completing health services/activities that earn them program rewards.	160	51
H8170	AMERICA'S 1ST CHOICE OF SOUTH CAROLINA, INC.	2018	9	Preventive Services Member Incentive Program	Preventive Services	This Program offers Gift Cards for enrollees who meet requirements for the following quality measures:  Colon Cancer Screening	A $20 Gift Card reward per compliant quality measure. The value of these rewards is calculated based on average expenses a patient could potentially incur when visiting medical service providers to complete the necessary services.	Members qualifying into the HEDIS measures with rewards/incentive programs are identified through our HEDIS certified software. Health Plan Analysts complete ongoing reward/incentive program reporting to track members completing health services/activities that earn them program rewards.	310	152
H8170	AMERICA'S 1ST CHOICE OF SOUTH CAROLINA, INC.	2018	10	Preventive Services Member Incentive Program	Preventive Services	This Program offers Gift Cards for enrollees who meet requirements for the following quality measures: Retinal Eye Exam	A $20 Gift Card reward per compliant quality measure. The value of these rewards is calculated based on average expenses a patient could potentially incur when visiting medical service providers to complete the necessary services.	Members qualifying into the HEDIS measures with rewards/incentive programs are identified through our HEDIS certified software. Health Plan Analysts complete ongoing reward/incentive program reporting to track members completing health services/activities that earn them program rewards.	144	68
H8170	AMERICA'S 1ST CHOICE OF SOUTH CAROLINA, INC.	2018	11	Preventive Services Member Incentive Program	Preventive Services	This Program offers Gift Cards for enrollees who meet requirements for the following quality measures:  Nephropathy Screening	A $20 Gift Card reward per compliant quality measure. The value of these rewards is calculated based on average expenses a patient could potentially incur when visiting medical service providers to complete the necessary services.	Members qualifying into the HEDIS measures with rewards/incentive programs are identified through our HEDIS certified software. Health Plan Analysts complete ongoing reward/incentive program reporting to track members completing health services/activities that earn them program rewards.	144	137
H8189	MANAGED HEALTH SERVICES, WISCONSIN	2018	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	1000	2391
H8197	MOLINA HEALTHCARE OF TEXAS, INC.	2018	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, appointment status reports from IHA partners.	14679	9010
H8197	MOLINA HEALTHCARE OF TEXAS, INC.	2018	2	MHT MMP Incentives	Breast Cancer Screening, Cervical Cancer Screening, Colorectal Cancer Screening, HbA1c Test, Retinal Eye Exam	$20 DollarTree 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.	14679	43
H8197	MOLINA HEALTHCARE OF TEXAS, INC.	2018	3	QI MMP Planner Incentives	Flu Vaccine	$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.	Members must mail or fax a program postcard to Molina to confirm activity is completed.	11859	8
H8211	MAMSI LIFE AND HEALTH INSURANCE COMPANY	2018	1	House Calls Program, Renew Rewards	HouseCall, 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 Ca	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 receive s 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.	307	276
H8213	SELECT HEALTH OF SOUTH CAROLINA, INC.	2018	1	 	 	 	 	 	0	0
H8258	LOCAL INITIATIVE HEALTH AUTHORITY FOR L.A. COUNTY	2018	1	Follow-Up After Hospitalization for Mental Illness (FUH) Member Incentive Program	Follow up after hospitalization for mental illness FUH measures the percentage of members 6 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 30 days	One emergency preparedness package per qualifying Cal MediConnect member	We add the price of each item in the kit, which is estimated at a total of $31.00	Beacon does outreach to the qualifying members and based on their tracking, they send L.A. Care a file every two weeks with members who have received the service and are eligible to be awarded. Beacon is our contracted vendor. We track this information in a database	140	48
H8258	LOCAL INITIATIVE HEALTH AUTHORITY FOR L.A. COUNTY	2018	2	Diabetes Member Incentive (DMI) Member Incentive Program	Comprehensive Diabetes Care (CDC) measures the percentage of members 18-75 years of age with diabetes (type 1 and type 2) who received specified diabetes tests, including a diabetes eye exam (retinal), hemoglobin A1c (HbA1c) testing, and and BP control (less than 140/90 mm Hg)	One diabetes kit per qualifying Cal MediConnect member	We add the price of each item in the kit, which is estimated at a total of $30.58	L.A. Care sends the members mailers to have their PCPs fill out once they complete their services. We document the information in a database once they send their completed mailer back to L.A. Care	2161	21
H8266	CONSTELLATION HEALTH, LLC.	2018	1	 	 	 	 	 	0	0
H8280	BRIGHT HEALTH INSURANCE COMPANY OF ALABAMA, INC.	2018	1	 	 	 	 	 	0	0
H8298	HORIZON HEALTHCARE OF NEW JERSEY, INC.	2018	1	 	 	 	 	 	0	0
H8423	HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.	2018	1	 	 	 	 	 	0	0
H8432	EMPIRE HEALTHCHOICE HMO, INC.	2018	1	Novu Wellness Perks	Bone Density Test, Breast Cancer Screening, Colorectal Cancer Screening, Diabetic A1c Test, Diabetic Retinal Eye Exam, Diabetic Kidney Screening	BCS $25 Gift Card, COL $50 Gift Card, OMW $25 Gift Card, Diabetic Retinal Eye Exam $25, Diabetic Kidney Screen $25, Diabetic A1c Test $25	Value of Gift Card, one gift card for each incentive	Member Self Attest	4156	5869
H8432	EMPIRE HEALTHCHOICE HMO, INC.	2018	2	Rewards for Health	Breast Cancer Screening, Colorectal Cancer Screening, Diabetic Retinal Eye Exam, Bone Mineral Screening_B	BCS $25 Gift Card, COL $25 Gift Card, Diabetic Retinal Eye Exam $25 Gift Card, OMW_B $50 Gift Card	Value of Gift Card, one gift card for each incentive	Provider Signed Attestations	244	236
H8452	CARESOURCE	2018	1	MyHealth Rewards	Comprehensive Diabetes Screenings, including: HbA1c, retinal eye, micro-albumin	Gift Cards	Members earn $25 dollars for completing all three diabetic screenings.	All MyCare members are automatically enrolled in the MyHealth Rewards program when they enroll with CareSource. Program began in August 2018. Members earn the reward once all three diabetic screenings have been completed in a calendar year. CareSource tracks screening completions through provider claims.	9770	671
H8490	VNS CHOICE	2018	1	 	 	 	 	 	0	0
H8506	MODA HEALTH PLAN, INC.	2018	1	 	 	 	 	 	0	0
H8552	ANTHEM BLUE CROSS LIFE AND HEALTH INS COMPANY	2018	1	Rewards for Health	Annual Routine Physical, Bone Mineral Screening_B	ARP $25 Gift Card, OMW_B $50 Gift Card	Value of Gift Card, one gift card for each incentive	Provider Signed Attestations	104	102
H8554	GHS INSURANCE COMPANY	2018	1	Yes	Annual Wellness Visit, Annual , Fall Risk Assessment, Flu Vaccine, Blood Glucose A1c Screening, Colorectal  Screening, Completion of  Health Questionnaire, In -Home Assessment, Mammogram, Nephropathy  Screening, Retinal Eye Exam, Bone Density Screening, Tracking of Physical Activity  over 12 weeks.	Registered members earn Gift Cards total annual  maximum rewards is $100. For members in this contract  we used $25 gift card awards for all Healthy  Actions, inclusive of Annual Wellness Visit, Annual, Fall Risk Assessment, Flu Vaccine, Blood Glucose, A1 Screening, Colorectal, Screening, Completion of Health Questionnaire, In-Home Assessment, Mammogram, Nephropathy Screening, Retinal Eye Exam, Bone Density Screening	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 Healthy Rewards Program, via Weekly Registration reports, Healthy Action Activity Reports and Reward Redemption Reports.	534	1778
