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.	2020	1	BUCKEYE COMMUNITY HEALTH PLAN, INC.	INPATIENT MENTAL HEALTH FOLLOW UP VISIT, BONE DENSITY, BREAST CANCER SCREENING, COLORECTAL SCREENING, DIABETIC EYE EXAM, DIABETIC HBA1C, DIABETIC KIDNEY SCREENING, FLU VACCINE, PCR OUTPATIENT WITHIN 30 DAYS, HEALTH RISK ASSESSMENT AND WELLNESS VISIT	VISA PREPAID DEBIT CARD	THE REWARD VALUE IS CALCULATED BASED ON THE HEALTH CARE ACTIVITY AND THE CMS GUIDELINE PERTAINING TO THE VALUE OF THE HEALTH RELATED SERVICE OR ACTIVITY.	INTERNAL PROCESS REVIEWS DATA SOURCES SUCH AS CLAIMS, ASSESSMENT DATA, LABS, ETC. SUBMITTED AND ISSUES REWARDS BASED ON LOGIC BUILT TO IDENTIFY REWARDABLE ACTIVITIES	19446	20155
H0028	CHA HMO, INC.	2020	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.	2106	563
H0028	CHA HMO, INC.	2020	2	Annual Wellness Visit Incentive - Go365 by Humana	Due to COVID, AWV completions are down for 2020. This incentive is geared towards increasing the AWV completion rate.	Medicare members can earn an additional $25 gift card for completing an AWV in 2020.	The messaging is a call to action for members to schedule & complete their AWV in 2020 and earn an additional $25 reward.	Program participation is tracked for each member through the receipt of the AWV coded claim.	77197	713925
H0028	CHA HMO, INC.	2020	3	Go365 by Humana	Fitness: rewards for completing monthly workouts, Social/Lifestyle: rewards for completing monthly volunteering, athletic event, education class, or community nutrition program Prevention: Annual Wellness Exam, Mammogram, Colorectal Screening, Cardiovascular disease screening, Bone density, Flu Shot.	Medicare members can earn Rewards for participating and engaging in the program, such as completing preventive screenings and exercising.  Rewards can be redeemed for various items in the Go365 Mall. Members can choose gift cards from a variety of retailers, in amounts ranging from $10.00 - $100.00 as program rewards.	Go365 collaborates with the Humana Medicare team to identify the value of preventive services awarded in the program and then assigns a reward value that does not exceed the value of the service. For social, lifestyle and athletic activities, rewards are calculated to be of sufficient value to motivate participation (based on prior program data), but of a lower value than disease prevention services.	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.	385858	1979085
H0062	SUPERIOR HEALTHPLAN COMMUNITY SOLUTIONS, INC.	2020	1	SUPERIOR HEALTHPLAN COMMUNITY SOLUTIONS, INC.	BREAST CANCER SCREENING, COLORECTAL SCREENING, DIABETIC EYE EXAM, DIABETIC HBA1C, DIABETIC KIDNEY SCREENING, FLU VACCINE, HEALTH RISK ASSESSMENT AND WELLNESS VISIT	VISA PREPAID DEBIT CARD	THE REWARD VALUE IS CALCULATED BASED ON THE HEALTH CARE ACTIVITY AND THE CMS GUIDELINE PERTAINING TO THE VALUE OF THE HEALTH RELATED SERVICE OR ACTIVITY.	INTERNAL PROCESS REVIEWS DATA SOURCES SUCH AS CLAIMS, ASSESSMENT DATA, LABS, ETC. SUBMITTED AND ISSUES REWARDS BASED ON LOGIC BUILT TO IDENTIFY REWARDABLE ACTIVITIES	3693	6019
H0088	WELLCARE HEALTH INSURANCE OF NEW YORK, INC.	2020	1	Medicare Healthy Rewards Program	Breast Cancer Screening, Colorectal Cancer Screening (fit kit accepted), Comprehensive Diabetes Care - Eye Exam, HbA1c, Nephropathy, Bone Density Screening, Arthritis Management, Annual Wellness Visit, Flu Vaccine, Taking Care of Your Overall Health	Rewards vary from $10 - $50 depending on service completed.  Members were able to choose from a variety of gift cards including: Walmart, Visa, Subway	Reward values are calculated based on data supporting certain values being associated with member participation.  We also analyze member utilization across the program to determine values to remain within program budget.  Additionally, consulting firms may be used to understand industry parity in choosing reward values.	We review monthly data files receveived from the vendor to understand enrollee participation.  We review this against claims data on our side and complete our analysis.	140	13
H0104	BLUE CROSS AND BLUE SHIELD OF ALABAMA	2020	1	Blue Advantage Member Rewards Program	Annual Wellness Visit, Breast Cancer Screening (Mammogram), Colorectal Cancer Screening, Diabetic Eye Exam	Visa Gift Cards	The reward values were set at $10 for opting into the Rewards program, $10 for annual wellness visit, $10 for breast cancer screening (mammogram), $15 for colorectal cancer screening, and $10 for diabetic eye exam.	The program vendor (Onlife/Guidewell) tracks enrollee opt-ins to the program and reports weekly to BCBSAL. BCBSAL sends closed gaps based on claims data to (Onlife/Guidewell) to indicate that a member has earned a reward for a screening or exam.	11570	207785
H0107	HEALTH CARE SERVICE CORPORATION	2020	1	Rewards and Incentives Program	Annual Wellness Visit, Fall Risk Assessment, Flu Vaccine, Blood Glucose A1c Screening, ColorectalScreening, In Home Assessment, Mammogram, Nephropathy Screening, Retinal Eye Exam, Bone Density Screening	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 Mammogram, Nephropathy Screening, Retinal Eye Exam, Bone Density Screening. Members that complete the Annual Wellness Visit recieve two rewards of $25, amounting amounting to a total $50 reward	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 Reorts and Reward Redemption Reports	9296	29646
H0111	WELLCARE OF GEORGIA, INC.	2020	1	Medicare Healthy Rewards Program	Breast Cancer Screening, Colorectal Cancer Screening (fit kit accepted), Comprehensive Diabetes Care - Eye Exam, HbA1c, Nephropathy, Bone Density Screening, Arthritis Management, Annual Wellness Visit, Flu Vaccine, Taking Care of Your Overall Health	Rewards vary from $10 - $50 depending on service completed.  Members were able to choose from a variety of gift cards including: Walmart, Visa, Subway	Reward values are calculated based on data supporting certain values being associated with member participation.  We also analyze member utilization across the program to determine values to remain within program budget.  Additionally, consulting firms may be used to understand industry parity in choosing reward values.	We review monthly data files receveived from the vendor to understand enrollee participation.  We review this against claims data on our side and complete our analysis.	5554	1113
H0137	COMMONWEALTH CARE ALLIANCE, INC.	2020	1	 	 	 	 	 	0	0
H0148	BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN	2020	1	Blue Shield of California Promise Appreciation Program	Annual Wellness Exam, Bone Density Test, Breast Cancer Screening, Colon Cancer Screening, Diabetes A1C Blood Test, Diabetes Eye Exam, Flu Shot, COA Medication Review, COA Pain Screening	Gift Card(s)	The recommendation for incentive values was proposed by Novu for each activity based on Novu's Quality Improvement Model, incentive program experience and industry standard.	Blue Shield of California provided a member eligibility file to Novu of the members who were eligible to participate in the rewards program. When a member either activated into the program or redeemed an eligible activity for a reward, Novu sent Blue Shield of California a monthly activity file which contained the members' information and recent activity in the incentive program. Weekly dashboards also provided data related to the number of redemptions along with the total dollar amount that had been spent on the gift cards.	1083	200
H0154	VIVA HEALTH, INC.	2020	1	 	 	 	 	 	0	0
H0169	UNITEDHEALTHCARE OF THE MIDWEST, INC.	2020	1	UnitedHealthcare Dual Complete Rewards, HouseCalls Program, Vivify Program	Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, Rheumatoid Arthritis Visit, Reducing Risk of Falls Visit, Urinary Incontinence Visit, Flu Shot, Health Assessment completion. HouseCall.  Registration for mobile application based nurse support, health monitoring and health education.	Gift Card or loaned Tablet	UnitedHealthcare Dual Complete Rewards: 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 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. Vivify: The reward is a gift card of a set monetary amount that must be spent down or a loaned tablet from UHC for use during Vivify program engagement. 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.	UnitedHealthcare Dual Complete Rewards: 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 the eligibility period for the activity is validated, the reward is issued. 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. Vivify: Members are notified of the program through nurse outreach, email, and direct mail promotion. Tracking the member accepting the terms and conditions of the mobile application, and issue the card once the system has registered the members acceptance.	23719	25565
H0174	WELLCARE OF TEXAS, INC.	2020	1	Medicare Healthy Rewards Program	Breast Cancer Screening, Colorectal Cancer Screening (fit kit accepted), Comprehensive Diabetes Care - Eye Exam, HbA1c, Nephropathy, Bone Density Screening, Arthritis Management, Annual Wellness Visit, Flu Vaccine, Taking Care of Your Overall Health	Rewards vary from $10 - $50 depending on service completed.  Members were able to choose from a variety of gift cards including: Walmart, Visa, Subway	Reward values are calculated based on data supporting certain values being associated with member participation.  We also analyze member utilization across the program to determine values to remain within program budget.  Additionally, consulting firms may be used to understand industry parity in choosing reward values.	We review monthly data files receveived from the vendor to understand enrollee participation.  We review this against claims data on our side and complete our analysis.	34163	10002
H0192	AMERIHEALTH MICHIGAN, INC.	2020	1	Influenza Prevention	Flu vaccine	$15.00 Gift Card not redeemable for cash	Gift Card Face Value - $15.00 per member who received flu vaccine	All members are notified of the incentive program. Receipt of claim is used to identify members who have earned the incentive.	3008	947
H0192	AMERIHEALTH MICHIGAN, INC.	2020	2	Virtual Health/In-home Assessment	Meeting with licensed health professional to perfrom a detailed exam, discuss health history, and answer your questions.  The results are shared with the members PCP and does not replace any provider visits.  Participation is optional	One gift card per calendar year	Based on MMP 3 way contract	Detailed operational report containing member detail of completions	3008	237
H0251	UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.	2020	1	UnitedHealthcare Dual Complete Rewards, HouseCalls Program, Vivify Program	Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, Rheumatoid Arthritis Visit, Reducing Risk of Falls Visit, Urinary Incontinence Visit, Flu Shot, Health Assessment completion. HouseCall.  Registration for mobile application based nurse support, health monitoring and health education.	Gift Card or loaned Tablet	UnitedHealthcare Dual Complete Rewards: 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 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. Vivify: The reward is a gift card of a set monetary amount that must be spent down or a loaned tablet from UHC for use during Vivify program engagement. 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.	UnitedHealthcare Dual Complete Rewards: 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 the eligibility period for the activity is validated, the reward is issued. 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. Vivify: Members are notified of the program through nurse outreach, email, and direct mail promotion. Tracking the member accepting the terms and conditions of the mobile application, and issue the card once the system has registered the members acceptance.	36009	37950
H0270	WELLCARE HEALTH INSURANCE COMPANY OF AMERICA	2020	1	Medicare Healthy Rewards Program	Breast Cancer Screening, Colorectal Cancer Screening (fit kit accepted), Comprehensive Diabetes Care - Eye Exam, HbA1c, Nephropathy, Bone Density Screening, Arthritis Management, Annual Wellness Visit, Flu Vaccine, Taking Care of Your Overall Health	Rewards vary from $10 - $50 depending on service completed.  Members were able to choose from a variety of gift cards including: Walmart, Visa, Subway	Reward values are calculated based on data supporting certain values being associated with member participation.  We also analyze member utilization across the program to determine values to remain within program budget.  Additionally, consulting firms may be used to understand industry parity in choosing reward values.	We review monthly data files receveived from the vendor to understand enrollee participation.  We review this against claims data on our side and complete our analysis.	125	10
H0271	SYMPHONIX HEALTH INSURANCE, INC.	2020	1	Renew Rewards, HouseCalls Program, Vivify Program	Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, Rheumatoid Arthritis Visit,  Health Risk Assessment ,Flu Shot, Device-Based Activities .(Step) HouseCall.  Registration for mobile application based nurse support, health monitoring and health education.	Gift Card or loaned Tablet	Renew Rewards Program: 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 care activity itself. HouseCalls Program: 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. Vivify: The reward is a gift card of a set monetary amount that must be spent down or a loaned tablet from UHC for use during Vivify program engagement. 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 into the program through any of four channels (Customer Service, Online/Member Portals, IVR, Mobile) 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). Once UHC validates the eligibility period for the activity, the reward is issued. 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. Vivify: Members are notified of the program through nurse outreach, email, and direct mail promotion. Tracking the member accepting the terms and conditions of the mobile application, and issue the card once the system has registered the members acceptance.	31473	26938
H0292	HUMANA HEALTH PLAN OF OHIO, INC.	2020	1	Go365 by Humana	Fitness: rewards for completing monthly workouts, Social/Lifestyle: rewards for completing monthly volunteering, athletic event, education class, or community nutrition program Prevention: Annual Wellness Exam, Mammogram, Colorectal Screening, Cardiovascular disease screening, Bone density, Flu Shot.	Medicare members can earn Rewards for participating and engaging in the program, such as completing preventive screenings and exercising.  Rewards can be redeemed for various items in the Go365 Mall. Members can choose gift cards from a variety of retailers, in amounts ranging from $10.00 - $100.00 as program rewards.	Go365 collaborates with the Humana Medicare team to identify the value of preventive services awarded in the program and then assigns a reward value that does not exceed the value of the service. For social, lifestyle and athletic activities, rewards are calculated to be of sufficient value to motivate participation (based on prior program data), but of a lower value than disease prevention services.	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.	7715	75590
H0294	CARE IMPROVEMENT PLUS WISCONSIN INSURANCE COMPANY	2020	1	Renew Rewards, HouseCalls Program, Vivify Program	Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, Rheumatoid Arthritis Visit,  Health Risk Assessment ,Flu Shot, Device-Based Activities .(Step) HouseCall.  Registration for mobile application based nurse support, health monitoring and health education.	Gift Card or loaned Tablet	Renew Rewards Program: 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 care activity itself. HouseCalls Program: 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. Vivify: The reward is a gift card of a set monetary amount that must be spent down or a loaned tablet from UHC for use during Vivify program engagement. 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 into the program through any of four channels (Customer Service, Online/Member Portals, IVR, Mobile) 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). Once UHC validates the eligibility period for the activity, the reward is issued. 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. Vivify: Members are notified of the program through nurse outreach, email, and direct mail promotion. Tracking the member accepting the terms and conditions of the mobile application, and issue the card once the system has registered the members acceptance.	12200	12478
H0302	MEDISUN, INC.	2020	1	MyBlue Medicare Wellness Rewards Program, Welvie	Annual Wellness Exam, Colorectal Cancer Screening, Breast Cancer Screening, Osteoporosis Screening/Treatement for Women, Diabetic Retinal Eye Exam, Annual Flu Shot, Direct Decision Support for preference sensitive surgeries	Prepaid gift card	Value of prepaid gift card for annual wellness visit, breast cancer sreening, colorectal cancer screening, diabetic retinal eye exam, Direct Decision Support for preference sensitive surgeries are $25 each and $10 for annual flu shot.	For MyBlue Medicare Wellness Rewards Program, members receive program information, members who complete eligible screenings are mailed a gift card. For Welvie program, members must register in the program and program progress is tracked electronically.	36216	57154
H0321	ARIZONA PHYSICIANS IPA, INC.	2020	1	UnitedHealthcare Dual Complete Rewards, HouseCalls Program, Vivify Program	Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, Rheumatoid Arthritis Visit, Reducing Risk of Falls Visit, Urinary Incontinence Visit, Flu Shot, Health Assessment completion. HouseCall.  Registration for mobile application based nurse support, health monitoring and health education.	Gift Card or loaned Tablet	UnitedHealthcare Dual Complete Rewards: 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 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. Vivify: The reward is a gift card of a set monetary amount that must be spent down or a loaned tablet from UHC for use during Vivify program engagement. 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.	UnitedHealthcare Dual Complete Rewards: 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 the eligibility period for the activity is validated, the reward is issued. 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. Vivify: Members are notified of the program through nurse outreach, email, and direct mail promotion. Tracking the member accepting the terms and conditions of the mobile application, and issue the card once the system has registered the members acceptance.	25824	26973
H0332	KS PLAN ADMINISTRATORS, LLC	2020	1	 	 	 	 	 	0	0
H0336	HUMANA HEALTH PLAN, INC.	2020	1	 	 	 	 	 	0	0
H0351	HEALTH NET OF ARIZONA, INC.	2020	1	HEALTH NET OF ARIZONA, INC.	BREAST CANCER SCREENING, COLORECTAL SCREENING, DIABETIC EYE EXAM, DIABETIC HBA1C, DIABETIC KIDNEY SCREENING, FLU VACCINE, HEALTH RISK ASSESSMENT AND WELLNESS VISIT	VISA PREPAID DEBIT CARD	THE REWARD VALUE IS CALCULATED BASED ON THE HEALTH CARE ACTIVITY AND THE CMS GUIDELINE PERTAINING TO THE VALUE OF THE HEALTH RELATED SERVICE OR ACTIVITY.	INTERNAL PROCESS REVIEWS DATA SOURCES SUCH AS CLAIMS, ASSESSMENT DATA, LABS, ETC. SUBMITTED AND ISSUES REWARDS BASED ON LOGIC BUILT TO IDENTIFY REWARDABLE ACTIVITIES	9201	20263
H0354	CIGNA HEALTHCARE OF ARIZONA, INC.	2020	1	 	 	 	 	 	0	0
H0422	UCARE HEALTH, INC.	2020	1	Community Education	wellness session, health related activity, wellbeing activity	session discount	Value of the activity or service and budget available for the estimated number of participants	member database of rewards and incentive activity	570	1
H0422	UCARE HEALTH, INC.	2020	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	265	8
H0422	UCARE HEALTH, INC.	2020	3	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	67	8
H0422	UCARE HEALTH, INC.	2020	4	Diabetes Incentive	eye exam retinal	gift card	Value of the activity or service and budget available for the estimated number of participants	member database of rewards and incentive activity	67	8
H0422	UCARE HEALTH, INC.	2020	5	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	67	2
H0422	UCARE HEALTH, INC.	2020	6	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	45	6
H0423	METROPLUS HEALTH PLAN, INC.	2020	1	MetroPlus Rewards	Breast cancer screening, colon cancer screening, diabetes retinal eye exam, flu vaccine, health assessment, new member PCP visit, Step-Up walking challenge, Just Drink Water 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.	7861	6385
H0432	UNITEDHEALTHCARE OF ALABAMA, INC.	2020	1	Renew Rewards, HouseCalls Program, Vivify Program	Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, Rheumatoid Arthritis Visit,  Health Risk Assessment ,Flu Shot, Device-Based Activities .(Step) HouseCall.  Registration for mobile application based nurse support, health monitoring and health education.	Gift Card or loaned Tablet	Renew Rewards Program: 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 care activity itself. HouseCalls Program: 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. Vivify: The reward is a gift card of a set monetary amount that must be spent down or a loaned tablet from UHC for use during Vivify program engagement. 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 into the program through any of four channels (Customer Service, Online/Member Portals, IVR, Mobile) 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). Once UHC validates the eligibility period for the activity, the reward is issued. 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. Vivify: Members are notified of the program through nurse outreach, email, and direct mail promotion. Tracking the member accepting the terms and conditions of the mobile application, and issue the card once the system has registered the members acceptance.	25594	22729
H0439	CIGNA HEALTHCARE OF GEORGIA, INC.	2020	1	Cigna Medicare Advantage Incentives (CMAI)	360 Exam (wellness exam), HbA1c, Diabetic Retinal Eye Exam, Mammogram, Colonoscopy	A gift card to one of 3 retailers: Walmart, Amazon.com or Target for each preventative screening. There are different values to for each.	360 Exam (wellness exam) - $50 gift card, HbA1c -$25 gift card, Diabetic Eye Exam - $15 gift card, Mammogram - $25 gift card, Colonoscopy 1 or 3 year - $15 gift card, Colonoscopy 5 or 10 year - $50 gift card. We established values based on industry ranges, level of effort required by the beneficiary, and clinical value. It's also to encourage participation in preventive screenings that have been deemed important by CMS through inclusion in its Star rating program	Customer completes their 360 Exam at doctor's office. They are responsible for returning the 360 Exam attestation by using the doctor-signed form or going online to verify. To use the online incentive portal, customers can set up an account by going to www.CignaMedicareAdvantage.com/incentives to attest and also access extra health and wellness information. If participating by paper, customer forms have a unique barcode. All returned customer forms are scanned and processed by a vendor. The vendor provides a weekly file of all returned forms via sFTP to the internal program mamangement database. Database logic confirms customer eligibilty, approval or denial based on set program criteria, and when appropriate it triggers gift card fullfilment. If a PPO customer, after they complete the 360 Exam (wellness exam) they are encouraged to complete additional preventative screenings including the HbA1c, Diabetic Retinal Eye Exam, Mammogram, Colonoscopy (1,3,5,10 year). The incentive is earned once a claim is found to validate the screening took place. Database logic confirms customer eligibilty, approval or denial based on set program criteria, and when appropriate it triggers gift card fullfilment with the same gift card choice made for the 360 Exam.	30692	8672
H0473	HUMANA INSURANCE COMPANY OF KENTUCKY	2020	1	Go365 by Humana	Fitness: rewards for completing monthly workouts, Social/Lifestyle: rewards for completing monthly volunteering, athletic event, education class, or community nutrition program Prevention: Annual Wellness Exam, Mammogram, Colorectal Screening, Cardiovascular disease screening, Bone density, Flu Shot.	Medicare members can earn Rewards for participating and engaging in the program, such as completing preventive screenings and exercising.  Rewards can be redeemed for various items in the Go365 Mall. Members can choose gift cards from a variety of retailers, in amounts ranging from $10.00 - $100.00 as program rewards.	Go365 collaborates with the Humana Medicare team to identify the value of preventive services awarded in the program and then assigns a reward value that does not exceed the value of the service. For social, lifestyle and athletic activities, rewards are calculated to be of sufficient value to motivate participation (based on prior program data), but of a lower value than disease prevention services.	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.	19272	80145
H0480	MERIDIAN HEALTH PLAN OF MICHIGAN, INC.	2020	1	 	 	 	 	 	0	0
H0504	CALIFORNIA PHYSICIANS' SERVICE	2020	1	Blue Shield of California Appreciation Program	Annual Wellness Exam, Diabetes Retinal Eye Exam, Diabetes A1C Blood test, Breast Cancer Screening, Colorectal Cancer Screening, Flu Shot, Bone Density Test	Gift Card(s)	The recommendation for incentive values was proposed by Novu for each activity based on Novu's Quality Improvement Model, incentive program experience and industry standard.	Blue Shield of California provided a member eligibility file to Novu of the members who were eligible to participate in the rewards program. When a member either activated into the program or redeemed an eligible activity for a reward, Novu sent Blue Shield of California a monthly activity file which contained the members' information and recent activity in the incentive program. Weekly dashboards also provided data related to the number of redemptions along with the total dollar amount that had been spent on the gift cards.	17862	8974
H0523	AETNA HEALTH OF CALIFORNIA INC.	2020	1	 	 	 	 	 	0	0
H0524	KAISER FOUNDATION HP, INC.	2020	1	Yes, Silver&Fit Rewards Program	Members are rewarded for meeting a threshold of fitness facility visits and/or physical activity.	Members may earn nominal rewards such as a Silver&Fit hat or collectable pin each quarter.	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.	2381	227
H0543	UHC OF CALIFORNIA	2020	1	Renew Rewards, HouseCalls Program, Vivify Program	Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, Rheumatoid Arthritis Visit,  Health Risk Assessment ,Flu Shot, Device-Based Activities .(Step) HouseCall.  Registration for mobile application based nurse support, health monitoring and health education.	Gift Card or loaned Tablet	Renew Rewards Program: 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 care activity itself. HouseCalls Program: 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. Vivify: The reward is a gift card of a set monetary amount that must be spent down or a loaned tablet from UHC for use during Vivify program engagement. 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 into the program through any of four channels (Customer Service, Online/Member Portals, IVR, Mobile) 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). Once UHC validates the eligibility period for the activity, the reward is issued. 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. Vivify: Members are notified of the program through nurse outreach, email, and direct mail promotion. Tracking the member accepting the terms and conditions of the mobile application, and issue the card once the system has registered the members acceptance.	26970	33827
H0544	BLUE CROSS OF CALIFORNIA	2020	1	 	 	 	 	 	0	0
H0545	INTER VALLEY HEALTH PLAN, INC.	2020	1	 	 	 	 	 	0	0
H0562	HEALTH NET OF CALIFORNIA,INC.	2020	1	HEALTH NET OF CALIFORNIA,INC.	BONE DENSITY, BREAST CANCER SCREENING, COLORECTAL SCREENING, DIABETCI EYE EXAM, DIABETIC HBA1C, DIABETIC KIDNEY SCREENING, FLU VACCINE, HEALTH RISK ASSESSMENT AND WELLNESS VISIT	VISA PREPAID DEBIT CARD	THE REWARD VALUE IS CALCULATED BASED ON THE HEALTH CARE ACTIVITY AND THE CMS GUIDELINE PERTAINING TO THE VALUE OF THE HEALTH RELATED SERVICE OR ACTIVITY.	INTERNAL PROCESS REVIEWS DATA SOURCES SUCH AS CLAIMS, ASSESSMENT DATA, LABS, ETC. SUBMITTED AND ISSUES REWARDS BASED ON LOGIC BUILT TO IDENTIFY REWARDABLE ACTIVITIES	99902	37984
H0571	CHINESE COMMUNITY HEALTH PLAN	2020	1	 	 	 	 	 	0	0
H0609	PACIFICARE OF COLORADO, INC.	2020	1	Renew Rewards, HouseCalls Program, Vivify Program	Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, Rheumatoid Arthritis Visit,  Health Risk Assessment ,Flu Shot, Device-Based Activities .(Step) HouseCall.  Registration for mobile application based nurse support, health monitoring and health education.	Gift Card or loaned Tablet	Renew Rewards Program: 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 care activity itself. HouseCalls Program: 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. Vivify: The reward is a gift card of a set monetary amount that must be spent down or a loaned tablet from UHC for use during Vivify program engagement. 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 into the program through any of four channels (Customer Service, Online/Member Portals, IVR, Mobile) 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). Once UHC validates the eligibility period for the activity, the reward is issued. 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. Vivify: Members are notified of the program through nurse outreach, email, and direct mail promotion. Tracking the member accepting the terms and conditions of the mobile application, and issue the card once the system has registered the members acceptance.	68933	69572
H0624	UNITEDHEALTHCARE INSURANCE COMPANY	2020	1	UnitedHealthcare Dual Complete Rewards, HouseCalls Program, Vivify Program	Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, Rheumatoid Arthritis Visit, Reducing Risk of Falls Visit, Urinary Incontinence Visit, Flu Shot, Health Assessment completion. HouseCall.  Registration for mobile application based nurse support, health monitoring and health education.	Gift Card or loaned Tablet	UnitedHealthcare Dual Complete Rewards: 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 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. Vivify: The reward is a gift card of a set monetary amount that must be spent down or a loaned tablet from UHC for use during Vivify program engagement. 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.	UnitedHealthcare Dual Complete Rewards: 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 the eligibility period for the activity is validated, the reward is issued. 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. Vivify: Members are notified of the program through nurse outreach, email, and direct mail promotion. Tracking the member accepting the terms and conditions of the mobile application, and issue the card once the system has registered the members acceptance.	8235	8572
H0628	AETNA HEALTH OF OHIO INC.	2020	1	 	 	 	 	 	0	0
H0630	KAISER FOUNDATION HP OF CO	2020	1	 	 	 	 	 	0	0
H0672	CIGNA HEALTHCARE OF COLORADO, INC.	2020	1	Cigna Medicare Advantage Incentives (CMAI)	360 Exam (wellness exam), HbA1c, Diabetic Retinal Eye Exam, Mammogram, Colonoscopy	A gift card to one of 3 retailers: Walmart, Amazon.com or Target for each preventative screening. There are different values to for each.	360 Exam (wellness exam) - $50 gift card, HbA1c -$25 gift card, Diabetic Eye Exam - $15 gift card, Mammogram - $25 gift card, Colonoscopy 1 or 3 year - $15 gift card, Colonoscopy 5 or 10 year - $50 gift card. We established values based on industry ranges, level of effort required by the beneficiary, and clinical value. It's also to encourage participation in preventive screenings that have been deemed important by CMS through inclusion in its Star rating program	Customer completes their 360 Exam at doctor's office. They are responsible for returning the 360 Exam attestation by using the doctor-signed form or going online to verify. To use the online incentive portal, customers can set up an account by going to www.CignaMedicareAdvantage.com/incentives to attest and also access extra health and wellness information. If participating by paper, customer forms have a unique barcode. All returned customer forms are scanned and processed by a vendor. The vendor provides a weekly file of all returned forms via sFTP to the internal program mamangement database. Database logic confirms customer eligibilty, approval or denial based on set program criteria, and when appropriate it triggers gift card fullfilment. If a PPO customer, after they complete the 360 Exam (wellness exam) they are encouraged to complete additional preventative screenings including the HbA1c, Diabetic Retinal Eye Exam, Mammogram, Colonoscopy (1,3,5,10 year). The incentive is earned once a claim is found to validate the screening took place. Database logic confirms customer eligibilty, approval or denial based on set program criteria, and when appropriate it triggers gift card fullfilment with the same gift card choice made for the 360 Exam.	1089	196
H0710	SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	2020	1	Renew Rewards, HouseCalls Program, Vivify Program	Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, Rheumatoid Arthritis Visit,  Health Risk Assessment ,Flu Shot, Device-Based Activities .(Step) HouseCall.  Registration for mobile application based nurse support, health monitoring and health education.	Gift Card or loaned Tablet	Renew Rewards Program: 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 care activity itself. HouseCalls Program: 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. Vivify: The reward is a gift card of a set monetary amount that must be spent down or a loaned tablet from UHC for use during Vivify program engagement. 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 into the program through any of four channels (Customer Service, Online/Member Portals, IVR, Mobile) 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). Once UHC validates the eligibility period for the activity, the reward is issued. 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. Vivify: Members are notified of the program through nurse outreach, email, and direct mail promotion. Tracking the member accepting the terms and conditions of the mobile application, and issue the card once the system has registered the members acceptance.	19	12
H0712	WELLCARE OF CONNECTICUT, INC.	2020	1	Medicare Healthy Rewards Program	Breast Cancer Screening, Colorectal Cancer Screening (fit kit accepted), Comprehensive Diabetes Care - Eye Exam, HbA1c, Nephropathy, Bone Density Screening, Arthritis Management, Annual Wellness Visit, Flu Vaccine, Taking Care of Your Overall Health	Rewards vary from $10 - $50 depending on service completed.  Members were able to choose from a variety of gift cards including: Walmart, Visa, Subway	Reward values are calculated based on data supporting certain values being associated with member participation.  We also analyze member utilization across the program to determine values to remain within program budget.  Additionally, consulting firms may be used to understand industry parity in choosing reward values.	We review monthly data files receveived from the vendor to understand enrollee participation.  We review this against claims data on our side and complete our analysis.	9678	1903
H0724	BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.	2020	1	BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.	BONE DENSITY, BREAST CANCER SCREENING, COLORECTAL SCREENING, DIABETIC EYE EXAM, DIABETIC HBA1C, DIABETIC KIDNEY SCREENING, FLU VACCINE, HEALTH RISK ASSESSMENT AND WELLNESS VISIT	VISA PREPAID DEBIT CARD	THE REWARD VALUE IS CALCULATED BASED ON THE HEALTH CARE ACTIVITY AND THE CMS GUIDELINE PERTAINING TO THE VALUE OF THE HEALTH RELATED SERVICE OR ACTIVITY.	INTERNAL PROCESS REVIEWS DATA SOURCES SUCH AS CLAIMS, ASSESSMENT DATA, LABS, ETC. SUBMITTED AND ISSUES REWARDS BASED ON LOGIC BUILT TO IDENTIFY REWARDABLE ACTIVITIES	2896	5188
H0755	OXFORD HEALTH PLANS (CT), INC.	2020	1	Renew Rewards, HouseCalls Program, Vivify Program	Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, Rheumatoid Arthritis Visit,  Health Risk Assessment ,Flu Shot, Device-Based Activities .(Step) HouseCall.  Registration for mobile application based nurse support, health monitoring and health education.	Gift Card or loaned Tablet	Renew Rewards Program: 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 care activity itself. HouseCalls Program: 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. Vivify: The reward is a gift card of a set monetary amount that must be spent down or a loaned tablet from UHC for use during Vivify program engagement. 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 into the program through any of four channels (Customer Service, Online/Member Portals, IVR, Mobile) 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). Once UHC validates the eligibility period for the activity, the reward is issued. 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. Vivify: Members are notified of the program through nurse outreach, email, and direct mail promotion. Tracking the member accepting the terms and conditions of the mobile application, and issue the card once the system has registered the members acceptance.	53949	55357
H0798	MEDICA COMMUNITY HEALTH PLAN	2020	1	 	 	 	 	 	0	0
H0838	UNIVERSAL CARE, INC.	2020	1	Severely and Persistently Mentally Ill	Medication Compliance Education, sobriety Counseling, Weight Management, Smoking Cessaton 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.	2077	0
H0838	UNIVERSAL CARE, INC.	2020	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.	55057	76254
H0908	BUCKEYE COMMUNITY HEALTH PLAN, INC.	2020	1	BUCKEYE COMMUNITY HEALTH PLAN, INC.	BONE DENSITY, BREAST CANCER SCREENING, COLORECTAL SCREENING, DIABETIC EYE EXAM, DIABETIC HBA1C, DIABETIC KIDNEY SCREENING, FLU VACCINE, HEALTH RISK ASSESSMENT AND WELLNESS VISIT	VISA PREPAID DEBIT CARD	THE REWARD VALUE IS CALCULATED BASED ON THE HEALTH CARE ACTIVITY AND THE CMS GUIDELINE PERTAINING TO THE VALUE OF THE HEALTH RELATED SERVICE OR ACTIVITY.	INTERNAL PROCESS REVIEWS DATA SOURCES SUCH AS CLAIMS, ASSESSMENT DATA, LABS, ETC. SUBMITTED AND ISSUES REWARDS BASED ON LOGIC BUILT TO IDENTIFY REWARDABLE ACTIVITIES	1572	2610
H0913	WELLCARE HEALTH PLANS OF NEW JERSEY, INC.	2020	1	Medicare Healthy Rewards Program	Breast Cancer Screening, Colorectal Cancer Screening (fit kit accepted), Comprehensive Diabetes Care - Eye Exam, HbA1c, Nephropathy, Bone Density Screening, Arthritis Management, Annual Wellness Visit, Flu Vaccine, Taking Care of Your Overall Health	Rewards vary from $10 - $50 depending on service completed.  Members were able to choose from a variety of gift cards including: Walmart, Visa, Subway	Reward values are calculated based on data supporting certain values being associated with member participation.  We also analyze member utilization across the program to determine values to remain within program budget.  Additionally, consulting firms may be used to understand industry parity in choosing reward values.	We review monthly data files receveived from the vendor to understand enrollee participation.  We review this against claims data on our side and complete our analysis.	7463	642
H0927	HEALTH CARE SERVICE CORPORATION	2020	1	 	 	 	 	 	0	0
H0969	WELLCARE HEALTH INSURANCE COMPANY OF NEW HAMPSHIRE	2020	1	Medicare Healthy Rewards Program	Breast Cancer Screening, Colorectal Cancer Screening (fit kit accepted), Comprehensive Diabetes Care - Eye Exam, HbA1c, Nephropathy, Bone Density Screening, Arthritis Management, Annual Wellness Visit, Flu Vaccine, Taking Care of Your Overall Health	Rewards vary from $10 - $50 depending on service completed.  Members were able to choose from a variety of gift cards including: Walmart, Visa, Subway	Reward values are calculated based on data supporting certain values being associated with member participation.  We also analyze member utilization across the program to determine values to remain within program budget.  Additionally, consulting firms may be used to understand industry parity in choosing reward values.	We review monthly data files receveived from the vendor to understand enrollee participation.  We review this against claims data on our side and complete our analysis.	518	71
H0982	SOLIS HEALTH PLANS, INC.	2020	1	 	 	 	 	 	0	0
H1016	AVMED, INC.	2020	1	AvMed 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, Educational material readings	Gift Cards	Each activity has previously established reward value. members may redeem a single reward for a single activity completion up to a value of $100 maximum total reward value.	Weekly Activity Reports	7102	23673
H1019	CAREPLUS HEALTH PLANS, INC.	2020	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.	200826	82544
H1032	WELLCARE OF FLORIDA, INC.	2020	1	Medicare Healthy Rewards Program	Breast Cancer Screening, Colorectal Cancer Screening (fit kit accepted), Comprehensive Diabetes Care - Eye Exam, HbA1c, Nephropathy, Bone Density Screening, Arthritis Management, Annual Wellness Visit, Flu Vaccine, Taking Care of Your Overall Health	Rewards vary from $10 - $50 depending on service completed.  Members were able to choose from a variety of gift cards including: Walmart, Visa, Subway	Reward values are calculated based on data supporting certain values being associated with member participation.  We also analyze member utilization across the program to determine values to remain within program budget.  Additionally, consulting firms may be used to understand industry parity in choosing reward values.	We review monthly data files receveived from the vendor to understand enrollee participation.  We review this against claims data on our side and complete our analysis.	117194	21723
H1035	FLORIDA BLUE MEDICARE, INC.	2020	1	HealthyBlue Rewards, FHCP In-Home Assessment (IHA) Program	The health care activities and reward values were as follows: Annual Wellness $30 or In Home Health Visit $30, In Home Assessment $20, 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, Health Risk Appraisal Survey $20.	Members were rewarded with gift cards to complete the specified health care activities. The members had the option of receiving 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 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 2020 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 were captured in Onlife Health's CMS-compliant data storage as activations and redemptions (participation). PopHealthCare performs outreach, scheduling and completion of all FHCP In-Home Assessments. Member interactions were captured in PopHealthCare's CMS-compliant data storage.	21107	16371
H1036	HUMANA MEDICAL PLAN, INC.	2020	1	Annual Wellness Visit Incentive - Go365 by Humana	Due to COVID, AWV completions are down for 2020. This incentive is geared towards increasing the AWV completion rate.	Medicare members can earn an additional $25 gift card for completing an AWV in 2020.	The messaging is a call to action for members to schedule & complete their AWV in 2020 and earn an additional $25 reward.	Program participation is tracked for each member through the receipt of the AWV coded claim.	16342	131200
H1036	HUMANA MEDICAL PLAN, INC.	2020	2	Go365 by Humana	Fitness: rewards for completing monthly workouts, Social/Lifestyle: rewards for completing monthly volunteering, athletic event, education class, or community nutrition program Prevention: Annual Wellness Exam, Mammogram, Colorectal Screening, Cardiovascular disease screening, Bone density, Flu Shot.	Medicare members can earn Rewards for participating and engaging in the program, such as completing preventive screenings and exercising.  Rewards can be redeemed for various items in the Go365 Mall. Members can choose gift cards from a variety of retailers, in amounts ranging from $10.00 - $100.00 as program rewards.	Go365 collaborates with the Humana Medicare team to identify the value of preventive services awarded in the program and then assigns a reward value that does not exceed the value of the service. For social, lifestyle and athletic activities, rewards are calculated to be of sufficient value to motivate participation (based on prior program data), but of a lower value than disease prevention services.	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.	569947	4124410
H1045	PREFERRED CARE PARTNERS, INC.	2020	1	UnitedHealthcare Dual Complete Rewards, Renew Rewards, HouseCalls Program, Vivify Program	Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, Rheumatoid Arthritis Visit, Reducing Risk of Falls Visit, Urinary Incontinence Visit, Flu Shot, Health Assessment completion.  Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, Rheumatoid Arthritis Visit,  Health Risk Assessment ,Flu Shot, Device-Based Activities .(Step) HouseCall.  Registration for mobile application based nurse support, health monitoring and health education.	Gift Card or loaned Tablet	UnitedHealthcare Dual Complete Rewards: 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: 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 care activity itself. HouseCalls Program: 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. Vivify: The reward is a gift card of a set monetary amount that must be spent down or a loaned tablet from UHC for use during Vivify program engagement. 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.	UnitedHealthcare Dual Complete Rewards: 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 the eligibility period for the activity is validated, the reward is issued. Renew Rewards Program: Enrollees initiate the redemption process by activating into the program through any of four channels (Customer Service, Online/Member Portals, IVR, Mobile) 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). Once UHC validates the eligibility period for the activity, the reward is issued. 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. Vivify: Members are notified of the program through nurse outreach, email, and direct mail promotion. Tracking the member accepting the terms and conditions of the mobile application, and issue the card once the system has registered the members acceptance.	69111	68133
H1099	HEALTH FIRST HEALTH PLANS	2020	1	Welltok CafeWell	Comprehensive Health Assessment, Mammogram, Colorectal Screening, Diabetic Retinopathy, Nephropathy, A1C screening, Flu Vaccine	Gift Cards	Point values assigned to each activity directly translate to gift card value	Monthly reporting supplied by the vendor Welltok tracking enrollment and participation	41461	11659
H1100	INNOVATION HEALTH INSURANCE COMPANY	2020	1	 	 	 	 	 	0	0
H1109	AETNA HEALTH INC.(GA)	2020	1	Aetna Healthy You Rewards	Completing Physical Activity, Utilize Resources for Living Program, Annual Wellness Exam, Diabetes Series (eye exam, A1C testing, following dr's plan), Colorectal Cancer Screening, Breast Cancer Screening, Validate Care Coordination Information.	The Members receive an activation kit that invites them to participate in Healthy Rewards. 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 be mailed to their home address. The reward values, per activity, range from $15 to $50 depending on the activity.	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.	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.	2692	873