H8578	HEALTH NEW ENGLAND, INC.	2018	1	Annual Wellness Visit Incentive Program	Annual Wellness Visit	$10 Gift Card	Each member that receives their Annual Wellness Visit logs into the member portal or calls member services to select their $10 reward.	Upon member receiving their Annual Wellness Visit they log into their secure member portal or call HNE member services to select their $10 reward. A notification is sent to the quality@hne.com secure email. One designated team member collects these notifications and enters the member data into a tracking sheet that is used to identify members that need to receive their rewards. The member name, member ID, gift card selection and date the gift card is sent it stored on this tracking file. The tracking file is stored in a secure folder.	124	124
H8604	THP INSURANCE COMPANY	2018	1	 	 	 	 	 	0	0
H8634	HEALTH CARE SERVICE CORPORATION	2018	1	Yes	Annual Wellness Visit, Annual , Fall Risk Assessment, Flu Vaccine, Blood Glucose A1c Screening, Colorectal  Screening, Completion of  Health Questionnaire, In -Home Assessment, Mammogram, Nephropathy  Screening, Retinal Eye Exam, Bone Density Screening, Tracking of Physical Activity  over 12 weeks.	Registered members earn Gift Cards total annual  maximum rewards is $100. For members in this contract  we used $25 gift card awards for all Healthy  Actions, inclusive of Annual Wellness Visit, Annual, Fall Risk Assessment, Flu Vaccine, Blood Glucose, A1 Screening, Colorectal, Screening, Completion of Health Questionnaire, In-Home Assessment, Mammogram, Nephropathy Screening, Retinal Eye Exam, Bone Density Screening	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 Healthy Rewards Program, via Weekly Registration reports, Healthy Action Activity Reports and Reward Redemption Reports.	9269	30852
H8649	AETNA HEALTH OF UTAH, INC	2018	1	Healthy Rewards	Breast Cancer Screening, Colorectal Cancer Screening. Diabetic Eye Exams, Diabetic Kidney Screenings,  blood pressure monitoring, A1C two times per year if they're a diabetic, flu shot, and/or having an annual wellness exam	The Members receive an activation kit that invites them to participate in Healthy Rewards  the kit explains they can "activate" the program by going online  calling in or mailing in coupons that are included in their activation kit. When the members complete any of the activities they attest by submitting the date of service  providers name and address. The member can then select from a variety of retailer a gift card to either be mailed to their home address  or redeemed online via a code. The reward values  per activity  range from $15 to $50 depending on the activity.	Based on analysis we bucket the reward opportunities  into three groups  maintain  progress and improve. Each grouping dictates a value for the reward and the likelihood we believe we have in moving the membership to be more complaint in obtaining that particular service.	Enrollees attest either online  telephonically  or via mail that they've completed the service. They provide the date of service  provider name and address. We receive monthly activity files that shares which members have redeemed which services and the date the attestation was made.	406	451
H8677	MOLINA HEALTHCARE OF CALIFORNIA	2018	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, appointment status reports from IHA partners.	10906	6522
H8677	MOLINA HEALTHCARE OF CALIFORNIA	2018	2	QI MMP Planner Incentives	Flu Vaccine	$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.	Members must mail or fax a program postcard to Molina to confirm activity is completed.	10609	11
H8748	UNITEDHEALTHCARE INSURANCE COMPANY	2018	1	House Calls Program, Renew Rewards	HouseCall, 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 Ca	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 receive s 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.	6791	6996
H8764	ASPIRE HEALTH PLAN	2018	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 gift card for the completion of each activity by calling Aspire Rewards or attesting online on the Aspire Rewards site.	We receive a file from reward vendor showing activity completed	581	899
H8768	UNITEDHEALTHCARE INSURANCE CO OF THE RIVER VALLEY	2018	1	House Calls Program, Renew Rewards	HouseCall, 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 Ca	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 receive s 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.	2125	2131
H8786	AMERIGROUP TEXAS, INC.	2018	1	Amerigroup Member Rewards	Annual flu vaccine	20 reward dollars redeemable for OTCs and health care products	Member rewarded for receiving an annual flu vaccine	All members are auto enrolled into Amerigroup Member Rewards upon enrollment into the health plan. Internal reporting validates activities based on claims reports. Validated rewards are credited to members reward account housed with reward fulfillment vendor and are available for redemption.	12273	1085
H8786	AMERIGROUP TEXAS, INC.	2018	2	Amerigroup Member Rewards	Annual PCP visit	20 reward dollars redeemable for OTCs and health care products	Member rewarded for completing annual PCP visit.	All members are auto enrolled into Amerigroup Member Rewards upon enrollment into the health plan. Internal reporting validates activities based on claims reports. Validated rewards are credited to members reward account housed with reward fulfillment vendor and are available for redemption.	12273	10663
H8786	AMERIGROUP TEXAS, INC.	2018	3	Amerigroup Member Rewards	Retinopathy exam	20 reward dollars redeemable for OTCs and health care products	Diabetic members rewarded for receiving a retinopathy exam	All members are auto enrolled into Amerigroup Member Rewards upon enrollment into the health plan. Internal reporting validates activities based on claims reports. Validated rewards are credited to members reward account housed with reward fulfillment vendor and are available for redemption.	12273	465
H8786	AMERIGROUP TEXAS, INC.	2018	4	Amerigroup Member Rewards	Kidney disease monitoring test	20 reward dollars redeemable for OTCs and health care products	Diabetic members rewarded for receiving a  kidney disease monitoring test	All members are auto enrolled into Amerigroup Member Rewards upon enrollment into the health plan. Internal reporting validates activities based on claims reports. Validated rewards are credited to members reward account housed with reward fulfillment vendor and are available for redemption.	12273	368
H8786	AMERIGROUP TEXAS, INC.	2018	5	Amerigroup Member Rewards	Breast cancer screening	20 reward dollars redeemable for OTCs and health care products	Members 40 or older rewarded for receiving a cancer screening	All members are auto enrolled into Amerigroup Member Rewards upon enrollment into the health plan. Internal reporting validates activities based on claims reports. Validated rewards are credited to members reward account housed with reward fulfillment vendor and are available for redemption.	12273	322
H8786	AMERIGROUP TEXAS, INC.	2018	6	Amerigroup Member Rewards	Colorectal cancer screening	20 reward dollars redeemable for OTCs and health care products	Members 50 or older rewarded for receiving a colorectal cancer screening	All members are auto enrolled into Amerigroup Member Rewards upon enrollment into the health plan. Internal reporting validates activities based on claims reports. Validated rewards are credited to members reward account housed with reward fulfillment vendor and are available for redemption.	12273	1176
H8786	AMERIGROUP TEXAS, INC.	2018	7	Amerigroup Member Rewards	Participation in Interdisciplinary Care Team (IDT) meeting	10 reward dollars redeemable for OTCs and health care products	Members rewarded for participation in the Interdisciplinary Team (IDT) meeting with service coordinator physician optional	All members are auto enrolled into Amerigroup Member Rewards upon enrollment into the health plan. Internal reporting validates activities based on claims reports. Validated rewards are credited to members reward account housed with reward fulfillment vendor and are available for redemption.	12273	9334
H8786	AMERIGROUP TEXAS, INC.	2018	8	Amerigroup Member Rewards	HbA1c blood testing	20 reward dollars redeemable for OTCs and health care products	Diabetic members rewarded for completing an HbA1c blood test. Reward available two times per year	All members are auto enrolled into Amerigroup Member Rewards upon enrollment into the health plan. Internal reporting validates activities based on claims reports. Validated rewards are credited to members reward account housed with reward fulfillment vendor and are available for redemption.	12273	10269
H8786	AMERIGROUP TEXAS, INC.	2018	9	Amerigroup Member Rewards	Post discharge assessment	10 reward dollars redeemable for OTCs and health care products	Member rewarded for calling service coordinator within three days of a hospital SNF or NF discharge and completing an assessment	All members are auto enrolled into Amerigroup Member Rewards upon enrollment into the health plan. Internal reporting validates activities based on claims reports. Validated rewards are credited to members reward account housed with reward fulfillment vendor and are available for redemption.	12273	255
H8786	AMERIGROUP TEXAS, INC.	2018	10	Amerigroup Member Rewards	Post discharge PCP visit	10 reward dollars redeemable for OTCs and health care products	Member rewarded for follow-up visit with their PCP within 14 days of a hospital SNF or NF discharge	All members are auto enrolled into Amerigroup Member Rewards upon enrollment into the health plan. Internal reporting validates activities based on claims reports. Validated rewards are credited to members reward account housed with reward fulfillment vendor and are available for redemption.	12273	6479
H8786	AMERIGROUP TEXAS, INC.	2018	11	Amerigroup Member Rewards	High level of engagement with PCP and Interdisciplinary Team	125 reward dollars redeemable for OTCs and health care products	Member rewarded for high level of engagement with their assigned physician and Interdisciplinary Team	All members are auto enrolled into Amerigroup Member Rewards upon enrollment into the health plan. Internal reporting validates activities based on manual  review. Validated rewards are credited to members reward account housed with reward fulfillment vendor and are available for redemption. Redemption reports are provided by vendor.	12273	0
H8786	AMERIGROUP TEXAS, INC.	2018	12	Personalized Labels	Personalized Labels	Personalized labels	Personalized labels for members in NF or identified by service coordinators with Alzheimer's or Dementia and would benefit from labels to identify personal belongings including clothing shoes and personal items	All members are auto enrolled into Amerigroup Member Rewards upon enrollment into the health plan. Internal reporting validates activities based on claims reports. Validated rewards are credited to members reward account housed with reward fulfillment vendor and are available for redemption.	12273	0
H8786	AMERIGROUP TEXAS, INC.	2018	13	Personal Disaster Plan	Personal Disaster Plan	Personal Disaster Plan	Members who complete a Personal Disaster Plan online or through their Service Coordinator will receive a First Aid Kit.	All members are auto enrolled into Amerigroup Member Rewards upon enrollment into the health plan. Internal reporting validates activities based on claims reports. Validated rewards are credited to members reward account housed with reward fulfillment vendor and are available for redemption.	12273	0
H8851	SENIOR WHOLE HEALTH OF NEW YORK, INC.	2018	1	 	 	 	 	 	0	0
H8854	UNIVERSITY OF MARYLAND HEALTH ADVANTAGE, INC.	2018	1	Preventative Care Rewards and Incentives Program	Annual Wellness Visit, Mammogram, Colorectal Cancer Screening	Visa Gift Card	MAPD members that completed any one of the services in Column C received a Visa Gift Card. ll rewards are based on evidence of service completion not the result or outcome.	A Quality Improvement Specialist tracked participation in the Rewards program via UMHAs internal system. All eligible active UMHA MAPD members were invited to participate in the rewards and incentive program.	6522	184
H8854	UNIVERSITY OF MARYLAND HEALTH ADVANTAGE, INC.	2018	2	Preventative Care Rewards and Incentives Program	Annual Wellness Visit, Mammogram, Colorectal Cancer Screening	Visa Gift Card, Coupon Book	DSNP members that completed any one of the services in Column C received both a Visa Gift Card and a Coupon Book.  All rewards are based on evidence of service completion not the result or outcome. The entertainment Coupon Book has no monetary value. However, the Coupon Book will save members money should they choose to use it	A Quality Improvement Specialist tracked participation in the Rewards program via UMHAs internal system. All eligible active UMHA DSNP members were invited to participate in the rewards and incentive program.	4093	112
H8854	UNIVERSITY OF MARYLAND HEALTH ADVANTAGE, INC.	2018	3	Comprehensive Diabetes Care Rewards and Incentives Program	HbA1c test completion, Diabetic Retinal Eye Exam, Nephropathy Screening	Visa Gift Card, Coupon Book	DSNP members that completed all three services in Column C received both a Visa Gift Card and a Coupon Book. All rewards are based on evidence of service completion not the result or outcome. The entertainment Coupon Book has no monetary value. However, the Coupon Book will save members money should they choose to use it.	A Quality Improvement Specialist tracked participation in the Rewards program via UMHAs internal system. All eligible active UMHA DSNP members were invited to participate in the rewards and incentive program.	1491	11
H8854	UNIVERSITY OF MARYLAND HEALTH ADVANTAGE, INC.	2018	4	Comprehensive Diabetes Care Rewards and Incentives Program	HbA1C test completion, Diabetic Retinal Eye Exam, Nephropathy Screening	Coupon Book	DSNP members that completed any one of services in Column C received a Coupon Book. All rewards are based on evidence of service completion not the result or outcome. The entertainment Coupon Book has no monetary value. However, the Coupon Book will save members money should they choose to use it.	A Quality Improvement Specialist tracked participation in the Rewards program via UMHAs internal system. All eligible active UMHA DSNP members were invited to participate in the rewards and incentive program	1491	8