H1111	UNITEDHEALTHCARE OF GEORGIA, INC.	2020	1	Renew Rewards, HouseCalls Program, Vivify Program	Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, Rheumatoid Arthritis Visit,  Health Risk Assessment ,Flu Shot, Device-Based Activities .(Step) HouseCall.  Registration for mobile application based nurse support, health monitoring and health education.	Gift Card or loaned Tablet	Renew Rewards Program: 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 care activity itself. HouseCalls Program: 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. Vivify: The reward is a gift card of a set monetary amount that must be spent down or a loaned tablet from UHC for use during Vivify program engagement. 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 into the program through any of four channels (Customer Service, Online/Member Portals, IVR, Mobile) 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). Once UHC validates the eligibility period for the activity, the reward is issued. 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. Vivify: Members are notified of the program through nurse outreach, email, and direct mail promotion. Tracking the member accepting the terms and conditions of the mobile application, and issue the card once the system has registered the members acceptance.	6029	5476
H1112	WELLCARE OF GEORGIA, INC.	2020	1	Medicare Healthy Rewards Program	Breast Cancer Screening, Colorectal Cancer Screening (fit kit accepted), Comprehensive Diabetes Care - Eye Exam, HbA1c, Nephropathy, Bone Density Screening, Arthritis Management, Annual Wellness Visit, Flu Vaccine, Taking Care of Your Overall Health	Rewards vary from $10 - $50 depending on service completed.  Members were able to choose from a variety of gift cards including: Walmart, Visa, Subway	Reward values are calculated based on data supporting certain values being associated with member participation.  We also analyze member utilization across the program to determine values to remain within program budget.  Additionally, consulting firms may be used to understand industry parity in choosing reward values.	We review monthly data files receveived from the vendor to understand enrollee participation.  We review this against claims data on our side and complete our analysis.	55243	13621
H1119	TSG GUARD, INC.	2020	1	 	 	 	 	 	0	0
H1142	BRIGHT HEALTH INSURANCE COMPANY OF OHIO, INC.	2020	1	 	 	 	 	 	0	0
H1170	KAISER FOUNDATION HP OF GA, INC.	2020	1	 	 	 	 	 	0	0
H1181	NETWORK HEALTH INSURANCE CORPORATION	2020	1	Healthy Living with Diabetes	Completion of heath related educational programming	Gift cards to various merchants (target, amazon, etc.)	Value is directed by the guidance issued by CMS that states that the value of the reward cannot be more than the value of the activity or service itself.  Health plan ensures that gift card value for the completion of the service/activity, is nominal - less than or equal to$ 50.	Spreadsheets and vendor reporting	3	0
H1181	NETWORK HEALTH INSURANCE CORPORATION	2020	2	Prevent T2	Completion of heath related educational programming	Fitbit	Value is directed by the guidance issued by CMS that states that the value of the reward cannot be more than the value of the activity or service itself.  Health plan ensures that Fitbit value for the completion of the service/activity, is nominal.	Spreadsheets and vendor reporting	53	1
H1181	NETWORK HEALTH INSURANCE CORPORATION	2020	3	MSA Wellness Program	Completion of routine labs - annual wellnes visit-flu shot	Gift cards to various merchants (target, amazon, etc.)	Value is directed by the guidance issued by CMS that states that the value of the reward cannot be more than the value of the activity or service itself.  Health plan ensures that gift card value for the completion of the service/activity, is nominal - less than or equal to $100.	Members do not enroll into the program but are eligible when they enroll with Network Health. Spreadsheets and vendor reporting	1474	292
H1181	NETWORK HEALTH INSURANCE CORPORATION	2020	4	Inovalon BIO-IQ	Completion of mobile quality or risk adjustment visit	Gift cards to various merchants (target, amazon, etc.)	Value is directed by the guidance issued by CMS that states that the value of the reward cannot be more than the value of the activity or service itself.  Health plan ensures that gift card value for the completion of the service/activity, is nominal - less than or equal to $50.	Spreadsheets and vendor reporting	479	49
H1181	NETWORK HEALTH INSURANCE CORPORATION	2020	5	Matrix Mobile	Completion of mobile quality or risk adjustment visit	Gift cards to various merchants (target, amazon, etc.)	Value is directed by the guidance issued by CMS that states that the value of the reward cannot be more than the value of the activity or service itself.  Health plan ensures that gift card value for the copmpletion of the service/activity, is nominal - less than or equal to $50.	Spreadsheets and vendor reporting	205	8
H1181	NETWORK HEALTH INSURANCE CORPORATION	2020	6	ADOP/GLOOKO	Track glucose level for 2 months using the mobile diabetes app	Gift cards to various merchants (target, amazon, etc.)	Value is directed by the guidance issued by CMS that states that the value of the reward cannot be more than the value of the activity or service itself.  Health plan ensures that gift card value for the copmpletion of the service/activity, is nominal - less than or equal to $50.	Spreadsheets and vendor reporting	0	0
H1181	NETWORK HEALTH INSURANCE CORPORATION	2020	7	Innovalon Home Visit	Completion of in home or virtual assessment	Gift cards to various merchants (target, amazon, etc.)	Value was based on industry experience of vendor with input from NH Compliance and Finance. Value is directed by the guidance issued by CMS that states that the value of the reward cannot be more than the value of the activity or service itself.	Members do not enroll into the program but are eligible when they enroll with Network Health. Vendor tracks as the visit documentation is completed	1474	241
H1189	CHRISTUS HEALTH PLAN	2020	1	 	 	 	 	 	0	0
H1225	HOPKINS HEALTH ADVANTAGE, INC.	2020	1	 	 	 	 	 	0	0
H1230	KAISER FOUNDATION HP, INC.	2020	1	Yes, Silver&Fit Rewards Program	Members are rewarded for meeting a threshold of fitness facility visits and/or physical activity.	Members may earn nominal rewards such as a Silver&Fit hat or collectable pin each quarter.	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.	740	67
H1248	LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY	2020	1	Member Rewards Program	Annual Wellness Visit, Breast Cancer Screening, Colorectal Cancer Screening, Annual Flu Vaccine, Diabetic Retinal Exam	$25 for each of the screenings or wellness visits completed up to $50	Visiting your doctor at least once a year can help make you aware of small health problems before they become large health issues and provide rewards for doing so	Was tracked by third party vendor  HealthMine	368	684
H1277	ALIGN SENIOR CARE, INC.	2020	1	 	 	 	 	 	0	0
H1278	HARKEN HEALTH INSURANCE COMPANY	2020	1	Renew Rewards, HouseCalls Program, Vivify Program	Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, Rheumatoid Arthritis Visit,  Health Risk Assessment ,Flu Shot, Device-Based Activities .(Step) HouseCall.  Registration for mobile application based nurse support, health monitoring and health education.	Gift Card or loaned Tablet	Renew Rewards Program: 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 care activity itself. HouseCalls Program: 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. Vivify: The reward is a gift card of a set monetary amount that must be spent down or a loaned tablet from UHC for use during Vivify program engagement. 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 into the program through any of four channels (Customer Service, Online/Member Portals, IVR, Mobile) 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). Once UHC validates the eligibility period for the activity, the reward is issued. 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. Vivify: Members are notified of the program through nurse outreach, email, and direct mail promotion. Tracking the member accepting the terms and conditions of the mobile application, and issue the card once the system has registered the members acceptance.	11074	9667
H1290	DEVOTED HEALTH PLAN OF FLORIDA, INC.	2020	1	Devoted Dollars	PCP Visit, Flu Shot, Colorectal Cancer Screening, Breast Cancer Screening, Routine Diabetes Exams	Gift Cards	$25 per quarter for a PCP visit, $10 per flu season for a flu shot, $25 per benefit year for Colorectal Cancer Screening, $25 per benefit year for Breast Cancer Screening, $25 per benefit year for Routine Diabetes Exams	A medical claim for a PCP visit triggers a PCP visit reward, a medical claim, a pharmacy claim, or a member attestation triggers reward for a flu shot, a medical claim for Colorectal Cancer Screening will trigger a Colorectal Cancer Screening reward, a medical claim for Breast Cancer Screening will trigger a Breast Cancer Screening reward, medical claims for blood sugar test (HbA1C test), eye exam (retinopathy exam), and kidney exam (nephropathy exam) will trigger a Routine Diabetes Exam reward	13995	56686
H1302	BLUE CROSS OF IDAHO CARE PLUS, INC.	2020	1	Healthy Rewards	Annual Wellness Visit,Bone Density Test,Rheumatoid Arthritis Management,Breast Cancer Screening,Diabetes Kidney Exam,Diabetes Blood Test (A1C),Colon Cancer Screening,Flu Shot,Diabetes Eye Exam,Taking Care of Your Overall Health, Connecting with your Care Coordinator, Know your Benefits - MDLive (telehealth)	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 ranges from $15.00 to $50.00 depending on exam type	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.	734	21
H1304	REGENCE BLUESHIELD OF IDAHO	2020	1	Onlife Health Member Incentive Program	Annual Wellness Exam, Colorectal Cancer Screening, Breast Cancer Screening, Diabetes Care, Osteoporosis Management, Advanced Care Planning	Gift Cards	Members earn gift cards by having the services (AWV Breast Cancer Screening Colorectal Cancer Screening Diabetes Care and Advanced Care Planning)	Members Opt-in to the program and Onlife tracks their rewards based on opt-in status and whether or not our claims feed shows the services rendered to participants.	1216	845
H1350	BLUE CROSS OF IDAHO CARE PLUS, INC.	2020	1	Healthy Rewards Program	Annual Wellness Visit,Bone Density Test,Rheumatoid Arthritis Management,Breast Cancer Screening,Diabetes Kidney Exam,Diabetes Blood Test (A1C),Colon Cancer Screening,Flu Shot,Diabetes Eye Exam,Taking Care of Your Overall Health, Connecting with your Care Coordinator, Know your Benefits - MDLive (telehealth)	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 ranges from $15.00 to $50.00 depending on exam type.	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.	5710	15920
H1352	BLUE-ADVANTAGE PLUS OF KANSAS CITY, INC.	2020	1	Yes	Mammogram, Annual Wellness Exam, Flu shot, Diabetic Eye Exam	Limit of two, $25 gift cards to use at retail stores	Rewards are calculated based on the submission of claims for the related services tied to the member rewards benefit. A claim submitted for the health related services included in the program, triggers gift card availability.	Tracking is based on eligibility, enrollment, related services rendered, claim submitted, and reward pay out	8962	3703
H1353	WELLCARE OF WASHINGTON, INC.	2020	1	Medicare Healthy Rewards Program	Breast Cancer Screening, Colorectal Cancer Screening (fit kit accepted), Comprehensive Diabetes Care - Eye Exam, HbA1c, Nephropathy, Bone Density Screening, Arthritis Management, Annual Wellness Visit, Flu Vaccine, Taking Care of Your Overall Health	Rewards vary from $10 - $50 depending on service completed.  Members were able to choose from a variety of gift cards including: Walmart, Visa, Subway	Reward values are calculated based on data supporting certain values being associated with member participation.  We also analyze member utilization across the program to determine values to remain within program budget.  Additionally, consulting firms may be used to understand industry parity in choosing reward values.	We review monthly data files receveived from the vendor to understand enrollee participation.  We review this against claims data on our side and complete our analysis.	1329	71
H1365	MARTIN'S POINT GENERATIONS ADVANTAGE, INC.	2020	1	Grocery Gift Card for completion of Home Risk Assessment or attend Mobile Health Center event	Annual Wellness Visits and preventative screenings	$15 Hannaford Gift Card	$15 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	69	69
H1372	MARQUIS ADVANTAGE, INC.	2020	1	 	 	 	 	 	0	0
H1375	UNITEDHEALTHCARE COMMUNITY PLAN OF CALIFORNIA, INC	2020	1	UnitedHealthcare Dual Complete Rewards, HouseCalls Program	Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, Rheumatoid Arthritis Visit, Reducing Risk of Falls Visit, Urinary Incontinence Visit, Flu Shot, Health Assessment completion. HouseCall.	Gift Card	UnitedHealthcare Dual Complete Rewards: 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 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.	UnitedHealthcare Dual Complete Rewards: 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 the eligibility period for the activity is validated, the reward is issued. 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.	300	270
H1393	BRIGHT HEALTH INSURANCE COMPANY OF TENNESSEE	2020	1	 	 	 	 	 	0	0
H1415	HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.	2020	1	Cigna Medicare Advantage Incentives (CMAI)	360 Exam (wellness exam), HbA1c, Diabetic Retinal Eye Exam, Mammogram, Colonoscopy	A gift card to one of 3 retailers: Walmart, Amazon.com or Target for each preventative screening. There are different values to for each.	360 Exam (wellness exam) - $50 gift card, HbA1c -$25 gift card, Diabetic Eye Exam - $15 gift card, Mammogram - $25 gift card, Colonoscopy 1 or 3 year - $15 gift card, Colonoscopy 5 or 10 year - $50 gift card. We established values based on industry ranges, level of effort required by the beneficiary, and clinical value. It's also to encourage participation in preventive screenings that have been deemed important by CMS through inclusion in its Star rating program	Customer completes their 360 Exam at doctor's office. They are responsible for returning the 360 Exam attestation by using the doctor-signed form or going online to verify. To use the online incentive portal, customers can set up an account by going to www.CignaMedicareAdvantage.com/incentives to attest and also access extra health and wellness information. If participating by paper, customer forms have a unique barcode. All returned customer forms are scanned and processed by a vendor. The vendor provides a weekly file of all returned forms via sFTP to the internal program mamangement database. Database logic confirms customer eligibilty, approval or denial based on set program criteria, and when appropriate it triggers gift card fullfilment. If a PPO customer, after they complete the 360 Exam (wellness exam) they are encouraged to complete additional preventative screenings including the HbA1c, Diabetic Retinal Eye Exam, Mammogram, Colonoscopy (1,3,5,10 year). The incentive is earned once a claim is found to validate the screening took place. Database logic confirms customer eligibilty, approval or denial based on set program criteria, and when appropriate it triggers gift card fullfilment with the same gift card choice made for the 360 Exam.	15270	3044
H1416	HARMONY HEALTH PLAN,  INC.	2020	1	Medicare Healthy Rewards Program	Breast Cancer Screening, Colorectal Cancer Screening (fit kit accepted), Comprehensive Diabetes Care - Eye Exam, HbA1c, Nephropathy, Bone Density Screening, Arthritis Management, Annual Wellness Visit, Flu Vaccine, Taking Care of Your Overall Health	Rewards vary from $10 - $50 depending on service completed.  Members were able to choose from a variety of gift cards including: Walmart, Visa, Subway	Reward values are calculated based on data supporting certain values being associated with member participation.  We also analyze member utilization across the program to determine values to remain within program budget.  Additionally, consulting firms may be used to understand industry parity in choosing reward values.	We review monthly data files receveived from the vendor to understand enrollee participation.  We review this against claims data on our side and complete our analysis.	83567	21201
H1426	VITALITY HEALTH PLAN OF CALIFORNIA, INC.	2020	1	 	 	 	 	 	0	0
H1436	ABSOLUTE TOTAL CARE, INC.	2020	1	ABSOLUTE TOTAL CARE, INC.	BREAST CANCER SCREENING, COLORECTAL SCREENING, DIABETIC EYE EXAM, DIABETIC HBA1C, DIABETIC KIDNEY SCREENING, FLU VACCINE AND HEALTH RISK ASSESSMENT	VISA PREPAID DEBIT CARD	THE REWARD VALUE IS CALCULATED BASED ON THE HEALTH CARE ACTIVITY AND THE CMS GUIDELINE PERTAINING TO THE VALUE OF THE HEALTH RELATED SERVICE OR ACTIVITY.	INTERNAL PROCESS REVIEWS DATA SOURCES SUCH AS CLAIMS, ASSESSMENT DATA, LABS, ETC. SUBMITTED AND ISSUES REWARDS BASED ON LOGIC BUILT TO IDENTIFY REWARDABLE ACTIVITIES	7300	10622
H1463	HEALTH ALLIANCE CONNECT, INC.	2020	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.	2514	2514
H1468	HUMANA BENEFIT PLAN OF ILLINOIS, INC.	2020	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.	247	45
H1468	HUMANA BENEFIT PLAN OF ILLINOIS, INC.	2020	2	Annual Wellness Visit Incentive - Go365 by Humana	Due to COVID, AWV completions are down for 2020. This incentive is geared towards increasing the AWV completion rate.	Medicare members can earn an additional $25 gift card for completing an AWV in 2020.	The messaging is a call to action for members to schedule & complete their AWV in 2020 and earn an additional $25 reward.	Program participation is tracked for each member through the receipt of the AWV coded claim.	18397	116550
H1468	HUMANA BENEFIT PLAN OF ILLINOIS, INC.	2020	3	Go365 by Humana	Fitness: rewards for completing monthly workouts, Social/Lifestyle: rewards for completing monthly volunteering, athletic event, education class, or community nutrition program Prevention: Annual Wellness Exam, Mammogram, Colorectal Screening, Cardiovascular disease screening, Bone density, Flu Shot.	Medicare members can earn Rewards for participating and engaging in the program, such as completing preventive screenings and exercising.  Rewards can be redeemed for various items in the Go365 Mall. Members can choose gift cards from a variety of retailers, in amounts ranging from $10.00 - $100.00 as program rewards.	Go365 collaborates with the Humana Medicare team to identify the value of preventive services awarded in the program and then assigns a reward value that does not exceed the value of the service. For social, lifestyle and athletic activities, rewards are calculated to be of sufficient value to motivate participation (based on prior program data), but of a lower value than disease prevention services.	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.	132074	790395
H1537	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO	2020	1	Renew Rewards, HouseCalls Program, Vivify Program	Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, Rheumatoid Arthritis Visit,  Health Risk Assessment ,Flu Shot, Device-Based Activities .(Step) HouseCall.  Registration for mobile application based nurse support, health monitoring and health education.	Gift Card or loaned Tablet	Renew Rewards Program: 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 care activity itself. HouseCalls Program: 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. Vivify: The reward is a gift card of a set monetary amount that must be spent down or a loaned tablet from UHC for use during Vivify program engagement. 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 into the program through any of four channels (Customer Service, Online/Member Portals, IVR, Mobile) 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). Once UHC validates the eligibility period for the activity, the reward is issued. 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. Vivify: Members are notified of the program through nurse outreach, email, and direct mail promotion. Tracking the member accepting the terms and conditions of the mobile application, and issue the card once the system has registered the members acceptance.	732	701
H1587	ARKANSAS SUPERIOR SELECT, INC.	2020	1	 	 	 	 	 	0	0
H1607	ANTHEM INSURANCE COMPANIES, INC.	2020	1	 	 	 	 	 	0	0
H1608	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	2020	1	Aetna Healthy You Rewards	Completing Physical Activity, Utilize Resources for Living Program, Annual Wellness Exam, Diabetes Series (eye exam, A1C testing, following dr's plan), Colorectal Cancer Screening, Breast Cancer Screening, Validate Care Coordination Information.	The Members receive an activation kit that invites them to participate in Healthy Rewards. 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 be mailed to their home address. The reward values, per activity, range from $15 to $50 depending on the activity.	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.	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.	23504	4506
H1609	AETNA HEALTH INC. (FL)	2020	1	 	 	 	 	 	0	0
H1610	COVENTRY HEALTH CARE OF VIRGINIA, INC.	2020	1	Member Incentive Program	Members were encouraged to have an annual Wellness visit with their PCP, diabetic retinal eye exam, screening mammogram, flu vaccination, colorectal cancer screening and complete a Health Risk Assessment with the health plan.	$25 gift card for annual wellness visit, $25 for completing Health Risk Assessment, $15 for diabetic retinal eye exam, screening mammograms, colorectal cancer screening and flu vaccination.  All gift cards are in the form of a Walmart gift card.	No calculation, each gap in care closure earns members the allocated reward for the eligible measure in a form of a Walmart gift card.	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.	4788	1461
H1644	LONGEVITY HEALTH PLAN OF FLORIDA, INC.	2020	1	 	 	 	 	 	0	0
H1659	UNITEDHEALTHCARE INSURANCE CO OF THE RIVER VALLEY	2020	1	HouseCalls Program, Vivify Program	HouseCall.  Registration for mobile application based nurse support, health monitoring and health education.	Gift Card or loaned Tablet	HouseCalls Program: 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. Vivify: The reward is a gift card of a set monetary amount that must be spent down or a loaned tablet from UHC for use during Vivify program engagement. 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. Vivify: Members are notified of the program through nurse outreach, email, and direct mail promotion. Tracking the member accepting the terms and conditions of the mobile application, and issue the card once the system has registered the members acceptance.	1335	1045
H1660	HARVARD PILGRIM HEALTH CARE INC.	2020	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.	3195	5175
H1664	HOME STATE HEALTH PLAN, INC.	2020	1	HOME STATE HEALTH PLAN, INC.	BONE DENSITY, BREAST CANCER SCREENING, COLORECTAL SCREENING, DIABETIC EYE EXAM, DIABETIC HBA1C, DIABETIC KIDNEY EXAM, FLU VACCINE, HEALTH RISK ASSESSMENT AND WELLNESS VISIT	VISA PREPAID DEBIT CARD	THE REWARD VALUE IS CALCULATED BASED ON THE HEALTH CARE ACTIVITY AND THE CMS GUIDELINE PERTAINING TO THE VALUE OF THE HEALTH RELATED SERVICE OR ACTIVITY.	INTERNAL PROCESS REVIEWS DATA SOURCES SUCH AS CLAIMS, ASSESSMENT DATA, LABS, ETC. SUBMITTED AND ISSUES REWARDS BASED ON LOGIC BUILT TO IDENTIFY REWARDABLE ACTIVITIES	1863	3098
H1666	HCSC INSURANCE SERVICES COMPANY	2020	1	Rewards and Incentives Program	Annual Wellness Visit, Fall Risk Assessment, Flu Vaccine, Blood Glucose A1c Screening, ColorectalScreening, In Home Assessment, Mammogram, Nephropathy Screening, Retinal Eye Exam, Bone Density Screening	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 Mammogram, Nephropathy Screening, Retinal Eye Exam, Bone Density Screening. Members that complete the Annual Wellness Visit recieve two rewards of $25, amounting amounting to a total $50 reward	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 Reorts and Reward Redemption Reports	6932	22124
H1692	COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.	2020	1	Aetna Healthy You Rewards	Completing Physical Activity, Utilize Resources for Living Program, Annual Wellness Exam, Diabetes Series (eye exam, A1C testing, following dr's plan), Colorectal Cancer Screening, Breast Cancer Screening, Validate Care Coordination Information.	The Members receive an activation kit that invites them to participate in Healthy Rewards. 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 be mailed to their home address. The reward values, per activity, range from $15 to $50 depending on the activity.	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.	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.	5754	1189
H1723	ABSOLUTE TOTAL CARE, INC.	2020	1	ABSOLUTE TOTAL CARE, INC.	BREAST CANCER SCREENING, COLORECTAL SCREENING, DIABETIC EYE EXAM, DIABETIC HBA1C, DIABETIC KIDNEY SCREENING, FLU VACCINE AND HEALTH RISK ASSESSMENT	VISA PREPAID DEBIT CARD	THE REWARD VALUE IS CALCULATED BASED ON THE HEALTH CARE ACTIVITY AND THE CMS GUIDELINE PERTAINING TO THE VALUE OF THE HEALTH RELATED SERVICE OR ACTIVITY.	INTERNAL PROCESS REVIEWS DATA SOURCES SUCH AS CLAIMS, ASSESSMENT DATA, LABS, ETC. SUBMITTED AND ISSUES REWARDS BASED ON LOGIC BUILT TO IDENTIFY REWARDABLE ACTIVITIES	5938	5052
H1737	HEALTH ALLIANCE - MIDWEST, INC.	2020	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.	102	102
H1777	CATHOLIC SPECIAL NEEDS PLAN, LLC	2020	1	 	 	 	 	 	0	0
H1787	GOOD SAMARITAN INSURANCE PLAN OF SOUTH DAKOTA, INC	2020	1	 	 	 	 	 	0	0
H1846	MOUNT CARMEL HEALTH INSURANCE COMPANY	2020	1	 	 	 	 	 	0	0
H1889	UNITEDHEALTHCARE OF FLORIDA, INC.	2020	1	UnitedHealthcare Dual Complete Rewards, HouseCalls Program	Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, Rheumatoid Arthritis Visit, Reducing Risk of Falls Visit, Urinary Incontinence Visit, Flu Shot, Health Assessment completion. HouseCall.	Gift Card	UnitedHealthcare Dual Complete Rewards: 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 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.	UnitedHealthcare Dual Complete Rewards: 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 the eligibility period for the activity is validated, the reward is issued. 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.	819	846
H1894	AMERIGROUP WASHINGTON, INC.	2020	1	 	 	 	 	 	0	0
H1914	WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.	2020	1	Medicare Healthy Rewards Program	Breast Cancer Screening, Colorectal Cancer Screening (fit kit accepted), Comprehensive Diabetes Care - Eye Exam, HbA1c, Nephropathy, Bone Density Screening, Arthritis Management, Annual Wellness Visit, Flu Vaccine, Taking Care of Your Overall Health	Rewards vary from $10 - $50 depending on service completed.  Members were able to choose from a variety of gift cards including: Walmart, Visa, Subway	Reward values are calculated based on data supporting certain values being associated with member participation.  We also analyze member utilization across the program to determine values to remain within program budget.  Additionally, consulting firms may be used to understand industry parity in choosing reward values.	We review monthly data files receveived from the vendor to understand enrollee participation.  We review this against claims data on our side and complete our analysis.	2434	379
H1924	PORT HOLDINGS, INC.	2020	1	 	 	 	 	 	0	0
H1944	UNITEDHEALTHCARE OF NEW ENGLAND, INC.	2020	1	Renew Rewards, HouseCalls Program, Vivify Program	Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, Rheumatoid Arthritis Visit,  Health Risk Assessment ,Flu Shot, Device-Based Activities .(Step) HouseCall.  Registration for mobile application based nurse support, health monitoring and health education.	Gift Card or loaned Tablet	Renew Rewards Program: 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 care activity itself. HouseCalls Program: 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. Vivify: The reward is a gift card of a set monetary amount that must be spent down or a loaned tablet from UHC for use during Vivify program engagement. 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 into the program through any of four channels (Customer Service, Online/Member Portals, IVR, Mobile) 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). Once UHC validates the eligibility period for the activity, the reward is issued. 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. Vivify: Members are notified of the program through nurse outreach, email, and direct mail promotion. Tracking the member accepting the terms and conditions of the mobile application, and issue the card once the system has registered the members acceptance.	27970	24693
H1947	COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.	2020	1	 	 	 	 	 	0	0
H1951	HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.	2020	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.	10	1
H1951	HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.	2020	2	Go365 by Humana	Fitness: rewards for completing monthly workouts, Social/Lifestyle: rewards for completing monthly volunteering, athletic event, education class, or community nutrition program Prevention: Annual Wellness Exam, Mammogram, Colorectal Screening, Cardiovascular disease screening, Bone density, Flu Shot.	Medicare members can earn Rewards for participating and engaging in the program, such as completing preventive screenings and exercising.  Rewards can be redeemed for various items in the Go365 Mall. Members can choose gift cards from a variety of retailers, in amounts ranging from $10.00 - $100.00 as program rewards.	Go365 collaborates with the Humana Medicare team to identify the value of preventive services awarded in the program and then assigns a reward value that does not exceed the value of the service. For social, lifestyle and athletic activities, rewards are calculated to be of sufficient value to motivate participation (based on prior program data), but of a lower value than disease prevention services.	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.	180588	1042905
H1961	PEOPLES HEALTH, INC.	2020	1	Peoples Health Member Rewards Program 2020, Vivify Program	Comprehensive Wellness Assessment, Breast Cancer Screening, Colorectal Cancer Screening. Registration for mobile application based nurse support, health monitoring and health education.	Gift Card or loaned Tablet	Peoples Health: 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. Vivify: The reward is a gift card of a set monetary amount that must be spent down or a loaned tablet from UHC for use during Vivify program engagement. 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.	Peoples Health contracted with NOVU (renamed to Icario in 2021), a member engagement company, to manage the 2020 Peoples Health Member Rewards program. NOVU (Icario) provides daily reports covering: Total Members Eligible population 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, reward value). Vivify: Members are notified of the program through nurse outreach, email, and direct mail promotion. Tracking the member accepting the terms and conditions of the mobile application, and issue the card once the system has registered the members acceptance.	25697	24704
H1969	REGENCE BLUESHIELD OF IDAHO	2020	1	Onlife Health Member Incentive Program	Annual Wellness Exam, Colorectal Cancer Screening, Breast Cancer Screening, Diabetes Care, Osteoporosis Management, Advanced Care Planning	Gift Cards	Members earn gift cards by having the services (AWV Breast Cancer Screening Colorectal Cancer Screening Diabetes Care and Advanced Care Planning)	Members Opt-in to the program and Onlife tracks their rewards based on opt-in status and whether or not our claims feed shows the services rendered to participants.	503	413
H1977	UPPER PENINSULA HEALTH PLAN, LLC	2020	1	 	 	 	 	 	0	0
H1994	SELECTHEALTH, INC.	2020	1	Healthy Living	The only activity required for participation in the Healthy Living Program is the Annual Wellness Visit/Routine Physical Exam. If this is complete, members may choose from additional activities to earn points that are redeemed for a gift card. The optional activities are: Flu Shot, Colonoscopy, Mammogram, Eye Exam, Enroll in myhealth online portal, physical activity attestation, and Members Choice (describe what they did to stay healthy and active).	Members can receive a $50 gift card	Face value of the gift card	Members must track activities and submit information the online portal, by calling member services, or by mailing us the completed physical form. This information is tracked & reward is processed upon completion of required activities.	42160	4776
H1997	REGENCE BLUESHIELD	2020	1	 	 	 	 	 	0	0
H2001	SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	2020	1	Renew Rewards, HouseCalls Program, Renew Motion, Vivify Program	Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, Rheumatoid Arthritis Visit,  Health Risk Assessment ,Flu Shot, Device-Based Activities .(Step) HouseCall.  Registration for mobile application based nurse support, health monitoring and health education.	Gift Card or loaned Tablet	Renew Rewards Program: 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 care activity itself. HouseCalls Program: 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 Motion Program: The Motion platform calculates rewards by converting points earned for achieving each FIT goal on a daily basis to dollars.  Points are converted to dollars on a quarterly basis and the member is automatically issued a gift card based on participation. Vivify: The reward is a gift card of a set monetary amount that must be spent down or a loaned tablet from UHC for use during Vivify program engagement. 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 into the program through any of four channels (Customer Service, Online/Member Portals, IVR, Mobile) 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). Once UHC validates the eligibility period for the activity, the reward is issued. 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 Motion Program: The Motion platform tracks participation on a minute level basis by the member wearing a Fitbit or other tracking mechanism which tracks and updates the members dashboard accordingly. Vivify: Members are notified of the program through nurse outreach, email, and direct mail promotion. Tracking the member accepting the terms and conditions of the mobile application, and issue the card once the system has registered the members acceptance.	454996	416644
H2011	BRIGHT HEALTH INSURANCE COMPANY OF TENNESSEE	2020	1	 	 	 	 	 	0	0
H2020	DELAWARE LIFE INSURANCE COMPANY	2020	1	Better Health 4 You	Annual Flu Shot (Influenza Vaccination), Colorectal Cancer Screening, Breast Cancer Screening (Mammogram), Osteoporosis Screening (Bone Mineral Density Exam), Diabetic Retinopathy Screening (Eye Exam for diabetic members only)	Gift Cards	There are 5 preventive screenings that may be completed and submitted to the Plans and member is awarded a $10 gift card for each. The 2021 maximum total a member may receive for preventive screenings upon completion is $50.	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 the Plan. Once the completed form is received at the Plan, the Quality 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
H2029	HUMANA INSURANCE OF PUERTO RICO, INC.	2020	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.	873	149
H2029	HUMANA INSURANCE OF PUERTO RICO, INC.	2020	2	Go365 by Humana	Fitness: rewards for completing monthly workouts, Social/Lifestyle: rewards for completing monthly volunteering, athletic event, education class, or community nutrition program Prevention: Annual Wellness Exam, Mammogram, Colorectal Screening, Cardiovascular disease screening, Bone density, Flu Shot.	Medicare members can earn Rewards for participating and engaging in the program, such as completing preventive screenings and exercising.  Rewards can be redeemed for various items in the Go365 Mall. Members can choose gift cards from a variety of retailers, in amounts ranging from $10.00 - $100.00 as program rewards.	Go365 collaborates with the Humana Medicare team to identify the value of preventive services awarded in the program and then assigns a reward value that does not exceed the value of the service. For social, lifestyle and athletic activities, rewards are calculated to be of sufficient value to motivate participation (based on prior program data), but of a lower value than disease prevention services.	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.	18	0
H2032	INSURANCE COMPANY OF SCOTT AND WHITE	2020	1	 	 	 	 	 	0	0
H2034	COMMUNITY CARE HEALTH PLAN, INC.	2020	1	 	 	 	 	 	0	0
H2056	AETNA BETTER HEALTH OF MICHIGAN INC.	2020	1	 	 	 	 	 	0	0
H2108	BRAVO HEALTH MID-ATLANTIC, INC.	2020	1	Cigna Medicare Advantage Incentives (CMAI)	360 Exam (wellness exam), HbA1c, Diabetic Retinal Eye Exam, Mammogram, Colonoscopy	A gift card to one of 3 retailers: Walmart, Amazon.com or Target for each preventative screening. There are different values to for each.	360 Exam (wellness exam) - $50 gift card, HbA1c -$25 gift card, Diabetic Eye Exam - $15 gift card, Mammogram - $25 gift card, Colonoscopy 1 or 3 year - $15 gift card, Colonoscopy 5 or 10 year - $50 gift card. We established values based on industry ranges, level of effort required by the beneficiary, and clinical value. It's also to encourage participation in preventive screenings that have been deemed important by CMS through inclusion in its Star rating program	Customer completes their 360 Exam at doctor's office. They are responsible for returning the 360 Exam attestation by using the doctor-signed form or going online to verify. To use the online incentive portal, customers can set up an account by going to www.CignaMedicareAdvantage.com/incentives to attest and also access extra health and wellness information. If participating by paper, customer forms have a unique barcode. All returned customer forms are scanned and processed by a vendor. The vendor provides a weekly file of all returned forms via sFTP to the internal program mamangement database. Database logic confirms customer eligibilty, approval or denial based on set program criteria, and when appropriate it triggers gift card fullfilment. If a PPO customer, after they complete the 360 Exam (wellness exam) they are encouraged to complete additional preventative screenings including the HbA1c, Diabetic Retinal Eye Exam, Mammogram, Colonoscopy (1,3,5,10 year). The incentive is earned once a claim is found to validate the screening took place. Database logic confirms customer eligibilty, approval or denial based on set program criteria, and when appropriate it triggers gift card fullfilment with the same gift card choice made for the 360 Exam.	18356	3870
H2120	SECURITYCARE OF TENNESSEE, INC.	2020	1	2020 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	Pre-determined value not greater than the cost of the service	Summary activity reports are produced by the vendor on a bi-weekly basis and monthly incentive payout reports are maintained by the plan	37	13
H2134	WESTERN SKY COMMUNITY CARE, INC.	2020	1	 	 	 	 	 	0	0
H2161	UPPER PENINSULA HEALTH PLAN, LLC	2020	1	 	 	 	 	 	0	0
H2162	WELLCARE OF NEW HAMPSHIRE, INC.	2020	1	Medicare Healthy Rewards Program	Breast Cancer Screening, Colorectal Cancer Screening (fit kit accepted), Comprehensive Diabetes Care - Eye Exam, HbA1c, Nephropathy, Bone Density Screening, Arthritis Management, Annual Wellness Visit, Flu Vaccine, Taking Care of Your Overall Health	Rewards vary from $10 - $50 depending on service completed.  Members were able to choose from a variety of gift cards including: Walmart, Visa, Subway	Reward values are calculated based on data supporting certain values being associated with member participation.  We also analyze member utilization across the program to determine values to remain within program budget.  Additionally, consulting firms may be used to understand industry parity in choosing reward values.	We review monthly data files receveived from the vendor to understand enrollee participation.  We review this against claims data on our side and complete our analysis.	36	4
H2168	VILLAGE SENIOR SERVICES CORPORATION	2020	1	 	 	 	 	 	0	0
H2171	CARE N' CARE INSURANCE COMPANY, INC.	2020	1	 	 	 	 	 	0	0
H2172	KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES	2020	1	Yes, Silver&Fit Rewards Program	Members are rewarded for meeting a threshold of fitness facility visits and/or physical activity.	Members may earn nominal rewards such as a Silver&Fit hat or collectable pin each quarter.	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.	318	20
H2174	TRILLIUM COMMUNITY HEALTH PLAN	2020	1	TRILLIUM COMMUNITY HEALTH PLAN	FLU VACCINE, HEALTH RISK ASSESSMENT AND WELLNESS VISIT	VISA PREPAID DEBIT CARD	THE REWARD VALUE IS CALCULATED BASED ON THE HEALTH CARE ACTIVITY AND THE CMS GUIDELINE PERTAINING TO THE VALUE OF THE HEALTH RELATED SERVICE OR ACTIVITY.	INTERNAL PROCESS REVIEWS DATA SOURCES SUCH AS CLAIMS, ASSESSMENT DATA, LABS, ETC. SUBMITTED AND ISSUES REWARDS BASED ON LOGIC BUILT TO IDENTIFY REWARDABLE ACTIVITIES	1845	2278
H2185	LIFEWORKS ADVANTAGE, LLC	2020	1	 	 	 	 	 	0	0
H2224	SENIOR WHOLE HEALTH, LLC	2020	1	 	 	 	 	 	0	0
H2225	COMMONWEALTH CARE ALLIANCE, INC.	2020	1	 	 	 	 	 	0	0
H2226	UNITEDHEALTHCARE INSURANCE COMPANY	2020	1	HouseCalls Program	HouseCall	Gift Card	HouseCalls Program: 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.	9177	7458
H2228	UNITEDHEALTHCARE INSURANCE COMPANY	2020	1	UnitedHealthcare Dual Complete Rewards, Renew Rewards, HouseCalls Program, Vivify Program	Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, Rheumatoid Arthritis Visit, Reducing Risk of Falls Visit, Urinary Incontinence Visit, Flu Shot, Health Assessment completion.  Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, Rheumatoid Arthritis Visit,  Health Risk Assessment ,Flu Shot, Device-Based Activities .(Step) HouseCall.  Registration for mobile application based nurse support, health monitoring and health education.	Gift Card or loaned Tablet	UnitedHealthcare Dual Complete Rewards: 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: 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 care activity itself. HouseCalls Program: 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. Vivify: The reward is a gift card of a set monetary amount that must be spent down or a loaned tablet from UHC for use during Vivify program engagement. 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.	UnitedHealthcare Dual Complete Rewards: 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 the eligibility period for the activity is validated, the reward is issued. Renew Rewards Program: Enrollees initiate the redemption process by activating into the program through any of four channels (Customer Service, Online/Member Portals, IVR, Mobile) 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). Once UHC validates the eligibility period for the activity, the reward is issued. 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. Vivify: Members are notified of the program through nurse outreach, email, and direct mail promotion. Tracking the member accepting the terms and conditions of the mobile application, and issue the card once the system has registered the members acceptance.	113720	110961
H2230	BCBS  OF MASSACHUSETTS HMO BLUE, INC.	2020	1	Health Risk Assessment (HRA)	We offer a $10 reward in the form of a gift card for members who completes the Health Risk Assessment.  Members can earn the $10 reward once per year.	Gift Card	Our Product Management, Health and 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 and we get reporting back from the vendor to confirm the gift cards have been distributed.	1543	932
H2230	BCBS  OF MASSACHUSETTS HMO BLUE, INC.	2020	2	In-home Health Risk Assessment	Members can ear a $25 Mastercard Gift Car that can be used at any location Mastercard is accepted.	Gift Card	It was determined that the $25 gift card would be a high enough value to encourage members to complete the assessment, but also of less value than the cost of the assessment.	The vendor conducting the service submits a claim to BCBSMA as an indication the assessment was completed.  The vendor also supplies a weekly report of completed assessments along with a mailing list which indicates which members were mailed the reward and on which date.	3380	3314
H2235	BAYCARE SELECT HEALTH PLANS, INC.	2020	1	 	 	 	 	 	0	0
H2237	INDEPENDENT CARE HEALTH PLAN, INC.	2020	1	HCC	Heirarchical Condition Code (HCC)  In-home Exam  - In person	$25 Visa gift card	$25 for  completing the exam in person	Program owner Amanda Harcus uploads members who've earned rewards to shared master tracking list	8156	1957
H2237	INDEPENDENT CARE HEALTH PLAN, INC.	2020	2	HCC	Heirarchical Condition Code (HCC)  In-home Exam  - Virtual	$10 Visa gift card	$10 for  completing the exam virtually	Program owner Emilie Polzin uploads members who've earned rewards to shared master tracking list	8156	137
H2237	INDEPENDENT CARE HEALTH PLAN, INC.	2020	3	AWV	Medicare Annual Wellness Visit - Face to Face	$25 Visa gift card	$25 for completing the exam in at a provider	Program owner Emilie Polzin uploads members who've earned rewards to shared master tracking list	8156	2368
H2237	INDEPENDENT CARE HEALTH PLAN, INC.	2020	4	AWV	Medicare Annual Wellness Visit - Virtual	$10 Visa gift card	$25 for completing the exam at a provider	Program owner Sarah Dykstra uploads members who've earned rewards to shared master tracking list	8156	70
H2237	INDEPENDENT CARE HEALTH PLAN, INC.	2020	5	HTN	Hypertension Champions	$25 Visa gift card	$25 for refilling hypertension medications timely for 6 months	Program owner Sarah Dykstra uploads members who've earned rewards to shared master tracking list	3660	282
H2237	INDEPENDENT CARE HEALTH PLAN, INC.	2020	6	HTN	Hypertension Champions	$10 Visa gift card	$10 for refilling hypertension medications timely for 3 months	Program owner uploads eligible members to shared master tracking list	3600	228
H2241	GOLDEN STATE MEDICARE HEALTH PLAN	2020	1	Telehealth visit, flu shot, health screenings	Health assessment, Diabetic HbA1c screening, Diabetic nephropathy screening, Diabetic retinal eye exam, mammogram, colorectal cancer screening	Gift cards	The reward is determined by the service received	Verify completion of the services via claims or other documentation. Tracked in the plan's system	2107	691
H2247	UNITEDHEALTHCARE COMMUNITY PLAN, INC.	2020	1	UnitedHealthcare Dual Complete Rewards, HouseCalls Program	Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, Rheumatoid Arthritis Visit, Reducing Risk of Falls Visit, Urinary Incontinence Visit, Flu Shot, Health Assessment completion. HouseCall.	Gift Card	UnitedHealthcare Dual Complete Rewards: 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 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.	UnitedHealthcare Dual Complete Rewards: 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 the eligibility period for the activity is validated, the reward is issued. 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.	2895	2582
H2256	TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION	2020	1	 	 	 	 	 	0	0
H2261	BCBS  OF MASSACHUSETTS HMO BLUE, INC.	2020	1	Health Risk Assessment (HRA)	We offer a $10 reward in the form of a gift card for members who completes the online Health Risk Assessment.  Members can earn the $10 reward once per year.	Gift card	Our Product Management, Health and 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 online 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 and we get reporting back from the vendor to confirm the gift cards have been distributed.	483	295
H2261	BCBS  OF MASSACHUSETTS HMO BLUE, INC.	2020	2	In-home Health Risk Assessment	Members can ear a $25 Mastercard Gift Car that can be used at any location Mastercard is accepted.	Gift card	It was determined that the $25 gift card would be a high enough value to encourage members to complete the assessment, but also of less value than the cost of the assessment.	The vendor conducting the service submits a claim to BCBSMA as an indication the assessment was completed.  The vendor also supplies a weekly report of completed assessments along with a mailing list which indicates which members were mailed the reward and on which date.	1099	1074
H2288	BRIGHT HEALTH INSURANCE COMPANY OF NEW YORK	2020	1	 	 	 	 	 	0	0
H2292	OXFORD HEALTH INSURANCE, INC.	2020	1	HouseCalls Program, Vivify Program	HouseCall.  Registration for mobile application based nurse support, health monitoring and health education.	Gift Card or loaned Tablet	HouseCalls Program: 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. Vivify: The reward is a gift card of a set monetary amount that must be spent down or a loaned tablet from UHC for use during Vivify program engagement. 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. Vivify: Members are notified of the program through nurse outreach, email, and direct mail promotion. Tracking the member accepting the terms and conditions of the mobile application, and issue the card once the system has registered the members acceptance.	1	1
H2320	PRIORITY HEALTH	2020	1	Wellth	Eating a meal, Checking blood pressure, Taking prescribed medications, Checking blood sugars	Reloadable Visa gift card (not usable for prescriptions or copays)	Member is rewarded for completingdaily and weekly tasks as part ofpersonalized routine. Routines are designed to encourage wellbeing and include tasks like eating a meal,taking their medications, checking blood sugars, and checkingblood pressure. Member is offered up to 30 dollars (usd)rewards each month but fails to qualify for 2 dollars (usd) for each day they do not participate.	We use a third party vendor (Wellth) to handle enrollee participation. The vendor handles recording participation and fulfilling rewards.	288	8258
H2320	PRIORITY HEALTH	2020	2	SmartRewards	Diabetic retinal eye screening, Breast cancer screening, Colorectal cancer screening, Signify In-home health assessment, Flu shot completion, Physician discussion on fall prevention, Physician discussion on Physical activity	Gift Cards to retailers	Member is rewarded for each task completed. A diabetic retinal eye screening rewards 50 dollars (usd). A breast cancer screening rewards 25 dollars (usd). A colorectal cancer screening rewards 25 dollars (usd). A Signify In-home health assessment rewards 50 dollars (usd). A flu shot completion rewards 10 dollars (usd). A physician discussion on fall prevention rewards 10 dollars (usd). A physician discussion on physical activity rewards 10 dollars (usd)	We use a third party vendor (Welltok) to handle enrollee participation. The vendor handles recording participation and fulfilling rewards. All rewards (except the Signify In-home health assessment) are self-reported with an attestation. The Signify In-home health assessment has a file sent to Welltok to verify who is eligible for that reward. A member must claim the reward for it to payout.	5062	383585
H2322	ALLIANCE HEALTH AND LIFE INSURANCE COMPANY	2020	1	Healthy Living Rewards	Screenings for breast and colon cancer, discussion with doctor about bladder control, physical activity, and fall risk,  preventive bone mineral density screening 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.	1042	1315
H2322	ALLIANCE HEALTH AND LIFE INSURANCE COMPANY	2020	2	Osteoporsis screening after fracture	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.	16	7
H2334	EON HEALTH, INC. (SC)	2020	1	Better Health 4 You	Annual Flu Shot (Influenza Vaccination), Colorectal Cancer Screening, Breast Cancer Screening (Mammogram), Osteoporosis Screening (Bone Mineral Density Exam), Diabetic Retinopathy Screening (Eye Exam for diabetic members only)	Gift Cards	There are 5 preventive screenings that may be completed and submitted to the Plans and member is awarded a $10 gift card for each. The 2021 maximum total a member may receive for preventive screenings upon completion is $50.	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 the Plan. Once the completed form is received at the Plan, the Quality Team processes the form by completing the Incentive Tracker. The Better Health 4 You Booklet includes a Provider Reference Code List. Participation in the program is confirmed upon processing of claim with corresponding claims codes at which time the Gift card is approved and mailed to member.	0	0
H2354	HEALTH ALLIANCE PLAN OF MICHIGAN	2020	1	Healthy Living Rewards	Screenings for breast and colon cancer, discussion with doctor about bladder control, physical activity, and fall risk,  preventive bone mineral density screening 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 higher 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.	12169	16925
H2354	HEALTH ALLIANCE PLAN OF MICHIGAN	2020	2	Osteoporsis screening after fracture	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.	279	166
H2354	HEALTH ALLIANCE PLAN OF MICHIGAN	2020	3	Health Risk Assessment	HRA calls are completed with RN, it includes Health History, Benefit Review, Medication Review, Fall Risk Assessment, Pain Assessment & need for Care Coordination/Info./ DME	$20 award voucher that lets the member choose from numerous national retailers to get a gift card	The value is based on a dollar amount that prompts members to take the time to complete an HRA	Member calls are tracked via a member information system - Care Radius	117	91
H2392	KANSAS SUPERIOR SELECT, INC.	2020	1	 	 	 	 	 	0	0
H2400	SIGNATURE ADVANTAGE, LLC	2020	1	 	 	 	 	 	0	0
H2406	UNITEDHEALTHCARE INSURANCE COMPANY	2020	1	Renew Rewards, HouseCalls Program, Vivify Program	Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, Rheumatoid Arthritis Visit,  Health Risk Assessment ,Flu Shot, Device-Based Activities .(Step) HouseCall.  Registration for mobile application based nurse support, health monitoring and health education.	Gift Card or loaned Tablet	Renew Rewards Program: 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 care activity itself. HouseCalls Program: 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. Vivify: The reward is a gift card of a set monetary amount that must be spent down or a loaned tablet from UHC for use during Vivify program engagement. 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 into the program through any of four channels (Customer Service, Online/Member Portals, IVR, Mobile) 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). Once UHC validates the eligibility period for the activity, the reward is issued. 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. Vivify: Members are notified of the program through nurse outreach, email, and direct mail promotion. Tracking the member accepting the terms and conditions of the mobile application, and issue the card once the system has registered the members acceptance.	54263	53156
H2416	PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE	2020	1	Yes	Health screening	gift card	Stakeholder feedback as to what would motivate them to go in for the screening	Member returns completed voucher with Dr signature as well as DOS. Eligibility on DOS and claim for service are verififed. Data entered in to report. Vendor issues rewards card to member.	100	10
H2417	ITASCA MEDICAL CARE	2020	1	 	 	 	 	 	0	0
H2419	SOUTH COUNTRY HEALTH ALLIANCE	2020	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.  Annual Dental visit.	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.	Scholarships for health club membership fees, scholarships for Community Education class fees, annual dental visit 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 Customer Relationship Management (CRM). South Country is using Microsoft Dynamics CRM. Tracking occurs  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.	50	50
H2422	HEALTHPARTNERS, INC.	2020	1	MSHO Preventive Care Rewards	Mammography, Colorectal Cancer Screening, Osteoporosis Screening, Annual wellness visit	$25 gift card	All rewards are set up $25	Claims submission at completion of the service	4443	3249
H2422	HEALTHPARTNERS, INC.	2020	2	Silver&Fit for Fitness	facility visits and or physical activity homekits	Hat or collectable pin	Cost per unit	Participation is tracked through a system field that  indicates whether a member has chosen to participate	27	0
H2425	BLUE PLUS	2020	1	 	 	 	 	 	0	0
H2456	UCARE MINNESOTA	2020	1	Colonoscopy Incentive	fecal occult blood test, flexible sigmoidoscopy, colonoscopy	gift card	Value of the activity or service and budget available for the estimated number of participants	member database of rewards and incentive activity	4741	62
H2456	UCARE MINNESOTA	2020	2	Community Education	wellness session, health related activity, wellbeing activity	session discount	Value of the activity or service and budget available for the estimated number of participants	member database of rewards and incentive activity	13886	38
H2456	UCARE MINNESOTA	2020	3	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	13886	181
H2456	UCARE MINNESOTA	2020	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	1996	171
H2456	UCARE MINNESOTA	2020	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	1996	140
H2456	UCARE MINNESOTA	2020	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	1996	100
H2456	UCARE MINNESOTA	2020	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	2611	254
H2456	UCARE MINNESOTA	2020	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	72	17
H2456	UCARE MINNESOTA	2020	9	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	12611	648
H2458	MEDICA HEALTH PLANS	2020	1	 	 	 	 	 	0	0
H2459	UCARE MINNESOTA	2020	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	97358	1916
H2459	UCARE MINNESOTA	2020	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	45736	781
H2459	UCARE MINNESOTA	2020	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	102728	541
H2459	UCARE MINNESOTA	2020	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	8199	561
H2459	UCARE MINNESOTA	2020	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	8199	626
H2459	UCARE MINNESOTA	2020	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	8199	331
H2459	UCARE MINNESOTA	2020	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	15629	860
H2459	UCARE MINNESOTA	2020	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	566	106
H2463	HUMANA HEALTH PLAN OF TEXAS, INC.	2020	1	Go365 by Humana	Fitness: rewards for completing monthly workouts, Social/Lifestyle: rewards for completing monthly volunteering, athletic event, education class, or community nutrition program Prevention: Annual Wellness Exam, Mammogram, Colorectal Screening, Cardiovascular disease screening, Bone density, Flu Shot.	Medicare members can earn Rewards for participating and engaging in the program, such as completing preventive screenings and exercising.  Rewards can be redeemed for various items in the Go365 Mall. Members can choose gift cards from a variety of retailers, in amounts ranging from $10.00 - $100.00 as program rewards.	Go365 collaborates with the Humana Medicare team to identify the value of preventive services awarded in the program and then assigns a reward value that does not exceed the value of the service. For social, lifestyle and athletic activities, rewards are calculated to be of sufficient value to motivate participation (based on prior program data), but of a lower value than disease prevention services.	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.	6273	40055
H2486	HUMANA MEDICAL PLAN OF UTAH, INC.	2020	1	Go365 by Humana	Fitness: rewards for completing monthly workouts, Social/Lifestyle: rewards for completing monthly volunteering, athletic event, education class, or community nutrition program Prevention: Annual Wellness Exam, Mammogram, Colorectal Screening, Cardiovascular disease screening, Bone density, Flu Shot.	Medicare members can earn Rewards for participating and engaging in the program, such as completing preventive screenings and exercising.  Rewards can be redeemed for various items in the Go365 Mall. Members can choose gift cards from a variety of retailers, in amounts ranging from $10.00 - $100.00 as program rewards.	Go365 collaborates with the Humana Medicare team to identify the value of preventive services awarded in the program and then assigns a reward value that does not exceed the value of the service. For social, lifestyle and athletic activities, rewards are calculated to be of sufficient value to motivate participation (based on prior program data), but of a lower value than disease prevention services.	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.	2844	80080
H2491	WELLCARE HEALTH INSURANCE OF ARIZONA, INC.	2020	1	Medicare Healthy Rewards Program	Breast Cancer Screening, Colorectal Cancer Screening (fit kit accepted), Comprehensive Diabetes Care - Eye Exam, HbA1c, Nephropathy, Bone Density Screening, Arthritis Management, Annual Wellness Visit, Flu Vaccine, Taking Care of Your Overall Health	Rewards vary from $10 - $50 depending on service completed.  Members were able to choose from a variety of gift cards including: Walmart, Visa, Subway	Reward values are calculated based on data supporting certain values being associated with member participation.  We also analyze member utilization across the program to determine values to remain within program budget.  Additionally, consulting firms may be used to understand industry parity in choosing reward values.	We review monthly data files receveived from the vendor to understand enrollee participation.  We review this against claims data on our side and complete our analysis.	22904	3702
H2506	AETNA BETTER HEALTH INC. (IL)	2020	1	Member Health Incentives Program	Members were encouraged to have PCP visits to address their yearly visits, screenings for breast cancer and colorectal cancer, eye exams and HbA1c	$25 incentive loaded onto reloadable card per measure	$25 incentive loaded onto reloadable card - no calculation	Reports sent to the vendor are uploaded into an internal spreadsheet that is accessible to both Member Services and Case Managers.	7274	5518
H2531	UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.	2020	1	HouseCalls Program, Vivify Program	HouseCall.  Registration for mobile application based nurse support, health monitoring and health education.	Gift Card or loaned Tablet	HouseCalls Program: 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. Vivify: The reward is a gift card of a set monetary amount that must be spent down or a loaned tablet from UHC for use during Vivify program engagement. 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. Vivify: Members are notified of the program through nurse outreach, email, and direct mail promotion. Tracking the member accepting the terms and conditions of the mobile application, and issue the card once the system has registered the members acceptance.	3157	2473
H2533	MOLINA HEALTHCARE OF SOUTH CAROLINA, INC.	2020	1	Breast Cancer Screening (BCS) Program	Breast Cancer Screening	$25 Walmart Gift Card	Amount was chosen based on existing health and wellness incentives within the contract and/or market, and CMS guidance/State regulations.	Members participate by completing the service and returning a postcard. Service is tracked through claims data verification.	1170	35
H2533	MOLINA HEALTHCARE OF SOUTH CAROLINA, INC.	2020	2	Diabetes Reward Program	Nephropathy screening, HbA1c test, Diabetic 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 participate by completing the service and returning a postcard. Service is tracked through claims data verification.	646	68
H2563	OPTIMA HEALTH PLAN	2020	1	2020 Rewards Program	Annual Wellness Visit completion	Gift Card	Members are eligible for only one reward per year at a fixed value of $25	Enrollee participation is tracked via claims on at least a monthly basis	7122	4066
H2577	CARE IMPROVEMENT PLUS OF TEXAS INSURANCE COMPANY	2020	1	Renew Rewards, HouseCalls Program, Vivify Program	Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, Rheumatoid Arthritis Visit,  Health Risk Assessment ,Flu Shot, Device-Based Activities .(Step) HouseCall.  Registration for mobile application based nurse support, health monitoring and health education.	Gift Card or loaned Tablet	Renew Rewards Program: 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 care activity itself. HouseCalls Program: 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. Vivify: The reward is a gift card of a set monetary amount that must be spent down or a loaned tablet from UHC for use during Vivify program engagement. 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 into the program through any of four channels (Customer Service, Online/Member Portals, IVR, Mobile) 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). Once UHC validates the eligibility period for the activity, the reward is issued. 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. Vivify: Members are notified of the program through nurse outreach, email, and direct mail promotion. Tracking the member accepting the terms and conditions of the mobile application, and issue the card once the system has registered the members acceptance.	11605	10209
H2582	ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION	2020	1	RMHP CheckIn, Preventive Care Gap Closure, Chronic Conditions Gap Closure	CheckIn Visit, Breast Cancer Screening, Colorectal Cancer Screening, Flu Shot, Diabetes Care General, Diabetes A1c, Diabetes Eye Exam, Hypertension	Blanket, Gift Card	RMHP CheckIn Visit: The reward is a blanket.  Reward amount is determined based on the amount expected to impact enrollee behavior, but not exceeding the value of the health related activity itself. RMHP PCGC: The reward is a gift card of a set monetary amount that must be spent down. Reward amount is determined based on the amount expected to impact enrollee behavior, but not exceeding the value of the health related activity itself. RMHP CCGC: The reward is a gift card of a set monetary amount that must be spent down. Reward amount is determined based on the amount expected to impact enrollee behavior, but not exceeding the value of the health related activity itself.	RMHP CheckIn: The RMHP CheckIn program contacts eligible members who then agree to participate in an in home visit.  Members can receive information about the opportunity to have a RMHP CheckIn visit by outbound phone outreach from our Customer Service representatives or mailed materials.  The clinician performing the visit will enter member information into Essette. The reward is issued at the end of the RMHP CheckIn visit. RMHP PCGC: Members are entered into the program based on identification of care gaps.  Data is pulled to identify these Members and Incentives are sent to those Members with the specific gap.  The incentive process includes a form that must be completed by both the Member and the Provider.  Members are encouraged to mail or fax back the completed form and they will then receive a $25 gift card to either Target or City Market Kroger.  Members who qualify for the gift card are entered into the Quality Assurance (QA) Database. Members can earn multiple rewards  per year for completing various activities. RMHP CCGC: Members identified through data as having Diabetes or Hypertension are mailed an incentive to have a complete a visit with their provider for chronic care services.  For the A1c and Eye Exam incentive, Members are identified as having a gap for either of those services through a data pull. This incentive is sent a few months after the initial diabetes incentive to encourage those Members with a remaining gap to  receive care and close the gap.  The incentive process includes a form that must be completed by both the Member and the Provider. Members are encouraged to mail or fax back the completed form and they will then receive a $25 gift card to either Target or City Market Kroger.  Members who qualify for the gift card are entered into the Quality Assurance (QA) Database. Members can earn multiple rewards  per year for completing various activities.	3014	244
H2591	HEALTH ALLIANCE - MIDWEST, INC.	2020	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.	32	32
H2593	AMERIGROUP TEXAS, INC.	2020	1	 	 	 	 	 	0	0
H2610	ESSENCE HEALTHCARE, INC.	2020	1	 	 	 	 	 	0	0
H2624	CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA	2020	1	 	 	 	 	 	0	0
H2663	COVENTRY HEALTH CARE OF MISSOURI, INC	2020	1	Aetna Healthy You Rewards	Completing Physical Activity, Utilize Resources for Living Program, Annual Wellness Exam, Diabetes Series (eye exam, A1C testing, following dr's plan), Colorectal Cancer Screening, Breast Cancer Screening, Validate Care Coordination Information.	The Members receive an activation kit that invites them to participate in Healthy Rewards. 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 be mailed to their home address. The reward values, per activity, range from $15 to $50 depending on the activity.	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.	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.	60723	18554
H2678	MA DELIVERY INNOVATIONS, INC.	2020	1	 	 	 	 	 	0	0
H2722	VANTAGE HEALTH PLAN OF ARKANSAS, INC.	2020	1	Quality 2020	Annual Wellness, Breast Cancer Screening, Controlling Blood Pressure, Diabetic A1C, Eye Exam, Diabetic Kidney Screening, Statin Use, Flu Shot, Colorectal Cancer Screening	Awarded $10 to $50 for each measure completed	Chose a per measure reward to encourage members to complete tests.  Colorectal and Breast Cancer Screenings received higher amount because those measures have a lower rate of completion.  The remaining measures were awarded based on national statistics of what it would take to get the member to perform the activity.	Was tracked by third party vendor NovuHealth	242	5
H2775	AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY	2020	1	Medicare Healthy Rewards Program	Breast Cancer Screening, Colorectal Cancer Screening (fit kit accepted), Comprehensive Diabetes Care - Eye Exam, HbA1c, Nephropathy, Bone Density Screening, Arthritis Management, Annual Wellness Visit, Flu Vaccine, Taking Care of Your Overall Health	Rewards vary from $10 - $50 depending on service completed.  Members were able to choose from a variety of gift cards including: Walmart, Visa, Subway	Reward values are calculated based on data supporting certain values being associated with member participation.  We also analyze member utilization across the program to determine values to remain within program budget.  Additionally, consulting firms may be used to understand industry parity in choosing reward values.	We review monthly data files receveived from the vendor to understand enrollee participation.  We review this against claims data on our side and complete our analysis.	40915	7736
H2793	IMPERIAL INSURANCE COMPANIES INC.	2020	1	HRA Incentive Program for SNP members	Completion of HRA surveys. SNP members were outreached by phone to complete Health Risk Assessment. SNP members who were unable to reach by phone after three attemps a Try to contact letter sent to member.  The letter explains  to members that if they complete the Health Risk Assessment. They will receive 25 gift card	25 Target Gift Card	One time 25 reward for member completes and returns the Health Risk Assesment	A tracking log is kept for members who receive the reward and those that were unable to reach. Unable to reach after three attempts a Trying to contact letters is sent to members	12	48
H2802	UNITEDHEALTHCARE OF THE MIDLANDS, INC.	2020	1	Renew Rewards, HouseCalls Program, Vivify Program	Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, Rheumatoid Arthritis Visit,  Health Risk Assessment ,Flu Shot, Device-Based Activities .(Step) HouseCall.  Registration for mobile application based nurse support, health monitoring and health education.	Gift Card or loaned Tablet	Renew Rewards Program: 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 care activity itself. HouseCalls Program: 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. Vivify: The reward is a gift card of a set monetary amount that must be spent down or a loaned tablet from UHC for use during Vivify program engagement. 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 into the program through any of four channels (Customer Service, Online/Member Portals, IVR, Mobile) 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). Once UHC validates the eligibility period for the activity, the reward is issued. 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. Vivify: Members are notified of the program through nurse outreach, email, and direct mail promotion. Tracking the member accepting the terms and conditions of the mobile application, and issue the card once the system has registered the members acceptance.	104157	102554
H2816	AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY	2020	1	Medicare Healthy Rewards Program	Breast Cancer Screening, Colorectal Cancer Screening (fit kit accepted), Comprehensive Diabetes Care - Eye Exam, HbA1c, Nephropathy, Bone Density Screening, Arthritis Management, Annual Wellness Visit, Flu Vaccine, Taking Care of Your Overall Health	Rewards vary from $10 - $50 depending on service completed.  Members were able to choose from a variety of gift cards including: Walmart, Visa, Subway	Reward values are calculated based on data supporting certain values being associated with member participation.  We also analyze member utilization across the program to determine values to remain within program budget.  Additionally, consulting firms may be used to understand industry parity in choosing reward values.	We review monthly data files receveived from the vendor to understand enrollee participation.  We review this against claims data on our side and complete our analysis.	9151	647
H2825	MARY WASHINGTON HEALTH PLAN	2020	1	 	 	 	 	 	0	0
H2829	INNOVATION HEALTH PLAN, INC.	2020	1	 	 	 	 	 	0	0
H2879	MOLINA HEALTHCARE OF WISCONSIN, INC.	2020	1	2020 Member Quality Incentive Program	Annual Wellness Visit, Colon Cancer Screening, Diabetes Eye Exam, Flu Shot	$25- $100 Gift card	Amount was chosen based on existing health and wellness incentives within the contract and/or market, and CMS guidance/State regulations.	Vendor platform (Novu) account activation via online or call center.	1036	79
H2915	PENNSYLVANIA HEALTH & WELLNESS, INC.	2020	1	PENNSYLVANIA HEALTH AND WELLNESS, INC.	BREAST CANCER SCREENING, COLORECTAL SCREENING, DIABETIC EYE EXAM, DIABETIC HBA1C, DIABETIC KIDNEY SCREENING, FLU VACCINE, HEALTH RISK ASSESSMENT AND WELLNESS VISIT	VISA PREPAID DEBIT CARD	THE REWARD VALUE IS CALCULATED BASED ON THE HEALTH CARE ACTIVITY AND THE CMS GUIDELINE PERTAINING TO THE VALUE OF THE HEALTH RELATED SERVICE OR ACTIVITY.	INTERNAL PROCESS REVIEWS DATA SOURCES SUCH AS CLAIMS, ASSESSMENT DATA, LABS, ETC. SUBMITTED AND ISSUES REWARDS BASED ON LOGIC BUILT TO IDENTIFY REWARDABLE ACTIVITIES	7454	6274
H2926	PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE	2020	1	 	 	 	 	 	0	0
H2944	HUMANA INSURANCE COMPANY	2020	1	Go365 by Humana	Fitness: rewards for completing monthly workouts, Social/Lifestyle: rewards for completing monthly volunteering, athletic event, education class, or community nutrition program Prevention: Annual Wellness Exam, Mammogram, Colorectal Screening, Cardiovascular disease screening, Bone density, Flu Shot.	Medicare members can earn Rewards for participating and engaging in the program, such as completing preventive screenings and exercising.  Rewards can be redeemed for various items in the Go365 Mall. Members can choose gift cards from a variety of retailers, in amounts ranging from $10.00 - $100.00 as program rewards.	Go365 collaborates with the Humana Medicare team to identify the value of preventive services awarded in the program and then assigns a reward value that does not exceed the value of the service. For social, lifestyle and athletic activities, rewards are calculated to be of sufficient value to motivate participation (based on prior program data), but of a lower value than disease prevention services.	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.	4255	100420
H2960	HOMETOWN HEALTH PLAN, INC.	2020	1	Retinal Eye Exam Initative	Completion of Annual Diabetic Eye Exam	Non Cash Value Incentive	The same for every member	Electronic Record	1704	41
H2960	HOMETOWN HEALTH PLAN, INC.	2020	2	Colorectal Cancer Initiative	Completion of Annual FIT Test or Colonoscopy	Non Cash Value Incentive	The same for every member	Electronic Record	8096	329
H2960	HOMETOWN HEALTH PLAN, INC.	2020	3	Osteoporosis Screening	Completion of Bone Density Screening	Non Cash Value Incentive	The same for every member	Electronic Record	171	15
H2960	HOMETOWN HEALTH PLAN, INC.	2020	4	Annual Health Assessment	Completion of Annual Wellness Visit	Non Cash Value Incentive	The same for every member	Electronic Record	17245	417
H2962	ULTIMATE HEALTH PLANS, INC.	2020	1	HEDIS	Breast Cancer Screening, Colorectal Cancer Screening, Diabetic Eye Exam, Diabetic Hemoglobin A1c good Controlled,  Diabetic Nephropathy Screening	Gift card	HEDIS members are rewarded for each eligible preventative measure Breast Cancer Screening - $50, Colorectal Cancer Screening - $25, Diabetic Eye Exam - $50, Diabetic Hemoglobin A1c good Controlled - $50, and Diabetic Nephropathy Screening - $25 value in gift card. The value of the gift card was arrived at by estimating the appropriate amount expected to elicit intended enrollee behavior while not exceeding the value of the service or activity.	Claim and Supplemental data received for each preventive service	7404	6234
H2986	STANFORD HEALTHCARE ADVANTAGE	2020	1	 	 	 	 	 	0	0
H3071	COMMUNITY CARE ALLIANCE OF ILLINOIS, NFP	2020	1	Better Health 4 You	Annual Flu Shot (Influenza Vaccination), Colorectal Cancer Screening, Breast Cancer Screening (Mammogram), Osteoporosis Screening (Bone Mineral Density Exam), Diabetic Retinopathy Screening (Eye Exam for diabetic members only)	Gift Cards	There are 5 preventive screenings that may be completed and submitted to the Plans and member is awarded a $10 gift card for each. The 2021 maximum total a member may receive for preventive screenings upon completion is $50.	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 the Plan. Once the completed form is received at the Plan, the Quality Team processes the form by completing the Incentive Tracker. The Better Health 4 You Booklet includes a Provider Reference Code List. Participation in the program is confirmed upon processing of claim with corresponding claims codes at which time the Gift card is approved and mailed to member.	1	1
H3113	OXFORD HEALTH PLANS (NJ), INC.	2020	1	UnitedHealthcare Dual Complete Rewards, HouseCalls Program, Vivify Program	Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, Rheumatoid Arthritis Visit, Reducing Risk of Falls Visit, Urinary Incontinence Visit, Flu Shot, Health Assessment completion. HouseCall.  Registration for mobile application based nurse support, health monitoring and health education.	Gift Card or loaned Tablet	UnitedHealthcare Dual Complete Rewards: 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 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. Vivify: The reward is a gift card of a set monetary amount that must be spent down or a loaned tablet from UHC for use during Vivify program engagement. 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.	UnitedHealthcare Dual Complete Rewards: 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 the eligibility period for the activity is validated, the reward is issued. 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. Vivify: Members are notified of the program through nurse outreach, email, and direct mail promotion. Tracking the member accepting the terms and conditions of the mobile application, and issue the card once the system has registered the members acceptance.	34875	35122
H3132	AHF MCO OF FLORIDA, INC.	2020	1	Yes	The colorectal cancer screening improvement incentive program is for eligible members, ages 50 years and older. Members who are non-compliant for this measure may qualify to receive a $40 gift card for completing an at-home colorectal cancer screening kit or $50 for a colonoscopy, as determined by their provider.	Members may earn a $40 or $50 grocery store gift card upon verification of the completion of a colorectal cancer screening	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. Members now have the option of completing an at-home COL self-screening kit for a $40 incentive, and since this is screening is low effort, we determined that $40 is adequate to help encourage them to complete it. The other option is to complete a colonoscopy for $50. A colonoscopy is procedure performed by a GI doctor experienced in the procedure and lasts approximately 30-60 minutes. There are medications that will be given to the patients before and during the procedure. Since the service is semi-extensive, $50 is determined to be an adequate reward. The grocery gift cards promote good health and cannot be spent on alcohol or cigarettes.	Members in the program are outreached to and then 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 also retrieves the member's procedure claims records and results to validate the members screening completion.	304	21
H3132	AHF MCO OF FLORIDA, INC.	2020	2	Yes	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.	Members may earn a $20 grocery store Gift card 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 in the program are outreached to and are then tracked by the Quality team based on the returned letters that are signed by their provider and are received via mail. The Quality team also retrieves member claims records to verify the members screening completion.	195	13
H3146	AETNA BETTER HEALTH INC. (GA)	2020	1	Aetna Healthy You Rewards	Completing Physical Activity, Utilize Resources for Living Program, Annual Wellness Exam, Diabetes Series (eye exam, A1C testing, following dr's plan), Colorectal Cancer Screening, Breast Cancer Screening, Validate Care Coordination Information.	The Members receive an activation kit that invites them to participate in Healthy Rewards. 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 be mailed to their home address. The reward values, per activity, range from $15 to $50 depending on the activity.	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.	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.	5066	1498
H3152	AETNA HEALTH INC. (NJ)	2020	1	 	 	 	 	 	0	0
H3154	HORIZON INSURANCE COMPANY	2020	1	2020 Member Rewards and Incentive Program	Annual Wellness Visit, Bone Density Test, Breast Cancer Screening, Colon Cancer Screening, Diabetic Eye Exam	CVS Gift Card, Target Gift Card, Walmart Gift Card	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	20974	2800
H3170	SAPPHIRE EDGE, INC.	2020	1	Welvie-My Surgery	Direct Decision Support for preference sensitive surgeries.	$25.00 Amazon Gift Card for completion of program.	Limited to $25.	Enrollees must register in the program and program progress is tracked electronically.	121	84
H3170	SAPPHIRE EDGE, INC.	2020	2	Annual Wellness Visit	Annual Wellness Visit	$50.00 Walmart Gift Card for completion of annual wellness visit.	Limited to $50.	Member must complete their annual wellness visit as defined by the program requirements.	1298	580
H3192	AETNA HEALTH OF MICHIGAN INC.	2020	1	 	 	 	 	 	0	0
H3204	PRESBYTERIAN HEALTH PLAN	2020	1	Listen Learn and Earn program, Presbyterian Health Plan Medicare Rewards and Incentives Program	Physical Mental wellbeing, Comprehensive Diabetes Care Breast Cancer Colorectal Cancer screening	Members choice of Amazon Walmart or Starbucks Gift Card, Amazon Gift Card	Member may earn up to two gift cards 10 dollar for completing week 1 and an additional 15 dollar for completing week 8, 25 dollar Gift Card for completing preventative screening	Program participation is monitored through Novu Health database The outcomes are then tracked on a spreadsheet and shared with Presbyterian Health Plan, Program participation is monitored through claims validation and provider appointment confirmation The outcomes are then tracked on a spreadsheet	40560	1828
H3206	PRESBYTERIAN INSURANCE COMPANY, INC.	2020	1	Listen Learn and Earn program, Presbyterian Health Plan Medicare Rewards and Incentives Program	Physical Mental wellbeing, Comprehensive Diabetes Care Breast Cancer Colorectal Cancer screening	Members choice of Amazon Walmart or Starbucks Gift Card, Amazon Gift Card	Member may earn up to two gift cards 10 dollar for completing week 1 and an additional 15 dollar for completing week 8, 25 dollar Gift Card for completing preventative screening	Program participation is monitored through Novu Health database The outcomes are then tracked on a spreadsheet and shared with Presbyterian Health Plan, Program participation is monitored through claims validation and provider appointment confirmation The outcomes are then tracked on a spreadsheet	2692	64
H3219	ALLINA HEALTH AND AETNA INSURANCE COMPANY	2020	1	Allina 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, Healthy Home Visit.	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.	9431	5703
H3237	HEALTH NET COMMUNITY SOLUTIONS, INC.	2020	1	 	 	 	 	 	0	0
H3239	AETNA BETTER HEALTH, INC. (LA)	2020	1	 	 	 	 	 	0	0
H3240	AMERIGROUP NEW JERSEY, INC.	2020	1	 	 	 	 	 	0	0
H3251	HEALTH CARE SERVICE CORPORATION	2020	1	Rewards and Incentives Program	Annual Wellness Visit, Fall Risk Assessment, Flu Vaccine, Blood Glucose A1c Screening, ColorectalScreening, In Home Assessment, Mammogram, Nephropathy Screening, Retinal Eye Exam, Bone Density Screening	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 Mammogram, Nephropathy Screening, Retinal Eye Exam, Bone Density Screening. Members that complete the Annual Wellness Visit recieve two rewards of $25, amounting amounting to a total $50 reward	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 Reorts and Reward Redemption Reports	5643	17424
H3259	VOLUNTEER STATE HEALTH PLAN	2020	1	Member Incentive Program	Annual Wellness Visit, Health Needs Assessment, 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.	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.	23634	46444
H3276	CONNECTICARE INSURANCE COMPANY, INC.	2020	1	 	 	 	 	 	0	0
H3281	BRIGHT HEALTH INSURANCE COMPANY OF FLORIDA	2020	1	 	 	 	 	 	0	0
H3288	AETNA HEALTH AND LIFE INSURANCE COMPANY	2020	1	 	 	 	 	 	0	0
H3291	PRUITTHEALTH PREMIER, INC.	2020	1	 	 	 	 	 	0	0
H3293	MMM OF FLORIDA, INC.	2020	1	 	 	 	 	 	0	0
H3305	MVP HEALTH PLAN, INC.	2020	1	MVP Medicare WellBeing Rewards Program	Annual Wellness Exam, Colorectal Cancer Screening, Mammogram, Bone Density Screening, Diabetic Screenings, Vision Exam, and WellBeing Attestations	$100 Visa Reward Card	The reward is calculated 100+ points = $100 Visa Reward Card,  Only 1 reward card of $100 can be earned per member, Members have several options of points earning activities from which to select to earn points	Members choose activities to earn their $100 reward. For each activity, members will see the number of points they can earn for completing each item. Points for an Annual Wellness Visit and other points earning screenings will be awarded when MVP receives a claim for such activities from a members doctor. Reporting of such claims earning activities will be generated and sent to American Specialty Health  Healthyroads monthly. Members can earn more points immediately by reading and clicking yes to any of the additional healthy living activity attestations that apply to them. Once a member has earned 100 points, they go to the home page and select Redeem to have their $100 Visa Gift Card sent to their home address. Alternatively, they can call in and speak to a representative to check their point balance and take the attestations verbally and have a representative redeem their reward when 100 points has been earned.	33322	5205
H3307	OXFORD HEALTH PLANS (NY), INC.	2020	1	Renew Rewards, HouseCalls Program, Vivify Program	Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, Rheumatoid Arthritis Visit,  Health Risk Assessment ,Flu Shot, Device-Based Activities .(Step) HouseCall.  Registration for mobile application based nurse support, health monitoring and health education.	Gift Card or loaned Tablet	Renew Rewards Program: 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 care activity itself. HouseCalls Program: 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. Vivify: The reward is a gift card of a set monetary amount that must be spent down or a loaned tablet from UHC for use during Vivify program engagement. 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 into the program through any of four channels (Customer Service, Online/Member Portals, IVR, Mobile) 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). Once UHC validates the eligibility period for the activity, the reward is issued. 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. Vivify: Members are notified of the program through nurse outreach, email, and direct mail promotion. Tracking the member accepting the terms and conditions of the mobile application, and issue the card once the system has registered the members acceptance.	17365	16734
H3312	AETNA HEALTH INC. (NY)	2020	1	 	 	 	 	 	0	0
H3330	HEALTH INSURANCE PLAN OF GREATER NEW YORK	2020	1	Medicare Member Rewards Program	Well visit with PCP, flu vaccine, colorectal cancer screening, breast cancer screening, diabetic eye exam, diabetic nephropathy screening, diabetic A1c test	25.00 gift cards	each service is worth 25.00 with 75.00 maximum per member per year	enrollees register for the program in a portal	2105	4440
H3335	EXCELLUS HEALTH PLAN, INC.	2020	1	 	 	 	 	 	0	0
H3342	EMPIRE HEALTHCHOICE ASSURANCE, INC.	2020	1	 	 	 	 	 	0	0
H3344	INDEPENDENT HEALTH BENEFITS CORPORATION	2020	1	Independent Health's Whole Health Assessment Questionnaire Incentive	Completing Independent Health's Whole Health Assessment Questionnaire by paper mail process or online.	A $10 gift card.	All members that return Independent Health's Whole Health Assessment Questionnaire by mail or complete it online recieves one $10 gift card reward.	Participation is tracked through weekly reporting of returned and completed questionnaires.	6017	2183
H3347	ELDERPLAN, INC.	2020	1	Elderplan Wellness Incentive Program	Colorectal Cancer Screening, Flu Shot, Mammogram, Retinal Eye Exam	$25 Visa or TD gift card	A $25 incentive is rewarded through a VISA or TD gift card to enrollees for each eligible completed health service.	Enrollees submit a  reward form for each completed service to participate in the program. Once received, the forms are scanned and logged for tracking. Submitted services are then validated via claims and/or medical records for reward processing.	150	375
H3351	EXCELLUS HEALTH PLAN, INC.	2020	1	 	 	 	 	 	0	0
H3359	HEALTHFIRST HEALTH PLAN, INC.	2020	1	Reward Card Program	Completion of Health Risk Assessment, Flu Shot, Breast Cancer Screening, Colorectal Cancer Screening, Diabetic Eye Exam, Daily Glucometer Check In, Bone Density Test, Registering for Silver Sneakers	Members are offered a reward card that can be used in-stores and online shops	We chose to use the baseline amount of $10 per measure (with the exception of Daily Glucometer Check In at $1/day) and increase the reward with measures that are not performing at the desired level	We maintain a database that keeps track of member participation	81894	83763
H3362	INDEPENDENT HEALTH ASSOCIATION, INC.	2020	1	Independent Health's Whole Health Assessment Questionnaire Incentive	Completing Independent Health's Whole Health Assessment Questionnaire by paper mail process or online.	A $10 gift card.	All members that return Independent Health's Whole Health Assessment Questionnaire by mail or complete it online recieves one $10 gift card reward.	Participation is tracked through weekly reporting of returned and completed questionnaires.	63996	22602
H3379	UNITEDHEALTHCARE OF NEW YORK, INC.	2020	1	Renew Rewards, HouseCalls Program, Vivify Program	Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, Rheumatoid Arthritis Visit,  Health Risk Assessment ,Flu Shot, Device-Based Activities .(Step) HouseCall.  Registration for mobile application based nurse support, health monitoring and health education.	Gift Card or loaned Tablet	Renew Rewards Program: 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 care activity itself. HouseCalls Program: 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. Vivify: The reward is a gift card of a set monetary amount that must be spent down or a loaned tablet from UHC for use during Vivify program engagement. 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 into the program through any of four channels (Customer Service, Online/Member Portals, IVR, Mobile) 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). Once UHC validates the eligibility period for the activity, the reward is issued. 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. Vivify: Members are notified of the program through nurse outreach, email, and direct mail promotion. Tracking the member accepting the terms and conditions of the mobile application, and issue the card once the system has registered the members acceptance.	11170	10773
H3384	HEALTHNOW NEW YORK INC.	2020	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.	47640	31832
H3384	HEALTHNOW NEW YORK INC.	2020	2	Member Rewards	Breast Cancer Screening, Colorectal Cancer Screening	$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.	47640	17422
H3387	UNITEDHEALTHCARE OF NEW YORK, INC.	2020	1	UnitedHealthcare Dual Complete Rewards, HouseCalls Program, Vivify Program	Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, Rheumatoid Arthritis Visit, Reducing Risk of Falls Visit, Urinary Incontinence Visit, Flu Shot, Health Assessment completion. HouseCall.  Registration for mobile application based nurse support, health monitoring and health education.	Gift Card or loaned Tablet	UnitedHealthcare Dual Complete Rewards: 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 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. Vivify: The reward is a gift card of a set monetary amount that must be spent down or a loaned tablet from UHC for use during Vivify program engagement. 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.	UnitedHealthcare Dual Complete Rewards: 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 the eligibility period for the activity is validated, the reward is issued. 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. Vivify: Members are notified of the program through nurse outreach, email, and direct mail promotion. Tracking the member accepting the terms and conditions of the mobile application, and issue the card once the system has registered the members acceptance.	58263	72460