H8854	UNIVERSITY OF MARYLAND HEALTH ADVANTAGE, INC.	2018	5	Comprehensive Diabetes Care Rewards and Incentives Program	HbA1C test completion, Diabetic Retinal Eye Exam, Nephropathy Screening	Visa Gift Card	MAPD members that completed all three services in Column C received  a Visa Gift Card. All rewards are based on evidence of service completion not the result or outcome.	A Quality Improvement Specialist tracked participation in the Rewards program via UMHAs internal system. All eligible active UMHA DSNP members were invited to participate in the rewards and incentive program.	1953	16
H8908	HUMANA MEDICAL PLAN OF MICHIGAN, INC.	2018	1	Go365 by Humana	Education: Complete Healthy Assessment (HA), First Step HA (once per lifetime bonus for completion), HA Bonus (complete w/in 120 days of effective date), Interactive health tools such as courses, conversations and  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 density, Flu Shot, Dental Exam, Vision Exam, Body Mass Index (BMI), Blood Pressure, Blood Glucose screening (diabetes test), Cholesterol.	Medicare members can earn Bucks (Rewards) for participating and engaging in the program, such as completing education activities, biometric screening, preventive screenings, and exercising, etc.  Rewards can be redeemed for various items in the 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.	Program participation is tracked for each member through the completion of activities on the web or submitted via paper, uploads from fitness devices, incomings feeds from Silver Sneakers and screening data abstracted from medical claims, etc. As activity data feeds into the system, members are rewarded. Both the activity completion and the reward are posted to the member account.	9904	10196
H8967	GOOD SAMARITAN INSURANCE PLAN OF NORTH DAKOTA, LLC	2018	1	 	 	 	 	 	0	0
H9001	FALLON COMMUNITY HEALTH PLAN	2018	1	Healthy Health Plan Health Risk Assessment (HRA)	The program includes an online HRA, which is a health and lifestyle questionnaire members can complete to get an overall picture of their current health.  They receive an individualized report with an overall score which identifies areas where they are doing well and areas where they could improve.  Members have access to telephonic and/or electronic health coaching and an online wellness library that includes articles, quizzes, self-assessments, how-to guides and healthy recipes.	$10 CVS gift card for completing the HRA.	$10 CVS gift card for completing the HRA.	An Excel spreadsheet is used as the tracking tool.	24	24
H9003	KAISER FOUNDATION HP OF THE N W	2018	1	Silver&Fit Rewards Program	Fitness facility visits and/or physical activity.	Hats,pins	The value of the reward is the cost per unit. Silver&Fit Rewards are of nominal value.	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.	1242	1052
H9047	PROVIDENCE HEALTH ASSURANCE	2018	1	 	 	 	 	 	0	0
H9082	MOLINA HEALTHCARE OF NEW MEXICO, INC.	2018	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, appointment status reports from IHA partners.	5264	2106
H9082	MOLINA HEALTHCARE OF NEW MEXICO, INC.	2018	2	QI Medicare Planner Incentives	Breast Cancer Screening, Colorectal Cancer Screening, Flu Vaccine, HbA1c Test, Nephropathy Screening, Retinal Eye Exam	$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.	Members must mail or fax a program postcard to Molina to confirm activity/activities are completed. Members can receive a maximum of one incentive per activity but can earn multiple incentives if they are eligible and complete multiple activities.	4917	167
H9096	DEAN HEALTH PLAN, INC.	2018	1	 	 	 	 	 	0	0
H9104	SCAN HEALTH PLAN	2018	1	 	 	 	 	 	0	0
H9153	WEST VIRGINIA SENIOR ADVANTAGE, INC.	2018	1	 	 	 	 	 	0	0
H9190	GATEWAY HEALTH PLAN OF OHIO, INC.	2018	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.	2514	1839
H9190	GATEWAY HEALTH PLAN OF OHIO, INC.	2018	2	Goodness Rewards - Diabetic A1c Test	Two A1c blood tests	$10 total 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.	3517	1856
H9190	GATEWAY HEALTH PLAN OF OHIO, INC.	2018	3	Goodness Rewards - Breast Cancer Screening	A mammogram between July  and December of 2018	$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.	1182	327
H9190	GATEWAY HEALTH PLAN OF OHIO, INC.	2018	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.	1770	901
H9190	GATEWAY HEALTH PLAN OF OHIO, INC.	2018	5	Goodness Rewards - Blood Pressure Screening	Two blood Pressure screenings	$10 total 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.	3173	3007
H9190	GATEWAY HEALTH PLAN OF OHIO, INC.	2018	6	Goodness Rewards - Colorectal Cancer Screening	Colonoscopy or other colon cancer screening	$50 or $25 a reloadable gift card	A colonoscopy is seen as best practice and only needs to be completed once every 10 years while all others have a shorter duration. 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.	2497	944
H9190	GATEWAY HEALTH PLAN OF OHIO, INC.	2018	7	Goodness Rewards - Flu Vaccine	Flu vaccine between July  and December of 2018	$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.	4943	2438
H9190	GATEWAY HEALTH PLAN OF OHIO, INC.	2018	8	Goodness Rewards - Diabetic Microalbumin Screening	Microalbumin urine screening between July  and December of 2018	$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.	426	69
H9190	GATEWAY HEALTH PLAN OF OHIO, INC.	2018	9	Goodness Rewards - Annual Wellness Visit	Preventative health screening	$50  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 Monthly tracking of completed/paid activities.	5051	4513
H9207	HEALTH PARTNERS PLANS, INC.	2018	1	HPP Rewards	Annual Well Visit, Wellness Learning Module, Breast Cancer Screening, Colorectal Cancer screening, Diabetes Retinal Eye Exam, Bone Mineral Density Test	Members earn points which can be used to purchase items from a rewards catalog.  Rewards points cannot be redeemed for cash	Reward values are calculated based on an analysis of the value set by Medicare health plans in the industry for the individual activity, in order to influence member behavior but also not exceeding the cost of the service or the value of the activity.	Health Partners Medicare hired a member incentive vendor called Finity to manage our incentive program.  Member engagement in the Program was tracked through enrollment systems, data, the call center, when members call in to inquire about their rewards, and also online through the Rewards website. Participation in the program was also tracked by members who have registered for the program (via phone or online) to redeem their earned rewards. Activities are rewarded to members based on claims and/or member self-reporting.	23465	1493
H9276	SUNSHINE HEALTH COMMUNITY SOLUTIONS, INC.	2018	1	Sunshine Health Advantage Rewards Program H9276	Annual flu vaccination, diabetic HbA1c testing, diabetic retinopathy screening, diabetic kidney screening, annual wellness visit, breast cancer screening, colorectal screening	Walmart gift card	Reward values are calculated based on average cost of service for the health plan	Weekly claims sweep of internal systems	2150	1517
H9287	HEALTH NET COMMUNITY SOLUTIONS OF ARIZONA, INC.	2018	1	Health Net Community Rewards Program H9287	Annual flu vaccination, breast cancer screening, colorectal 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	2994	2175