H3388	CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.	2020	1	Y	Members sending CDPHP rheumatoid arthritis medicaiton shipment documentation	$15 Price Chopper gift card	The face value of the gift card	Gift card distribution is tracked via excel spreadsheet	131	3
H3404	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	2020	1	Prospective Risk Adjustment In-HomeAssessment Program	The plan targets members who are documented or are suspected of having multiple chronic conditions for an in home or telehealth 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.	6773	612
H3404	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	2020	2	Medicare Part B Step Therapy Care Coordination Program	Interactive drug review and consultation to discuss drug strategies/regimen and provide educational material mailings	$50 gift card certificate	Value of reward/incentive is calculated as an equivalent to more than half the amount saved on average per participant	Enrollment file of comparison of members identified versus rewards issued	10	10
H3404	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	2020	3	Blue Medicare Smart Choice Rewards	Annual Wellness Visit or the Welcome to Medicare Visit	$25 gift card	The value of reward/incentive is calculated as less than the value of the health related service to the Plan.	Claims files for the Annual Wellness Visit and Welcome to Medicare Visit are generated bi-weekly and maintained for tracking purposes.	19730	10927
H3416	HEALTHPARTNERS UNITYPOINT HEALTH, INC.	2020	1	Silver&Fit for Fitness	facility visits and or physical activity homekits	Hat or collectable pin	Cost per unit	Participation is tracked through a system field that  indicates whether a member has chosen to participate	47	7
H3418	UNITEDHEALTHCARE INSURANCE COMPANY OF NEW YORK	2020	1	Renew Rewards, HouseCalls Program, Telehealth Program, Vivify Program	Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, Rheumatoid Arthritis Visit,  Health Risk Assessment ,Flu Shot, Device-Based Activities .(Step) HouseCall.  Virtual office visit with a provider. Registration for mobile application based nurse support, health monitoring and health education.	Gift Card or loaned Tablet	Renew Rewards Program: 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 care activity itself. HouseCalls Program: 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. Telehealth: 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. Vivify: The reward is a gift card of a set monetary amount that must be spent down or a loaned tablet from UHC for use during Vivify program engagement. 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 into the program through any of four channels (Customer Service, Online/Member Portals, IVR, Mobile) 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). Once UHC validates the eligibility period for the activity, the reward is issued. 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. Telehealth: Members are notified of the program through email and direct mail promotion. Track claim data for telehealth visits and issue the card once the paid claim has been processed. Vivify: Members are notified of the program through nurse outreach, email, and direct mail promotion. Tracking the member accepting the terms and conditions of the mobile application, and issue the card once the system has registered the members acceptance.	11891	15023
H3442	UNITEDHEALTHCARE INSURANCE COMPANY OF ILLINOIS	2020	1	Renew Rewards, HouseCalls Program, Vivify Program	Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, Rheumatoid Arthritis Visit,  Health Risk Assessment ,Flu Shot, Device-Based Activities .(Step) HouseCall.  Registration for mobile application based nurse support, health monitoring and health education.	Gift Card or loaned Tablet	Renew Rewards Program: 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 care activity itself. HouseCalls Program: 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. Vivify: The reward is a gift card of a set monetary amount that must be spent down or a loaned tablet from UHC for use during Vivify program engagement. 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 into the program through any of four channels (Customer Service, Online/Member Portals, IVR, Mobile) 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). Once UHC validates the eligibility period for the activity, the reward is issued. 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. Vivify: Members are notified of the program through nurse outreach, email, and direct mail promotion. Tracking the member accepting the terms and conditions of the mobile application, and issue the card once the system has registered the members acceptance.	8432	7531
H3447	HEALTHKEEPERS, INC.	2020	1	 	 	 	 	 	0	0
H3449	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	2020	1	Prospective Risk Adjustment In-HomeAssessment Program	The plan targets members who are documented or are suspected of having multiple chronic conditions for an in home or telehealth 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.	11141	1380
H3449	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	2020	2	Medicare Part B Step Therapy Care Coordination Program	Interactive drug review and consultation to discuss drug strategies/regimen and provide educational material mailings	$50 gift card certificate	Value of reward/incentive is calculated as an equivalent to more than half the amount saved on average per participant	Enrollment file of comparison of members identified versus rewards issued	18	18
H3449	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	2020	3	Blue Medicare Smart Choice Rewards	Annual Wellness Visit or the Welcome to Medicare Visit	$25 gift card	The value of reward/incentive is calculated as less than the value of the health related service to the Plan.	Claims files for the Annual Wellness Visit and Welcome to Medicare Visit are generated bi-weekly and maintained for tracking purposes.	44604	15899
H3464	UNITEDHEALTHCARE OF ARKANSAS, INC.	2020	1	Renew Rewards, HouseCalls Program, Telehealth Program, Vivify Program	Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, Rheumatoid Arthritis Visit,  Health Risk Assessment ,Flu Shot, Device-Based Activities .(Step) HouseCall.  Virtual office visit with a provider. Registration for mobile application based nurse support, health monitoring and health education.	Gift Card or loaned Tablet	Renew Rewards Program: 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 care activity itself. HouseCalls Program: 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. Telehealth: 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. Vivify: The reward is a gift card of a set monetary amount that must be spent down or a loaned tablet from UHC for use during Vivify program engagement. 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 into the program through any of four channels (Customer Service, Online/Member Portals, IVR, Mobile) 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). Once UHC validates the eligibility period for the activity, the reward is issued. 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. Telehealth: Members are notified of the program through email and direct mail promotion. Track claim data for telehealth visits and issue the card once the paid claim has been processed. Vivify: Members are notified of the program through nurse outreach, email, and direct mail promotion. Tracking the member accepting the terms and conditions of the mobile application, and issue the card once the system has registered the members acceptance.	10964	9647
H3467	PROCARE ADVANTAGE, LLC	2020	1	 	 	 	 	 	0	0
H3471	HEALTH ALLIANCE NORTHWEST HEALTH PLAN	2020	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.	1004	1004
H3499	COORDINATED CARE CORPORATION	2020	1	COORDINATED CARE CORPORATION	BREAST CANCER SCREENING, COLORECTAL SCREENING, DIABETIC EYE EXAM, DIABETIC HBA1C, DIABETIC KIDNEY SCREENING, FLU VACCINE, HEALTH RISK ASSESSMENT AND WELLNESS VISIT	VISA PREPAID DEBIT CARD	THE REWARD VALUE IS CALCULATED BASED ON THE HEALTH CARE ACTIVITY AND THE CMS GUIDELINE PERTAINING TO THE VALUE OF THE HEALTH RELATED SERVICE OR ACTIVITY.	INTERNAL PROCESS REVIEWS DATA SOURCES SUCH AS CLAIMS, ASSESSMENT DATA, LABS, ETC. SUBMITTED AND ISSUES REWARDS BASED ON LOGIC BUILT TO IDENTIFY REWARDABLE ACTIVITIES	1497	3364
H3528	CONNECTICARE, INC.	2020	1	 	 	 	 	 	0	0
H3533	HUMANA HEALTH COMPANY OF NEW YORK, INC.	2020	1	Annual Wellness Visit Incentive - Go365 by Humana	Due to COVID, AWV completions are down for 2020. This incentive is geared towards increasing the AWV completion rate.	Medicare members can earn an additional $25 gift card for completing an AWV in 2020.	The messaging is a call to action for members to schedule & complete their AWV in 2020 and earn an additional $25 reward.	Program participation is tracked for each member through the receipt of the AWV coded claim.	9530	101550
H3533	HUMANA HEALTH COMPANY OF NEW YORK, INC.	2020	2	Go365 by Humana	Fitness: rewards for completing monthly workouts, Social/Lifestyle: rewards for completing monthly volunteering, athletic event, education class, or community nutrition program Prevention: Annual Wellness Exam, Mammogram, Colorectal Screening, Cardiovascular disease screening, Bone density, Flu Shot.	Medicare members can earn Rewards for participating and engaging in the program, such as completing preventive screenings and exercising.  Rewards can be redeemed for various items in the Go365 Mall. Members can choose gift cards from a variety of retailers, in amounts ranging from $10.00 - $100.00 as program rewards.	Go365 collaborates with the Humana Medicare team to identify the value of preventive services awarded in the program and then assigns a reward value that does not exceed the value of the service. For social, lifestyle and athletic activities, rewards are calculated to be of sufficient value to motivate participation (based on prior program data), but of a lower value than disease prevention services.	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.	44799	170280
H3536	MATTHEW THORNTON HEALTH PLAN, INC.	2020	1	 	 	 	 	 	0	0
H3557	BLUE CROSS & BLUE SHIELD OF RHODE ISLAND	2020	1	 	 	 	 	 	0	0
H3561	HEALTH NET COMMUNITY SOLUTIONS, INC.	2020	1	HEALTH NET COMMUNITY SOLUTIONS, INC.	BONE DENSITY, BREAST CANCER SCREENING, COLORECTAL SCREENING, DIABETCI EYE EXAM, DIABETIC HBA1C, DIABETIC KIDNEY SCREENING, FLU VACCINE, HEALTH RISK ASSESSMENT AND WELLNESS VISIT	VISA PREPAID DEBIT CARD	THE REWARD VALUE IS CALCULATED BASED ON THE HEALTH CARE ACTIVITY AND THE CMS GUIDELINE PERTAINING TO THE VALUE OF THE HEALTH RELATED SERVICE OR ACTIVITY.	INTERNAL PROCESS REVIEWS DATA SOURCES SUCH AS CLAIMS, ASSESSMENT DATA, LABS, ETC. SUBMITTED AND ISSUES REWARDS BASED ON LOGIC BUILT TO IDENTIFY REWARDABLE ACTIVITIES	22228	30938
H3572	AHF MCO OF GEORGIA, INC.	2020	1	 	 	 	 	 	0	0
H3597	AETNA HEALTH INC. (ME)	2020	1	 	 	 	 	 	0	0
H3632	MEDICA COMMUNITY HEALTH PLAN	2020	1	 	 	 	 	 	0	0
H3653	PARAMOUNT CARE, INC.	2020	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 member is a diabetic choices include nephropathy screening, retinopahty screening, and/or A1C blood test	$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 and claims paid.  We use an Excel spreadsheet to track member compliance with the program	16341	9372
H3655	COMMUNITY INSURANCE COMPANY	2020	1	 	 	 	 	 	0	0
H3660	SUMMACARE INC.	2020	1	Colorectal Cancer Screening, Breast Cancer Screening	The health related services and/or activities included in the Rewards and Incentive programs at SummaCare are Colonoscopy, sigmoidoscopy, FOBT, FIT Kit, CT Colonography (Virtual Colonoscopy) or Stool DNA (Cologuard) and/or a Mammogram. For the Colorectal Cancer Campaign members are encouraged to complete a Colorectal Cancer FIT Kit provided to them by SummaCare or schedule and complete one of the following Tests/Screenings Colonoscopy, sigmoidoscopy, FOBT, FIT Kit, CT Colonography (Virtual Colonoscopy), Stool DNA (Cologuard) within the Calendar year in order to receive their reward. For the Breast Cancer Campaign members are encouraged to complete their mammograms. If the Mammogram is completed by 12/31/2020 the members will receive a $10 gift card.	Members receive a gift card for completing the tasks (Test or Screening) outlined in each specific clinical campaign notification sent via Mail with IVR reminder calls.	SummaCare must receive a medical claim or data from the In Home Kit Vendor working with SummaCare proving the member completed the requested testing. 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 claim or have a record in the supplemental Data File supplied to SummaCare by the In Home FIT kit Vendor Home Access. 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.	6839	1400
H3664	AULTCARE HEALTH INSURING CORPORATION	2020	1	 	 	 	 	 	0	0
H3668	MOUNT CARMEL HEALTH PLAN, INC.	2020	1	 	 	 	 	 	0	0
H3672	THE HEALTH PLAN OF WEST VIRGINIA, INC.	2020	1	 	 	 	 	 	0	0
H3706	GLOBALHEALTH, INC.	2020	1	 	 	 	 	 	0	0
H3708	OKLAHOMA SUPERIOR SELECT, INC.	2020	1	 	 	 	 	 	0	0
H3748	AETNA BETTER HEALTH OF WASHINGTON, INC.	2020	1	 	 	 	 	 	0	0
H3749	UNITEDHEALTHCARE OF OKLAHOMA, INC.	2020	1	Renew Rewards, HouseCalls Program, Vivify Program	Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, Rheumatoid Arthritis Visit,  Health Risk Assessment ,Flu Shot, Device-Based Activities .(Step) HouseCall.  Registration for mobile application based nurse support, health monitoring and health education.	Gift Card or loaned Tablet	Renew Rewards Program: 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 care activity itself. HouseCalls Program: 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. Vivify: The reward is a gift card of a set monetary amount that must be spent down or a loaned tablet from UHC for use during Vivify program engagement. 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 into the program through any of four channels (Customer Service, Online/Member Portals, IVR, Mobile) 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). Once UHC validates the eligibility period for the activity, the reward is issued. 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. Vivify: Members are notified of the program through nurse outreach, email, and direct mail promotion. Tracking the member accepting the terms and conditions of the mobile application, and issue the card once the system has registered the members acceptance.	12570	12194
H3755	COMMUNITYCARE GOVERNMENT PROGRAMS, INC.	2020	1	HealthyRewards,LearnandEarn,ExperienceMore	AnnualWellnessVisit,ColonCancerScreening,DiabetesA1C,Diabetesretinalexam,DiabetesKidneyScreen,BreastCancerScreening,DiscussStatinTherapy,DiscussOsteoporosis,DiscussRhuematoidArthritis,DiscussPhysicalActivity,DiscussIncontinenceTreatment,FluShot,IVRcallsonemotionalandphysicalwellbeing,healthplanbenefits,relationshipwithPCP	GiftCards	Vendorrecommendationsfromsimilarhealthplans	Weeklydashboardreports,monthlyactivityfiles,monthlyperformancereviews	5808	10911
H3777	EXPERIENCE HEALTH, INC.	2020	1	Medicare Part B Step Therapy Care Coordination Program	Interactive drug review and consultation to discuss drug strategies/regimen and provide educational material mailings	$50 gift card certificate	Value of reward/incentive is calculated as an equivalent to more than half the amount saved on average per participant	Enrollment file of comparison of members identified versus rewards issued	2	2
H3794	CARE IMPROVEMENT PLUS WISCONSIN INSURANCE COMPANY	2020	1	UnitedHealthcare Dual Complete Rewards, HouseCalls Program, Vivify Program	Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, Rheumatoid Arthritis Visit, Reducing Risk of Falls Visit, Urinary Incontinence Visit, Flu Shot, Health Assessment completion. HouseCall.  Registration for mobile application based nurse support, health monitoring and health education.	Gift Card or loaned Tablet	UnitedHealthcare Dual Complete Rewards: 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 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. Vivify: The reward is a gift card of a set monetary amount that must be spent down or a loaned tablet from UHC for use during Vivify program engagement. 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.	UnitedHealthcare Dual Complete Rewards: 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 the eligibility period for the activity is validated, the reward is issued. 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. Vivify: Members are notified of the program through nurse outreach, email, and direct mail promotion. Tracking the member accepting the terms and conditions of the mobile application, and issue the card once the system has registered the members acceptance.	8705	8781
H3800	PROVIDER PARTNERS HEALTH PLAN OF ILLINOIS	2020	1	 	 	 	 	 	0	0
H3805	UNITEDHEALTHCARE OF OREGON, INC.	2020	1	Renew Rewards, HouseCalls Program, Vivify Program	Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, Rheumatoid Arthritis Visit,  Health Risk Assessment ,Flu Shot, Device-Based Activities .(Step) HouseCall.  Registration for mobile application based nurse support, health monitoring and health education.	Gift Card or loaned Tablet	Renew Rewards Program: 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 care activity itself. HouseCalls Program: 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. Vivify: The reward is a gift card of a set monetary amount that must be spent down or a loaned tablet from UHC for use during Vivify program engagement. 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 into the program through any of four channels (Customer Service, Online/Member Portals, IVR, Mobile) 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). Once UHC validates the eligibility period for the activity, the reward is issued. 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. Vivify: Members are notified of the program through nurse outreach, email, and direct mail promotion. Tracking the member accepting the terms and conditions of the mobile application, and issue the card once the system has registered the members acceptance.	45195	42634
H3810	ALLCARE HEALTH PLAN, INC.	2020	1	Stay Healthy Get Rewarded Program	Flu shot, Mammogram, Cholesterol screen, Wellness visit, Colorectal cancer screen	Gift Cards	$10 gift card for each qualifying service received	Member sends in form listing services received and service dates. Qualifying services are confirmed via medical claims review.	411	1172
H3811	SAMARITAN HEALTH PLANS, INC.	2020	1	 	 	 	 	 	0	0
H3813	MODA HEALTH PLAN, INC.	2020	1	 	 	 	 	 	0	0
H3814	ATRIO HEALTH PLANS	2020	1	 	 	 	 	 	0	0
H3815	ALIGNMENT HEALTH PLAN	2020	1	Yes. Alignment Healthy Rewards Program	1. Complete a Health Assessment (JSA/HRA), 2. Complete a Colon Cancer Screening, 3. Complete an Eye Exam (Diabetic retinal eye exam), 4. Complete an Osteoporosis Screening (BMD test), 5. Complete a Breast Cancer Screening, 6. Complete a Flu Vaccine, 7. Register for the Member Portal to Connect to Healthcare Resources, 8. Attend a  member town hall orientation	Reward dollars loaded on Alignment branded ACCESS Card (Debit Card).	Each reward activity has a different dollar value such as $5, $10, $15, $25. The value of the reward is calculated based on identifying a value less than the actual reward provided to the member.	All enrollees are automatically eligible in Alignment's rewards program upon enrollment. Once a member completes a reward activity, Alignment tracks this based on data received and automatically loads the reward dollars on the member's ACCESS Card. For example, if a member completes a Breast Cancer Screening, once Alignment receives a confirmed claim the reward dollars are loaded on the member's ACCESS Card.	67764	89170
H3817	REGENCE BLUECROSS BLUESHIELD OF OREGON	2020	1	 	 	 	 	 	0	0
H3822	HEALTH CARE SERVICE CORPORATION	2020	1	Rewards and Incentives Program	Annual Wellness Visit, Fall Risk Assessment, Flu Vaccine, Blood Glucose A1c Screening, ColorectalScreening, In Home Assessment, Mammogram, Nephropathy Screening, Retinal Eye Exam, Bone Density Screening	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 Mammogram, Nephropathy Screening, Retinal Eye Exam, Bone Density Screening. Members that complete the Annual Wellness Visit recieve two rewards of $25, amounting amounting to a total $50 reward	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 Reorts and Reward Redemption Reports	13583	41912
H3832	HAWAII MEDICAL SERVICE ASSOCIATION	2020	1	2020 Novu Medicare Member Incentive Campaign 1) CAHPS IVR 2) Quality Program	1) CAHPS IVR: 8-week IVR call series to support CAHPS topics such as plan/provider relationships and access to care. 2) Quality Program: Annual wellness visit, flu shot, learning about plan benefits, arthritis management, diabetes kidney exam, diabetes blood test, diabetes eye exam, breast cancer screening, colon cancer screening, osteoporosis management, statin treatment review, improving bladder control, and monitoring physical health	Gift Cards	1) CAHPS IVR: A $10 reward is earned after listening to the first week's topic, an additional $15 reward is earned after completing the 8th topic. 2) Quality Program: Enrollees may earn a maximum reward value of $240 dependent on the services they're eligible for and complete during the calendar year.  For example, getting an annual wellness visit is worth $25, flu shot is worth $10, and a breast cancer screening is worth $25. The reward value for each service was determined based on the level of effort and copayment if any required of the enrollee. One award per year for each eligible service.	1) CAHPS IVR: Enrollment is tracked as enrollees opt-in to program via the telephonic IVR system and complete the weekly call topics.  Enrollees can also call Customer Service to verbally enroll. 2) Quality Program: Enrollment is tracked as enrollees attest to completed health care activities by mail, phone, online, or verbally through a CustomerService agent. All attestations are  tracked for services rendered through December 31, 2020.	9276	32941
H3864	PACIFICSOURCE COMMUNITY HEALTH PLANS	2020	1	 	 	 	 	 	0	0
H3890	HOPKINS HEALTH ADVANTAGE, INC.	2020	1	 	 	 	 	 	0	0
H3907	UPMC HEALTH PLAN, INC.	2020	1	Preventive Incentive Reward Program	Mammogram (BCS), Colorectal Cancer (COL), Diabetic Retinal Eye (DRE) screenings and Medicare Annual Wellness Visit(AWV)	BCS $50, COL $60, DRE $25 AWV $20	Defined gift card  amounts for each screening type	When a  member completes an AWV and/or one or more of the screenings (gap is closed) and we receive the claim(s)  the service(s) the VISA Prepaid cards are issued.  One card for each reward type	152703	107924
H3909	QCC INSURANCE COMPANY	2020	1	Personal Health Visit (PHV) program	The Personal health visit program is offered to Medicare members and administered through the vendor Inovalon. Members are prioritized 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. During 2020 we also offered a telehealth encounter (requirining synchronous audio and video capabilities).	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 $330 per personal health visit.  Therefore, Independence needed to stay below the $330 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 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.	365	365
H3909	QCC INSURANCE COMPANY	2020	2	Independence health rewards	The rewards program focused on a plan-specified contract, H3909, to close gaps in care for specific measures. Members were rewarded with gift cards to attend the specified health care activities. Members were able to activate into the rewards program, attest to their health care activity and redeem gift cards via mail (redemptions), call center and a digital channel.	The members had the option of printing an e-Gift card immediately or having a physical gift card mailed to them. These were merchant gift cards that were not convertible to cash. The health care activities and reward values were as follows: Breast Cancer Screening $25, Colon Cancer Screening (Fecal Occult Blood Test, Fecal Immunochemical Test, Flexible Sigmoidoscopy, Colonoscopy) $50, Diabetes Eye Exam $20, Diabetic HbA1C testing 2x$10, Osteoporosis Screening (DEXA scan) $50, Health Coach Phone Call $25, SilverSneakers $15, Annual Wellness Visit $100, and Flu Shot $15.	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).	12135	1838
H3916	HIGHMARK SENIOR HEALTH COMPANY	2020	1	Highmark Wellness Rewards	Annual Wellness Visit, Comprehensive diabetes care (retinal eye exam, HbA1c test and microalbumin test), Bone Mineral Density Test and House call visit.	Once the necessary activity(ies) are completed by a member, they can earn between $25 and $100 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.	152691	44298
H3923	CAPITAL ADVANTAGE INSURANCE COMPANY	2020	1	Your Rewards	annual well visit, breast cancer screening, colorectal cancer screening, bone density test, flu shot, Diabetic HbA1c tests, Diabetic retinal exam, arthritis management, monitoring physical health, fall prevention	merchant gift cards	values range from $5 to $50	Enrollees provide date of service and provider to receive specific health activity reward	14677	5954
H3924	GEISINGER INDEMNITY INSURANCE COMPANY	2020	1	Wellness Visit,Colorectal,Breast,Hba1c,Eye Exam,Nephropathy	Annual Health and Wellness Visit,Colonoscopy,Cologuard,FitKit,Breast Cancer Screening,Diabetic Hba1c Test,Diabetic Eye Exam,Diabetic Nephropathy Screening	WalMart Gift Cards	25.00 for completion of the Annual Wellness visit, 50.00 for completion of Colonoscopy, 20.00 for completion of Cologuard, 10.00 for completion of FitKit, 25.00 for completion of Breast Cancer Screening, 20.00 for completion of Hba1c Testing, 20.00 for completion of Diabetic Eye Exam, 10.00 for completion of Nephropathy Screening	Enrollee opts in to join the incentive program and is entered as a participant for care gap closure tracking After completion of eligible visits the member qualifies for reimbursement	2831	2685
H3928	AETNA HEALTH INC. (LA)	2020	1	Aetna Healthy You Rewards	Completing Physical Activity, Utilize Resources for Living Program, Annual Wellness Exam, Diabetes Series (eye exam, A1C testing, following dr's plan), Colorectal Cancer Screening, Breast Cancer Screening, Validate Care Coordination Information.	The Members receive an activation kit that invites them to participate in Healthy Rewards. 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 be mailed to their home address. The reward values, per activity, range from $15 to $50 depending on the activity.	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.	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.	1063	271
H3931	AETNA HEALTH INC. (PA)	2020	1	 	 	 	 	 	0	0
H3949	BRAVO HEALTH PENNSYLVANIA, INC.	2020	1	Cigna Medicare Advantage Incentives (CMAI)	360 Exam (wellness exam), HbA1c, Diabetic Retinal Eye Exam, Mammogram, Colonoscopy	A gift card to one of 3 retailers: Walmart, Amazon.com or Target for each preventative screening. There are different values to for each.	360 Exam (wellness exam) - $50 gift card, HbA1c -$25 gift card, Diabetic Eye Exam - $15 gift card, Mammogram - $25 gift card, Colonoscopy 1 or 3 year - $15 gift card, Colonoscopy 5 or 10 year - $50 gift card. We established values based on industry ranges, level of effort required by the beneficiary, and clinical value. It's also to encourage participation in preventive screenings that have been deemed important by CMS through inclusion in its Star rating program	Customer completes their 360 Exam at doctor's office. They are responsible for returning the 360 Exam attestation by using the doctor-signed form or going online to verify. To use the online incentive portal, customers can set up an account by going to www.CignaMedicareAdvantage.com/incentives to attest and also access extra health and wellness information. If participating by paper, customer forms have a unique barcode. All returned customer forms are scanned and processed by a vendor. The vendor provides a weekly file of all returned forms via sFTP to the internal program mamangement database. Database logic confirms customer eligibilty, approval or denial based on set program criteria, and when appropriate it triggers gift card fullfilment. If a PPO customer, after they complete the 360 Exam (wellness exam) they are encouraged to complete additional preventative screenings including the HbA1c, Diabetic Retinal Eye Exam, Mammogram, Colonoscopy (1,3,5,10 year). The incentive is earned once a claim is found to validate the screening took place. Database logic confirms customer eligibilty, approval or denial based on set program criteria, and when appropriate it triggers gift card fullfilment with the same gift card choice made for the 360 Exam.	56044	12337
H3952	KEYSTONE HEALTH PLAN EAST, INC.	2020	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) $50, Diabetes Eye Exam $20, Diabetic HbA1C testing 2x$10, Osteoporosis Screening (DEXA scan) $50, Health Coach Phone Call $25, SilverSneakers $15, Annual Wellness Visit $100, and Flu Shot $15.	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).	84275	20266
H3952	KEYSTONE HEALTH PLAN EAST, INC.	2020	2	Personal Health Visit (PHV) program	The Personal health visit program is offered to Medicare members and administered through the vendor Inovalon. Members are prioritized 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. During 2020 we also offered a telehealth encounter (requirining synchronous audio and video capabilities).	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 $330 per personal health visit.  Therefore, Independence needed to stay below the $330 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 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.	6016	6016
H3954	GEISINGER HEALTH PLAN	2020	1	Wellness Visit, Colorectal, Breast,Hba1c,Eye Exam, Nephropathy	Annual Health and Wellness Visit, Colonoscopy, Cologuard, FitKit, Breast Cancer Screening, Diabetic Hba1c Test, Diabetic Eye Exam, Diabetic Nephropathy Screening	WalMart Gift Cards	25.00 for completion of the Annual Wellness visit, 50.00 for completion of Colonoscopy, 20.00 for completion of Cologuard, 10.00 for completion of FitKit, 25.00 for completion of Breast Cancer Screening,   20.00 for completion of Hba1c Testing, 20.00 for completion of Diabetic Eye Exam, 10.00 for completion of Nephropathy Screening	Enrollee opts in to join the incentive program and is entered as a participant for care gap closure tracking. After completion of eligible visits/screening, the member qualifies for reimbursement	9849	8108
H3957	HIGHMARK CHOICE COMPANY	2020	1	Highmark Wellness Rewards	Annual Wellness Visit, Comprehensive diabetes care (retinal eye exam, HbA1c test and microalbumin test), Bone Mineral Density Test and House call visit.	Once the necessary activity(ies) are completed by a member, they can earn between $25 and $100 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.	78883	31992
H3959	AETNA HEALTH INC. (PA)	2020	1	Aetna Healthy You Rewards	Completing Physical Activity, Utilize Resources for Living Program, Annual Wellness Exam, Diabetes Series (eye exam, A1C testing, following dr's plan), Colorectal Cancer Screening, Breast Cancer Screening, Validate Care Coordination Information.	The Members receive an activation kit that invites them to participate in Healthy Rewards. 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 be mailed to their home address. The reward values, per activity, range from $15 to $50 depending on the activity.	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.	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.	89306	29333
H3962	KEYSTONE HEALTH PLAN CENTRAL, INC.	2020	1	Your Rewards	annual well visit, breast cancer screening, colorectal cancer screening, bone density test, flu shot, Diabetic HbA1c tests, Diabetic retinal exam, arthritis management, monitoring physical health, fall prevention	merchant gift cards	values range from $5 to $50	Enrollees provide date of service and provider to receive specific health activity reward	15703	7828
H3979	GHS HEALTH MAINTENANCE ORGANIZATION, INC.	2020	1	Rewards and Incentives Program	Annual Wellness Visit, Fall Risk Assessment, Flu Vaccine, Blood Glucose A1c Screening, ColorectalScreening, In Home Assessment, Mammogram, Nephropathy Screening, Retinal Eye Exam, Bone Density Screening	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 Mammogram, Nephropathy Screening, Retinal Eye Exam, Bone Density Screening. Members that complete the Annual Wellness Visit recieve two rewards of $25, amounting amounting to a total $50 reward	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 Reorts and Reward Redemption Reports	1223	3715
H4003	MMM HEALTHCARE, LLC	2020	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, and Kidney Disease monitoring.	Hand fan, hand sanitizer, lunch box, tote bags, insect repellant, umbrella, eyeglass microfiber cloth, sun visor, ID card holder, magnifying glass, flashlight, water bottle, gel pads, first aid small tote, exercise band, manicure kit, sunglasses, FM radio, pens, note pads, Iphone charging cable, Android charging cable, headphones, hand towels, coffee mug, manual massager, and gift cards.	We use the value of a similar/equal product on the retail market to determine the value of the specific reward item, and then validate 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 reports from our Customer Service Application, C3PO, as well as Excel Workbooks and/or attendance sheets provided by departments who manage the clinics/events.	53689	56537
H4004	MMM HEALTHCARE, LLC	2020	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, and Kidney Disease monitoring.	Hand fan, hand sanitizer, lunch box, tote bags, insect repellant, umbrella, eyeglass microfiber cloth, sun visor, ID card holder, magnifying glass, flashlight, water bottle, gel pads, first aid small tote, exercise band, manicure kit, sunglasses, FM radio, pens, note pads, Iphone charging cable, Android charging cable, headphones, hand towels, coffee mug, manual massager, and gift cards.	We use the value of a similar/equal product on the retail market to determine the value of the specific reward item, and then validate 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 reports from our Customer Service Application, C3PO, as well as Excel Workbooks and/or attendance sheets provided by departments who manage the clinics/events.	11385	10909
H4005	TRIPLE S ADVANTAGE, INC.	2020	1	Reward and Incentive Program	Preventive Care Tests:  Breast Cancer Screening in Women, Colorectal Cancer Screening, Diabetic Patients Retinal Eye Exam, Diabetic Patients Kidney Disease Monitoring.	Gift Card	It's a $10.00 fixed amount for each preventive care test completed during the year.	An initial communication was sent during the first quarter of 2020 to the eligible membership under this contract.  The Self-Mailer 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 included in the program 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. Once all targeted tests were performed and properly verified by the Stars Unit Department a $10 gift card was sent via mail. Verification of test completion was performed on a quarterly basis.  All eligible preventive tests were to be completed on or before September 30, 2020. An excel spreadsheet maintains all information regarding the members compliance status and incentive payment.	5036	8201
H4007	HUMANA HEALTH PLANS OF PUERTO RICO, INC.	2020	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.	34529	10323
H4036	ANTHEM INSURANCE COMPANIES, INC.	2020	1	 	 	 	 	 	0	0
H4091	SIMPRA ADVANTAGE, INC.	2020	1	 	 	 	 	 	0	0
H4093	PROVIDER PARTNERS HEALTH PLAN OF PENNSYLVANIA, INC	2020	1	 	 	 	 	 	0	0
H4094	OPTIMUM CHOICE, INC.	2020	1	UnitedHealthcare Dual Complete Rewards, HouseCalls Program	Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, Rheumatoid Arthritis Visit, Reducing Risk of Falls Visit, Urinary Incontinence Visit, Flu Shot, Health Assessment completion. HouseCall.	Gift Card	UnitedHealthcare Dual Complete Rewards: 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 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.	UnitedHealthcare Dual Complete Rewards: 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 the eligibility period for the activity is validated, the reward is issued. 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.	763	683
H4140	DOCTORS HEALTHCARE PLANS, INC.	2020	1	 	 	 	 	 	0	0
H4141	HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.	2020	1	Annual Wellness Visit Incentive - Go365 by Humana	Due to COVID, AWV completions are down for 2020. This incentive is geared towards increasing the AWV completion rate.	Medicare members can earn an additional $25 gift card for completing an AWV in 2020.	The messaging is a call to action for members to schedule & complete their AWV in 2020 and earn an additional $25 reward.	Program participation is tracked for each member through the receipt of the AWV coded claim.	27379	245000
H4141	HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.	2020	2	Go365 by Humana	Fitness: rewards for completing monthly workouts, Social/Lifestyle: rewards for completing monthly volunteering, athletic event, education class, or community nutrition program Prevention: Annual Wellness Exam, Mammogram, Colorectal Screening, Cardiovascular disease screening, Bone density, Flu Shot.	Medicare members can earn Rewards for participating and engaging in the program, such as completing preventive screenings and exercising.  Rewards can be redeemed for various items in the Go365 Mall. Members can choose gift cards from a variety of retailers, in amounts ranging from $10.00 - $100.00 as program rewards.	Go365 collaborates with the Humana Medicare team to identify the value of preventive services awarded in the program and then assigns a reward value that does not exceed the value of the service. For social, lifestyle and athletic activities, rewards are calculated to be of sufficient value to motivate participation (based on prior program data), but of a lower value than disease prevention services.	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.	86879	610340
H4152	BLUE CROSS & BLUE SHIELD OF RHODE ISLAND	2020	1	 	 	 	 	 	0	0
H4172	NHC ADVANTAGE, LLC	2020	1	 	 	 	 	 	0	0
H4198	COMMUNITYCARE GOVERNMENT PROGRAMS, INC.	2020	1	HealthyRewards,LearnandEarn,ExperienceMore	AnnualWellnessVisit,ColonCancerScreening,DiabetesA1C,Diabetesretinalexam,DiabetesKidneyScreen,BreastCancerScreening,DiscussStatinTherapy,DiscussOsteoporosis,DiscussRhuematoidArthritis,DiscussPhysicalActivity,DiscussIncontinenceTreatment,FluShot,IVRcallsonemotionalandphysicalwellbeing,healthplanbenefits,relationshipwithPCP	GiftCards	Vendorrecommendationsfromsimilarhealthplans	Weeklydashboardreports,monthlyactivityfiles,monthlyperformancereviews	353	767
H4213	USABLE MUTUAL INSURANCE COMPANY	2020	1	Welvie My Surgery, Novu	Direct Decision Support for preference sensitive surgeries, Annual Wellness Visit, Breast Cancer Screening, Flu Shot, Colon Cancer Screening, Diabetic Retinal Eye Exam, Diabetic A1c Test, Diabetic Nephrology Screening	$25.00 Amazon Gift Card from completion of program, Members may earn gift cards that range in value for redemption	Limited to $25, The value of the reward was specified for members based upon their health action specified,flu shot was equivalent to $10, A1c test for a diabetic member was $25	Enrollees must register in the program and program progress is tracked electronically, Enrollees are notified of the program by multiple methods and may enroll via an online website, telephonic method, or welcome packet by mail. The vendor provided information as to who enrolled members who participated in attesting to health activities.	7294	3499
H4227	VISTA HEALTH PLAN, INC.	2020	1	Medicare Annual Wellness Visit	Health Promomotion and Disease Prevention Visit	Gift Cards	Gift Card Face Value - $50.00 per member that completed a Medicare Annual Wellness visit.	Verify and track all plan members that completed a Medicare Annual Wellness visit.  Verify visit completion by monthly claims reporting.	10183	1067
H4227	VISTA HEALTH PLAN, INC.	2020	2	HEDIS Colorectal Cancer Screening Colonoscopy	Preventive Health Screening	Gift Cards	Gift Card Face Value - $50.00 per member that completed a colonoscopy.	Verify and track members in need of the preventive health screening.  Verify testing completion by monthly claims reporting.	2242	197
H4227	VISTA HEALTH PLAN, INC.	2020	3	HEDIS Colorectal Cancer Screening Cologuard testing	Preventive Health Screening	Gift Cards	Gift Card Face Value - $40.00 per member that completed and returned a Cologuard test.	Verify and track members in need of the preventive health screening.  Verify testing completion by monthly claims reporting.	2242	20
H4227	VISTA HEALTH PLAN, INC.	2020	4	HEDIS Colorectal Cancer Screening In Home FIT Kit (FOBT)	Preventive Health Screening	Gift Cards	Gift Card Face Value - $30.00 per member that completed and returned the In home Fit Kit test.	Verify and track members in need of the preventive health screening.  Verify testing completion by monthly claims reporting.	2242	176
H4227	VISTA HEALTH PLAN, INC.	2020	5	HEDIS Colorectal Cancer Screening Medical Records	Preventive Health Screening Medical Records supporting Colonoscopy completion during the past 10 years (member reported and medical records obtained by health plan)	Gift Cards	Gift Card Face Value - 30.00 per member that completed a colonoscopy in the past 10 years and reported to the health plan.  Gift card reward for medical records obtained.	Verify and track members in need of the preventive health screening.  Members self report colonoscopies completed in the past 10 years.  Gift card reward is awarded monthly as health plan obtains records/confirms service.	2242	5
H4227	VISTA HEALTH PLAN, INC.	2020	6	HEDIS Breast Cancer Screening	Mammography Preventive Health Screening	Gift Cards	Gift Card Face Value - $35.00 per member that completed mammography services.	Verify and track members in need of breast cancer screenings.  Verify testing completion by monthly claims reporting.	708	535
H4227	VISTA HEALTH PLAN, INC.	2020	7	HEDIS Diabetic Retinal Exams	Diabetic Preventive Health screening	Gift Cards	Gift Card Face Value - $35.00 per member that completed a diabetic retinal exam.	Verify and track members in need of diabetic retinal eye exams.  Verify testing completion by monthly claims reporting.	1983	731
H4227	VISTA HEALTH PLAN, INC.	2020	8	HEDIS Diabetic HbA1c Lab Testing	Diabetic Preventive Health screening	Gift Cards	Gift Card Face Value - $20.00 per diabetic member that completed HbA1c lab testing.	Verify and track diabetic members in need of HbA1c testing. Verify testing completion by monthly claims reporting. (Offered January 1 - July 31, 2020)	2298	1959
H4227	VISTA HEALTH PLAN, INC.	2020	9	HEDIS Diabetic HbA1c Lab Testing	Diabetic Preventive Health screening	Gift Cards	Gift Card Face Value - $35.00 per diabetic member that completed HbA1c lab testing.	Verify and track diabetic members in need of HbA1c testing.  Verify testing completion by monthly claims reporting.  (Offered August 1 - December 31, 2020.)	634	123
H4227	VISTA HEALTH PLAN, INC.	2020	10	HEDIS Diabetic Nephropathy Lab Testing	Diabetic Preventive Health screening	Gift Cards	Gift Card Face Value - $20.00 per diabetic member that completed Nephropathy lab testing.	Verify and track diabetic members in need of nephropathy lab testing. Verify testing completion by monthly claims reporting.	2298	1581
H4227	VISTA HEALTH PLAN, INC.	2020	11	LabCorp/Professional Technicians Diabetes Screening In Home Visits	Home visit lab testing for members in need of services including HbA1c testing and urine collection for nephropathy testing	Gift Cards	Gift Card Face Value - $20.00 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.	712	17
H4227	VISTA HEALTH PLAN, INC.	2020	12	Bone Density Testing	Preventive Health Screening for female members 67-85 years of age.	Gift Cards	Gift Card Face Value - $50.00 per member that completed bone density testing.	Verify and track eligible members in need of bone density testing.  Verify testing completion by monthly claims reporting.	3054	313
H4227	VISTA HEALTH PLAN, INC.	2020	13	Flu Vaccine	Preventive Health Vaccine	Gift Cards	Gift Card Face Value - $20.00 per member that received a flu vaccine.	Verify and track all plan members that received a flu vaccine.  Verify visit completion by monthly claims reporting.	10183	4935
H4227	VISTA HEALTH PLAN, INC.	2020	14	HEDIS Diabetes Screening Event at Concillio	Diabetic Preventive Health screening and Flu Shot	Gift Cards	Gift Card Face Value - $35.00 per member who completed any diabetes 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.	199	15
H4227	VISTA HEALTH PLAN, INC.	2020	15	HEDIS Diabetes Screening Event at  Ezekiel Baptist Church	Diabetic Preventive Health screening and Flu Shot	Gift Cards	Gift Card Face Value - $35.00 per member who completed any diabetes 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.	237	13
H4227	VISTA HEALTH PLAN, INC.	2020	16	HEDIS Diabetes Screening Event at Wilson Park	Diabetic Preventive Health screening and Flu Shot	Gift Cards	Gift Card Face Value - $35.00 per member who completed any diabetes 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	28
H4227	VISTA HEALTH PLAN, INC.	2020	17	HEDIS Diabetes Screening Event at Beckett Life Center	Diabetic Preventive Health screening and Flu Shot	Gift Cards	Gift Card Face Value - $35.00 per member who completed any diabetes 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	204	14
H4227	VISTA HEALTH PLAN, INC.	2020	18	Initial Health Risk Assessment Completion	Initial HRA completion within 90 days of enrollment	Gift Cards	Gift Card Face Value - $20.00 for initial assessment completion	Enrollee effective date lists and gift card mailing confirmation	4489	2084
H4227	VISTA HEALTH PLAN, INC.	2020	19	Annual Health Risk Assessment Completion	Annual Reassessment completion with 365 days of prior assessment	Gift Cards	Gift Card Face Value - $10.00 for annual reassessment completion	Reassessment due date list and gift card mailing confirmation	4357	2972
H4227	VISTA HEALTH PLAN, INC.	2020	20	Diabetic Retinal Exams	Diabetic Preventive Health screening	Gift Cards	Gift Card Face Value - $35.00 per member 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. (Offered October 1, 2019 - December 31, 2019)	697	99
H4227	VISTA HEALTH PLAN, INC.	2020	21	Diabetic HbA1c Lab Testing	Diabetic Preventive Health screening	Gift Cards	Gift Card Face Value - $20.00 per diabetic member that completed HbA1c lab testing.	Verify diabetic members in need of HbA1c testing and track members.  Verify testing completion by monthly claims reporting.	248	86
H4227	VISTA HEALTH PLAN, INC.	2020	22	Diabetic Nephropathy Lab Testing	Diabetic Preventive Health screening	Gift Cards	Gift Card Face Value - $20.00 per diabetic member that completed Nephropathy lab testing.	Verify diabetic members in need of nephropathy lab testing and track members.  Verify testing completion by monthly claims reporting.	159	34
H4227	VISTA HEALTH PLAN, INC.	2020	23	Health Risk Assessment (HRA) Completion Pilot	Identify health needs and risk factors	Gift Cards	Gift Card Face Value - $20.00 per member that completed/returned an HRA Assessment.	Pilot Program- 50 Care Management Opt-out members randomly selected to receive a paper HRA form.   Forms completed/returned by members tracked weekly.	50	14
H4227	VISTA HEALTH PLAN, INC.	2020	24	Virtual Health In Home Assessments	Meeting with licensed health professional to perfrom a detailed exam, discuss health history, and answer your questions	Gift Cards	Gift card amount is less then price of the service being offered	Detailed operational report containing member detail of completions	10183	702