H9302	PREMERA BLUE CROSS	2018	1	 	 	 	 	 	0	0
H9403	EON HEALTH, INC. (SC)	2018	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.	8	5
H9408	VIBRA HEALTH PLAN, INC.	2018	1	Member Incentive Program	Wellness Exam	Walmart Gift Card	Market driven incentive	Monthly claims report	394	394
H9460	CIGNA HEALTHCARE OF ST LOUIS, INC.	2018	1	$50 Prevention Bonus Program	360 Exam (wellness exam)	$50 gift card to one of 13 retailers	No calculation is required. The value of the gift card is $50, which is less than the value of a 360 Exam (wellness exam). The reward value was set to $50 to encourage participation.	Customer completes and returns a doctor-signed form attesting that the qualifying exam took place during the eligible program timeframe. Existing customer forms had a unique barcode to identify each customer. New customers completed a separate form and were asked to write in their Customer ID to identify who they are. All returned forms were scanned  and documented by a vendor. The vendor provided a weekly list of all returned forms for CHS to audit. All approved and ineligible customer data was managed through Excel spreadsheets in 2018.	1566	372
H9487	MICHIGAN COMPLETE HEALTH, INC.	2018	1	Michigan Complete Health Rewards Program H9487	Annual wellness visit, Flu vaccine, 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	2800	1932
H9525	COMPCARE HEALTH SERVICES INSURANCE CORPORATION	2018	1	Rewards for Health	Breast Cancer Screening, Bone Mineral Screening_A, Bone Mineral Screening_B	BCS $25 Gift Card, OMW_A $25 Gift Card, OMW_B $50 Gift Card	Value of Gift Card, one gift card for each incentive	Provider Signed Attestations	1097	1072
H9572	BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY	2018	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 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 addition 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.	25709	19831
H9572	BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY	2018	2	In Home Assesment program also known as Home Health Review (IHA)	A full comphresive medical assesment that occurs in the members home and or faclility.	$50.00 gift card to Meijer, CVS or Target	The cost of the assessments range from $340-$350. Upon completion of the assessment members are offered a $50 dollar gift card for their participation.	We receive member reports with member demograhics with all the members that have completed an assesesment	163202	25968
H9576	NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND	2018	1	 	 	 	 	 	0	0
H9585	BOSTON MEDICAL CENTER HEALTH PLAN, INC.	2018	1	 	 	 	 	 	0	0
H9589	EON HEALTH, INC. (GA)	2018	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
H9615	MVP HEALTH PLAN, INC.	2018	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.	24922	3810
H9630	ARKANSAS HEALTH AND WELLNESS HEALTH PLAN, INC	2018	1	Arkansas Health and Wellness- HMO H9630	Annual flu vaccination, annual wellness visit, breast cancer screening, colorectal screening, diabetes eye exam, diabetes hbA1c, diabetes kidney screening	Walmart gift card	Reward values are calculated based on average cost of service for the health plan	Weekly claims sweep of internal systems	4200	11152
H9699	HMO PARTNERS, INC.	2018	1	Annual Wellness Initiative, Welvie	Welcome to Medicare Visit Yearly Wellness Visit Annual Physical Exam, 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 Gift Card, $25 Gift Card	A report is run each month of all Welcome to Medicare Yearly Wellness Visit or Annual Physical exam paid claims. The member will then receive their gift card within 6-8 weeks, The reward is based on the time participants must invest in completing the 3 educational modules of the decision tool and providing survey feedback.	Monthly database, 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.	5254	1584
H9712	HAP MIDWEST HEALTH PLAN, INC.	2018	1	 	 	 	 	 	0	0
H9725	CIGNA HEALTHCARE OF NORTH CAROLINA, INC.	2018	1	$50 Prevention Bonus Program	360 Exam (wellness exam)	$50 gift card to one of 13 retailers	No calculation is required. The value of the gift card is $50, which is less than the value of a 360 Exam (wellness exam). The reward value was set to $50 to encourage participation.	Customer completes and returns a doctor-signed form attesting that the qualifying exam took place during the eligible program timeframe. Existing customer forms had a unique barcode to identify each customer. New customers completed a separate form and were asked to write in their Customer ID to identify who they are. All returned forms were scanned  and documented by a vendor. The vendor provided a weekly list of all returned forms for CHS to audit. All approved and ineligible customer data was managed through Excel spreadsheets in 2018.	6127	1444
H9730	WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC	2018	1	Healthy Rewards	Annual Wellness Visit,  Colon Cancer Screening, Flu Vaccine, Bone Health, Improve Your Physical Health, Improve Your Mental Health, Controlling Blood Pressure, Diabetic A1C, Diabetic Eye Exam, Diabetic Kidney Exam, Breast Cancer Screening	The members had the option of redeeming or printing an e-Gift card immediately or having a physical gift card or Visa prepaid debit card mailed to them. The merchant gift cards are not convertible to cash. The health care activities and reward values are as follows: Annual Wellness Visit ($25),  Colon Cancer Screening ($50), Flu Vaccine ($50), Bone Health ($50), Improve Your Physical Health ($25), Improve Your Mental Health ($10), Controlling Blood Pressure ($50), Diabetic A1C ($50), Diabetic Eye Exam ($25), Diabetic Kidney Exam ($25), Breast Cancer Screening ($50).	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).	13777	3239
H9808	CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA	2018	1	 	 	 	 	 	0	0
H9811	MAGNOLIA HEALTH PLAN, INC.	2018	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	502	634
H9834	GUNDERSEN HEALTH PLAN OF MINNESOTA	2018	1	Gift Card Incentive Program for Annual Visit	annual wellness visit or preventive physical exam	$50 Visa gift card	100% reward for completing entire program	claim submission for AWV or PPE	1040	603
H9869	PARTNERS HEALTH PLAN, INC.	2018	1	ChooseHealth	Flu Shot, Dental Checkup, Preventive Screenings	Tote Bag, Backpack, Tshirt, $10 CVS Gift Card	All items were $10 or under. $4.49 per tote bag, Tshirts between $3.44 and $5.74 per shirt depending on size, $8.92 per backpack, $10 per gift card	Claims and enrollment data	875	201
H9870	UNIVERSITY HEALTH CARE, INC.	2018	1	 	 	 	 	 	0	0
H9877	VIRGINIA PREMIER HEALTH PLAN, INC.	2018	1	 	 	 	 	 	0	0
R0110	HUMANA INSURANCE COMPANY	2018	1	Go365 by Humana	Education: Complete Healthy Assessment (HA), First Step HA (once per lifetime bonus for completion), HA Bonus (complete w/in 120 days of effective date), Interactive health tools such as courses, conversations and  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 density, Flu Shot, Dental Exam, Vision Exam, Body Mass Index (BMI), Blood Pressure, Blood Glucose screening (diabetes test), Cholesterol.	Medicare members can earn Bucks (Rewards) for participating and engaging in the program, such as completing education activities, biometric screening, preventive screenings, and exercising, etc.  Rewards can be redeemed for various items in the 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.	Program participation is tracked for each member through the completion of activities on the web or submitted via paper, uploads from fitness devices, incomings feeds from Silver Sneakers and screening data abstracted from medical claims, etc. As activity data feeds into the system, members are rewarded, Both the activity completion and the reward are posted to the member account.	47028	36928