H4279	UPMC FOR YOU, INC	2020	1	Preventive Incentive Reward Program	Mammogram (BCS), Colorectal Cancer (COL), Diabetic Retinal Eye (DRE) screenings and Medicare Annual Wellness Visit (AWV) and Flu (FLU) immunization	BCS $50, COL $60, DRE $25 AWV $20, FLU $20	Defined gift card  amounts for each screening type	When a  member completes an AWV,   and/or one or more of the screenings (gap is closed),recives a flu vaccine and we receive the claim(s) for the service(s) the VISA Prepaid cards are issued.  One card for each reward type	34380	36129
H4346	HMO COLORADO, INC.	2020	1	 	 	 	 	 	0	0
H4388	SECURITY HEALTH PLAN OF WISCONSIN, INC.	2020	1	1. Learn and Earn by Security Health Plan 2. Security Health Plan Rewards	Security Health Plan contracted with a vendor to deliver health and wellness rewards programs to our members. The vendor used a multi-channel communication campaign to administer these programs. The programs are described below. Learn and Earn by Security Health Plan Rewards program - This program was an educational campaign focused on key health and wellness topics including mental health, staying active and goal setting.  All eligible members were offered the program through a mailed communication.  Members were invited to enroll in the program and participate in a series of eight interactive voice recognition telephone calls. Members completed a pre-program survey to determine the baseline awareness of health. Members earned a gift card incentive for listening to the first call. For those members who completed the eighth call, another gift card was offered. A post-survey was completed to determine effectiveness of program.  The program was offered in March 2020 and then again in August 2020 to members who did not enroll in the spring program. Security Health Rewards program - The program was offered to all enrolled members who were eligible for the specific health care services. The program consisted of mailings and interactive voice recognition reminder calls. To collect a reward, the member must attest that they received the specified service during calendar year 2020. The health care screening services that were targeted and then rewarded were: Annual wellness visit, Osteoporosis screening after a fracture, Breast cancer screening, Diabetes kidney exam, Diabetes eye exam, Colon cancer screening, Discussion with their provider about bladder control, and Discussion with their provider about physical health and wellbeing. This program launched in October 2020 and concluded on 12/31/2020. The number of members in this report includes members who enrolled in the Learn and Earn Program by Security Health Plan in March or in August. It also includes the members who enrolled in the Security Health Rewards Program in October. The number of rewards rewarded includes members who completed the Learn and Earn program and/or those members attested to receiving the recommended health care services.	Members were offered the choice of a gift card to one of four merchants. For the Learn and Earn by Security Health Plan Program, members were offered a gift card to enroll and listen to the first in the series of eight calls. Members who completed the program by listening to the eighth call could chose a second gift card. For the Security Health Plan Quality Program, members were offered a gift card if they enrolled and then attested to completing each of the targeted and specified health care service(s) during the calendar year 2020. Members may have had more than one activity to complete in calendar year 2020.	The health plan and vendor determined reward values during the contracting and implementation of the programs. Reward values were determined based on recommendations from the vendor for similar programs offered by other health plans, participation and effectiveness of previous programs interventions and time and effort required of the enrollee to complete targeted activities.	The vendor has a proprietary software platform that was used to track participation, activation and enrollee attestations for each program. The health plan provided enrollment files weekly to the vendor. Reports and dashboards of enrollee participation were provided to the health plan weekly throughout each program. The health plan monitored the reports and dashboards and met with the vendor periodically throughout the program to evaluate enrollee participation and interventions, resolve any implementation issues and ensure timelines were met. At the end of each program, the vendor presented program results including participation rates, rewards calculation and effectiveness of program interventions.	640	589
H4407	HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.	2020	1	Cigna Medicare Advantage Incentives (CMAI)	360 Exam (wellness exam), HbA1c, Diabetic Retinal Eye Exam, Mammogram, Colonoscopy	A gift card to one of 3 retailers: Walmart, Amazon.com or Target for each preventative screening. There are different values to for each.	360 Exam (wellness exam) - $50 gift card, HbA1c -$25 gift card, Diabetic Eye Exam - $15 gift card, Mammogram - $25 gift card, Colonoscopy 1 or 3 year - $15 gift card, Colonoscopy 5 or 10 year - $50 gift card. We established values based on industry ranges, level of effort required by the beneficiary, and clinical value. It's also to encourage participation in preventive screenings that have been deemed important by CMS through inclusion in its Star rating program	Customer completes their 360 Exam at doctor's office. They are responsible for returning the 360 Exam attestation by using the doctor-signed form or going online to verify. To use the online incentive portal, customers can set up an account by going to www.CignaMedicareAdvantage.com/incentives to attest and also access extra health and wellness information. If participating by paper, customer forms have a unique barcode. All returned customer forms are scanned and processed by a vendor. The vendor provides a weekly file of all returned forms via sFTP to the internal program mamangement database. Database logic confirms customer eligibilty, approval or denial based on set program criteria, and when appropriate it triggers gift card fullfilment. If a PPO customer, after they complete the 360 Exam (wellness exam) they are encouraged to complete additional preventative screenings including the HbA1c, Diabetic Retinal Eye Exam, Mammogram, Colonoscopy (1,3,5,10 year). The incentive is earned once a claim is found to validate the screening took place. Database logic confirms customer eligibilty, approval or denial based on set program criteria, and when appropriate it triggers gift card fullfilment with the same gift card choice made for the 360 Exam.	15067	5351
H4461	CARITEN HEALTH PLAN INC.	2020	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.	28	10
H4461	CARITEN HEALTH PLAN INC.	2020	2	Go365 by Humana	Fitness: rewards for completing monthly workouts, Social/Lifestyle: rewards for completing monthly volunteering, athletic event, education class, or community nutrition program Prevention: Annual Wellness Exam, Mammogram, Colorectal Screening, Cardiovascular disease screening, Bone density, Flu Shot.	Medicare members can earn Rewards for participating and engaging in the program, such as completing preventive screenings and exercising.  Rewards can be redeemed for various items in the Go365 Mall. Members can choose gift cards from a variety of retailers, in amounts ranging from $10.00 - $100.00 as program rewards.	Go365 collaborates with the Humana Medicare team to identify the value of preventive services awarded in the program and then assigns a reward value that does not exceed the value of the service. For social, lifestyle and athletic activities, rewards are calculated to be of sufficient value to motivate participation (based on prior program data), but of a lower value than disease prevention services.	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.	133022	5705757
H4490	MISSOURI MEDICARE SELECT, LLC	2020	1	 	 	 	 	 	0	0
H4497	MEDICAL MUTUAL OF OHIO	2020	1	Medical Mutual 2020 MA Wellness Rewards Program	Annual Wellness Visit, Breast Cancer Screening, Retinal Eye Exam, DMARD	$10-$85 Gift Cards	The completion of any of the listed services during the 2020 calendar year earns members rewards as follows (a member may earn up to $85 in a year but may not receive an additional reward for completing the same service twice): Annual Wellness Visit earns $10, Breast Cancer Screening earns $25, Retinal Eye Exam earns $25, DMARD earns $25	Members attest to having received an eligible service through phone or online communication channels.  Attestation includes eligible service, date of service, and location of service.	9039	655
H4506	SELECTCARE OF TEXAS, INC.	2020	1	Medicare Healthy Rewards Program	Breast Cancer Screening, Colorectal Cancer Screening (fit kit accepted), Comprehensive Diabetes Care - Eye Exam, HbA1c, Nephropathy, Bone Density Screening, Arthritis Management, Annual Wellness Visit, Flu Vaccine, Taking Care of Your Overall Health	Rewards vary from $10 - $50 depending on service completed.  Members were able to choose from a variety of gift cards including: Walmart, Visa, Subway	Reward values are calculated based on data supporting certain values being associated with member participation.  We also analyze member utilization across the program to determine values to remain within program budget.  Additionally, consulting firms may be used to understand industry parity in choosing reward values.	We review monthly data files receveived from the vendor to understand enrollee participation.  We review this against claims data on our side and complete our analysis.	58348	11671
H4513	HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.	2020	1	Cigna Medicare Advantage Incentives (CMAI)	360 Exam (wellness exam), HbA1c, Diabetic Retinal Eye Exam, Mammogram, Colonoscopy	A gift card to one of 3 retailers: Walmart, Amazon.com or Target for each preventative screening. There are different values to for each.	360 Exam (wellness exam) - $50 gift card, HbA1c -$25 gift card, Diabetic Eye Exam - $15 gift card, Mammogram - $25 gift card, Colonoscopy 1 or 3 year - $15 gift card, Colonoscopy 5 or 10 year - $50 gift card. We established values based on industry ranges, level of effort required by the beneficiary, and clinical value. It's also to encourage participation in preventive screenings that have been deemed important by CMS through inclusion in its Star rating program	Customer completes their 360 Exam at doctor's office. They are responsible for returning the 360 Exam attestation by using the doctor-signed form or going online to verify. To use the online incentive portal, customers can set up an account by going to www.CignaMedicareAdvantage.com/incentives to attest and also access extra health and wellness information. If participating by paper, customer forms have a unique barcode. All returned customer forms are scanned and processed by a vendor. The vendor provides a weekly file of all returned forms via sFTP to the internal program mamangement database. Database logic confirms customer eligibilty, approval or denial based on set program criteria, and when appropriate it triggers gift card fullfilment. If a PPO customer, after they complete the 360 Exam (wellness exam) they are encouraged to complete additional preventative screenings including the HbA1c, Diabetic Retinal Eye Exam, Mammogram, Colonoscopy (1,3,5,10 year). The incentive is earned once a claim is found to validate the screening took place. Database logic confirms customer eligibilty, approval or denial based on set program criteria, and when appropriate it triggers gift card fullfilment with the same gift card choice made for the 360 Exam.	279130	92422
H4514	UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.	2020	1	UnitedHealthcare Dual Complete Rewards, Renew Rewards, HouseCalls Program, Vivify Program	Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, Rheumatoid Arthritis Visit, Reducing Risk of Falls Visit, Urinary Incontinence Visit, Flu Shot, Health Assessment completion.  Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, Rheumatoid Arthritis Visit,  Health Risk Assessment ,Flu Shot, Device-Based Activities .(Step) HouseCall.  Registration for mobile application based nurse support, health monitoring and health education.	Gift Card or loaned Tablet	UnitedHealthcare Dual Complete Rewards: 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: 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 care activity itself. HouseCalls Program: 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. Vivify: The reward is a gift card of a set monetary amount that must be spent down or a loaned tablet from UHC for use during Vivify program engagement. 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.	UnitedHealthcare Dual Complete Rewards: 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 the eligibility period for the activity is validated, the reward is issued. Renew Rewards Program: Enrollees initiate the redemption process by activating into the program through any of four channels (Customer Service, Online/Member Portals, IVR, Mobile) 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). Once UHC validates the eligibility period for the activity, the reward is issued. 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. Vivify: Members are notified of the program through nurse outreach, email, and direct mail promotion. Tracking the member accepting the terms and conditions of the mobile application, and issue the card once the system has registered the members acceptance.	21750	22624
H4523	AETNA HEALTH INC. (TX)	2020	1	Aetna Healthy You Rewards	Completing Physical Activity, Utilize Resources for Living Program, Annual Wellness Exam, Diabetes Series (eye exam, A1C testing, following dr's plan), Colorectal Cancer Screening, Breast Cancer Screening, Validate Care Coordination Information.	The Members receive an activation kit that invites them to participate in Healthy Rewards. 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 be mailed to their home address. The reward values, per activity, range from $15 to $50 depending on the activity.	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.	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.	18369	6030
H4527	PHYSICIANS HEALTH CHOICE OF TEXAS, LLC	2020	1	UnitedHealthcare Dual Complete Rewards, Renew Rewards, HouseCalls Program, Vivify Program	Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, Rheumatoid Arthritis Visit, Reducing Risk of Falls Visit, Urinary Incontinence Visit, Flu Shot, Health Assessment completion.  Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, Rheumatoid Arthritis Visit,  Health Risk Assessment ,Flu Shot, Device-Based Activities .(Step) HouseCall.  Registration for mobile application based nurse support, health monitoring and health education.	Gift Card or loaned Tablet	UnitedHealthcare Dual Complete Rewards: 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: 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 care activity itself. HouseCalls Program: 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. Vivify: The reward is a gift card of a set monetary amount that must be spent down or a loaned tablet from UHC for use during Vivify program engagement. 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.	UnitedHealthcare Dual Complete Rewards: 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 the eligibility period for the activity is validated, the reward is issued. Renew Rewards Program: Enrollees initiate the redemption process by activating into the program through any of four channels (Customer Service, Online/Member Portals, IVR, Mobile) 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). Once UHC validates the eligibility period for the activity, the reward is issued. 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. Vivify: Members are notified of the program through nurse outreach, email, and direct mail promotion. Tracking the member accepting the terms and conditions of the mobile application, and issue the card once the system has registered the members acceptance.	25572	23776
H4590	UNITEDHEALTHCARE BENEFITS OF TEXAS, INC.	2020	1	UnitedHealthcare Dual Complete Rewards, Renew Rewards, HouseCalls Program, Vivify Program	Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, Rheumatoid Arthritis Visit, Reducing Risk of Falls Visit, Urinary Incontinence Visit, Flu Shot, Health Assessment completion.  Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, Rheumatoid Arthritis Visit,  Health Risk Assessment ,Flu Shot, Device-Based Activities .(Step) HouseCall.  Registration for mobile application based nurse support, health monitoring and health education.	Gift Card or loaned Tablet	UnitedHealthcare Dual Complete Rewards: 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: 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 care activity itself. HouseCalls Program: 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. Vivify: The reward is a gift card of a set monetary amount that must be spent down or a loaned tablet from UHC for use during Vivify program engagement. 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.	UnitedHealthcare Dual Complete Rewards: 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 the eligibility period for the activity is validated, the reward is issued. Renew Rewards Program: Enrollees initiate the redemption process by activating into the program through any of four channels (Customer Service, Online/Member Portals, IVR, Mobile) 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). Once UHC validates the eligibility period for the activity, the reward is issued. 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. Vivify: Members are notified of the program through nurse outreach, email, and direct mail promotion. Tracking the member accepting the terms and conditions of the mobile application, and issue the card once the system has registered the members acceptance.	56767	57199
H4604	UNITEDHEALTHCARE OF UTAH, INC.	2020	1	Renew Rewards, HouseCalls Program, Vivify Program	Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, Rheumatoid Arthritis Visit,  Health Risk Assessment ,Flu Shot, Device-Based Activities .(Step) HouseCall.  Registration for mobile application based nurse support, health monitoring and health education.	Gift Card or loaned Tablet	Renew Rewards Program: 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 care activity itself. HouseCalls Program: 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. Vivify: The reward is a gift card of a set monetary amount that must be spent down or a loaned tablet from UHC for use during Vivify program engagement. 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 into the program through any of four channels (Customer Service, Online/Member Portals, IVR, Mobile) 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). Once UHC validates the eligibility period for the activity, the reward is issued. 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. Vivify: Members are notified of the program through nurse outreach, email, and direct mail promotion. Tracking the member accepting the terms and conditions of the mobile application, and issue the card once the system has registered the members acceptance.	25462	23384
H4605	REGENCE BLUECROSS BLUESHIELD OF UTAH	2020	1	Onlife Health Member Incentive Program	Annual Wellness Exam, Colorectal Cancer Screening, Breast Cancer Screening, Diabetes Care, Osteoporosis Management, Advanced Care Planning	Gift Cards	Members earn gift cards by having the services (AWV Breast Cancer Screening Colorectal Cancer Screening Diabetes Care and Advanced Care Planning)	Members Opt-in to the program and Onlife tracks their rewards based on opt-in status and whether or not our claims feed shows the services rendered to participants.	1451	1054
H4623	HUMANA REGIONAL HEALTH PLAN, INC.	2020	1	Go365 by Humana	Fitness: rewards for completing monthly workouts, Social/Lifestyle: rewards for completing monthly volunteering, athletic event, education class, or community nutrition program Prevention: Annual Wellness Exam, Mammogram, Colorectal Screening, Cardiovascular disease screening, Bone density, Flu Shot.	Medicare members can earn Rewards for participating and engaging in the program, such as completing preventive screenings and exercising.  Rewards can be redeemed for various items in the Go365 Mall. Members can choose gift cards from a variety of retailers, in amounts ranging from $10.00 - $100.00 as program rewards.	Go365 collaborates with the Humana Medicare team to identify the value of preventive services awarded in the program and then assigns a reward value that does not exceed the value of the service. For social, lifestyle and athletic activities, rewards are calculated to be of sufficient value to motivate participation (based on prior program data), but of a lower value than disease prevention services.	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.	17239	63855
H4676	TROY HEALTH, INC.	2020	1	 	 	 	 	 	0	0
H4709	BRIGHT HEALTH INSURANCE COMPANY OF FLORIDA	2020	1	 	 	 	 	 	0	0
H4711	COVENTRY HEALTH CARE OF NEBRASKA, INC.	2020	1	 	 	 	 	 	0	0
H4754	PACIFICSOURCE COMMUNITY HEALTH PLANS	2020	1	 	 	 	 	 	0	0
H4835	AETNA BETTER HEALTH OF OKLAHOMA INC.	2020	1	Aetna Healthy You Rewards	Completing Physical Activity, Utilize Resources for Living Program, Annual Wellness Exam, Diabetes Series (eye exam, A1C testing, following dr's plan), Colorectal Cancer Screening, Breast Cancer Screening, Validate Care Coordination Information.	The Members receive an activation kit that invites them to participate in Healthy Rewards. 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 be mailed to their home address. The reward values, per activity, range from $15 to $50 depending on the activity.	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.	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.	9420	3520
H4847	WELLCARE OF SOUTH CAROLINA, INC.	2020	1	Medicare Healthy Rewards Program	Breast Cancer Screening, Colorectal Cancer Screening (fit kit accepted), Comprehensive Diabetes Care - Eye Exam, HbA1c, Nephropathy, Bone Density Screening, Arthritis Management, Annual Wellness Visit, Flu Vaccine, Taking Care of Your Overall Health	Rewards vary from $10 - $50 depending on service completed.  Members were able to choose from a variety of gift cards including: Walmart, Visa, Subway	Reward values are calculated based on data supporting certain values being associated with member participation.  We also analyze member utilization across the program to determine values to remain within program budget.  Additionally, consulting firms may be used to understand industry parity in choosing reward values.	We review monthly data files receveived from the vendor to understand enrollee participation.  We review this against claims data on our side and complete our analysis.	5121	1267
H4853	BRIGHT HEALTH COMPANY OF ARIZONA	2020	1	MA Annual Wellness/Physical Rewards Program	Annual Wellness Visit, Colorectal cancer screening, Flu shot, Breast cancer screening	A $20 Visa gift card per health service	Mail-in form completed by member and signed by provider	Participation is manually tracked based on the receipt of  the member's mailed in request for the reward	454	400
H4868	WELLCARE OF NEW YORK, INC.	2020	1	Medicare Healthy Rewards Program	Breast Cancer Screening, Colorectal Cancer Screening (fit kit accepted), Comprehensive Diabetes Care - Eye Exam, HbA1c, Nephropathy, Bone Density Screening, Arthritis Management, Annual Wellness Visit, Flu Vaccine, Taking Care of Your Overall Health	Rewards vary from $10 - $50 depending on service completed.  Members were able to choose from a variety of gift cards including: Walmart, Visa, Subway	Reward values are calculated based on data supporting certain values being associated with member participation.  We also analyze member utilization across the program to determine values to remain within program budget.  Additionally, consulting firms may be used to understand industry parity in choosing reward values.	We review monthly data files receveived from the vendor to understand enrollee participation.  We review this against claims data on our side and complete our analysis.	40120	3245
H4875	PRIORITY HEALTH	2020	1	Wellth	Eating a meal, Checking blood pressure, Taking prescribed medications, Checking blood sugars	Reloadable Visa gift card (not usable for prescriptions or copays)	Member is rewarded for completingdaily and weekly tasks as part ofpersonalized routine. Routines are designed to encourage wellbeing and include tasks like eating a meal,taking their medications, checking blood sugars, and checkingblood pressure. Member is offered up to 30 dollars (usd)rewards each month but fails to qualify for 2 dollars (usd) for each day they do not participate.	We use a third party vendor (Wellth) to handle enrollee participation. The vendor handles recording participation and fulfilling rewards.	84	2400
H4875	PRIORITY HEALTH	2020	2	SmartRewards	Diabetic retinal eye screening, Breast cancer screening, Colorectal cancer screening, Signify In-home health assessment, Flu shot completion, Physician discussion on fall prevention, Physician discussion on Physical activity	Gift Cards to retailers	Member is rewarded for each task completed. A diabetic retinal eye screening rewards 50 dollars (usd). A breast cancer screening rewards 25 dollars (usd). A colorectal cancer screening rewards 25 dollars (usd). A Signify In-home health assessment rewards 50 dollars (usd). A flu shot completion rewards 10 dollars (usd). A physician discussion on fall prevention rewards 10 dollars (usd). A physician discussion on physical activity rewards 10 dollars (usd)	We use a third party vendor (Welltok) to handle enrollee participation. The vendor handles recording participation and fulfilling rewards. All rewards (except the Signify In-home health assessment) are self-reported with an attestation. The Signify In-home health assessment has a file sent to Welltok to verify who is eligible for that reward. A member must claim the reward for it to payout.	1386	103925
H4882	HEALTHPARTNERS, INC.	2020	1	Silver&Fit for Fitness	facility visits and or physical activity homekits	Hat or collectable pin	Cost per unit	Participation is tracked through a system field that  indicates whether a member has chosen to participate	554	79
H4909	ANTHEM INSURANCE COMPANIES, INC.	2020	1	 	 	 	 	 	0	0
H4922	AGEWELL NEW YORK, LLC	2020	1	 	 	 	 	 	0	0
H4931	BANNER - UNIVERSITY CARE ADVANTAGE	2020	1	Annual Well Visit Incentive Program for B-UCA members enrolled in the Plan during 2020	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	15670	673
H4931	BANNER - UNIVERSITY CARE ADVANTAGE	2020	2	Flu Shot Incentive Program for B-UCA members enrolled in the Plan during 2020	Flu Shot	Gift Card to Subway	Members receive a $10 gift card if B-UCA receives a claim for the flu shot	Biweekly claims reports are used to identify members who received a flu shot which are then tracked in an Excel spreadsheet	15670	3075
H4937	CALIFORNIA PHYSICIANS' SERVICE	2020	1	 	 	 	 	 	0	0
H4961	ALIGNMENT HEALTH PLAN	2020	1	Yes. Alignment Healthy Rewards Program	1. Complete a Health Assessment (JSA/HRA), 2. Complete a Colon Cancer Screening, 3. Complete an Eye Exam (Diabetic retinal eye exam), 4. Complete an Osteoporosis Screening (BMD test), 5. Complete a Breast Cancer Screening, 6. Complete a Flu Vaccine, 7. Register for the Member Portal to Connect to Healthcare Resources, 8. Attend a  member town hall orientation	Reward dollars loaded on Alignment branded ACCESS Card (Debit Card).	Each reward activity has a different dollar value such as $5, $10, $15, $25. The value of the reward is calculated based on identifying a value less than the actual reward provided to the member.	All enrollees are automatically eligible in Alignment's rewards program upon enrollment. Once a member completes a reward activity, Alignment tracks this based on data received and automatically loads the reward dollars on the member's ACCESS Card. For example, if a member completes a Breast Cancer Screening, once Alignment receives a confirmed claim the reward dollars are loaded on the member's ACCESS Card.	541	410
H4982	AETNA BETTER HEALTH OF CALIFORNIA INC.	2020	1	 	 	 	 	 	0	0
H5008	UNITEDHEALTHCARE INSURANCE COMPANY	2020	1	UnitedHealthcare Dual Complete Rewards, HouseCalls Program, Vivify Program	Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, Rheumatoid Arthritis Visit, Reducing Risk of Falls Visit, Urinary Incontinence Visit, Flu Shot, Health Assessment completion. HouseCall.  Registration for mobile application based nurse support, health monitoring and health education.	Gift Card or loaned Tablet	UnitedHealthcare Dual Complete Rewards: 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 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. Vivify: The reward is a gift card of a set monetary amount that must be spent down or a loaned tablet from UHC for use during Vivify program engagement. 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.	UnitedHealthcare Dual Complete Rewards: 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 the eligibility period for the activity is validated, the reward is issued. 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. Vivify: Members are notified of the program through nurse outreach, email, and direct mail promotion. Tracking the member accepting the terms and conditions of the mobile application, and issue the card once the system has registered the members acceptance.	31342	34450
H5009	REGENCE BLUESHIELD	2020	1	 	 	 	 	 	0	0
H5010	ASURIS NORTHWEST HEALTH	2020	1	 	 	 	 	 	0	0
H5015	TEXAS INDEPENDENCE HEALTH PLAN, INC.	2020	1	 	 	 	 	 	0	0
H5042	CDPHP UNIVERSAL BENEFITS, INC.	2020	1	 	 	 	 	 	0	0
H5050	KAISER FOUNDATION HEALTH PLAN OF WASHINGTON	2020	1	Yes, Silver&Fit Rewards Program	Members are rewarded for meeting a threshold of fitness facility visits and/or physical activity.	Members may earn nominal rewards such as a Silver&Fit hat or collectable pin each quarter.	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.	1078	107
H5087	WELLCARE OF CALIFORNIA, INC.	2020	1	Medicare Healthy Rewards Program	Breast Cancer Screening, Colorectal Cancer Screening (fit kit accepted), Comprehensive Diabetes Care - Eye Exam, HbA1c, Nephropathy, Bone Density Screening, Arthritis Management, Annual Wellness Visit, Flu Vaccine, Taking Care of Your Overall Health	Rewards vary from $10 - $50 depending on service completed.  Members were able to choose from a variety of gift cards including: Walmart, Visa, Subway	Reward values are calculated based on data supporting certain values being associated with member participation.  We also analyze member utilization across the program to determine values to remain within program budget.  Additionally, consulting firms may be used to understand industry parity in choosing reward values.	We review monthly data files receveived from the vendor to understand enrollee participation.  We review this against claims data on our side and complete our analysis.	44209	4374
H5106	HIGHMARK SENIOR SOLUTIONS COMPANY	2020	1	Highmark Wellness Rewards	Annual Wellness Visit, Comprehensive diabetes care (retinal eye exam, HbA1c test and microalbumin test), Bone Mineral Density Test and House call visit.	Once the necessary activity(ies) are completed by a member, they can earn between $25 and $100 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.	4668	1245
H5117	LOUISIANA HEALTHCARE CONNECTIONS, INC.	2020	1	LOUISIANA HEALTHCARE CONNECTIONS, INC.	BREAST CANCER SCREENING, COLORECTAL SCREENING, DIABETIC EYE EXAM, DIABETIC HBA1C, FLU VACCINE, HEALTH RISK ASSESSMENT AND WELLNESS VISIT	VISA PREPAID DEBIT CARD	THE REWARD VALUE IS CALCULATED BASED ON THE HEALTH CARE ACTIVITY AND THE CMS GUIDELINE PERTAINING TO THE VALUE OF THE HEALTH RELATED SERVICE OR ACTIVITY.	INTERNAL PROCESS REVIEWS DATA SOURCES SUCH AS CLAIMS, ASSESSMENT DATA, LABS, ETC. SUBMITTED AND ISSUES REWARDS BASED ON LOGIC BUILT TO IDENTIFY REWARDABLE ACTIVITIES	943	1332
H5126	OSCAR INSURANCE COMPANY	2020	1	Health-Related Activities Program	Health risk assessment, Annual Wellness Visit, post-discharge wellness visit, breast cancer screening, PCP visit post-fracture, colonoscopy, colorectal cancer screening, diabetic retinal eye exam, diabetic HbA1c	Gift cards	Each health-related activitity is associated with a different gift card value. The two possible values are $25 and $50. The completion of each activity triggers a gift card to be sent to the member.	Oscar uses claims data to determine when a member has completed an incentivized health-related activity. Receipt of a claim for the incentivized service triggers a gift card to the member.	541	1206
H5140	BLUE CROSS AND BLUE SHIELD ARIZONA, INC.	2020	1	MyBlue Medicare Wellness Rewards Program, Welvie	Annual Wellness Exam, Colorectal Cancer Screening, Breast Cancer Screening, Osteoporosis Screening/Treatement for Women, Diabetic Retinal Eye Exam, Annual Flu Shot, Direct Decision Support for preference sensitive surgeries.	Prepaid gift card	Value of prepaid gift card for annual wellness visit, breast cancer sreening, colorectal cancer screening, diabetic retinal eye exam, Direct Decision Support for preference sensitive surgeries are $25 each and $10 for annual flu shot.	For MyBlue Medicare Wellness Rewards Program, members receive program information, members who complete eligible screenings are mailed a gift card. For Welvie program, members must register in the program and program progress is tracked electronically.	657	646
H5141	CLOVER INSURANCE COMPANY	2020	1	Member PCP Visit and AWV Incentive Initiative	Primary Care Visits, Annual Wellness Visits	Gift Cards	Flat $50 Amazon Gift Card reward per visit with primary care physician and/or annual wellness visit (maximum 2)	Google form submitted online by member service representative: https://docs.google.com/spreadsheets/d/1-3kerSyjkNEaffKzm9iBBnjkYMXsWi_CqSH_C7K7z7c/edit#gid=1593865440	3709	3341
H5172	COMMUNITY HEALTH GROUP	2020	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.	6933	4227
H5190	SUNSHINE STATE HEALTH PLAN, INC.	2020	1	SUNSHINE STATE HEALTH PLAN, INC.	BONE DENSITY, BREAST CANCER SCREENING, COLORECTAL SCREENING, DIABETIC EYE EXAM, DIABETIC HBA1C, DIABETIC KIDNEY SCREENING, FLU VACCINE, HEALTH RISK ASSESSMENT, PROSTATE EXAM AND WELLNESS VISIT	VISA PREPAID DEBIT CARD	THE REWARD VALUE IS CALCULATED BASED ON THE HEALTH CARE ACTIVITY AND THE CMS GUIDELINE PERTAINING TO THE VALUE OF THE HEALTH RELATED SERVICE OR ACTIVITY.	INTERNAL PROCESS REVIEWS DATA SOURCES SUCH AS CLAIMS, ASSESSMENT DATA, LABS, ETC. SUBMITTED AND ISSUES REWARDS BASED ON LOGIC BUILT TO IDENTIFY REWARDABLE ACTIVITIES	2654	2930
H5199	WELLCARE HEALTH INSURANCE OF ARIZONA, INC.	2020	1	Medicare Healthy Rewards Program	Breast Cancer Screening, Colorectal Cancer Screening (fit kit accepted), Comprehensive Diabetes Care - Eye Exam, HbA1c, Nephropathy, Bone Density Screening, Arthritis Management, Annual Wellness Visit, Flu Vaccine, Taking Care of Your Overall Health	Rewards vary from $10 - $50 depending on service completed.  Members were able to choose from a variety of gift cards including: Walmart, Visa, Subway	Reward values are calculated based on data supporting certain values being associated with member participation.  We also analyze member utilization across the program to determine values to remain within program budget.  Additionally, consulting firms may be used to understand industry parity in choosing reward values.	We review monthly data files receveived from the vendor to understand enrollee participation.  We review this against claims data on our side and complete our analysis.	2902	334
H5209	CARE WISCONSIN HEALTH PLAN, INC.	2020	1	 	 	 	 	 	0	0
H5211	SECURITY HEALTH PLAN OF WISCONSIN, INC.	2020	1	1. Learn and Earn by Security Health Plan 2. Security Health Plan Rewards	Security Health Plan contracted with a vendor to deliver health and wellness rewards programs to our members. The vendor used a multi-channel communication campaign to administer these programs. The programs are described below. Learn and Earn by Security Health Plan Rewards program - This program was an educational campaign focused on key health and wellness topics including mental health, staying active and goal setting.  All eligible members were offered the program through a mailed communication.  Members were invited to enroll in the program and participate in a series of eight interactive voice recognition telephone calls. Members completed a pre-program survey to determine the baseline awareness of health. Members earned a gift card incentive for listening to the first call. For those members who completed the eighth call, another gift card was offered. A post-survey was completed to determine effectiveness of program.  The program was offered in March 2020 and then again in August 2020 to members who did not enroll in the spring program. Security Health Rewards program - The program was offered to all enrolled members who were eligible for the specific health care services. The program consisted of mailings and interactive voice recognition reminder calls. To collect a reward, the member must attest that they received the specified service during calendar year 2020. The health care screening services that were targeted and then rewarded were: Annual wellness visit, Osteoporosis screening after a fracture, Breast cancer screening, Diabetes kidney exam, Diabetes eye exam, Colon cancer screening, Discussion with their provider about bladder control, and Discussion with their provider about physical health and wellbeing. This program launched in October 2020 and concluded on 12/31/2020. The number of members in this report includes members who enrolled in the Learn and Earn Program by Security Health Plan in March or in August. It also includes the members who enrolled in the Security Health Rewards Program in October. The number of rewards rewarded includes members who completed the Learn and Earn program and/or those members attested to receiving the recommended health care services.	Members were offered the choice of a gift card to one of four merchants. For the Learn and Earn by Security Health Plan Program, members were offered a gift card to enroll and listen to the first in the series of eight calls. Members who completed the program by listening to the eighth call could chose a second gift card. For the Security Health Plan Quality Program, members were offered a gift card if they enrolled and then attested to completing each of the targeted and specified health care service(s) during the calendar year 2020. Members may have had more than one activity to complete in calendar year 2020.	The health plan and vendor determined reward values during the contracting and implementation of the programs. Reward values were determined based on recommendations from the vendor for similar programs offered by other health plans, participation and effectiveness of previous programs interventions and time and effort required of the enrollee to complete targeted activities.	The vendor has a proprietary software platform that was used to track participation, activation and enrollee attestations for each program. The health plan provided enrollment files weekly to the vendor. Reports and dashboards of enrollee participation were provided to the health plan weekly throughout each program. The health plan monitored the reports and dashboards and met with the vendor periodically throughout the program to evaluate enrollee participation and interventions, resolve any implementation issues and ensure timelines were met. At the end of each program, the vendor presented program results including participation rates, rewards calculation and effectiveness of program interventions.	9134	7985
H5215	NETWORK HEALTH INSURANCE CORPORATION	2020	1	Healthy Living with Diabetes	Completion of heath related educational programming	Gift cards to various merchants (target, amazon, etc.)	Value is directed by the guidance issued by CMS that states that the value of the reward cannot be more than the value of the activity or service itself.  Health plan ensures that gift card value for the completion of the service/activity, is nominal - less than or equal to $50.	Spreadsheets and vendor reporting	3994	53
H5215	NETWORK HEALTH INSURANCE CORPORATION	2020	2	Prevent T2	Completion of heath related educational programming	Fitbit	Value is directed by the guidance issued by CMS that states that the value of the reward cannot be more than the value of the activity or service itself.  Health plan ensures that Fitbit value for the completion of the service/activity, is nominal.	Spreadsheets and vendor reporting	3816	1
H5215	NETWORK HEALTH INSURANCE CORPORATION	2020	3	SNP Wellness Program	Completion of HRA - annual wellnes visit-flu shot	Gift cards to various merchants (target, amazon, etc.)	Value is directed by the guidance issued by CMS that states that the value of the reward cannot be more than the value of the activity or service itself.  Health plan ensures that gift card value for the completion of the service/activity, is nominal - less than or equal to $50.	Members do not enroll into the program but are eligible when they enroll with Network Health. Spreadsheets and vendor reporting	2572	2656
H5215	NETWORK HEALTH INSURANCE CORPORATION	2020	4	Inovalon BIO-IQ	Completion of mobile quality or risk adjustment visit	Gift cards to various merchants (target, amazon, etc.)	Value is directed by the guidance issued by CMS that states that the value of the reward cannot be more than the value of the activity or service itself.  Health plan ensures that gift card value for the completion of the service/activity, is nominal - less than or equal to $50.	Spreadsheets and vendor reporting	10956	1255
H5215	NETWORK HEALTH INSURANCE CORPORATION	2020	5	Matrix Mobile	Completion of mobile quality or risk adjustment visit	Gift cards to various merchants (target, amazon, etc.)	Value is directed by the guidance issued by CMS that states that the value of the reward cannot be more than the value of the activity or service itself.  Health plan ensures that gift card value for the completion of the service/activity, is nominal - less than or equal to $50.	Spreadsheets and vendor reporting	7265	294
H5215	NETWORK HEALTH INSURANCE CORPORATION	2020	6	ADOP/GLOOKO	Track glucose level for 2 months using the mobile diabetes app	Gift cards to various merchants (target, amazon, etc.)	Value is directed by the guidance issued by CMS that states that the value of the reward cannot be more than the value of the activity or service itself.  Health plan ensures that gift card value for the completion of the service/activity, is nominal - less than or equal to $50.	Spreadsheets and vendor reporting	54	39
H5215	NETWORK HEALTH INSURANCE CORPORATION	2020	7	Innovalon Home Visit	Completion of in home or virtual assessment	Gift cards to various merchants (target, amazon, etc.)	Value was based on industry experience of vendor with input from NH Compliance and Finance. Value is directed by the guidance issued by CMS that states that the value of the reward cannot be more than the value of the activity or service itself.	Members do not enroll into the program but are eligible when they enroll with Network Health. Vendor tracks as the visit documentation is completed	63718	12463
H5216	HUMANA INSURANCE COMPANY	2020	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.	26451	5986
H5216	HUMANA INSURANCE COMPANY	2020	2	Annual Wellness Visit Incentive - Go365 by Humana	Due to COVID, AWV completions are down for 2020. This incentive is geared towards increasing the AWV completion rate.	Medicare members can earn an additional $25 gift card for completing an AWV in 2020.	The messaging is a call to action for members to schedule & complete their AWV in 2020 and earn an additional $25 reward.	Program participation is tracked for each member through the receipt of the AWV coded claim.	39491	296525
H5216	HUMANA INSURANCE COMPANY	2020	3	IHWA Incentive Humana	An In Home or Telehealth Wellness Assessment	Medicare members can earn a $50.00 Wal-Mart gift card for completion of an In-Home Health and Wellbeing Assessment (could have also been performed via telehealth) in 2020.	$50 per assessment	Member participation is tracked through the completion of the IHWA through our participating vendors.  A file/claim is received by Humana that triggers data feed to send a gift card to those members.	19139	5916
H5216	HUMANA INSURANCE COMPANY	2020	4	Go365 by Humana	Fitness: rewards for completing monthly workouts, Social/Lifestyle: rewards for completing monthly volunteering, athletic event, education class, or community nutrition program Prevention: Annual Wellness Exam, Mammogram, Colorectal Screening, Cardiovascular disease screening, Bone density, Flu Shot.	Medicare members can earn Rewards for participating and engaging in the program, such as completing preventive screenings and exercising.  Rewards can be redeemed for various items in the Go365 Mall. Members can choose gift cards from a variety of retailers, in amounts ranging from $10.00 - $100.00 as program rewards.	Go365 collaborates with the Humana Medicare team to identify the value of preventive services awarded in the program and then assigns a reward value that does not exceed the value of the service. For social, lifestyle and athletic activities, rewards are calculated to be of sufficient value to motivate participation (based on prior program data), but of a lower value than disease prevention services.	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.	1747803	7355040
H5253	UNITEDHEALTHCARE OF WISCONSIN, INC.	2020	1	UnitedHealthcare Dual Complete Rewards, Renew Rewards, HouseCalls Program, Telehealth Program,Vivify	Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, Rheumatoid Arthritis Visit, Reducing Risk of Falls Visit, Urinary Incontinence Visit, Flu Shot, Health Assessment completion. Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, Rheumatoid Arthritis Visit,  Health Risk Assessment ,Flu Shot, Device-Based Activities .(Step) HouseCall.  Virtual office visit with a provider. Registration for mobile application based nurse support, health monitoring and health education.	Gift Card or loaned Tablet	UnitedHealthcare Dual Complete Rewards: 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: 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 care activity itself. HouseCalls Program: 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. Telehealth: 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. Vivify: The reward is a gift card of a set monetary amount that must be spent down or a loaned tablet from UHC for use during Vivify program engagement. 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.	UnitedHealthcare Dual Complete Rewards: 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 the eligibility period for the activity is validated, the reward is issued. Renew Rewards Program: Enrollees initiate the redemption process by activating into the program through any of four channels (Customer Service, Online/Member Portals, IVR, Mobile) 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). Once UHC validates the eligibility period for the activity, the reward is issued. 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. Telehealth: Members are notified of the program through email and direct mail promotion. Track claim data for telehealth visits and issue the card once the paid claim has been processed. Vivify: Members are notified of the program through nurse outreach, email, and direct mail promotion. Tracking the member accepting the terms and conditions of the mobile application, and issue the card once the system has registered the members acceptance.	235838	243933
H5262	QUARTZ HEALTH PLAN CORPORATION	2020	1	QuartzWell	Preventive care, healthy activities and health education	Amazon gift cards	Accumulation of points	Vendor system reporting. Services are tracked via claim submission, fitness tracker data, and manual member submission (paper and online)	18871	637
H5273	CAREPARTNERS OF CONNECTICUT, INC.	2020	1	2020 Healthy Behavior Reward Program	Activities related to routine diabetic care: one blood pressure check, one retinal eye exam, one urine protein test, and two Hemoglobin A1c tests.	$75 gift card to retail store Target or Walmart	All five activities need to be completed to achieve the reward.  No reward is given for partial completion.	Enrollees complete and submit a Reward Form which a provider also signs attesting to the completed activities and dates of service.	100	95
H5280	MOLINA HEALTHCARE OF OHIO, INC.	2020	1	MMP Breast Cancer Screening Member Incentive (MMP BCS)	Breast Cancer Screening	$25 Walmart Gift Card	Amount was chosen based on existing health and wellness incentives within the contract and/or market, and CMS guidance/State regulations.	Member participation will be tracked by program eligibility status and claims data.	1189	44
H5280	MOLINA HEALTHCARE OF OHIO, INC.	2020	2	MMP Cervical Cancer Screening Member Incentive (MMP CCS)	Cervical Cancer Screening	$25 Walmart Gift Card	Amount was chosen based on existing health and wellness incentives within the contract and/or market, and CMS guidance/State regulations.	Member participation will be tracked by program eligibility status and claims data.	1715	50
H5294	SUPERIOR HEALTH PLAN, INC.	2020	1	SUPERIOR HEALTH PLAN, INC.	BREAST CANCER SCREENING, COLORECTAL SCREENING, DIABETIC EYE EXAM, DIABETIC HBA1C, DIABETIC KIDNEY SCREENING, FLU VACCINE AND WELLNESS VISIT	VISA PREPAID DEBIT CARD	THE REWARD VALUE IS CALCULATED BASED ON THE HEALTH CARE ACTIVITY AND THE CMS GUIDELINE PERTAINING TO THE VALUE OF THE HEALTH RELATED SERVICE OR ACTIVITY.	INTERNAL PROCESS REVIEWS DATA SOURCES SUCH AS CLAIMS, ASSESSMENT DATA, LABS, ETC. SUBMITTED AND ISSUES REWARDS BASED ON LOGIC BUILT TO IDENTIFY REWARDABLE ACTIVITIES	7838	13177
H5302	AETNA HEALTH INC. (GA)	2020	1	 	 	 	 	 	0	0
H5322	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	2020	1	UnitedHealthcare Dual Complete Rewards, Renew Rewards, HouseCalls Program, Vivify Program	Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, Rheumatoid Arthritis Visit, Reducing Risk of Falls Visit, Urinary Incontinence Visit, Flu Shot, Health Assessment completion.  Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, Rheumatoid Arthritis Visit,  Health Risk Assessment ,Flu Shot, Device-Based Activities .(Step) HouseCall.  Registration for mobile application based nurse support, health monitoring and health education.	Gift Card or loaned Tablet	UnitedHealthcare Dual Complete Rewards: 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: 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 care activity itself. HouseCalls Program: 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. Vivify: The reward is a gift card of a set monetary amount that must be spent down or a loaned tablet from UHC for use during Vivify program engagement. 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.	UnitedHealthcare Dual Complete Rewards: 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 the eligibility period for the activity is validated, the reward is issued. Renew Rewards Program: Enrollees initiate the redemption process by activating into the program through any of four channels (Customer Service, Online/Member Portals, IVR, Mobile) 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). Once UHC validates the eligibility period for the activity, the reward is issued. 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. Vivify: Members are notified of the program through nurse outreach, email, and direct mail promotion. Tracking the member accepting the terms and conditions of the mobile application, and issue the card once the system has registered the members acceptance.	17524	18243
H5325	COVENTRY HEALTH CARE OF KANSAS, INC.	2020	1	 	 	 	 	 	0	0
H5337	AETNA BETTER HEALTH INC. (OH)	2020	1	 	 	 	 	 	0	0
H5355	IEHP HEALTH ACCESS	2020	1	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 typically receive an Asthma kit containing a spacer and peak flow meter. However, due to the COVID-19 pandemic, all health education programs were moved to a virtual platform in March 2020. Because of the complexities of tracking participation and distribution of incentives via this platform, health education member incentive efforts were temporarily suspended until in-person classes can resume. No member incentives were distributed after March 2020 although virtual education, technical assistance and support to members continues.	A $25 value is based on the wholesale cost of the kit	Participation is tracked using class rosters which are entered into an incentive tracking database.	1	1
H5355	IEHP HEALTH ACCESS	2020	2	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. Format: Large Group. Six 2 hour sessions.  Sessions may be completed consecutively or out of sequence.  All Ages	Upon completion of all classes in the series, members typically receive a Slow Cooker/Crock pot. However, due to the COVID-19 pandemic, all health education programs were moved to a virtual platform in March 2020. Because of the complexities of tracking participation and distribution of incentives via this platform, health education member incentive efforts were temporarily suspended until in-person classes can resume. No member incentives were distributed after March 2020 although virtual education, technical assistance and support to members continues.	Cost of Item=$25	Participation is tracked using class rosters which are entered into an incentive tracking database.	2	2
H5355	IEHP HEALTH ACCESS	2020	3	Diabetes Self Management Program	The Diabetes Self-Management Program is ideal for patients who have a diagnosis of diabetes.  It is a disease-management program to help IEHP Members manage their blood sugar and improve eating and exercise habits.  Social support is a key element of this community-based program.  Focuses on maintaining lifestyle changes and self-monitoring.  Format: Small/Large Group.  Duration: Twenty- Six (26) 1-hour sessions over one (1) year period.  Ages: 13 and over	At the completion of each session, members receive a single reward/incentive that relates to the content of that sessions content. Together all the incentives make up a diabetes self-care kit. The completed kit include: a foot mirror, portion-control plate, exercise band, lotion, and microfilament. However, due to the COVID-19 pandemic, all health education programs were moved to a virtual platform in March 2020. Because of the complexities of tracking participation and distribution of incentives via this platform, health education member incentive efforts were temporarily suspended until in-person classes can resume. No member incentives were distributed after March 2020 although virtual education, technical assistance and support to members continues.	Cost of each Item=$50	Participation is tracked using class rosters which are entered into an incentive tracking database.	0	0
H5377	HUMANA MEDICAL PLAN OF PENNSYLVANIA, INC.	2020	1	Go365 by Humana	Fitness: rewards for completing monthly workouts, Social/Lifestyle: rewards for completing monthly volunteering, athletic event, education class, or community nutrition program Prevention: Annual Wellness Exam, Mammogram, Colorectal Screening, Cardiovascular disease screening, Bone density, Flu Shot.	Medicare members can earn Rewards for participating and engaging in the program, such as completing preventive screenings and exercising.  Rewards can be redeemed for various items in the Go365 Mall. Members can choose gift cards from a variety of retailers, in amounts ranging from $10.00 - $100.00 as program rewards.	Go365 collaborates with the Humana Medicare team to identify the value of preventive services awarded in the program and then assigns a reward value that does not exceed the value of the service. For social, lifestyle and athletic activities, rewards are calculated to be of sufficient value to motivate participation (based on prior program data), but of a lower value than disease prevention services.	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.	314	780
H5386	SHARP HEALTH PLAN	2020	1	 	 	 	 	 	0	0
H5398	CENTENE VENTURE COMPANY KANSAS	2020	1	MEDICARE ASCENSION - KS	BONE DENSITY, BREAST CANCER SCREENING, COLORECTAL CANCER SCREENING, COLORECTAL COMPREHENSIVE, DIABETES HBA1C, DIABETES KIDNEY SCREENING, FLU VACCINE, STATIN THERAPY, WELLNESS VISIT	VISA PREPAID DEBIT CARD	THE REWARD VALUE IS CALCULATED BASED ON THE HEALTH CARE ACTIVITY AND THE CMS GUIDELINE PERTAINING TO THE VALUE OF THE HEALTH RELATED SERVICE OR ACTIVITY.	INTERNAL PROCESS REVIEWS DATA SOURCES SUCH AS CLAIMS, ASSESSMENT DATA, LABS, ETC. SUBMITTED AND ISSUES REWARDS BASED ON LOGIC BUILT TO IDENTIFY REWARDABLE ACTIVITIES	541	745
H5410	HEALTHSPRING OF FLORIDA, INC.	2020	1	Cigna Medicare Advantage Incentives (CMAI)	360 Exam (wellness exam), HbA1c, Diabetic Retinal Eye Exam, Mammogram, Colonoscopy	A gift card to one of 3 retailers: Walmart, Amazon.com or Target for each preventative screening. There are different values to for each.	360 Exam (wellness exam) - $50 gift card, HbA1c -$25 gift card, Diabetic Eye Exam - $15 gift card, Mammogram - $25 gift card, Colonoscopy 1 or 3 year - $15 gift card, Colonoscopy 5 or 10 year - $50 gift card. We established values based on industry ranges, level of effort required by the beneficiary, and clinical value. It's also to encourage participation in preventive screenings that have been deemed important by CMS through inclusion in its Star rating program	Customer completes their 360 Exam at doctor's office. They are responsible for returning the 360 Exam attestation by using the doctor-signed form or going online to verify. To use the online incentive portal, customers can set up an account by going to www.CignaMedicareAdvantage.com/incentives to attest and also access extra health and wellness information. If participating by paper, customer forms have a unique barcode. All returned customer forms are scanned and processed by a vendor. The vendor provides a weekly file of all returned forms via sFTP to the internal program mamangement database. Database logic confirms customer eligibilty, approval or denial based on set program criteria, and when appropriate it triggers gift card fullfilment. If a PPO customer, after they complete the 360 Exam (wellness exam) they are encouraged to complete additional preventative screenings including the HbA1c, Diabetic Retinal Eye Exam, Mammogram, Colonoscopy (1,3,5,10 year). The incentive is earned once a claim is found to validate the screening took place. Database logic confirms customer eligibilty, approval or denial based on set program criteria, and when appropriate it triggers gift card fullfilment with the same gift card choice made for the 360 Exam.	19098	5153
H5420	MEDICA HEALTHCARE PLANS, INC.	2020	1	HouseCalls Program, Vivify Program	HouseCall.  Registration for mobile application based nurse support, health monitoring and health education.	Gift Card or loaned Tablet	HouseCalls Program: 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. Vivify: The reward is a gift card of a set monetary amount that must be spent down or a loaned tablet from UHC for use during Vivify program engagement. 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. Vivify: Members are notified of the program through nurse outreach, email, and direct mail promotion. Tracking the member accepting the terms and conditions of the mobile application, and issue the card once the system has registered the members acceptance.	5400	4611
H5422	BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA	2020	1	 	 	 	 	 	0	0
H5425	SCAN HEALTH PLAN	2020	1	Chronic Disease Self-Management Program workshop	Presentation and practice of self-management tools to help with chronic disease and chronic pain management	Self-Management book and choice of a) meditation and exercise CD or b) SCAN water bottle, belt and exercise towel.	Actual Cost	We maintain a list of participants, dates and sessions attended in a database	24	20
H5427	FREEDOM HEALTH, INC.	2020	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.	996	806
H5427	FREEDOM HEALTH, INC.	2020	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.	996	793
H5427	FREEDOM HEALTH, INC.	2020	3	HEDIS Osteoporosis Management for Women (OMW) 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.	947	232
H5427	FREEDOM HEALTH, INC.	2020	4	HEDIS Colorectal Cancer Screening (COL) Incentive Program	Colorectal Cancer Screening (FOBT, FIT-DNA, Colonography, Flexible Sigmoidoscopy, or Colonoscopy)	Colorectal Cancer Screening (COL) Program Gift Card	COL completion gift card reward of $30 to be enough to elicit member action of Colonoscopy or FOBT home test while not exceeding related medical costs	Members qualifying into the HEDIS measures with rewards/incentive programs are identified through our HEDIS certified software. At the close of the project, Health Plan Analysts complete reward/incentive program reporting to identify members completing health services/activities that earn them program rewards.	8666	2270
H5427	FREEDOM HEALTH, INC.	2020	5	HEDIS Comprehensive Diabetes Care (CDC) Nephropathy Screening Test Incentive Program	Nephropathy Screening Test (Urine test for albumin or protein)	Comprehensive Diabetes Care (CDC) Nephropathy Screening Program Gift Card	Nephro monitoring testing completion gift card of $15 to be enough to elicit member action of lab test or home kit completion while not exceeding related medical costs	Members qualifying into the HEDIS measures with rewards/incentive programs are identified through our HEDIS certified software. At the close of the project, Health Plan Analysts complete reward/incentive program reporting to identify members completing health services/activities that earn them program rewards.	649	270
H5427	FREEDOM HEALTH, INC.	2020	6	HEDIS Comprehensive Diabetes Care (CDC) HbA1c Test Incentive Program	Hemoglobin A1c (HbA1c) Test	Comprehensive Diabetes Care (CDC) HbA1c Test Program Gift Card	HbA1C completion testing gift card of $15 to be enough to elicit member action of lab test or home kit completion while not exceeding related medical costs	Members qualifying into the HEDIS measures with rewards/incentive programs are identified through our HEDIS certified software. At the close of the project, Health Plan Analysts complete reward/incentive program reporting to identify members completing health services/activities that earn them program rewards.	1637	868
H5430	ONECARE BY CARE1ST HEALTH PLAN OF ARIZONA INC.	2020	1	Medicare Healthy Rewards Program	Breast Cancer Screening, Colorectal Cancer Screening (fit kit accepted), Comprehensive Diabetes Care - Eye Exam, HbA1c, Nephropathy, Bone Density Screening, Arthritis Management, Annual Wellness Visit, Flu Vaccine, Taking Care of Your Overall Health	Rewards vary from $10 - $50 depending on service completed.  Members were able to choose from a variety of gift cards including: Walmart, Visa, Subway	Reward values are calculated based on data supporting certain values being associated with member participation.  We also analyze member utilization across the program to determine values to remain within program budget.  Additionally, consulting firms may be used to understand industry parity in choosing reward values.	We review monthly data files receveived from the vendor to understand enrollee participation.  We review this against claims data on our side and complete our analysis.	3465	446
H5431	HEALTHSUN HEALTH PLANS, INC.	2020	1	HealthSun Health Rewards Program	Fecal Occult Blood Test/FIT-DNA test, Depression Screening, Annual Wellness Exam, Diabetic Hemoglobin A1c test, Diabetic Retinal Eye exam, Colonoscopy, Annual Flu Vaccine, Mammogram, Fall Risk Screening	Visa Prepaid Cards	Each qualifying health related service has a dollar amount assigned to it, Fecal Occult Blood Test/FIT-DNA test is $20, Depression Screening is $30, Annual Wellness Exam is $30, Diabetic Hemoglobin A1c test is $20, Diabetic Retinal Eye exam is $20, Colonoscopy is $50, Annual Flu Vaccine is $30, Mammogram is $30, Fall Risk Screening is $20	Our program vendor sends our Quality Department weekly activity reports every Friday via an FTP site. These reports details amongst many things, the member name, demographics, address, completed coupons received, name of qualifying health related service, postmark date, date received, award/deny, reason for denial, (if applicable)  award amount, doctor name, doctor npi, date of service, date award was mailed, prepaid visa card(s) number(s).	53589	9553
H5433	ORANGE COUNTY HEALTH AUTHORITY	2020	1	OneCare Health Reward Programs: Breast Cancer Screening, Chronic Condition Management.	Mammogram for the Breast Cancer Screening program. Chronic condition assessment and review for Chronic Disease Management program.	$25.00 Visa gift card for the Breast Cancer Screening program. $75.00 Master gift card for the Chronic Condition Management program.	The Visa and Master gift card amounts for each program were determined by aligning their dollar amounts to other successful incentive campaigns used for past programs and to encourage members to participate in preventive screenings during the COVID-19 public health emergency.	Enrollees of the Breast Cancer Screening program were tracked using incentive forms that were received via fax or mail and inputted into an incentive database. Enrollees of the Chronic Condition Management program were tracked using claims, EMR, and vendor data.	362	107
H5434	BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.	2020	1	HealthyBlue Rewards, LPPO Wellness Bonus Award	The health care activities and reward values were as follows: Annual Wellness Exam $50 or In Home Health Visit $50, 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, Health Risk Appraisal Survey $20, Wellness Discussion with Healthcare Provider $20.	Members were rewarded with gift cards to complete the specified health care activities. The members had the option of receiving 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 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 2020 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 were captured in Onlife Health's CMS-compliant data storage as activations and redemptions (participation). Members interact through the LPPO Wellness Bonus Award via mail, telephonic and digital channels. Member interactions across the channels were captured in AllStar's CMS-compliant data storage as activations and redemptions (participation).	11533	7712
H5435	UNITEDHEALTHCARE INSURANCE COMPANY	2020	1	Renew Rewards, HouseCalls Program, Vivify Program	Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, Rheumatoid Arthritis Visit,  Health Risk Assessment ,Flu Shot, Device-Based Activities .(Step) HouseCall.  Registration for mobile application based nurse support, health monitoring and health education.	Gift Card or loaned Tablet	Renew Rewards Program: 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 care activity itself. HouseCalls Program: 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. Vivify: The reward is a gift card of a set monetary amount that must be spent down or a loaned tablet from UHC for use during Vivify program engagement. 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 into the program through any of four channels (Customer Service, Online/Member Portals, IVR, Mobile) 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). Once UHC validates the eligibility period for the activity, the reward is issued. 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. Vivify: Members are notified of the program through nurse outreach, email, and direct mail promotion. Tracking the member accepting the terms and conditions of the mobile application, and issue the card once the system has registered the members acceptance.	3276	2714
H5439	HEALTH NET LIFE INSURANCE COMPANY	2020	1	HEALTH NET LIFE INSURANCE COMPANY	BONE DENSITY, BREAST CANCER SCREENING, COLORECTAL SCREENING, DIABETIC HBA1C, FLU VACCINE, HEALTH RISK ASSESSMENT AND WELLNESS VISIT	VISA PREPAID DEBIT CARD	THE REWARD VALUE IS CALCULATED BASED ON THE HEALTH CARE ACTIVITY AND THE CMS GUIDELINE PERTAINING TO THE VALUE OF THE HEALTH RELATED SERVICE OR ACTIVITY.	INTERNAL PROCESS REVIEWS DATA SOURCES SUCH AS CLAIMS, ASSESSMENT DATA, LABS, ETC. SUBMITTED AND ISSUES REWARDS BASED ON LOGIC BUILT TO IDENTIFY REWARDABLE ACTIVITIES	24553	81
H5454	CLEAR SPRING HEALTH OF ILLINOIS, INC.	2020	1	Better Health 4 You	Annual Flu Shot (Influenza Vaccination), Colorectal Cancer Screening, Breast Cancer Screening (Mammogram), Osteoporosis Screening (Bone Mineral Density Exam), Diabetic Retinopathy Screening (Eye Exam for diabetic members only)	Gift Cards	There are 5 preventive screenings that may be completed and submitted to the Plans and member is awarded a $10 gift card for each. The 2021 maximum total a member may receive for preventive screenings upon completion is $50.	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 the Plan. Once the completed form is received at the Plan, the Quality 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
H5471	SIMPLY HEALTHCARE PLANS, INC.	2020	1	Simply Rewards Program	Completion of Health Risk Assessment	20 dollar Visa Card	Based on a combination of complexity and clinical importance each healthcare service has a value attached to it.	Weekly Activity Report	1691	8176
H5471	SIMPLY HEALTHCARE PLANS, INC.	2020	2	Simply Rewards Program	Annual Wellness Exam with PCP	30 dollar Visa Card	Based on a combination of complexity and clinical importance each healthcare service has a value attached to it.	Weekly Activity Report	1691	8176
H5471	SIMPLY HEALTHCARE PLANS, INC.	2020	3	Simply Rewards Program	Annual Flu vaccine	20 dollar Visa Card	Based on a combination of complexity and clinical importance each healthcare service has a value attached to it.	Weekly Activity Report	1691	8176
H5471	SIMPLY HEALTHCARE PLANS, INC.	2020	4	Simply Rewards Program	Breast Cancer Screening - mammography women only	20 dollar Visa Card	Based on a combination of complexity and clinical importance each healthcare service has a value attached to it.	Weekly Activity Report	1691	8176
H5471	SIMPLY HEALTHCARE PLANS, INC.	2020	5	Simply Rewards Program	Colorectal FOBT or FIT	10 dollar Visa Card	Based on a combination of complexity and clinical importance each healthcare service has a value attached to it.	Weekly Activity Report	1691	8176
H5471	SIMPLY HEALTHCARE PLANS, INC.	2020	6	Simply Rewards Program	Colorectal Cancer Screening	20 dollar Visa Card	Based on a combination of complexity and clinical importance each healthcare service has a value attached to it.	Weekly Activity Report	1691	8176
H5471	SIMPLY HEALTHCARE PLANS, INC.	2020	7	Simply Rewards Program	Diabetes CareEye Exam	20 dollar Visa Card	Based on a combination of complexity and clinical importance each healthcare service has a value attached to it.	Weekly Activity Report	1691	8176
H5471	SIMPLY HEALTHCARE PLANS, INC.	2020	8	Simply Rewards Program	HgbA1c test	10 dollar Visa Card	Based on a combination of complexity and clinical importance each healthcare service has a value attached to it.	Weekly Activity Report	1691	8176
H5471	SIMPLY HEALTHCARE PLANS, INC.	2020	9	Simply Rewards Program	HgbA1c control	10 dollar Visa Card	Based on a combination of complexity and clinical importance each healthcare service has a value attached to it.	Weekly Activity Report	1691	8176
H5471	SIMPLY HEALTHCARE PLANS, INC.	2020	10	Simply Rewards Program	Depression Screening	20 dollar Visa Card	Based on a combination of complexity and clinical importance each healthcare service has a value attached to it.	Weekly Activity Report	1691	8176
H5471	SIMPLY HEALTHCARE PLANS, INC.	2020	11	Simply Rewards Program	Fall Risk Screening	10 dollar Visa Card	Based on a combination of complexity and clinical importance each healthcare service has a value attached to it.	Weekly Activity Report	1691	8176
H5475	MERIDIAN HEALTH PLAN OF MICHIGAN, INC.	2020	1	Medicare Healthy Rewards Program	Breast Cancer Screening, Colorectal Cancer Screening (fit kit accepted), Comprehensive Diabetes Care - Eye Exam, HbA1c, Nephropathy, Bone Density Screening, Arthritis Management, Annual Wellness Visit, Flu Vaccine, Taking Care of Your Overall Health	Rewards vary from $10 - $50 depending on service completed.  Members were able to choose from a variety of gift cards including: Walmart, Visa, Subway	Reward values are calculated based on data supporting certain values being associated with member participation.  We also analyze member utilization across the program to determine values to remain within program budget.  Additionally, consulting firms may be used to understand industry parity in choosing reward values.	We review monthly data files receveived from the vendor to understand enrollee participation.  We review this against claims data on our side and complete our analysis.	30441	5279
H5496	IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.	2020	1	HRA Incentive Program for SNP members	Completion of HRA surveys. SNP members were outreached by phone to complete Health Risk Assessment. SNP members who were unable to reach by phone after three attemps a Try to contact letter sent to member.  The letter explains  to members that if they complete the Health Risk Assessment. They will receive 25 gift card	25 Target Gift Card	One time 25 reward for member completes and returns the Health Risk Assesment	A tracking log is kept for members who receive the reward and those that were unable to reach. Unable to reach after three attempts a Trying to contact letters is sent to members	80	148
H5521	AETNA LIFE INSURANCE COMPANY	2020	1	Aetna Healthy Rewards	There were 38 different employer groups eligible for Reward and incentive program in 2020. Smaller groups were combined and designed to be single group.  UAW Retiree Medical Benefits Trust: Annual Wellness Visit, Breast Cancer Screening, Colon Cancer Screening, Diabetes A1C, Diabetes- Eye Exam , Diabetes- Kidney , Flu shot.  The DOW Chemical Company: Annual Wellness Visit, Flu shot, Silver Sneaker - Physical activity, Healthy Home Visit.  United Airlines: Annual Wellness Visit, Flu shot, Silver Sneaker - Physical activity, Healthy Home Visit.  Standard groups: Annual Wellness Visit, Breast Cancer Screening, Colon Cancer Screening, Diabetes A1C, Diabetes- Eye Exam , Diabetes- Kidney , Flu shot, Silver Sneaker - Physical activity, Healthy Home Visit.  State of New Jersey: Biometric Screening, Flu Shot, Health Risk Assessment, Hearing Exam, Healthy Home Visit, Vision Exam, Wellness Visit.	Enrollees would receive variable amounts for different activities.  UAW Retiree Medical Benefits Trust members can earn up to $200.  United Airlines: Up to $70.  The DOW Chemical Company: Up to $70.  State of New Jersey  Up to $250.	Value of the rewards program is calculated by measuring member health improvement.	Member needs to self-attest each activity once they complete it. Attestation can be done by calling incentive program help line or by using online resources. We collect the attestation data to track the participation.	329443	40586
H5522	HEALTHASSURANCE PENNSYLVANIA, INC.	2020	1	Aetna Healthy You Rewards	Completing Physical Activity, Utilize Resources for Living Program, Annual Wellness Exam, Diabetes Series (eye exam, A1C testing, following dr's plan), Colorectal Cancer Screening, Breast Cancer Screening, Validate Care Coordination Information.	The Members receive an activation kit that invites them to participate in Healthy Rewards. 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 be mailed to their home address. The reward values, per activity, range from $15 to $50 depending on the activity.	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.	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.	73960	23796
H5525	HUMANA BENEFIT PLAN OF ILLINOIS, INC.	2020	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.	1782	474
H5525	HUMANA BENEFIT PLAN OF ILLINOIS, INC.	2020	2	IHWA Incentive Humana	An In Home or Telehealth Wellness Assessment	Medicare members can earn a $50.00 Wal-Mart gift card for completion of an In-Home Health and Wellbeing Assessment (could have also been performed via telehealth) in 2020.	$50 per assessment	Member participation is tracked through the completion of the IHWA through our participating vendors.  A file/claim is received by Humana that triggers data feed to send a gift card to those members.	11097	3398
H5525	HUMANA BENEFIT PLAN OF ILLINOIS, INC.	2020	3	Go365 by Humana	Fitness: rewards for completing monthly workouts, Social/Lifestyle: rewards for completing monthly volunteering, athletic event, education class, or community nutrition program Prevention: Annual Wellness Exam, Mammogram, Colorectal Screening, Cardiovascular disease screening, Bone density, Flu Shot.	Medicare members can earn Rewards for participating and engaging in the program, such as completing preventive screenings and exercising.  Rewards can be redeemed for various items in the Go365 Mall. Members can choose gift cards from a variety of retailers, in amounts ranging from $10.00 - $100.00 as program rewards.	Go365 collaborates with the Humana Medicare team to identify the value of preventive services awarded in the program and then assigns a reward value that does not exceed the value of the service. For social, lifestyle and athletic activities, rewards are calculated to be of sufficient value to motivate participation (based on prior program data), but of a lower value than disease prevention services.	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.	151826	411270
H5526	HEALTHNOW NEW YORK INC.	2020	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.	15286	10043
H5526	HEALTHNOW NEW YORK INC.	2020	2	Member Rewards	Breast Cancer Screening, Colorectal Cancer Screening	$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.	15286	6090
H5528	GROUP HEALTH INCORPORATED	2020	1	Medicare Member Rewards Program	Well visit with PCP, flu vaccine, colorectal cancer screening, breast cancer screening, diabetic eye exam, diabetic nephropathy screening, diabetic A1c test	25.00 gift cards	each service is worth 25.00 with 75.00 maximum per member per year	enrollees register for the program in a portal	0	0
H5533	UPMC HEALTH NETWORK, INC.	2020	1	Preventive Incentive Reward Program	Mammogram (BCS), Colorectal Cancer (COL), Diabetic Retinal Eye (DRE) screenings and Medicare Annual Wellness Visit(AWV)	BCS $50, COL $60, DRE $25 AWV $20	Defined gift card  amounts for each screening type	When a  member completes an AWV and/or one or more of the screenings (gap is closed) and we receive the claim(s) for the service(s) the VISA Prepaid cards are issued.  One card for each reward type	8725	5616
H5549	VNS CHOICE	2020	1	 	 	 	 	 	0	0
H5576	VANTAGE HEALTH PLAN, INC.	2020	1	Learn and Earn	Fall Risk, Mental and Physical Health	$10 to join the 8 week calls, $15 to complete the survey at the end of the 8 weeks	Chose a small amount that would gain the attention of members to interest them in participating	Was tracked by third party vendor  NovuHealth	1413	899
H5576	VANTAGE HEALTH PLAN, INC.	2020	2	Quality 2020	Annual Wellness, Breast Cancer Screening, Controlling Blood Pressure, Diabetic A1C, Eye Exam, Diabetic Kidney Screening, Statin Use, Flu Shot, Colorectal Cancer Screening	Awarded $10 to $50 for each measure completed	Chose a per measure reward to encourage members to complete tests.  Colorectal and Breast Cancer Screenings received higher amount because those measures have a lower rate of completion.  The remaining measures were awarded based on national statistics of what it would take to get the member to perform the activity.	Was tracked by third party vendor NovuHealth	17388	4817
H5577	MCS ADVANTAGE, INC.	2020	1	MCS Classicare Te Cuida	Breast Cancer Screening, Colorectal Cancer Screening, Annual Flu Vaccine, Diabetes Care Eye Exam, Comprehensive Health Risk Assessment	Gift cards	The cost of the gift card is lower than preventive care cost as established in CMS Guidelines. The reward for each health related services and/or activities are Flu Vaccine $5, Diabetes Care Eye Exam $20, Breast Cancer Screening $20, Colorectal Cancer Screening $20, Comprehensive Health Risk Assessment (CHRA) $15	Every member receives a individualized guide to notify them of the program. It contains information about the health related services they qualify for completion. Once the member returns the individualized guide completed, the information is uploaded into the Costumer Relation Management (CRM) system and the member is enrolled in the program.	180753	6041
H5580	MERCY CARE	2020	1	Mercy Care Advantage Rewards	Annual Wellness Visit, Flu Vaccine Jan-Feb, Flu Vaccine Jul-Dec, Breast Cancer Screen, Colorectal Cancer Screen, Bone Density Testing, Diabetic Blood Test Jan-Jun, Diabetic Blood Test Jul-Dec, Diabetic Eye Exam, Diabetic Kidney Exam, Rheumatoid Arthritis	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 annual wellness visit $25, Flu Vaccine Jan-Feb $15, Flu Vaccine Jul-Dec $15, breast cancer screening $50, colon cancer screening $50, bone density testing $50, diabetic blood test Jan-Jun $15, diabetic blood test Jul-Dec $15, diabetic eye exam $25, diabetic kidney exam $15, rheumatoid arthritis exam $25	The value of the award was derived by selecting a level that maximized member participation at a reasonable cost.  Our rewards and incentive vendor uses behavioral research, data science, aggregated client data, and previous plan experience to determine the ideal reward level.	Participation is tracked using a weekly dashboard and data files from the vendor	1041	2793
H5587	HEALTH CHOICE ARIZONA, INC.	2020	1	Health Choice Pathway Healthy Rewards	Breast Cancer Screening (BCS), Comprehensive Health Examination (CHE/AWV),  Colorectal Cancer Screening (COL)	Grocery store gift card	$25.00	Member participation is documented in each members record in Care Radius web based population health management system.	8963	408
H5590	BRIDGEWAY HEALTH SOLUTIONS	2020	1	BRIDGEWAY HEALTH SOLUTIONS	BREAST CANCER SCREENING, COLORECTAL SCREENING, DIABETIC EYE EXAM, DIABETIC HBA1C, DIABETIC KIDNEY SCREENING, FLU VACCINE, HEALTH RISK ASSESSMENT AND WELLNESS VISIT	VISA PREPAID DEBIT CARD	THE REWARD VALUE IS CALCULATED BASED ON THE HEALTH CARE ACTIVITY AND THE CMS GUIDELINE PERTAINING TO THE VALUE OF THE HEALTH RELATED SERVICE OR ACTIVITY.	INTERNAL PROCESS REVIEWS DATA SOURCES SUCH AS CLAIMS, ASSESSMENT DATA, LABS, ETC. SUBMITTED AND ISSUES REWARDS BASED ON LOGIC BUILT TO IDENTIFY REWARDABLE ACTIVITIES	14563	21200
H5591	MARTIN'S POINT GENERATIONS ADVANTAGE, INC.	2020	1	Martins Point HRA Incentive Program	HRA Completion	$15 Hannaford Gift Card	A set amount for completing an HRA	Systems report completion of HRAs	207	207
H5591	MARTIN'S POINT GENERATIONS ADVANTAGE, INC.	2020	2	Grocery Gift Card for completion of Home Risk Assessment or attend Mobile Health Center event	Annual Wellness Visits and preventive screenings	$15 Hannaford Gift Card	$15 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	2692	2692
H5593	AETNA HEALTH OF IOWA INC.	2020	1	 	 	 	 	 	0	0
H5594	OPTIMUM HEALTHCARE, INC.	2020	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.	660	559
H5594	OPTIMUM HEALTHCARE, INC.	2020	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.	660	542
H5594	OPTIMUM HEALTHCARE, INC.	2020	3	HEDIS Osteoporosis Management for Women (OMW) 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.	763	188
H5594	OPTIMUM HEALTHCARE, INC.	2020	4	HEDIS Colorectal Cancer Screening (COL) Incentive Program	Colorectal Cancer Screening (FOBT, FIT-DNA, Colonography, Flexible Sigmoidoscopy, or Colonoscopy)	Colorectal Cancer Screening (COL) Program Gift Card	COL completion gift card reward of $30 to be enough to elicit member action of Colonoscopy or FOBT home test while not exceeding related medical costs	Members qualifying into the HEDIS measures with rewards/incentive programs are identified through our HEDIS certified software. At the close of the project, Health Plan Analysts complete reward/incentive program reporting to identify members completing health services/activities that earn them program rewards.	8064	2483
H5594	OPTIMUM HEALTHCARE, INC.	2020	5	HEDIS Comprehensive Diabetes Care (CDC) Nephropathy Screening Test Incentive Program	Nephropathy Screening Test (Urine test for albumin or protein)	Comprehensive Diabetes Care (CDC) Nephropathy Screening Program Gift Card	Nephro monitoring testing completion gift card of $15 to be enough to elicit member action of lab test or home kit completion while not exceeding related medical costs	Members qualifying into the HEDIS measures with rewards/incentive programs are identified through our HEDIS certified software. At the close of the project, Health Plan Analysts complete reward/incentive program reporting to identify members completing health services/activities that earn them program rewards.	406	186
H5594	OPTIMUM HEALTHCARE, INC.	2020	6	HEDIS Comprehensive Diabetes Care (CDC) HbA1c Test Incentive Program	Hemoglobin A1c (HbA1c) Test	Comprehensive Diabetes Care (CDC) HbA1c Test Program Gift Card	HbA1C completion testing gift card of $15 to be enough to elicit member action of lab test or home kit completion while not exceeding related medical costs	Members qualifying into the HEDIS measures with rewards/incentive programs are identified through our HEDIS certified software. At the close of the project, Health Plan Analysts complete reward/incentive program reporting to identify members completing health services/activities that earn them program rewards.	945	521
H5608	DENVER HEALTH MEDICAL PLAN, INC.	2020	1	 	 	 	 	 	0	0
H5613	MVP HEALTH PLAN, INC.	2020	1	 	 	 	 	 	0	0
H5619	ARCADIAN HEALTH PLAN, INC.	2020	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.	58	22
H5619	ARCADIAN HEALTH PLAN, INC.	2020	2	Annual Wellness Visit Incentive - Go365 by Humana	Due to COVID, AWV completions are down for 2020. This incentive is geared towards increasing the AWV completion rate.	Medicare members can earn an additional $25 gift card for completing an AWV in 2020.	The messaging is a call to action for members to schedule & complete their AWV in 2020 and earn an additional $25 reward.	Program participation is tracked for each member through the receipt of the AWV coded claim.	60787	651650
H5619	ARCADIAN HEALTH PLAN, INC.	2020	3	Go365 by Humana	Fitness: rewards for completing monthly workouts, Social/Lifestyle: rewards for completing monthly volunteering, athletic event, education class, or community nutrition program Prevention: Annual Wellness Exam, Mammogram, Colorectal Screening, Cardiovascular disease screening, Bone density, Flu Shot.	Medicare members can earn Rewards for participating and engaging in the program, such as completing preventive screenings and exercising.  Rewards can be redeemed for various items in the Go365 Mall. Members can choose gift cards from a variety of retailers, in amounts ranging from $10.00 - $100.00 as program rewards.	Go365 collaborates with the Humana Medicare team to identify the value of preventive services awarded in the program and then assigns a reward value that does not exceed the value of the service. For social, lifestyle and athletic activities, rewards are calculated to be of sufficient value to motivate participation (based on prior program data), but of a lower value than disease prevention services.	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.	481985	2579975
H5628	MOLINA HEALTHCARE OF UTAH, INC.	2020	1	Molina Healthcare Wellness Rewards	Breast Cancer Screening, Colon Cancer Screening, Diabetes Eye Exam, Diabetes Kidney Exam, Diabetes A1c Blood Test, Arthritis Management,  Flu Shot, Health Risk Assessment, Statin Therapy Management, Annual Exam, Pain Assessment, Medication Review, Functional Assessment, Reducing the Risk of Falls	Breast Cancer Screening $75 gift card, Colon Cancer Screening $25-$150  gift card, Diabetes Eye Exam $100 gift card, Diabetes Kidney Exam $25 gift card, Diabetes A1c Blood Test $50 gift card,  Arthritis Management $50 gift card, Flu Shot $25 gift card, Health Risk Assessment $25 gift card, Statin Therapy Management $25 gift card, Annual Exam $15 gift card, Pain Assessment $10 gift card, Medication Review $10 gift card, Functional Assessment $10 gift card, Reducing the Risk of Falls $10 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 submit notification of service completion via mail, phone or online. Members can receive a maximum of one incentive per activity but can earn multiple incentives if they are eligible for the service and complete multiple activities.	2144	10613
H5628	MOLINA HEALTHCARE OF UTAH, INC.	2020	2	Learn and Earn by Molina Medicare	Initial Program Assessment, Final Program Assessment	Initial Program Assessment $10 gift card, Final Program Assessment $15 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 enroll in the program via telephone.  Participation is tracked through weekly completion of telephonic lessons, and completion of telephonic initial assessment and final assessment.	1561	2593
H5644	NETWORK HEALTH INSURANCE CORPORATION	2020	1	Healthy Living with Diabetes	Completion of heath related educational programming	Gift cards to various merchants (target, amazon, etc.)	Value is directed by the guidance issued by CMS that states that the value of the reward cannot be more than the value of the activity or service itself.  Health plan ensures that gift card value for the completion of the service/activity, is nominal - less than or equal to $50.	Spreadsheets and vendor reporting	0	0
H5644	NETWORK HEALTH INSURANCE CORPORATION	2020	2	Prevent T2	Completion of heath related educational programming	Fitbit	Value is directed by the guidance issued by CMS that states that the value of the reward cannot be more than the value of the activity or service itself.  Health plan ensures that Fitbit value for the completion of the service/activity, is nominal.	Spreadsheets and vendor reporting	14	0
H5644	NETWORK HEALTH INSURANCE CORPORATION	2020	3	Inovalon BIO-IQ	Completion of mobile quality or risk adjustment visit	Gift cards to various merchants (target, amazon, etc.)	Value is directed by the guidance issued by CMS that states that the value of the reward cannot be more than the value of the activity or service itself.  Health plan ensures that gift card value for the completion of the service/activity, is nominal - less than or equal to $50.	Spreadsheets and vendor reporting	0	0
H5644	NETWORK HEALTH INSURANCE CORPORATION	2020	4	Matrix Mobile	Completion of mobile quality or risk adjustment visit	Gift cards to various merchants (target, amazon, etc.)	Value is directed by the guidance issued by CMS that states that the value of the reward cannot be more than the value of the activity or service itself.  Health plan ensures that gift card value for the completion of the service/activity, is nominal - less than or equal to $50.	Spreadsheets and vendor reporting	27	2
H5644	NETWORK HEALTH INSURANCE CORPORATION	2020	5	ADOP/GLOOKO	Track glucose level for 2 months using the mobile diabetes app	Gift cards to various merchants (target, amazon, etc.)	Value is directed by the guidance issued by CMS that states that the value of the reward cannot be more than the value of the activity or service itself.  Health plan ensures that gift card value for the completion of the service/activity, is nominal - less than $50.	Spreadsheets and vendor reporting	3	2
H5644	NETWORK HEALTH INSURANCE CORPORATION	2020	6	Innovalon Home Visit	Completion of in home or virtual assessment	Gift cards to various merchants (target, amazon, etc.)	Value was based on industry experience of vendor with input from NH Compliance and Finance. Value is directed by the guidance issued by CMS that states that the value of the reward cannot be more than the value of the activity or service itself.	Members do not enroll into the program but are eligible when they enroll with Network Health. Vendor tracks as the visit documentation is completed	332	63
H5649	CENTRAL HEALTH PLAN OF CALIFORNIA, INC.	2020	1	Passport to a Healthy You program rewards members for completing yearly preventive screenings.	The Passport to a Healthy You is a mailing to all eligible members. It includes some Star measures. Members are instructed to bring the passport to their PCPs so PCPs can review the passport and complete Star measures for the members. After obtaining PCPs signature on passport, the member can mail the passport to Star Department by the end of the year. After receive the returned Passport, the Star Department will mail the gift card to the member. For members who have their passport completed by the Wellness Center clinicians, Wellness Center will give the reward to the member at Wellness Center directly so members dont need to mail their Passports to Star Department.	$50 Target Gift Card.	The amount of reward is discussed and approved by CEO every year.	Star Department reviews each returned passport for members information and completeness. The members who are eligible for the reward will have their gift card numbers entered into Excel tracking log and Plan Apps. Both Wellness Center and Star staff share the same Plan Apps. If we see members receive reward from the other department, we would not send another gift card to the member. So each member can only redeem this reward once per year.	40775	11697
H5649	CENTRAL HEALTH PLAN OF CALIFORNIA, INC.	2020	2	Medical Affairs has gift card reward for members who have preventive care visit at Wellness Center.	When the member has a preventive care visit at Wellness Center, our clinician would complete as many applicable 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.	$15 Target or Ralphs Gift Card.	The amount of reward is discussed and approved by CEO every year.	When we issue the gift card to the member at the Wellness Center, our staff records the information on paper. After return to the Diamond Bar office, we transfer the information into an Excel tracking list and Plan Apps. Medical Affairs Departments manager conduct validation on Excel and Plan Apps tracking monthly and any identified errors would be corrected right away. Staff also checks Plan Apps prior giving the gift card to the member to make sure didnt receive the reward already in the same measurement year.	40775	433
H5649	CENTRAL HEALTH PLAN OF CALIFORNIA, INC.	2020	3	Diabetes and Hyperlipidemia Management Classes	Diabetes and Hyperlipidemia Management Classes: educational information, handouts, physical activity suggestions, and nutritional information.	$15 Grocery/Target 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 coach provides a sign-in sheet for members attending the class. Attendance is taken by roll call by the coach for all virtual classes.	14973	21