R0865	HUMANA INSURANCE COMPANY	2018	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 $50 in gift card(s) to be selected from various vendors	With the completion of 4 preventive activities the enrollees earn $50 in gift card(s) to be selected from various vendors	Participation is tracked via claims processing for the specific CPT codes for the preventive activities listed above.	488	4
R0865	HUMANA INSURANCE COMPANY	2018	2	Go365 by Humana	Education: Complete Healthy Assessment (HA), First Step HA (once per lifetime bonus for completion), HA Bonus (complete w/in 120 days of effective date), Interactive health tools such as courses, conversations and  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 density, Flu Shot, Dental Exam, Vision Exam, Body Mass Index (BMI), Blood Pressure, Blood Glucose screening (diabetes test), Cholesterol.	Medicare members can earn Bucks (Rewards) for participating and engaging in the program, such as completing education activities, biometric screening, preventive screenings, and exercising, etc.  Rewards can be redeemed for various items in the 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.	Program participation is tracked for each member through the completion of activities on the web or submitted via paper, uploads from fitness devices, incomings feeds from Silver Sneakers and screening data abstracted from medical claims, etc. As activity data feeds into the system, members are rewarded. Both the activity completion and the reward are posted to the member account.	47033	51775
R0923	HUMANA INSURANCE COMPANY	2018	1	Go365 by Humana	Education: Complete Healthy Assessment (HA), First Step HA (once per lifetime bonus for completion), HA Bonus (complete w/in 120 days of effective date), Interactive health tools such as courses, conversations and  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 density, Flu Shot, Dental Exam, Vision Exam, Body Mass Index (BMI), Blood Pressure, Blood Glucose screening (diabetes test), Cholesterol.	Medicare members can earn Bucks (Rewards) for participating and engaging in the program, such as completing education activities, biometric screening, preventive screenings, and exercising, etc.  Rewards can be redeemed for various items in the 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.	Program participation is tracked for each member through the completion of activities on the web or submitted via paper, uploads from fitness devices, incomings feeds from Silver Sneakers and screening data abstracted from medical claims, etc. As activity data feeds into the system, members are rewarded. Both the activity completion and the reward are posted to the member account.	10498	6887
R1390	HUMANA INSURANCE COMPANY	2018	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 $50 in gift card(s) to be selected from various vendors	With the completion of 4 preventive activities the enrollees earn $50 in gift card(s) to be selected from various vendors	Participation is tracked via claims processing for the specific CPT codes for the preventive activities listed above.	143	2
R1390	HUMANA INSURANCE COMPANY	2018	2	Go365 by Humana	Education: Complete Healthy Assessment (HA), First Step HA (once per lifetime bonus for completion), HA Bonus (complete w/in 120 days of effective date), Interactive health tools such as courses, conversations and  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 density, Flu Shot, Dental Exam, Vision Exam, Body Mass Index (BMI), Blood Pressure, Blood Glucose screening (diabetes test), Cholesterol.	Medicare members can earn Bucks (Rewards) for participating and engaging in the program, such as completing education activities, biometric screening, preventive screenings, and exercising, etc.  Rewards can be redeemed for various items in the 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.	Program participation is tracked for each member through the completion of activities on the web or submitted via paper, uploads from fitness devices, incomings feeds from Silver Sneakers and screening data abstracted from medical claims, etc. As activity data feeds into the system, members are rewarded. Both the activity completion and the reward are posted to the member account.	72279	74904
R1532	HUMANA INSURANCE COMPANY	2018	1	Go365 by Humana	Education: Complete Healthy Assessment (HA), First Step HA (once per lifetime bonus for completion), HA Bonus (complete w/in 120 days of effective date), Interactive health tools such as courses, conversations and  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 density, Flu Shot, Dental Exam, Vision Exam, Body Mass Index (BMI), Blood Pressure, Blood Glucose screening (diabetes test), Cholesterol.	Medicare members can earn Bucks (Rewards) for participating and engaging in the program, such as completing education activities, biometric screening, preventive screenings, and exercising, etc.  Rewards can be redeemed for various items in the 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.	Program participation is tracked for each member through the completion of activities on the web or submitted via paper, uploads from fitness devices, incomings feeds from Silver Sneakers and screening data abstracted from medical claims, etc. As activity data feeds into the system, members are rewarded. Both the activity completion and the reward are posted to the member account.	6203	2652
R1548	UNITEDHEALTHCARE INSURANCE CO OF THE RIVER VALLEY	2018	1	House Calls Program, Renew Rewards	HouseCall, 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 Ca	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 receive s 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.	12372	11403
R3175	UNITEDHEALTHCARE INSURANCE COMPANY	2018	1	House Calls Program, Renew Rewards	HouseCall, 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 Ca	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 receive s 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.	2025	1993
R3332	BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.	2018	1	HealthyBlue 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 $30, In Home Assessment $30, Annual Flu Shot $20, Breast Cancer Screening $25, Colon Cancer Screening (Fecal Occult Blood Test/Fecal Immunochemical Test/Flexible Sigmoidoscopy Colonoscopy) $10 to $50, Diabetes Care Eye Exam $25, Diabetes Care Kidney Exam $15, Diabetes Care A1C $20, Osteoporosis (BMD Screening) $25	The reward value is based on Chapter 4 CMS guidelines pertaining to the value of the health related service and  the status of members completing their health activity in the 2018 plan year based on a combination of claims data received by Florida Blue and member self-reported activity.	Members interact through the HealthyBlue program via telephonic and digital channels. Member interactions across the channels are captured in Welltoks CMS-compliant data storage as activations and redemptions (participation).	25096	8796