H5649	CENTRAL HEALTH PLAN OF CALIFORNIA, INC.	2020	4	Diabetes Prevention Program	Diabetes Prevention Program: educational information, handouts, physical activity recommendations, nutritional information, arts and craft activities.	$15 Grocery/Target gift cards, weight scales, and pedometers.	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 value of the other rewards is calculated based off of the market value of the item	Virtual classes conducted, the coach does a roll call on attendance and can track attendance via zoom.  All data for completion of sessions, regular or make-up, is kept in a database.  CDC requires data submission every six months.	21	49
H5652	SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	2020	1	HouseCalls Program, Vivify Program	HouseCall.  Registration for mobile application based nurse support, health monitoring and health education.	Gift Card or loaned Tablet	HouseCalls Program: 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. Vivify: The reward is a gift card of a set monetary amount that must be spent down or a loaned tablet from UHC for use during Vivify program engagement. 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. Vivify: Members are notified of the program through nurse outreach, email, and direct mail promotion. Tracking the member accepting the terms and conditions of the mobile application, and issue the card once the system has registered the members acceptance.	0	0
H5656	SELECTCARE HEALTH PLANS, INC.	2020	1	Medicare Healthy Rewards Program	Breast Cancer Screening, Colorectal Cancer Screening (fit kit accepted), Comprehensive Diabetes Care - Eye Exam, HbA1c, Nephropathy, Bone Density Screening, Arthritis Management, Annual Wellness Visit, Flu Vaccine, Taking Care of Your Overall Health	Rewards vary from $10 - $50 depending on service completed.  Members were able to choose from a variety of gift cards including: Walmart, Visa, Subway	Reward values are calculated based on data supporting certain values being associated with member participation.  We also analyze member utilization across the program to determine values to remain within program budget.  Additionally, consulting firms may be used to understand industry parity in choosing reward values.	We review monthly data files receveived from the vendor to understand enrollee participation.  We review this against claims data on our side and complete our analysis.	1939	201
H5703	SOUTH COUNTRY HEALTH ALLIANCE	2020	1	Wellness Programs and Preventive Care Reward Program	Pregnancy Care exam. Young Adult Well Care exam including Chlamydia 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 five Prenatal Care visits and one Postpartum Care visit within 21 and 56 days after delivery with a healthcare provider. $10 gift card reward for enrollees ages 18 to 21 who complete an annual Young Adult Well Care Exam and a $10 gift card bonus for completing the Chlamydia screening during the exam. $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 Customer Relationship Management (CRM). South Country is using Microsoft Dynamics CRM. Tracking occurs 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.	93	93
H5746	AMERIGROUP COMMUNITY CARE OF NEW MEXICO, INC.	2020	1	 	 	 	 	 	0	0
H5774	TRIPLE S ADVANTAGE, INC.	2020	1	Reward and Incentive Program	Preventive Care Tests:  Breast Cancer Screening in Women, Colorectal Cancer Screening, Diabetic Patients Retinal Eye Exam, Diabetic Patients Kidney Disease Monitoring.	Gift Card	It's a $10.00 fixed amount for each preventive care test completed during the year.	An initial communication was sent during the first quarter of 2020 to the elegible membership under this contract.  The Self-Mailer 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 included in the program 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 a $10 gift card was sent via mail. Verification of test completion was performed on a quarterly basis.  All elegible preventive tests were to be completed on or before September 30, 2020. An excel spreadsheet maintains all information regarding the members compliance status and incentive payment.	53918	102837
H5779	MERIDIAN HEALTH PLAN OF ILLINOIS, INC.	2020	1	Medicare Healthy Rewards Program	Breast Cancer Screening, Colorectal Cancer Screening (fit kit accepted), Comprehensive Diabetes Care - Eye Exam, HbA1c, Nephropathy, Bone Density Screening, Arthritis Management, Annual Wellness Visit, Flu Vaccine, Taking Care of Your Overall Health	Rewards vary from $10 - $50 depending on service completed.  Members were able to choose from a variety of gift cards including: Walmart, Visa, Subway	Reward values are calculated based on data supporting certain values being associated with member participation.  We also analyze member utilization across the program to determine values to remain within program budget.  Additionally, consulting firms may be used to understand industry parity in choosing reward values.	We review monthly data files receveived from the vendor to understand enrollee participation.  We review this against claims data on our side and complete our analysis.	6373	736
H5793	AETNA HEALTH INC. (CT)	2020	1	 	 	 	 	 	0	0
H5810	MOLINA HEALTHCARE OF CALIFORNIA	2020	1	2020 Member Quality Incentive Program	Annual Wellness Visit, Colon Cancer Screening, Diabetes Eye Exam, Flu Shot	$25- $100 Gift card	Amount was chosen based on existing health and wellness incentives within the contract and/or market, and CMS guidance/State regulations.	Vendor platform (Novu) account activation via online or call center.	2212	128
H5823	MOLINA HEALTHCARE OF WASHINGTON, INC.	2020	1	Molina Member Rewards Program	Diabetes HbA1c Test, Diabetes Eye Exam, Diabetes Monitoring for Kidney Disease, Breast Cancer Screening, Colon Cancer Screening, Osteoporosis Screening	Diabetes HbA1c Test $25 Amazon.com gift card, Diabetes Eye Exam $50 Amazon.com gift card, Diabetes Monitoring for Kidney Disease $25 Amazon.com gift card, Breast Cancer Screening $50 Amazon.com gift card, Colon Cancer Screening $25-$100 Amazon.com gift card, Osteoporosis Screening $50 Amazon.com gift card	Amount was chosen based on existing health and wellness incentives within the contract and/or market, and CMS guidance/State regulations.	Members or providers submit Member Attestation Forms with details of the visit they had which are verified through claims data. Members may also call in the visit details which are verified though claims data. Each reward type can be recived no more than once a year, but members can earn rewards for completing different screenings if they are eligible.	5859	123
H5826	COMMUNITY HEALTH PLAN OF WASHINGTON	2020	1	FITCHEK in-home colon cancer screening program	At home colorectal cancer screening	Gift card	$15 is the standard reward amount	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	4040	719
H5841	BRIGHT HEALTH INSURANCE COMPANY	2020	1	 	 	 	 	 	0	0
H5852	AIDS HEALTHCARE FOUNDATION	2020	1	Yes	The colorectal cancer screening improvement incentive program is for eligible members, ages 50 years and older. Members who are non-compliant for this measure may qualify to receive a $40 gift card for completing an at-home colorectal cancer screening kit or $50 for a colonoscopy, as determined by their provider.	Members may earn a $40 or $50 grocery store gift card upon verification of the completion of a colorectal cancer screening	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. Members now have the option of completing an at-home COL self-screening kit for a $40 incentive, and since this is screening is low effort, we determined that $40 is adequate to help encourage them to complete it. The other option is to complete a colonoscopy for $50. A colonoscopy is procedure performed by a GI doctor experienced in the procedure and lasts approximately 30-60 minutes. There are medications that will be given to the patients before and during the procedure. Since the service is semi-extensive, $50 is determined to be an adequate reward. The grocery gift cards promote good health and cannot be spent on alcohol or cigarettes.	Members in the program are outreached to and then 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 also retrieves the member's procedure claims records and results to validate the members screening completion.	190	6
H5852	AIDS HEALTHCARE FOUNDATION	2020	2	Yes	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.	Members may earn a $20 grocery store Gift card 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 in the program are outreached to and are then tracked by the Quality team based on the returned letters that are signed by their provider and are received via mail. The Quality team also retrieves member claims records to verify the members screening completion.	85	9
H5854	ANTHEM HEALTH PLANS, INC.	2020	1	 	 	 	 	 	0	0
H5859	HEALTH PLAN OF CAREOREGON, INC.	2020	1	Gift card for preventive screening and healthy behaviour	Preventive Screenings, Flu Shot, Annual Wellness Visits, Health Risk Assessment , healthy activities at home	gift cards	Twenty-Five, fifty or fifteen dollar gift cards based on completion of a preventive services, flu shot and health risk assessment.	Self-reported by member via phone, mail, fax or member portal acknowledged by a medical professional or validated by a claim when not acknowledged or reported by phone.	6876	11619
H5883	BLUE CARE NETWORK OF MICHIGAN	2020	1	Welvie My Surgery	Direct Decision Support for preference sensitive surgeries.	$25.00 Amazon gift Card from completion of program.	Limited to $25	Enrollees must register in the program and program progress is tracked electronically.	5543	4324
H5883	BLUE CARE NETWORK OF MICHIGAN	2020	2	Welvie My Life Letters	Advanced Care Planning Program.	$25.00 Amazon gift Card from completion of program.	Limited to $25	Enrollees must register in the program and program progress is tracked electronically.	10	4
H5883	BLUE CARE NETWORK OF MICHIGAN	2020	3	Blue Cross Medicare Advantage Rewards - Satisfaction	Annual Wellness Visit, Annual Flu Vaccine, Monitoring Physical Activity.	Annual Wellness Visit $25, Physical Activity $15, Flu Shot $10.	Reward value is based on market research and ask of the member. Value of reward is less than the market value of the service per CMS guidelines.	Member self-attestation.Tracked in partnership with NovuHealth, vendor with experience running the program.	18924	29814
H5883	BLUE CARE NETWORK OF MICHIGAN	2020	4	Blue Cross Medicare Advantage Rewards - Quality	Annual Wellness Visit, Breast Cancer Screening, Annual Flu Vaccine, Monitoring Physical Activity, Diabetes Care-Eye Exam, Diabetes Care-Kidney Screening, Diabetes Care-A1c	Breast Cancer Screening $50, Diabetes Care: Eye Exam $25, Diabetes Care: Kidney Disease $15, Diabetes Care: BSC $25 1x, Annual wellness $25, Physical Activity $15, Flu shot $10.	Reward value is based on market research and ask of the member. Value of reward is less than the market value of the service per CMS guidelines.	Member self-attestation.Tracked in partnership with NovuHealth, vendor with experience running the program.	2053	5035
H5926	MOLINA HEALTHCARE OF MICHIGAN, INC.	2020	1	Member Rewards Program	Annual Wellness Vists, Colon Cancer Screening, Diabetes Eye Exam, Flu Shot	$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.	Member participation will be tracked by program eligibility status, claims data, and member attestation of service.	10778	1253
H5928	BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN	2020	1	Blue Shield of California Promise Appreciation Program	Annual Wellness Exam, Bone Density Test, Breast Cancer Screening, Colon Cancer Screening, Diabetes Blood Test (A1C), Diabetes Eye Exam, Flu Shot, Statin Treatment Review	Gift Card(s)	The recommendation for incentive values was proposed by Novu for each activity based on Novu's Quality Improvement Model, incentive program experience and industry standard.	Blue Shield of California provided a member eligibility file to Novu of the members who were eligible to participate in the rewards program. When a member either activated into the program or redeemed an eligible activity for a reward, Novu sent Blue Shield of California a monthly activity file which contained the members' information and recent activity in the incentive program. Weekly dashboards also provided data related to the number of redemptions along with the total dollar amount that had been spent on the gift cards.	53554	8753
H5932	GATEWAY HEALTH PLAN, INC.	2020	1	Goodness Rewards Annual Wellness Visit	Member must complete and Annual Wellness Visit with a provider in 2020 or have an in-home Annual Wellness Visit with Innovalon in 2020.	$15  MasterCard gift card	The value of this reward was determined based on primary and secondary research surrounding usage of rewards to ellicit partipation in healthy activities. Gateway  Health 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 monitored through our Goodness Reward vendor Eliza reporting which is receieved monthly. Participation is also monitored bi-weekly when claims are sent to the vendor.	23888	13620
H5932	GATEWAY HEALTH PLAN, INC.	2020	2	Goodness Rewards Initial HRA	Member must complete  an initial HRA in 2020 during the first 90 days of enrollment	$10 MasterCard gift card	The value of this reward was determined based on primary and secondary research surrounding usage of rewards to ellicit partipation in healthy activities. Gateway  Health 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 monitored through our Goodness Reward vendor Eliza reporting which is receieved monthly. Participation is also monitored bi-weekly when completion files are sent to the vendor.	7727	1546
H5932	GATEWAY HEALTH PLAN, INC.	2020	3	Goodness Rewards Reassessement HRA	Member must complete  a Reassessment HRA in 2020.	$10 MasterCard gift card	The value of this reward was determined based on primary and secondary research surrounding usage of rewards to ellicit partipation in healthy activities. Gateway  Health 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 monitored through our Goodness Reward vendor Eliza reporting which is receieved monthly. Participation is also monitored bi-weekly when completion files are sent to the vendor.	23888	14459
H5932	GATEWAY HEALTH PLAN, INC.	2020	4	Goodness Rewards Bonus	Member must complet and Annual Wellness Visit with a provider in 2020 or have an in-home Annual Wellness Visit with Innovalon in 2020. and complete any HRA in 2020 (Initial or Reasssessment)	$50 MasterCard gift card	The value of this reward was determined based on primary and secondary research surrounding usage of rewards to ellicit partipation in healthy activities. Gateway  Health 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 monitored through our Goodness Reward vendor Eliza reporting which is receieved monthly. Participation is also monitored bi-weekly when claims and activity completeion files are sent to the vendor.	23888	10589
H5932	GATEWAY HEALTH PLAN, INC.	2020	5	Goodness Rewards Diabetic Screenings	Member must completed A1C blood test, Microalbumin urine screening, and Diabetic Retinal Eye Exam in 2020.	$100 MasterCard gift card	The value of this reward was determined based on primary and secondary research surrounding usage of rewards to ellicit partipation in healthy activities. Gateway  Health 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 monitored through our Goodness Reward vendor Eliza reporting which is receieved monthly. Participation is also monitored bi-weekly when claims and activity completeion files are sent to the vendor.	10955	3948
H5932	GATEWAY HEALTH PLAN, INC.	2020	6	Goodness Rewards Breast Cancer Screening	A member must have a mammogram in 2020	$75 MasterCard gift card	The value of this reward was determined based on primary and secondary research surrounding usage of rewards to ellicit partipation in healthy activities. Gateway  Health 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 monitored through our Goodness Reward vendor Eliza reporting which is receieved monthly. Participation is also monitored bi-weekly when claims and activity completeion files are sent to the vendor.	9477	4488
H5932	GATEWAY HEALTH PLAN, INC.	2020	7	Goodness Rewards Telephonic Health Conversation (THC)	Member must a telephonic health conversation with Gateway about their disease states and about disease management (Diabetes and COPD, Asthma, or COPD & Asthma) in 2020	$50 MasterCard gift card	The value of this reward was determined based on primary and secondary research surrounding usage of rewards to ellicit partipation in healthy activities. Gateway  Health 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 monitored through our Goodness Reward vendor Eliza reporting which is receieved monthly. Participation is also monitored bi-weekly when completion files are sent to the vendor.	6836	1448
H5932	GATEWAY HEALTH PLAN, INC.	2020	8	Goodness Rewards Osteoporosis Management in Women	Member must complete a Bone Denisty Scan in 2020	$100 MasterCard gift card	The value of this reward was determined based on primary and secondary research surrounding usage of rewards to ellicit partipation in healthy activities. Gateway  Health 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 monitored through our Goodness Reward vendor Eliza reporting which is receieved monthly. Participation is also monitored bi-weekly when claims and activity completeion files are sent to the vendor.	120	44
H5932	GATEWAY HEALTH PLAN, INC.	2020	9	Goodness Rewards Colorectal Cancer Screening	Member must compelte  FOBT, Flexible sigmoidoscopy,  FIT-DNA, CT colonography or  Colonoscopy in 2020. If member completed a colon cancer screening prior to 2020 that made the member compliant in 2020, member must complete a colon cancer risk survey.	$50 MasterCard gift card	The value of this reward was determined based on primary and secondary research surrounding usage of rewards to ellicit partipation in healthy activities. Gateway  Health 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 monitored through our Goodness Reward vendor Eliza reporting which is receieved monthly. Participation is also monitored bi-weekly when claims and activity completeion files are sent to the vendor.	12077	4911
H5932	GATEWAY HEALTH PLAN, INC.	2020	10	Goodness Rewards Flu Vaccine	Member must get a flu vaccination between July 2020 and December 31st, 2020	Gateway Winter Gloves	The value of this reward was determined based on primary and secondary research surrounding usage of rewards to ellicit partipation in healthy activities. Gateway  Health 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 monitored through our Goodness Reward vendor Eliza reporting which is receieved monthly. Participation is also monitored bi-weekly when claims and activity attestation files are sent to the vendor.	23888	3099
H5937	UCARE MINNESOTA	2020	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	41	152
H5937	UCARE MINNESOTA	2020	2	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	18	0
H5937	UCARE MINNESOTA	2020	3	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	2094	26
H5937	UCARE MINNESOTA	2020	4	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	4804	332
H5937	UCARE MINNESOTA	2020	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	4804	132
H5937	UCARE MINNESOTA	2020	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	1093	99
H5937	UCARE MINNESOTA	2020	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	1093	71
H5937	UCARE MINNESOTA	2020	8	Diabetes Incentive	nephropathy	gift card	Value of the activity or service and budget available for the estimated number of participants	member database of rewards and incentive activity	1093	70
H5937	UCARE MINNESOTA	2020	9	Health Risk Assessment incentive	a face to face health risk assessment	gift card	Value of the activity or service and budget available for the estimated number of participants	member care management system	4796	692
H5937	UCARE MINNESOTA	2020	10	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	1108	168
H5937	UCARE MINNESOTA	2020	11	Migraine management incentive	health coaching	gift card	Value of the activity or service and budget available for the estimated number of participants	member care management system	33	18
H5937	UCARE MINNESOTA	2020	12	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	11	2
H5937	UCARE MINNESOTA	2020	13	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	4548	323
H5938	CAPITAL HEALTH PLAN	2020	1	 	 	 	 	 	0	0
H5943	SCAN HEALTH PLAN	2020	1	 	 	 	 	 	0	0
H5945	PROMINENCE HEALTHFIRST	2020	1	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	11623	7797
H5945	PROMINENCE HEALTHFIRST	2020	2	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	11623	4568
H5945	PROMINENCE HEALTHFIRST	2020	3	Prominence Perks Healthy Rewards Program - Additional Incentive	Welcome Call	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 completes a 25 minute call to receive critical information about 2020 benfits and programs	11623	5670
H5945	PROMINENCE HEALTHFIRST	2020	4	Prominence Perks Healthy Rewards Program - Additional Incentive	Health Risk Assessment Survey	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 completes the Health Assessment Tool via mail or online member portal	11623	3025
H5959	BLUE CROSS AND BLUE SHIELD OF MINNESOTA	2020	1	 	 	 	 	 	0	0
H5965	WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON	2020	1	Medicare Healthy Rewards Program	Breast Cancer Screening, Colorectal Cancer Screening (fit kit accepted), Comprehensive Diabetes Care - Eye Exam, HbA1c, Nephropathy, Bone Density Screening, Arthritis Management, Annual Wellness Visit, Flu Vaccine, Taking Care of Your Overall Health	Rewards vary from $10 - $50 depending on service completed.  Members were able to choose from a variety of gift cards including: Walmart, Visa, Subway	Reward values are calculated based on data supporting certain values being associated with member participation.  We also analyze member utilization across the program to determine values to remain within program budget.  Additionally, consulting firms may be used to understand industry parity in choosing reward values.	We review monthly data files receveived from the vendor to understand enrollee participation.  We review this against claims data on our side and complete our analysis.	80	8
H5969	ALOHACARE	2020	1	 	 	 	 	 	0	0
H5970	HUMANA INSURANCE COMPANY OF NEW YORK	2020	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.	39	4
H5970	HUMANA INSURANCE COMPANY OF NEW YORK	2020	2	IHWA Incentive Humana	An In Home or Telehealth Wellness Assessment	Medicare members can earn a $50.00 Wal-Mart gift card for completion of an In-Home Health and Wellbeing Assessment (could have also been performed via telehealth) in 2020.	$50 per assessment	Member participation is tracked through the completion of the IHWA through our participating vendors.  A file/claim is received by Humana that triggers data feed to send a gift card to those members.	601	174
H5970	HUMANA INSURANCE COMPANY OF NEW YORK	2020	3	Go365 by Humana	Fitness: rewards for completing monthly workouts, Social/Lifestyle: rewards for completing monthly volunteering, athletic event, education class, or community nutrition program Prevention: Annual Wellness Exam, Mammogram, Colorectal Screening, Cardiovascular disease screening, Bone density, Flu Shot.	Medicare members can earn Rewards for participating and engaging in the program, such as completing preventive screenings and exercising.  Rewards can be redeemed for various items in the Go365 Mall. Members can choose gift cards from a variety of retailers, in amounts ranging from $10.00 - $100.00 as program rewards.	Go365 collaborates with the Humana Medicare team to identify the value of preventive services awarded in the program and then assigns a reward value that does not exceed the value of the service. For social, lifestyle and athletic activities, rewards are calculated to be of sufficient value to motivate participation (based on prior program data), but of a lower value than disease prevention services.	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.	49344	129905
H5989	HEALTHFIRST HEALTH PLAN, INC.	2020	1	 	 	 	 	 	0	0
H5991	HEALTH INSURANCE PLAN OF GREATER NEW YORK	2020	1	Medicare Member Rewards Program	Well visit with PCP, flu vaccine, colorectal cancer screening, breast cancer screening, diabetic eye exam, diabetic nephropathy screening, diabetic A1c test	25.00 gift cards	each service is worth 25.00 with 75.00 maximum per member per year	enrollees register for the program in a portal	101	192
H5992	SENIOR WHOLE HEALTH OF NEW YORK, INC.	2020	1	 	 	 	 	 	0	0
H5995	ATRIO HEALTH PLANS	2020	1	 	 	 	 	 	0	0
H6080	MERIDIAN HEALTH PLAN OF ILLINOIS, INC.	2020	1	IL Passport Incentive Program	Controlling High Blood Pressure,  Colorectal Cancer Screening, Care for Older Adults	A $50 gift card for completing all required health services	These measures were selected to reward members for engaging in their healthcare. The values of these rewards are calculated based on year-over-year HEDIS performance and historical performance of incentive programs. If a priority HEDIS rate is not meeting end year goals the inventive amount may be increased the following year in order to improve results. Incentive values are calculated annually based on the need for impact and size of the population for that particular year. 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 an identifying code is logged in the members profile in Managed Care System (MCS). When members are awarded an incentive another identifying code is stamped in the members profile in Managed Care System and entered into a tracking grid.	3317	63
H6154	MEDICA HEALTH PLANS	2020	1	 	 	 	 	 	0	0
H6229	BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC.	2020	1	 	 	 	 	 	0	0
H6237	REGENCE BLUECROSS BLUESHIELD OF OREGON	2020	1	 	 	 	 	 	0	0
H6306	FIRSTCAROLINACARE INSURANCE COMPANY	2020	1	Health Risk Assessment, Jump Start Assessment Program, HEDIS and Clinical Gap Closures	Completion of Health Risk Assessment or Jump Start Assessment by a physician or provider Head-to-toe screenings that go beyond your regular check-ups including vision fall risk memory and preventive services, Review of all your medications including over-the-counter vitamins and supplements, Dedicated time with a clinician who understands and can help you maximize your specific health plan benefits, Opportunity to enroll in specialized programs that promote ongoing health improvement.	$25 Walmart Gift Card 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 2019 or by December 31 2019 for any member who enrolled after July 1 2019,  $25 Walmart Gift Card to qualified members who completed a Jump Start Assessment in 2019	The Reward is valued at $25 per evaluation by the vendor	Reward distribution is tracked via log containing member and gift card information, Based on types of visits completed within the program year	5255	4511
H6316	MISSOURI CARE, INCORPORATED	2020	1	Medicare Healthy Rewards Program	Breast Cancer Screening, Colorectal Cancer Screening (fit kit accepted), Comprehensive Diabetes Care - Eye Exam, HbA1c, Nephropathy, Bone Density Screening, Arthritis Management, Annual Wellness Visit, Flu Vaccine, Taking Care of Your Overall Health	Rewards vary from $10 - $50 depending on service completed.  Members were able to choose from a variety of gift cards including: Walmart, Visa, Subway	Reward values are calculated based on data supporting certain values being associated with member participation.  We also analyze member utilization across the program to determine values to remain within program budget.  Additionally, consulting firms may be used to understand industry parity in choosing reward values.	We review monthly data files receveived from the vendor to understand enrollee participation.  We review this against claims data on our side and complete our analysis.	802	76
H6328	CARE N' CARE INSURANCE COMPANY, INC.	2020	1	 	 	 	 	 	0	0
H6345	PRUITTHEALTH PREMIER NORTH CAROLINA, LLC	2020	1	 	 	 	 	 	0	0
H6348	COORDINATED CARE CORPORATION	2020	1	COORDINATED CARE CORPORATION	BREAST CANCER SCREENING, COLORECTAL SCREENING, DIABETIC EYE EXAM, DIABETIC HBA1C, DIABETIC KIDNEY SCREENING, FLU VACCINE, HEALTH RISK ASSESSMENT AND WELLNESS VISIT	VISA PREPAID DEBIT CARD	THE REWARD VALUE IS CALCULATED BASED ON THE HEALTH CARE ACTIVITY AND THE CMS GUIDELINE PERTAINING TO THE VALUE OF THE HEALTH RELATED SERVICE OR ACTIVITY.	INTERNAL PROCESS REVIEWS DATA SOURCES SUCH AS CLAIMS, ASSESSMENT DATA, LABS, ETC. SUBMITTED AND ISSUES REWARDS BASED ON LOGIC BUILT TO IDENTIFY REWARDABLE ACTIVITIES	487	972
H6351	LIBERTY ADVANTAGE, LLC	2020	1	 	 	 	 	 	0	0
H6379	CLEAR SPRING HEALTH (CO), INC.	2020	1	Better Health 4 You	Annual Flu Shot (Influenza Vaccination), Colorectal Cancer Screening, Breast Cancer Screening (Mammogram), Osteoporosis Screening (Bone Mineral Density Exam), Diabetic Retinopathy Screening (Eye Exam for diabetic members only)	Gift Cards	There are 5 preventive screenings that may be completed and submitted to the Plans and member is awarded a $10 gift card for each. The 2021 maximum total a member may receive for preventive screenings upon completion is $50.	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 the Plan. Once the completed form is received at the Plan, the Quality 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
H6396	CARESOURCE OHIO, INC.	2020	1	My CareSource Rewards	Hemoglobin A1C Test, Diabetic Retinal Exam, Microalbumin Test, Colorectal Cancer Screening, Breast Cancer Screening, Annual Wellness Exam, Flu Vaccine, Health Risk Assessment Completion	Gift Cards	All rewards are offered one time a year unless noted. Hemoglobin A1C Test - $25 (maximum  3 times per year), Diabetic Retinal Exam - $25, Microalbumin Test - $25, Colorectal Cancer Screening - $50, Breast Cancer Screening - $50, Annual Wellness Exam - $10, Flu Vaccine - $10 ($30                                                                                                                                Effective 8/1/20-12/31/20), Health Risk Assessment Completion - $15	All members are automatically enrolled in the My CareSource Rewards Program when they enroll with CareSource. CareSource tracks screening completions through provider claims. For Health Risk Assessments, participation is tracked via completion.	3895	108190
H6439	WELLCARE HEALTH PLANS OF ARIZONA, INC.	2020	1	Medicare Healthy Rewards Program	Breast Cancer Screening, Colorectal Cancer Screening (fit kit accepted), Comprehensive Diabetes Care - Eye Exam, HbA1c, Nephropathy, Bone Density Screening, Arthritis Management, Annual Wellness Visit, Flu Vaccine, Taking Care of Your Overall Health	Rewards vary from $10 - $50 depending on service completed.  Members were able to choose from a variety of gift cards including: Walmart, Visa, Subway	Reward values are calculated based on data supporting certain values being associated with member participation.  We also analyze member utilization across the program to determine values to remain within program budget.  Additionally, consulting firms may be used to understand industry parity in choosing reward values.	We review monthly data files receveived from the vendor to understand enrollee participation.  We review this against claims data on our side and complete our analysis.	4443	488
H6446	SILVERSUMMIT HEALTHPLAN, INC.	2020	1	NV SILVER SUMMIT HEALTH PLAN	BREAST CANCER SCREENING, BONE DENSITY SCREENING, COLORECTAL SCREENING, DIABETIC EYE EXAM, DIABETIC HBA1C, DIABETIC KIDNEY SCREENING, FLU VACCINE, HEALTH RISK ASSESSMENT AND WELLNESS VISIT	VISA PREPAID DEBIT CARD	THE REWARD VALUE IS CALCULATED BASED ON THE HEALTH CARE ACTIVITY AND THE CMS GUIDELINE PERTAINING TO THE VALUE OF THE HEALTH RELATED SERVICE OR ACTIVITY.	INTERNAL PROCESS REVIEWS DATA SOURCES SUCH AS CLAIMS, ASSESSMENT DATA, LABS, ETC. SUBMITTED AND ISSUES REWARDS BASED ON LOGIC BUILT TO IDENTIFY REWARDABLE ACTIVITIES	405	432
H6453	HMO LOUISIANA, INC.	2020	1	Member Rewards Program	Annual Wellness Visit, Breast Cancer Screening, Colorectal Cancer Screening, Annual Flu Vaccine, Diabetic Retinal Exam	$25 for each of the screenings or wellness visits completed up to $50	Visiting your doctor at least once a year can help make you aware of small health problems before they become large health issues and provide rewards for doing so	Was tracked by third party vendor  HealthMine	2831	5260
H6502	MISSOURI VALLEY LIFE AND HEALTH INSURANCE COMPANY	2020	1	Yes	Mammogram, Annual Wellness Exam	Limit of two, $25 gift cards to use at retail stores	Rewards are calculated based on the submission of claims for the related services tied to the member rewards benefit. A claim submitted for the health related services included in the program, triggers gift card availability.	Tracking is based on eligibility, enrollment, related services rendered, claim submitted, and reward pay out	9724	5746
H6526	UNITEDHEALTHCARE OF NEW MEXICO, INC.	2020	1	Renew Rewards, HouseCalls Program, Telehealth Program, Vivify Program	Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, Rheumatoid Arthritis Visit,  Health Risk Assessment ,Flu Shot, Device-Based Activities .(Step) HouseCall.  Virtual office visit with a provider. Registration for mobile application based nurse support, health monitoring and health education.	Gift Card or loaned Tablet	Renew Rewards Program: 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 care activity itself. HouseCalls Program: 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. Telehealth: 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. Vivify: The reward is a gift card of a set monetary amount that must be spent down or a loaned tablet from UHC for use during Vivify program engagement. 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 into the program through any of four channels (Customer Service, Online/Member Portals, IVR, Mobile) 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). Once UHC validates the eligibility period for the activity, the reward is issued. 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. Telehealth: Members are notified of the program through email and direct mail promotion. Track claim data for telehealth visits and issue the card once the paid claim has been processed. Vivify: Members are notified of the program through nurse outreach, email, and direct mail promotion. Tracking the member accepting the terms and conditions of the mobile application, and issue the card once the system has registered the members acceptance.	4940	4548
H6528	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	2020	1	Renew Rewards, HouseCalls Program, Vivify Program	Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, Rheumatoid Arthritis Visit,  Health Risk Assessment ,Flu Shot, Device-Based Activities .(Step) HouseCall.  Registration for mobile application based nurse support, health monitoring and health education.	Gift Card or loaned Tablet	Renew Rewards Program: 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 care activity itself. HouseCalls Program: 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. Vivify: The reward is a gift card of a set monetary amount that must be spent down or a loaned tablet from UHC for use during Vivify program engagement. 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 into the program through any of four channels (Customer Service, Online/Member Portals, IVR, Mobile) 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). Once UHC validates the eligibility period for the activity, the reward is issued. 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. Vivify: Members are notified of the program through nurse outreach, email, and direct mail promotion. Tracking the member accepting the terms and conditions of the mobile application, and issue the card once the system has registered the members acceptance.	377	341
H6550	SUNFLOWER STATE HEALTH PLAN, INC.	2020	1	SUNFLOWER STATE HEALTH PLAN, INC.	BONE DENSITY, BREAST CANCER SCREENING, COLORECTAL SCREENING, DIABETIC EYE EXAM, DIABETIC HBA1C, DIABETIC KIDNEY SCREENING, FLU VACCINE, HEALTH RISK ASSESSMENT AND WELLNESS VISIT	VISA PREPAID DEBIT CARD	THE REWARD VALUE IS CALCULATED BASED ON THE HEALTH CARE ACTIVITY AND THE CMS GUIDELINE PERTAINING TO THE VALUE OF THE HEALTH RELATED SERVICE OR ACTIVITY.	INTERNAL PROCESS REVIEWS DATA SOURCES SUCH AS CLAIMS, ASSESSMENT DATA, LABS, ETC. SUBMITTED AND ISSUES REWARDS BASED ON LOGIC BUILT TO IDENTIFY REWARDABLE ACTIVITIES	2415	3392
H6595	UNITEDHEALTHCARE OF KENTUCKY, LTD.	2020	1	UnitedHealthcare Dual Complete Rewards, HouseCalls Program, Vivify Program	Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, Rheumatoid Arthritis Visit, Reducing Risk of Falls Visit, Urinary Incontinence Visit, Flu Shot, Health Assessment completion. HouseCall.  Registration for mobile application based nurse support, health monitoring and health education.	Gift Card or loaned Tablet	UnitedHealthcare Dual Complete Rewards: 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 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. Vivify: The reward is a gift card of a set monetary amount that must be spent down or a loaned tablet from UHC for use during Vivify program engagement. 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.	UnitedHealthcare Dual Complete Rewards: 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 the eligibility period for the activity is validated, the reward is issued. 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. Vivify: Members are notified of the program through nurse outreach, email, and direct mail promotion. Tracking the member accepting the terms and conditions of the mobile application, and issue the card once the system has registered the members acceptance.	1938	1697
H6622	HUMANA WI HEALTH ORGANIZATION INSURANCE CORP	2020	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.	38	18
H6622	HUMANA WI HEALTH ORGANIZATION INSURANCE CORP	2020	2	Annual Wellness Visit Incentive - Go365 by Humana	Due to COVID, AWV completions are down for 2020. This incentive is geared towards increasing the AWV completion rate.	Medicare members can earn an additional $25 gift card for completing an AWV in 2020.	The messaging is a call to action for members to schedule & complete their AWV in 2020 and earn an additional $25 reward.	Program participation is tracked for each member through the receipt of the AWV coded claim.	52389	442575
H6622	HUMANA WI HEALTH ORGANIZATION INSURANCE CORP	2020	3	Go365 by Humana	Fitness: rewards for completing monthly workouts, Social/Lifestyle: rewards for completing monthly volunteering, athletic event, education class, or community nutrition program Prevention: Annual Wellness Exam, Mammogram, Colorectal Screening, Cardiovascular disease screening, Bone density, Flu Shot.	Medicare members can earn Rewards for participating and engaging in the program, such as completing preventive screenings and exercising.  Rewards can be redeemed for various items in the Go365 Mall. Members can choose gift cards from a variety of retailers, in amounts ranging from $10.00 - $100.00 as program rewards.	Go365 collaborates with the Humana Medicare team to identify the value of preventive services awarded in the program and then assigns a reward value that does not exceed the value of the service. For social, lifestyle and athletic activities, rewards are calculated to be of sufficient value to motivate participation (based on prior program data), but of a lower value than disease prevention services.	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.	355236	1888280
H6672	EON HEALTH, INC. (GA)	2020	1	Better Health 4 You	Annual Flu Shot (Influenza Vaccination), Colorectal Cancer Screening, Breast Cancer Screening (Mammogram), Osteoporosis Screening (Bone Mineral Density Exam), Diabetic Retinopathy Screening (Eye Exam for diabetic members only)	Gift Cards	There are 5 preventive screenings that may be completed and submitted to the Plans and member is awarded a $10 gift card for each. The 2021 maximum total a member may receive for preventive screenings upon completion is $50.	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 the Plan. Once the completed form is received at the Plan, the Quality 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
H6723	MEDICAL MUTUAL OF OHIO	2020	1	Medical Mutual 2020 MA Wellness Rewards Program	Annual Wellness Visit, Breast Cancer Screening, Retinal Eye Exam, DMARD	$10-$85 Gift Cards	The completion of any of the listed services during the 2020 calendar year earns members rewards as follows (a member may earn up to $85 in a year but may not receive an additional reward for completing the same service twice): Annual Wellness Visit earns $10, Breast Cancer Screening earns $25, Retinal Eye Exam earns $25, DMARD earns $25	Members attest to having received an eligible service through phone or online communication channels.  Attestation includes eligible service, date of service, and location of service.	25706	1644
H6743	ATRIO HEALTH PLANS	2020	1	 	 	 	 	 	0	0
H6750	HARVARD PILGRIM HEALTH CARE OF NEW ENGLAND, INC.	2020	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.	4257	6895
H6776	ELDERSERVE HEALTH, INC.	2020	1	 	 	 	 	 	0	0
H6815	HEALTH NET HEALTH PLAN OF OREGON	2020	1	HEALTH NET HEALTH PLAN OF OREGON	BONE DENSITY, BREAST CANCER SCREENING, COLORECTAL SCREENING, DIABETIC HBA1C, FLU VACCINE, HEALTH RISK ASSESSMENT AND WELLNESS VISIT	VISA PREPAID DEBIT CARD	THE REWARD VALUE IS CALCULATED BASED ON THE HEALTH CARE ACTIVITY AND THE CMS GUIDELINE PERTAINING TO THE VALUE OF THE HEALTH RELATED SERVICE OR ACTIVITY.	INTERNAL PROCESS REVIEWS DATA SOURCES SUCH AS CLAIMS, ASSESSMENT DATA, LABS, ETC. SUBMITTED AND ISSUES REWARDS BASED ON LOGIC BUILT TO IDENTIFY REWARDABLE ACTIVITIES	24720	117
H6832	ALIGN SENIOR CARE MI, LLC	2020	1	 	 	 	 	 	0	0
H6870	SUPERIOR HEALTH PLAN, INC.	2020	1	SUPERIOR HEALTH PLAN, INC.	BREAST CANCER SCREENING, COLORECTAL SCREENING, DIABETIC EYE EXAM, DIABETIC HBA1C, DIABETIC KIDNEY SCREENING, FLU VACCINE AND WELLNESS VISIT	VISA PREPAID DEBIT CARD	THE REWARD VALUE IS CALCULATED BASED ON THE HEALTH CARE ACTIVITY AND THE CMS GUIDELINE PERTAINING TO THE VALUE OF THE HEALTH RELATED SERVICE OR ACTIVITY.	INTERNAL PROCESS REVIEWS DATA SOURCES SUCH AS CLAIMS, ASSESSMENT DATA, LABS, ETC. SUBMITTED AND ISSUES REWARDS BASED ON LOGIC BUILT TO IDENTIFY REWARDABLE ACTIVITIES	11139	14870
H6910	MOUNT CARMEL HEALTH PLAN OF IDAHO, INC.	2020	1	 	 	 	 	 	0	0
H6936	BLUE CROSS & BLUE SHIELD OF ARIZONA, INC.	2020	1	MyBlue Medicare Wellness Rewards Program, Welvie	Annual Wellness Exam, Colorectal Cancer Screening, Breast Cancer Screening, Osteoporosis Screening/Treatement for Women, Diabetic Retinal Eye Exam, Annual Flu Shot, Direct Decision Support for preference sensitive surgeries	Prepaid gift card	Value of prepaid gift card for annual wellness visit, breast cancer sreening, colorectal cancer screening, diabetic retinal eye exam, Direct Decision Support for preference sensitive surgeries are $25 each and $10 for annual flu shot.	For MyBlue Medicare Wellness Rewards Program, members receive program information, members who complete eligible screenings are mailed a gift card. For Welvie program, members must register in the program and program progress is tracked electronically.	1521	1607
H6959	ISNP VENTURES, LLC	2020	1	 	 	 	 	 	0	0
H6975	WELLCARE OF ALABAMA, INC.	2020	1	Medicare Healthy Rewards Program	Breast Cancer Screening, Colorectal Cancer Screening (fit kit accepted), Comprehensive Diabetes Care - Eye Exam, HbA1c, Nephropathy, Bone Density Screening, Arthritis Management, Annual Wellness Visit, Flu Vaccine, Taking Care of Your Overall Health	Rewards vary from $10 - $50 depending on service completed.  Members were able to choose from a variety of gift cards including: Walmart, Visa, Subway	Reward values are calculated based on data supporting certain values being associated with member participation.  We also analyze member utilization across the program to determine values to remain within program budget.  Additionally, consulting firms may be used to understand industry parity in choosing reward values.	We review monthly data files receveived from the vendor to understand enrollee participation.  We review this against claims data on our side and complete our analysis.	73	4
H6988	CENTERS PLAN FOR HEALTHY LIVING, LLC	2020	1	 	 	 	 	 	0	0
H7006	ATRIO HEALTH PLANS	2020	1	 	 	 	 	 	0	0
H7020	CIGNA HEALTHCARE OF SOUTH CAROLINA, INC.	2020	1	Cigna Medicare Advantage Incentives (CMAI)	360 Exam (wellness exam), HbA1c, Diabetic Retinal Eye Exam, Mammogram, Colonoscopy	A gift card to one of 3 retailers: Walmart, Amazon.com or Target for each preventative screening. There are different values to for each.	360 Exam (wellness exam) - $50 gift card, HbA1c -$25 gift card, Diabetic Eye Exam - $15 gift card, Mammogram - $25 gift card, Colonoscopy 1 or 3 year - $15 gift card, Colonoscopy 5 or 10 year - $50 gift card. We established values based on industry ranges, level of effort required by the beneficiary, and clinical value. It's also to encourage participation in preventive screenings that have been deemed important by CMS through inclusion in its Star rating program	Customer completes their 360 Exam at doctor's office. They are responsible for returning the 360 Exam attestation by using the doctor-signed form or going online to verify. To use the online incentive portal, customers can set up an account by going to www.CignaMedicareAdvantage.com/incentives to attest and also access extra health and wellness information. If participating by paper, customer forms have a unique barcode. All returned customer forms are scanned and processed by a vendor. The vendor provides a weekly file of all returned forms via sFTP to the internal program mamangement database. Database logic confirms customer eligibilty, approval or denial based on set program criteria, and when appropriate it triggers gift card fullfilment. If a PPO customer, after they complete the 360 Exam (wellness exam) they are encouraged to complete additional preventative screenings including the HbA1c, Diabetic Retinal Eye Exam, Mammogram, Colonoscopy (1,3,5,10 year). The incentive is earned once a claim is found to validate the screening took place. Database logic confirms customer eligibilty, approval or denial based on set program criteria, and when appropriate it triggers gift card fullfilment with the same gift card choice made for the 360 Exam.	7575	2137
H7063	BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.	2020	1	 	 	 	 	 	0	0
H7115	MEMORIAL HERMANN HEALTH PLAN	2020	1	yes	Annual wellness exam_eye exam_breast cancer screen_colorectal cancer screen_osteoporosis screening	gift card	dollar amount	Run monthly claim reports to identify services completed	5275	7315
H7123	UPMC HEALTH COVERAGE, INC.	2020	1	Preventive Incentive Reward Program	Mammogram (BCS), Colorectal Cancer (COL), Diabetic Retinal Eye (DRE) screenings and Medicare Annual Wellness Visit (AWV) and Flu (FLU) immunization	BCS $50, COL $60, DRE $25 AWV $20, FLU $20	Defined gift card  amounts for each screening type	When a  member completes an AWV and/or one or more of the screenings (gap is closed) and we receive the claim(s) for the service(s) the VISA Prepaid cards are issued.  One card for each reward type	789	645
H7149	AETNA HEALTH INC. (PA)	2020	1	 	 	 	 	 	0	0
H7165	BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA	2020	1	 	 	 	 	 	0	0
H7172	AETNA BETTER HEALTH INC. (OH)	2020	1	Breast Cancer, Diabetic Engagement Program	Members were encouraged to have PCP visits to address their screenings for breast cancer, eye exams and HbA1c (2 tests per year)	$25 gift card per measure for which the member is eligible	$25 gift care per measure - no calculation	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.	5907	7550