R3392	HUMANA INSURANCE COMPANY	2018	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 $50 in gift card(s) to be selected from various vendors	With the completion of 4 preventive activities the enrollees earn $50 in gift card(s) to be selected from various vendors	Participation is tracked via claims processing for the specific CPT codes for the preventive activities listed above.	180	2
R3392	HUMANA INSURANCE COMPANY	2018	2	Go365 by Humana	Education: Complete Healthy Assessment (HA), First Step HA (once per lifetime bonus for completion), HA Bonus (complete w/in 120 days of effective date), Interactive health tools such as courses, conversations and  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 density, Flu Shot, Dental Exam, Vision Exam, Body Mass Index (BMI), Blood Pressure, Blood Glucose screening (diabetes test), Cholesterol.	Medicare members can earn Bucks (Rewards) for participating and engaging in the program, such as completing education activities, biometric screening, preventive screenings, and exercising, etc.  Rewards can be redeemed for various items in the 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.	Program participation is tracked for each member through the completion of activities on the web or submitted via paper, uploads from fitness devices, incomings feeds from Silver Sneakers and screening data abstracted from medical claims, etc. As activity data feeds into the system, members are rewarded. Both the activity completion and the reward are posted to the member account.	51837	64408
R3444	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	2018	1	House Calls Program, Renew Rewards	HouseCall, 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 Ca	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 receive s 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.	45395	47340
R3887	HUMANA INSURANCE COMPANY	2018	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 $50 in gift card(s) to be selected from various vendors	With the completion of 4 preventive activities the enrollees earn $50 in gift card(s) to be selected from various vendors	Participation is tracked via claims processing for the specific CPT codes for the preventive activities listed above.	274	1
R3887	HUMANA INSURANCE COMPANY	2018	2	Go365 by Humana	Education: Complete Healthy Assessment (HA), First Step HA (once per lifetime bonus for completion), HA Bonus (complete w/in 120 days of effective date), Interactive health tools such as courses, conversations and  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 density, Flu Shot, Dental Exam, Vision Exam, Body Mass Index (BMI), Blood Pressure, Blood Glucose screening (diabetes test), Cholesterol.	Medicare members can earn Bucks (Rewards) for participating and engaging in the program, such as completing education activities, biometric screening, preventive screenings, and exercising, etc.  Rewards can be redeemed for various items in the 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.	Program participation is tracked for each member through the completion of activities on the web or submitted via paper, uploads from fitness devices, incomings feeds from Silver Sneakers and screening data abstracted from medical claims, etc. As activity data feeds into the system, members are rewarded. Both the activity completion and the reward are posted to the member account.	17691	12950
R4182	HUMANA INSURANCE COMPANY	2018	1	Go365 by Humana	Education: Complete Healthy Assessment (HA), First Step HA (once per lifetime bonus for completion), HA Bonus (complete w/in 120 days of effective date), Interactive health tools such as courses, conversations and  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 density, Flu Shot, Dental Exam, Vision Exam, Body Mass Index (BMI), Blood Pressure, Blood Glucose screening (diabetes test), Cholesterol.	Medicare members can earn Bucks (Rewards) for participating and engaging in the program, such as completing education activities, biometric screening, preventive screenings, and exercising, etc.  Rewards can be redeemed for various items in the 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.	Program participation is tracked for each member through the completion of activities on the web or submitted via paper, uploads from fitness devices, incomings feeds from Silver Sneakers and screening data abstracted from medical claims, etc. As activity data feeds into the system, members are rewarded. Both the activity completion and the reward are posted to the member account.	63877	45680
R4845	HUMANA INSURANCE COMPANY	2018	1	Go365 by Humana	Education: Complete Healthy Assessment (HA), First Step HA (once per lifetime bonus for completion), HA Bonus (complete w/in 120 days of effective date), Interactive health tools such as courses, conversations and  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 density, Flu Shot, Dental Exam, Vision Exam, Body Mass Index (BMI), Blood Pressure, Blood Glucose screening (diabetes test), Cholesterol.	Medicare members can earn Bucks (Rewards) for participating and engaging in the program, such as completing education activities, biometric screening, preventive screenings, and exercising, etc.  Rewards can be redeemed for various items in the 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.	Program participation is tracked for each member through the completion of activities on the web or submitted via paper, uploads from fitness devices, incomings feeds from Silver Sneakers and screening data abstracted from medical claims, etc. As activity data feeds into the system, members are rewarded. Both the activity completion and the reward are posted to the member account.	6771	1672
R5329	SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	2018	1	House Calls Program, Renew Rewards	HouseCall, 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 Ca	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 receive s 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.	1494	1562
R5342	UNITEDHEALTHCARE INSURANCE COMPANY OF NEW YORK	2018	1	House Calls Program, Renew Rewards	HouseCall, 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 Ca	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 receive s 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.	37760	41182
R5361	HUMANA INSURANCE COMPANY	2018	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 $50 in gift card(s) to be selected from various vendors	With the completion of 4 preventive activities the enrollees earn $50 in gift card(s) to be selected from various vendors	Participation is tracked via claims processing for the specific CPT codes for the preventive activities listed above.	1157	21
R5361	HUMANA INSURANCE COMPANY	2018	2	Go365 by Humana	Education: Complete Healthy Assessment (HA), First Step HA (once per lifetime bonus for completion), HA Bonus (complete w/in 120 days of effective date), Interactive health tools such as courses, conversations and  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 density, Flu Shot, Dental Exam, Vision Exam, Body Mass Index (BMI), Blood Pressure, Blood Glucose screening (diabetes test), Cholesterol.	Medicare members can earn Bucks (Rewards) for participating and engaging in the program, such as completing education activities, biometric screening, preventive screenings, and exercising, etc.  Rewards can be redeemed for various items in the 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.	Program participation is tracked for each member through the completion of activities on the web or submitted via paper, uploads from fitness devices, incomings feeds from Silver Sneakers and screening data abstracted from medical claims, etc. As activity data feeds into the system, members are rewarded. Both the activity completion and the reward are posted to the member account.	21276	20807
R5495	HUMANA INSURANCE COMPANY	2018	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 $50 in gift card(s) to be selected from various vendors	With the completion of 4 preventive activities the enrollees earn $50 in gift card(s) to be selected from various vendors	Participation is tracked via claims processing for the specific CPT codes for the preventive activities listed above.	265	1
R5495	HUMANA INSURANCE COMPANY	2018	2	Go365 by Humana	Education: Complete Healthy Assessment (HA), First Step HA (once per lifetime bonus for completion), HA Bonus (complete w/in 120 days of effective date), Interactive health tools such as courses, conversations and  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 density, Flu Shot, Dental Exam, Vision Exam, Body Mass Index (BMI), Blood Pressure, Blood Glucose screening (diabetes test), Cholesterol.	Medicare members can earn Bucks (Rewards) for participating and engaging in the program, such as completing education activities, biometric screening, preventive screenings, and exercising, etc.  Rewards can be redeemed for various items in the 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.	Program participation is tracked for each member through the completion of activities on the web or submitted via paper, uploads from fitness devices, incomings feeds from Silver Sneakers and screening data abstracted from medical claims, etc. As activity data feeds into the system, members are rewarded. Both the activity completion and the reward are posted to the member account.	11892	7960
R5826	HUMANA INSURANCE COMPANY	2018	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 $50 in gift card(s) to be selected from various vendors	With the completion of 4 preventive activities the enrollees earn $50 in gift card(s) to be selected from various vendors	Participation is tracked via claims processing for the specific CPT codes for the preventive activities listed above.	125	1
R5826	HUMANA INSURANCE COMPANY	2018	2	Go365 by Humana	Education: Complete Healthy Assessment (HA), First Step HA (once per lifetime bonus for completion), HA Bonus (complete w/in 120 days of effective date), Interactive health tools such as courses, conversations and  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 density, Flu Shot, Dental Exam, Vision Exam, Body Mass Index (BMI), Blood Pressure, Blood Glucose screening (diabetes test), Cholesterol.	Medicare members can earn Bucks (Rewards) for participating and engaging in the program, such as completing education activities, biometric screening, preventive screenings, and exercising, etc.  Rewards can be redeemed for various items in the 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.	Program participation is tracked for each member through the completion of activities on the web or submitted via paper, uploads from fitness devices, incomings feeds from Silver Sneakers and screening data abstracted from medical claims, etc. As activity data feeds into the system, members are rewarded. Both the activity completion and the reward are posted to the member account.	42437	30951
R5941	ANTHEM INSURANCE COMPANIES, INC.	2018	1	Novu Wellness Perks	Annual Routine Physical, Bone Density Test, Breast Cancer Screening, Colorectal Cancer Screening, Diabetic A1c Test, Diabetic Retinal Eye Exam, Diabetic Kidney Screening	ARP $25 Gift Card, BCS $25 Gift Card, COL $50 Gift Card, OMW $25 Gift Card, Diabetic Retinal Eye Exam $25, Diabetic Kidney Screen $25, Diabetic A1c Test $25	Value of Gift Card, one gift card for each incentive	Member Self Attest	5984	10409
R5941	ANTHEM INSURANCE COMPANIES, INC.	2018	2	Rewards for Health	Annual Routine Physical, Breast Cancer Screening, Colorectal Cancer Screening, Diabetic Retinal Eye Exam, Bone Mineral Screening_A, Bone Mineral Screening_B	ARP $25 Gift Card, BCS $25 Gift Card, COL $25 Gift Card, Diabetic Retinal Eye Exam $25 Gift Card, OMW_A $25 Gift Card, OMW_B $50 Gift Card	Value of Gift Card, one gift card for each incentive	Provider Signed Attestations	7658	7498
R6694	AETNA LIFE INSURANCE COMPANY	2018	1	 	 	 	 	 	0	0
R6801	CARE IMPROVEMENT PLUS OF TEXAS INSURANCE COMPANY	2018	1	House Calls Program, Renew Rewards	HouseCall, 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 Ca	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 receive s 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.	57056	58542
R7220	HUMANA INSURANCE COMPANY	2018	1	Go365 by Humana	Education: Complete Healthy Assessment (HA), First Step HA (once per lifetime bonus for completion), HA Bonus (complete w/in 120 days of effective date), Interactive health tools such as courses, conversations and  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 density, Flu Shot, Dental Exam, Vision Exam, Body Mass Index (BMI), Blood Pressure, Blood Glucose screening (diabetes test), Cholesterol.	Medicare members can earn Bucks (Rewards) for participating and engaging in the program, such as completing education activities, biometric screening, preventive screenings, and exercising, etc.  Rewards can be redeemed for various items in the 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.	Program participation is tracked for each member through the completion of activities on the web or submitted via paper, uploads from fitness devices, incomings feeds from Silver Sneakers and screening data abstracted from medical claims, etc. As activity data feeds into the system, members are rewarded. Both the activity completion and the reward are posted to the member account.	8633	7625
R7315	HUMANA INSURANCE COMPANY	2018	1	Go365 by Humana	Education: Complete Healthy Assessment (HA), First Step HA (once per lifetime bonus for completion), HA Bonus (complete w/in 120 days of effective date), Interactive health tools such as courses, conversations and  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 density, Flu Shot, Dental Exam, Vision Exam, Body Mass Index (BMI), Blood Pressure, Blood Glucose screening (diabetes test), Cholesterol.	Medicare members can earn Bucks (Rewards) for participating and engaging in the program, such as completing education activities, biometric screening, preventive screenings, and exercising, etc.  Rewards can be redeemed for various items in the 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.	Program participation is tracked for each member through the completion of activities on the web or submitted via paper, uploads from fitness devices, incomings feeds from Silver Sneakers and screening data abstracted from medical claims, etc. As activity data feeds into the system, members are rewarded. Both the activity completion and the reward are posted to the member account.	21567	15949
R7444	UNITEDHEALTHCARE INSURANCE COMPANY	2018	1	House Calls Program, Renew Rewards	HouseCall, 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 Ca	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 receive s 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.	248436	263798