H7173	PEACH STATE HEALTH PLAN, INC.	2020	1	PEACH STATE HEALTH PLAN, INC.	BONE DENSITY, BREAST CANCER SCREENING, COLORECTAL SCREENING, DIABETIC EYE EXAM, DIABETIC HBA1C, DIABETIC KIDNEY SCREENING, FLU VACCINE, HEALTH RISK ASSESSMENT AND WELLNESS VISIT	VISA PREPAID DEBIT CARD	THE REWARD VALUE IS CALCULATED BASED ON THE HEALTH CARE ACTIVITY AND THE CMS GUIDELINE PERTAINING TO THE VALUE OF THE HEALTH RELATED SERVICE OR ACTIVITY.	INTERNAL PROCESS REVIEWS DATA SOURCES SUCH AS CLAIMS, ASSESSMENT DATA, LABS, ETC. SUBMITTED AND ISSUES REWARDS BASED ON LOGIC BUILT TO IDENTIFY REWARDABLE ACTIVITIES	2509	4008
H7175	WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.	2020	1	Medicare Healthy Rewards Program	Breast Cancer Screening, Colorectal Cancer Screening (fit kit accepted), Comprehensive Diabetes Care - Eye Exam, HbA1c, Nephropathy, Bone Density Screening, Arthritis Management, Annual Wellness Visit, Flu Vaccine, Taking Care of Your Overall Health	Rewards vary from $10 - $50 depending on service completed.  Members were able to choose from a variety of gift cards including: Walmart, Visa, Subway	Reward values are calculated based on data supporting certain values being associated with member participation.  We also analyze member utilization across the program to determine values to remain within program budget.  Additionally, consulting firms may be used to understand industry parity in choosing reward values.	We review monthly data files receveived from the vendor to understand enrollee participation.  We review this against claims data on our side and complete our analysis.	1471	144
H7220	INDIANA UNIVERSITY HEALTH PLANS NFP, INC.	2020	1	IUH Plans MA Member Incentive Quality Program	Wellness exam, colonoscopy, diabetic eye exam, fecal occult blood test, Cologuard test	Gift cards for health care expenses	$25 reward for Annual wellness visit or annual routine physical exam or Welcome to Medicare preventive visit, $25 For fecal occult blood, FIT, or Cologuard test,  $25 reward for Members with diabetes who complete a dilated retinal eye exam, $50 reward for Screening colonoscopy (for members age 50 and older or had one in the last 10 years)	Monthly reporting from the gift card vendor company indicates the number of active cards.	7489	9916
H7245	PREMERA BLUE CROSS	2020	1	Healthy Rewards	Annual Physical, Breast Cancer Screening, Annual Flu Vaccine, Diabetes Care-Eye Exam, Diabetes Care Kidney, Diabetes Care Blood Sugar, Statin Therapy Cardio, Risk of Fall, Physical Activity.	Annual Physical $25, Breast Cancer Screening $50, Annual Flu Vaccine $15, Diabetes Care-Eye Exam $50, Diabetes Care - Kidney $25, Diabetes Blood Sugar Screening $25, Statin Therapy Cardio $25, Risk of Fall $10, Physical Activity $15.	Reward value is based on market research and ask of the member. Value of reward is less than the market value of the service, per CMS guidelines.	Member self-attestation.  Tracked in partnership with NovuHealth, vendor with experience running the program.	1847	5408
H7284	HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC.	2020	1	IHWA Incentive Humana	An In Home or Telehealth Wellness Assessment	Medicare members can earn a $50.00 Wal-Mart gift card for completion of an In-Home Health and Wellbeing Assessment (could have also been performed via telehealth) in 2020.	$50 per assessment	Member participation is tracked through the completion of the IHWA through our participating vendors.  A file/claim is received by Humana that triggers data feed to send a gift card to those members.	301	62
H7284	HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC.	2020	2	Go365 by Humana	Fitness: rewards for completing monthly workouts, Social/Lifestyle: rewards for completing monthly volunteering, athletic event, education class, or community nutrition program Prevention: Annual Wellness Exam, Mammogram, Colorectal Screening, Cardiovascular disease screening, Bone density, Flu Shot.	Medicare members can earn Rewards for participating and engaging in the program, such as completing preventive screenings and exercising.  Rewards can be redeemed for various items in the Go365 Mall. Members can choose gift cards from a variety of retailers, in amounts ranging from $10.00 - $100.00 as program rewards.	Go365 collaborates with the Humana Medicare team to identify the value of preventive services awarded in the program and then assigns a reward value that does not exceed the value of the service. For social, lifestyle and athletic activities, rewards are calculated to be of sufficient value to motivate participation (based on prior program data), but of a lower value than disease prevention services.	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.	2482	10175
H7301	COVENTRY HEALTH CARE OF ILLINOIS, INC.	2020	1	Aetna Healthy You Rewards	Completing Physical Activity, Utilize Resources for Living Program, Annual Wellness Exam, Diabetes Series (eye exam, A1C testing, following dr's plan), Colorectal Cancer Screening, Breast Cancer Screening, Validate Care Coordination Information.	The Members receive an activation kit that invites them to participate in Healthy Rewards. 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 be mailed to their home address. The reward values, per activity, range from $15 to $50 depending on the activity.	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.	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.	34842	10171
H7322	OSCAR HEALTH PLAN OF NEW YORK, INC.	2020	1	Health-Related Activities Program	Health risk assessment, Annual Wellness Visit, post-discharge wellness visit, breast cancer screening, PCP visit post-fracture, colonoscopy, colorectal cancer screening, diabetic retinal eye exam, diabetic HbA1c	Gift cards	Each health-related activitity is associated with a different gift card value. The two possible values are $25 and $50. The completion of each activity triggers a gift card to be sent to the member.	Oscar uses claims data to determine when a member has completed an incentivized health-related activity. Receipt of a claim for the incentivized service triggers a gift card to the member.	847	1635
H7323	WELLCARE NATIONAL HEALTH INSURANCE COMPANY	2020	1	Medicare Healthy Rewards Program	Breast Cancer Screening, Colorectal Cancer Screening (fit kit accepted), Comprehensive Diabetes Care - Eye Exam, HbA1c, Nephropathy, Bone Density Screening, Arthritis Management, Annual Wellness Visit, Flu Vaccine, Taking Care of Your Overall Health	Rewards vary from $10 - $50 depending on service completed.  Members were able to choose from a variety of gift cards including: Walmart, Visa, Subway	Reward values are calculated based on data supporting certain values being associated with member participation.  We also analyze member utilization across the program to determine values to remain within program budget.  Additionally, consulting firms may be used to understand industry parity in choosing reward values.	We review monthly data files receveived from the vendor to understand enrollee participation.  We review this against claims data on our side and complete our analysis.	1362	151
H7326	WELLCARE OF SOUTH CAROLINA, INC.	2020	1	Medicare Healthy Rewards Program	Breast Cancer Screening, Colorectal Cancer Screening (fit kit accepted), Comprehensive Diabetes Care - Eye Exam, HbA1c, Nephropathy, Bone Density Screening, Arthritis Management, Annual Wellness Visit, Flu Vaccine, Taking Care of Your Overall Health	Rewards vary from $10 - $50 depending on service completed.  Members were able to choose from a variety of gift cards including: Walmart, Visa, Subway	Reward values are calculated based on data supporting certain values being associated with member participation.  We also analyze member utilization across the program to determine values to remain within program budget.  Additionally, consulting firms may be used to understand industry parity in choosing reward values.	We review monthly data files receveived from the vendor to understand enrollee participation.  We review this against claims data on our side and complete our analysis.	7542	1444
H7330	ZING HEALTH, INC.	2020	1	 	 	 	 	 	0	0
H7399	CENTENE VENTURE COMPANY ILLINOIS	2020	1	MEDICARE ASCENSION - IL	BREAST CANCER SCREENING, COLORECTAL CANCER SCREENING, COLORECTAL FOBT/FIT, DIABETES KIDNEY SCREENING, DIABETES HBA1C, FLU VACCINE, HEALTH RISK ASSESSMENT, STATIN THERAPY, WELLNESS VISIT	VISA PREPAID DEBIT CARD	THE REWARD VALUE IS CALCULATED BASED ON THE HEALTH CARE ACTIVITY AND THE CMS GUIDELINE PERTAINING TO THE VALUE OF THE HEALTH RELATED SERVICE OR ACTIVITY.	INTERNAL PROCESS REVIEWS DATA SOURCES SUCH AS CLAIMS, ASSESSMENT DATA, LABS, ETC. SUBMITTED AND ISSUES REWARDS BASED ON LOGIC BUILT TO IDENTIFY REWARDABLE ACTIVITIES	613	789
H7404	PACIFICARE LIFE ASSURANCE COMPANY	2020	1	Renew Rewards, HouseCalls Program, Vivify Program	Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, Rheumatoid Arthritis Visit,  Health Risk Assessment ,Flu Shot, Device-Based Activities .(Step) HouseCall.  Registration for mobile application based nurse support, health monitoring and health education.	Gift Card or loaned Tablet	Renew Rewards Program: 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 care activity itself. HouseCalls Program: 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. Vivify: The reward is a gift card of a set monetary amount that must be spent down or a loaned tablet from UHC for use during Vivify program engagement. 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 into the program through any of four channels (Customer Service, Online/Member Portals, IVR, Mobile) 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). Once UHC validates the eligibility period for the activity, the reward is issued. 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. Vivify: Members are notified of the program through nurse outreach, email, and direct mail promotion. Tracking the member accepting the terms and conditions of the mobile application, and issue the card once the system has registered the members acceptance.	3684	3283
H7409	BRIGHT HEALTH COMPANY OF SOUTH CAROLINA, INC.	2020	1	 	 	 	 	 	0	0
H7419	TUFTS HEALTH PUBLIC PLANS, INC.	2020	1	 	 	 	 	 	0	0
H7464	UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.	2020	1	UnitedHealthcare Dual Complete Rewards, HouseCalls Program, Vivify Program	Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, Rheumatoid Arthritis Visit, Reducing Risk of Falls Visit, Urinary Incontinence Visit, Flu Shot, Health Assessment completion. HouseCall.  Registration for mobile application based nurse support, health monitoring and health education.	Gift Card or loaned Tablet	UnitedHealthcare Dual Complete Rewards: 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 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. Vivify: The reward is a gift card of a set monetary amount that must be spent down or a loaned tablet from UHC for use during Vivify program engagement. 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.	UnitedHealthcare Dual Complete Rewards: 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 the eligibility period for the activity is validated, the reward is issued. 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. Vivify: Members are notified of the program through nurse outreach, email, and direct mail promotion. Tracking the member accepting the terms and conditions of the mobile application, and issue the card once the system has registered the members acceptance.	4092	4060
H7511	GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.	2020	1	 	 	 	 	 	0	0
H7518	WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC	2020	1	Medicare Healthy Rewards Program	Breast Cancer Screening, Colorectal Cancer Screening (fit kit accepted), Comprehensive Diabetes Care - Eye Exam, HbA1c, Nephropathy, Bone Density Screening, Arthritis Management, Annual Wellness Visit, Flu Vaccine, Taking Care of Your Overall Health	Rewards vary from $10 - $50 depending on service completed.  Members were able to choose from a variety of gift cards including: Walmart, Visa, Subway	Reward values are calculated based on data supporting certain values being associated with member participation.  We also analyze member utilization across the program to determine values to remain within program budget.  Additionally, consulting firms may be used to understand industry parity in choosing reward values.	We review monthly data files receveived from the vendor to understand enrollee participation.  We review this against claims data on our side and complete our analysis.	163	25
H7522	MMM HEALTHCARE, LLC	2020	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, and Kidney Disease monitoring.	Hand fan, hand sanitizer, lunch box, tote bags, insect repellant, umbrella, eyeglass microfiber cloth, sun visor, ID card holder, magnifying glass, flashlight, water bottle, gel pads, first aid small tote, exercise band, manicure kit, sunglasses, FM radio, pens, note pads, Iphone charging cable, Android charging cable, headphones, hand towels, coffee mug, manual massager, and gift cards.	We use the value of a similar/equal product on the retail market to determine the value of the specific reward item, and then validate 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 reports from our Customer Service Application, C3PO, as well as Excel Workbooks and/or attendance sheets provided by departments who manage the clinics/events.	238	237
H7559	MAGELLAN COMPLETE CARE OF VIRGINIA, INC.	2020	1	 	 	 	 	 	0	0
H7621	HUMANA HEALTH PLAN OF CALIFORNIA, INC.	2020	1	Go365 by Humana	Fitness: rewards for completing monthly workouts, Social/Lifestyle: rewards for completing monthly volunteering, athletic event, education class, or community nutrition program Prevention: Annual Wellness Exam, Mammogram, Colorectal Screening, Cardiovascular disease screening, Bone density, Flu Shot.	Medicare members can earn Rewards for participating and engaging in the program, such as completing preventive screenings and exercising.  Rewards can be redeemed for various items in the Go365 Mall. Members can choose gift cards from a variety of retailers, in amounts ranging from $10.00 - $100.00 as program rewards.	Go365 collaborates with the Humana Medicare team to identify the value of preventive services awarded in the program and then assigns a reward value that does not exceed the value of the service. For social, lifestyle and athletic activities, rewards are calculated to be of sufficient value to motivate participation (based on prior program data), but of a lower value than disease prevention services.	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.	9639	40635
H7646	PHP MEDICARE	2020	1	 	 	 	 	 	0	0
H7678	MOLINA HEALTHCARE OF TEXAS, INC.	2020	1	2020 Member Quality Incentive Program	Annual Wellness Visit, Colon Cancer Screening, Diabetes Eye Exam, Flu Shot	$25- $100 Gift card	Amount was chosen based on existing health and wellness incentives within the contract and/or market, and CMS guidance/State regulations.	Vendor platform (Novu) account activation via online or call center.	1814	116
H7680	PROMINENCE HEALTHFIRST OF TEXAS	2020	1	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	1392	802
H7680	PROMINENCE HEALTHFIRST OF TEXAS	2020	2	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	1392	511
H7680	PROMINENCE HEALTHFIRST OF TEXAS	2020	3	Prominence Perks Healthy Rewards Program - Additional Incentive	Welcome Call	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 completes a 25 minute call to receive critical information about 2020 benfits and programs	1392	553
H7680	PROMINENCE HEALTHFIRST OF TEXAS	2020	4	Prominence Perks Healthy Rewards Program - Additional Incentive	Health Risk Assessment Survey	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 completes the Health Assessment Tool via mail or online member portal	1392	295
H7728	ANTHEM HEALTH PLANS OF NEW HAMPSHIRE, INC.	2020	1	 	 	 	 	 	0	0
H7779	AMERICAN HEALTH PLAN, INC.	2020	1	 	 	 	 	 	0	0
H7787	HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.	2020	1	Cigna Medicare Advantage Incentives (CMAI)	360 Exam (wellness exam), HbA1c, Diabetic Retinal Eye Exam, Mammogram, Colonoscopy	A gift card to one of 3 retailers: Walmart, Amazon.com or Target for each preventative screening. There are different values to for each.	360 Exam (wellness exam) - $50 gift card, HbA1c -$25 gift card, Diabetic Eye Exam - $15 gift card, Mammogram - $25 gift card, Colonoscopy 1 or 3 year - $15 gift card, Colonoscopy 5 or 10 year - $50 gift card. We established values based on industry ranges, level of effort required by the beneficiary, and clinical value. It's also to encourage participation in preventive screenings that have been deemed important by CMS through inclusion in its Star rating program	Customer completes their 360 Exam at doctor's office. They are responsible for returning the 360 Exam attestation by using the doctor-signed form or going online to verify. To use the online incentive portal, customers can set up an account by going to www.CignaMedicareAdvantage.com/incentives to attest and also access extra health and wellness information. If participating by paper, customer forms have a unique barcode. All returned customer forms are scanned and processed by a vendor. The vendor provides a weekly file of all returned forms via sFTP to the internal program mamangement database. Database logic confirms customer eligibilty, approval or denial based on set program criteria, and when appropriate it triggers gift card fullfilment. If a PPO customer, after they complete the 360 Exam (wellness exam) they are encouraged to complete additional preventative screenings including the HbA1c, Diabetic Retinal Eye Exam, Mammogram, Colonoscopy (1,3,5,10 year). The incentive is earned once a claim is found to validate the screening took place. Database logic confirms customer eligibilty, approval or denial based on set program criteria, and when appropriate it triggers gift card fullfilment with the same gift card choice made for the 360 Exam.	4228	627
H7833	UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.	2020	1	Vivify Program	Registration for mobile application based nurse support, health monitoring and health education.	Gift Card or loaned Tablet	Vivify: The reward is a gift card of a set monetary amount that must be spent down or a loaned tablet from UHC for use during Vivify program engagement. 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.	Vivify: Members are notified of the program through nurse outreach, email, and direct mail promotion. Tracking the member accepting the terms and conditions of the mobile application, and issue the card once the system has registered the members acceptance.	0	0
H7844	MOLINA HEALTHCARE OF MICHIGAN, INC.	2020	1	 	 	 	 	 	0	0
H7849	CIGNA HEALTH AND LIFE INSURANCE COMPANY	2020	1	Cigna Medicare Advantage Incentives (CMAI)	360 Exam (wellness exam), HbA1c, Diabetic Retinal Eye Exam, Mammogram, Colonoscopy	A gift card to one of 3 retailers: Walmart, Amazon.com or Target for each preventative screening. There are different values to for each.	360 Exam (wellness exam) - $50 gift card, HbA1c -$25 gift card, Diabetic Eye Exam - $15 gift card, Mammogram - $25 gift card, Colonoscopy 1 or 3 year - $15 gift card, Colonoscopy 5 or 10 year - $50 gift card. We established values based on industry ranges, level of effort required by the beneficiary, and clinical value. It's also to encourage participation in preventive screenings that have been deemed important by CMS through inclusion in its Star rating program	Customer completes their 360 Exam at doctor's office. They are responsible for returning the 360 Exam attestation by using the doctor-signed form or going online to verify. To use the online incentive portal, customers can set up an account by going to www.CignaMedicareAdvantage.com/incentives to attest and also access extra health and wellness information. If participating by paper, customer forms have a unique barcode. All returned customer forms are scanned and processed by a vendor. The vendor provides a weekly file of all returned forms via sFTP to the internal program mamangement database. Database logic confirms customer eligibilty, approval or denial based on set program criteria, and when appropriate it triggers gift card fullfilment. If a PPO customer, after they complete the 360 Exam (wellness exam) they are encouraged to complete additional preventative screenings including the HbA1c, Diabetic Retinal Eye Exam, Mammogram, Colonoscopy (1,3,5,10 year). The incentive is earned once a claim is found to validate the screening took place. Database logic confirms customer eligibilty, approval or denial based on set program criteria, and when appropriate it triggers gift card fullfilment with the same gift card choice made for the 360 Exam.	14002	4170
H7853	BRIGHT HEALTH INSURANCE COMPANY	2020	1	MA Annual Wellness/Physical Rewards Program	Annual Wellness Visit, Colorectal cancer screening, Flu shot, Breast cancer screening	A $20 Visa gift card per health service	Mail-in form completed by member and signed by provider	Participation is manually tracked based on the receipt of  the member's mailed in request for the reward	454	400
H7885	SAN MATEO HEALTH COMMISSION	2020	1	 	 	 	 	 	0	0
H7890	SANTA CLARA COUNTY HEALTH AUTHORITY	2020	1	 	 	 	 	 	0	0
H7917	BLUECROSS BLUESHIELD OF TENNESSEE, INC.	2020	1	2020 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. Pre-determined value not greater than the cost of the service	Summary activity reports are produced by the vendor on a bi-weekly basis and monthly incentive payout reports are maintained by the plan	60066	87575
H7971	HORIZON INSURANCE COMPANY	2020	1	2020 Member Rewards and Incentive Program	Annual Wellness Visit, Bone Density Test, Breast Cancer Screening, Colon Cancer Screening, Diabetic Eye Exam	CVS Gift Card, Target Gift Card, Walmart Gift Card	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	1231	200
H7993	DEVOTED HEALTH PLAN OF TEXAS, INC.	2020	1	Devoted Dollars	PCP Visit, Flu Shot, Colorectal Cancer Screening, Breast Cancer Screening, Routine Diabetes Exams	Gift Cards	$25 per quarter for a PCP visit, $10 per flu season for a flu shot, $25 per benefit year for Colorectal Cancer Screening, $25 per benefit year for Breast Cancer Screening, $25 per benefit year for Routine Diabetes Exams	A medical claim for a PCP visit triggers a PCP visit reward, a medical claim, a pharmacy claim, or a member attestation triggers reward for a flu shot, a medical claim for Colorectal Cancer Screening will trigger a Colorectal Cancer Screening reward, a medical claim for Breast Cancer Screening will trigger a Breast Cancer Screening reward, medical claims for blood sugar test (HbA1C test), eye exam (retinopathy exam), and kidney exam (nephropathy exam) will trigger a Routine Diabetes Exam reward	6311	24242
H8003	BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA	2020	1	 	 	 	 	 	0	0
H8010	CLOVER HMO OF NEW JERSEY, INC.	2020	1	Member PCP Visit and AWV Incentive Initiative	Primary Care Visits, Annual Wellness Visits	Gift Cards	Flat $50 Amazon Gift Card reward per visit with primary care physician and/or annual wellness visit (maximum 2)	Google form submitted online by member service representative: https://docs.google.com/spreadsheets/d/1-3kerSyjkNEaffKzm9iBBnjkYMXsWi_CqSH_C7K7z7c/edit#gid=1593865440	3709	3341
H8016	ORANGE COUNTY HEALTH AUTHORITY	2020	1	Breast Cancer Screen, Colorectal Cancer Screen, Chronic Condition Management, and Diabetes Care.	Mammogram for the Breast Cancer Screening program. Sigmoidoscopy, colonoscopy, and FOBT kits for the Colorectal Cancer Screening program. Chronic condition assessment and review for Chronic Disease Management program. Any NCQA approved nephropathy screening or monitoring method for Diabetes Care Neuropathy program.	$25.00 Visa gift card for the Breast Cancer Screening program. $50.00 Visa gift card and $15.00 Target gift card for the Colorectal Cancer Screening program. $75.00 Master gift card for the Chronic Condition Management program. $15.00 Target gift card for the Diabetes Care Neuropathy program	The Visa, Master, and Target gift card amounts for each program were determined by aligning their dollar amounts to other successful incentive campaigns used for past programs and to encourage members to participate in preventive screenings during the COVID-19 public health emergency.	Enrollees of the Breast Cancer Screening and Diabetes Care Neuropathy programs were tracked using incentive forms that were received via fax or mail and inputted into an incentive database. Enrollees of the Colorectal Cancer Screening program were tracked using incentive forms and returned FOBT kits that were received via mail and inputted into an incentive database. Enrollees of the Chronic Condition Management program were tracked using claims, EMR, and vendor data.	8224	870
H8026	AETNA BETTER HEALTH OF MICHIGAN INC.	2020	1	 	 	 	 	 	0	0
H8046	MOLINA HEALTHCARE OF ILLINOIS, INC.	2020	1	 	 	 	 	 	0	0
H8064	FIRSTCAROLINACARE INSURANCE COMPANY	2020	1	Health Risk Assessment,Jump Start Assessment	Complete Health Risk Assessment or Jump Start Assessment by a Physician or Provider	$25 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 2019 or by December 31 2019 for any member who enrolled after July 1 2019,  $25 Walmart Gift Card to qualified members who completed a Jump Start Assessment in 2019	The reward is valued at $25 per valuation by the vendor	Reward distribution is tracked via log containing member and gift card information managed by Plan Sponsor	643	540
H8067	PROVIDER PARTNERS HEALTH PLAN, INC.	2020	1	 	 	 	 	 	0	0
H8087	HUMANADENTAL INSURANCE COMPANY	2020	1	IHWA Incentive Humana	An In Home or Telehealth Wellness Assessment	Medicare members can earn a $50.00 Wal-Mart gift card for completion of an In-Home Health and Wellbeing Assessment (could have also been performed via telehealth) in 2020.	$50 per assessment	Member participation is tracked through the completion of the IHWA through our participating vendors.  A file/claim is received by Humana that triggers data feed to send a gift card to those members.	3818	1524
H8087	HUMANADENTAL INSURANCE COMPANY	2020	2	Go365 by Humana	Fitness: rewards for completing monthly workouts, Social/Lifestyle: rewards for completing monthly volunteering, athletic event, education class, or community nutrition program Prevention: Annual Wellness Exam, Mammogram, Colorectal Screening, Cardiovascular disease screening, Bone density, Flu Shot.	Medicare members can earn Rewards for participating and engaging in the program, such as completing preventive screenings and exercising.  Rewards can be redeemed for various items in the Go365 Mall. Members can choose gift cards from a variety of retailers, in amounts ranging from $10.00 - $100.00 as program rewards.	Go365 collaborates with the Humana Medicare team to identify the value of preventive services awarded in the program and then assigns a reward value that does not exceed the value of the service. For social, lifestyle and athletic activities, rewards are calculated to be of sufficient value to motivate participation (based on prior program data), but of a lower value than disease prevention services.	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.	36276	911400
H8093	GEORGIA ASSURANCE, INC.	2020	1	 	 	 	 	 	0	0
H8125	SYMPHONIX HEALTH INSURANCE, INC.	2020	1	UnitedHealthcare Dual Complete Rewards, HouseCalls Program, Vivify Program	Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, Rheumatoid Arthritis Visit, Reducing Risk of Falls Visit, Urinary Incontinence Visit, Flu Shot, Health Assessment completion. HouseCall.  Registration for mobile application based nurse support, health monitoring and health education.	Gift Card or loaned Tablet	UnitedHealthcare Dual Complete Rewards: 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 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. Vivify: The reward is a gift card of a set monetary amount that must be spent down or a loaned tablet from UHC for use during Vivify program engagement. 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.	UnitedHealthcare Dual Complete Rewards: 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 the eligibility period for the activity is validated, the reward is issued. 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. Vivify: Members are notified of the program through nurse outreach, email, and direct mail promotion. Tracking the member accepting the terms and conditions of the mobile application, and issue the card once the system has registered the members acceptance.	5786	5640
H8130	MOLINA HEALTHCARE OF FLORIDA, INC.	2020	1	Molina Member Rewards Program	Wellness Visit, Colon Cancer Screening, Diabetic Eye Exam, Flu Shot	Colon Cancer Screening $25-$100 gift card, Diabetes Eye Exam $25 gift card, Flu Shot $15 gift card, Annual Wellness Visit $25 gift card	Amount was chosen based on existing health and wellness incentives within the contract and/or market, and CMS guidance/State regulations.	Enrollee participation is tracked by the total healthcare activities attested by targeted members	1513	129
H8133	GHS INSURANCE COMPANY	2020	1	Rewards and Incentives Program	Annual Wellness Visit, Fall Risk Assessment, Flu Vaccine, Blood Glucose A1c Screening, ColorectalScreening, In Home Assessment, Mammogram, Nephropathy Screening, Retinal Eye Exam, Bone Density Screening	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 Mammogram, Nephropathy Screening, Retinal Eye Exam, Bone Density Screening. Members that complete the Annual Wellness Visit recieve two rewards of $25, amounting amounting to a total $50 reward	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 Reorts and Reward Redemption Reports	2290	6175
H8142	SCOTT AND WHITE HEALTH PLAN	2020	1	 	 	 	 	 	0	0
H8145	HUMANA INSURANCE COMPANY	2020	1	Go365 by Humana	Fitness: rewards for completing monthly workouts, Social/Lifestyle: rewards for completing monthly volunteering, athletic event, education class, or community nutrition program Prevention: Annual Wellness Exam, Mammogram, Colorectal Screening, Cardiovascular disease screening, Bone density, Flu Shot.	Medicare members can earn Rewards for participating and engaging in the program, such as completing preventive screenings and exercising.  Rewards can be redeemed for various items in the Go365 Mall. Members can choose gift cards from a variety of retailers, in amounts ranging from $10.00 - $100.00 as program rewards.	Go365 collaborates with the Humana Medicare team to identify the value of preventive services awarded in the program and then assigns a reward value that does not exceed the value of the service. For social, lifestyle and athletic activities, rewards are calculated to be of sufficient value to motivate participation (based on prior program data), but of a lower value than disease prevention services.	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.	51851	1368545
H8176	MOLINA HEALTHCARE OF SOUTH CAROLINA,INC	2020	1	 	 	 	 	 	0	0
H8181	SAPPHIRE EDGE, INC.	2020	1	Welvie-My Surgery	Direct Decision Support for preference sensitive surgeries.	$25.00 Amazon Gift Card for completion of program.	Limited to $25.	Enrollees must register in the program and program progress is tracked electronically.	254	188
H8181	SAPPHIRE EDGE, INC.	2020	2	Annual Wellness Visit	Annual Wellness Visit	$50.00 Walmart Gift Card for completion of annual wellness visit.	Limited to $50.	Member must complete their annual wellness visit as defined by the program requirements.	1876	780
H8189	MANAGED HEALTH SERVICES, WISCONSIN	2020	1	MANAGED HEALTH SERVICES, WISCONSIN	BREAST CANCER SCREENING, COLORECTAL SCREENING, DIABETIC EYE EXAM, DIABETIC HBA1C, FLU VACCINE, HEALTH RISK ASSESSMENT AND WELLNESS VISIT	VISA PREPAID DEBIT CARD	THE REWARD VALUE IS CALCULATED BASED ON THE HEALTH CARE ACTIVITY AND THE CMS GUIDELINE PERTAINING TO THE VALUE OF THE HEALTH RELATED SERVICE OR ACTIVITY.	INTERNAL PROCESS REVIEWS DATA SOURCES SUCH AS CLAIMS, ASSESSMENT DATA, LABS, ETC. SUBMITTED AND ISSUES REWARDS BASED ON LOGIC BUILT TO IDENTIFY REWARDABLE ACTIVITIES	1888	3036
H8197	MOLINA HEALTHCARE OF TEXAS, INC.	2020	1	2020 Annual Wellness Visit Member Incentive Program	Annual Wellness Visit, 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 and documentation received from providers.	11034	3979
H8211	MAMSI LIFE AND HEALTH INSURANCE COMPANY	2020	1	Renew Rewards, HouseCalls Program, Vivify Program	Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, Rheumatoid Arthritis Visit,  Health Risk Assessment ,Flu Shot, Device-Based Activities .(Step) HouseCall.  Registration for mobile application based nurse support, health monitoring and health education.	Gift Card or loaned Tablet	Renew Rewards Program: 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 care activity itself. HouseCalls Program: 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. Vivify: The reward is a gift card of a set monetary amount that must be spent down or a loaned tablet from UHC for use during Vivify program engagement. 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 into the program through any of four channels (Customer Service, Online/Member Portals, IVR, Mobile) 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). Once UHC validates the eligibility period for the activity, the reward is issued. 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. Vivify: Members are notified of the program through nurse outreach, email, and direct mail promotion. Tracking the member accepting the terms and conditions of the mobile application, and issue the card once the system has registered the members acceptance.	1406	986
H8213	SELECT HEALTH OF SOUTH CAROLINA, INC.	2020	1	Flu Prevention	Flu vaccine	$20.00 Gift Card not redeemable for cash	Gift Card Face Value - $20.00 per member who received flu vaccine	All members are notified of the incentive program and are provided with an attestation form. Receipt (mail or fax) of completed attestation form is used to identify members who have earned the incentive.	7770	890
H8213	SELECT HEALTH OF SOUTH CAROLINA, INC.	2020	2	Virtual Health/In-home Assessment	Meeting with licensed health professional to perfrom a detailed exam, discuss health history, and answer your questions.  The results are shared with the members PCP and does not replace any provider visits.  Participation is optional	Based on MMP 3 way contract	Detailed operational report containing member detail of completions	All enrollees are eligible to participate.	7770	311
H8225	CENTENE VENTURE COMPANY FLORIDA	2020	1	MEDICARE ASCENSION - FL	BONE DENSITY, BREAST CANCER SCREENING, COLORECTAL CANCER SCREENING, COLORECTAL COLONOSCOPY, DIABETES EYE EXAM, DIABETES HBA1C, DIABETES KIDNEY SCREENING, FLU VACCINE, HEALTH RISK ASSESSMENT, STATIN THERAPY, WELLNESS VISIT	VISA PREPAID DEBIT CARD	THE REWARD VALUE IS CALCULATED BASED ON THE HEALTH CARE ACTIVITY AND THE CMS GUIDELINE PERTAINING TO THE VALUE OF THE HEALTH RELATED SERVICE OR ACTIVITY.	INTERNAL PROCESS REVIEWS DATA SOURCES SUCH AS CLAIMS, ASSESSMENT DATA, LABS, ETC. SUBMITTED AND ISSUES REWARDS BASED ON LOGIC BUILT TO IDENTIFY REWARDABLE ACTIVITIES	1236	2595
H8258	LOCAL INITIATIVE HEALTH AUTHORITY FOR L.A. COUNTY	2020	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	A $25 debit card, Members can receive two awards per year and four awards per lifetime.	We calculate the value of the reward by looking at the price of the item.	Beacon our contracted Behavioral Health vendor does outreach to the qualifying members who have been discharged from the hospital. Beacon tracks the members who have gone in for their follow-up visit with their mental health provider and send us a monthly file with eligible members. Once we get this information we add it in a tracking database, confirm the member was an active member of LA Care Health Plan at the time of discharge and award the member	148	145
H8280	BRIGHT HEALTH INSURANCE COMPANY OF ALABAMA, INC.	2020	1	 	 	 	 	 	0	0
H8293	CLEAR SPRING HEALTH (VA), INC.	2020	1	Better Health 4 You	Annual Flu Shot (Influenza Vaccination), Colorectal Cancer Screening, Breast Cancer Screening (Mammogram), Osteoporosis Screening (Bone Mineral Density Exam), Diabetic Retinopathy Screening (Eye Exam for diabetic members only)	Gift Cards	There are 5 preventive screenings that may be completed and submitted to the Plans and member is awarded a $10 gift card for each. The 2021 maximum total a member may receive for preventive screenings upon completion is $50.	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 the Plan. Once the completed form is received at the Plan, the Quality 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
H8298	HORIZON HEALTHCARE OF NEW JERSEY, INC.	2020	1	2020 Member Rewards and Incentive Program	Annual Wellness Visit, Bone Density Test, Breast Cancer Screening, Colon Cancer Screening, Diabetic Eye Exam	CVS Gift Card, Target Gift Card, Walmart Gift Card	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	12117	229
H8298	HORIZON HEALTHCARE OF NEW JERSEY, INC.	2020	2	2020 HRAT Incentive Program	Completion of Initial and Annual Health Risk Assessment HRAT	CVS Gift Card for completing the HRAT	Gift Card amount is a fixed amount for all Initial and Annual HRAT completions	This is tracked by way of a report identifying all initial HRAT and Annual HRAT completed on a monthly basis	12117	7469
H8379	PRIORITY HEALTH CHOICE, INC.	2020	1	Wellth	Eating a meal, Checking blood pressure, Taking prescribed medications, Checking blood sugars	Reloadable Visa gift card (not usable for prescriptions or copays)	Member is rewarded for completingdaily and weekly tasks as part ofpersonalized routine. Routines are designed to encourage wellbeing and include tasks like eating a meal,taking their medications, checking blood sugars, and checkingblood pressure. Member is offered up to 30 dollars (usd)rewards each month but fails to qualify for 2 dollars (usd) for each day they do not participate.	We use a third party vendor (Wellth) to handle enrollee participation. The vendor handles recording participation and fulfilling rewards.	7	168
H8379	PRIORITY HEALTH CHOICE, INC.	2020	2	SmartRewards	Diabetic retinal eye screening, Breast cancer screening, Colorectal cancer screening, Signify In-home health assessment, Flu shot completion, Physician discussion on fall prevention, Physician discussion on Physical activity	Gift Cards to retailers	Member is rewarded for each task completed. A diabetic retinal eye screening rewards 50 dollars (usd). A breast cancer screening rewards 25 dollars (usd). A colorectal cancer screening rewards 25 dollars (usd). A Signify In-home health assessment rewards 50 dollars (usd). A flu shot completion rewards 10 dollars (usd). A physician discussion on fall prevention rewards 10 dollars (usd). A physician discussion on physical activity rewards 10 dollars (usd)	We use a third party vendor (Welltok) to handle enrollee participation. The vendor handles recording participation and fulfilling rewards. All rewards (except the Signify In-home health assessment) are self-reported with an attestation. The Signify In-home health assessment has a file sent to Welltok to verify who is eligible for that reward. A member must claim the reward for it to payout.	112	9255
H8423	HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.	2020	1	 	 	 	 	 	0	0
H8432	EMPIRE HEALTHCHOICE HMO, INC.	2020	1	 	 	 	 	 	0	0
H8452	CARESOURCE	2020	1	My CareSource Rewards	Hemoglobin A1c test, Diabetic Retinal Exam, Microalbumin test, Colorectal Cancer Screening, Breast Cancer Screening, Flu Vaccine	Gift Cards	All rewards are offered one time a year unless noted. Hemoglobin A1c test -$25 (maximum of 3 times per year), Diabetic Retinal Exam -  $10 Microalbumin test - $10), Colorectal Cancer Screening - $15, Breast Cancer Screening -  $50, Flu - $30	All members are automatically enrolled in the My CareSource Rewards Program when they enroll with CareSource. CareSource tracks screening completions through provider claims.	19145	367600
H8457	LONGEVITY HEALTH PLAN OF NEW YORK, INC.	2020	1	 	 	 	 	 	0	0
H8492	DIGNITY CARE CORPORATION	2020	1	 	 	 	 	 	0	0
H8552	ANTHEM BLUE CROSS LIFE AND HEALTH INS COMPANY	2020	1	 	 	 	 	 	0	0
H8554	GHS INSURANCE COMPANY	2020	1	Rewards and Incentives Program	Annual Wellness Visit, Fall Risk Assessment, Flu Vaccine, Blood Glucose A1c Screening, ColorectalScreening, In Home Assessment, Mammogram, Nephropathy Screening, Retinal Eye Exam, Bone Density Screening	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 Mammogram, Nephropathy Screening, Retinal Eye Exam, Bone Density Screening. Members that complete the Annual Wellness Visit recieve two rewards of $25, amounting amounting to a total $50 reward	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 Reorts and Reward Redemption Reports	295	896
H8578	HEALTH NEW ENGLAND, INC.	2020	1	Preventive Care Incentive Program	Adult Wellness Exam, physicals	Gift Card	20	Upon receiving their Annual Wellness Visit or annual physical the member can fill out a short form online on our secure member portal, over the phone with HNE member services, or by mail and select their $20 reward.  Once notification of a completed form is received all responses are stored in an internal access database on our secure server. The members responses, name, member ID, address on file, gift card selection and date the gift card is sent is housed in the access table and backed up on our secure drive.	9181	1039
H8597	AETNA BETTER HEALTH OF TEXAS INC.	2020	1	 	 	 	 	 	0	0
H8604	THP INSURANCE COMPANY	2020	1	 	 	 	 	 	0	0
H8634	HEALTH CARE SERVICE CORPORATION	2020	1	Rewards and Incentives Program	Annual Wellness Visit, Fall Risk Assessment, Flu Vaccine, Blood Glucose A1c Screening, ColorectalScreening, In Home Assessment, Mammogram, Nephropathy Screening, Retinal Eye Exam, Bone Density Screening	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 Mammogram, Nephropathy Screening, Retinal Eye Exam, Bone Density Screening. Members that complete the Annual Wellness Visit recieve two rewards of $25, amounting amounting to a total $50 reward	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 Reorts and Reward Redemption Reports	8194	26350
H8649	AETNA HEALTH OF UTAH INC	2020	1	 	 	 	 	 	0	0
H8677	MOLINA HEALTHCARE OF CALIFORNIA	2020	1	 	 	 	 	 	0	0
H8748	UNITEDHEALTHCARE INSURANCE COMPANY	2020	1	Renew Rewards, HouseCalls Program, Telehealth Program, Vivify Program	Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, Rheumatoid Arthritis Visit,  Health Risk Assessment ,Flu Shot, Device-Based Activities .(Step) HouseCall.  Virtual office visit with a provider. Registration for mobile application based nurse support, health monitoring and health education.	Gift Card or loaned Tablet	Renew Rewards Program: 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 care activity itself. HouseCalls Program: 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. Telehealth: 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. Vivify: The reward is a gift card of a set monetary amount that must be spent down or a loaned tablet from UHC for use during Vivify program engagement. 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 into the program through any of four channels (Customer Service, Online/Member Portals, IVR, Mobile) 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). Once UHC validates the eligibility period for the activity, the reward is issued. 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. Telehealth: Members are notified of the program through email and direct mail promotion. Track claim data for telehealth visits and issue the card once the paid claim has been processed. Vivify: Members are notified of the program through nurse outreach, email, and direct mail promotion. Tracking the member accepting the terms and conditions of the mobile application, and issue the card once the system has registered the members acceptance.	16834	15649
H8764	ASPIRE HEALTH PLAN	2020	1	Aspire Rewards	Annual Wellness Visit Or Health At Home Visit, Breast Cancer Screening, Diabetes Eye Exam	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	725	543
H8768	UNITEDHEALTHCARE INSURANCE CO OF THE RIVER VALLEY	2020	1	Renew Rewards, HouseCalls Program, Telehealth Program, Vivify Program	Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, Rheumatoid Arthritis Visit,  Health Risk Assessment ,Flu Shot, Device-Based Activities .(Step) HouseCall.  Virtual office visit with a provider. Registration for mobile application based nurse support, health monitoring and health education.	Gift Card or loaned Tablet	Renew Rewards Program: 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 care activity itself. HouseCalls Program: 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. Telehealth: 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. Vivify: The reward is a gift card of a set monetary amount that must be spent down or a loaned tablet from UHC for use during Vivify program engagement. 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 into the program through any of four channels (Customer Service, Online/Member Portals, IVR, Mobile) 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). Once UHC validates the eligibility period for the activity, the reward is issued. 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. Telehealth: Members are notified of the program through email and direct mail promotion. Track claim data for telehealth visits and issue the card once the paid claim has been processed. Vivify: Members are notified of the program through nurse outreach, email, and direct mail promotion. Tracking the member accepting the terms and conditions of the mobile application, and issue the card once the system has registered the members acceptance.	27317	25168
H8783	UCARE HEALTH, INC.	2020	1	Community Education	wellness session, health related activity, wellbeing activity	session discount	Value of the activity or service and budget available for the estimated number of participants	member database of rewards and incentive activity	2011	8
H8783	UCARE HEALTH, INC.	2020	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	1070	1
H8783	UCARE HEALTH, INC.	2020	3	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	235	9
H8783	UCARE HEALTH, INC.	2020	4	Diabetes Incentive	eye exam retinal	gift card	Value of the activity or service and budget available for the estimated number of participants	member database of rewards and incentive activity	235	11
H8783	UCARE HEALTH, INC.	2020	5	Diabetes Incentive	nephropathy	gift card	Value of the activity or service and budget available for the estimated number of participants	member database of rewards and incentive activity	235	1
H8783	UCARE HEALTH, INC.	2020	6	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	379	9
H8786	AMERIGROUP TEXAS, INC.	2020	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.	14407	3116
H8786	AMERIGROUP TEXAS, INC.	2020	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.	14407	8761
H8786	AMERIGROUP TEXAS, INC.	2020	3	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.	14407	410
H8786	AMERIGROUP TEXAS, INC.	2020	4	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.	14407	786
H8786	AMERIGROUP TEXAS, INC.	2020	5	Amerigroup Member Rewards	Controlled blood pressure	20 reward dollars redeemable for OTCs and health care products	Members who provide documentation for a controlled blood pressure under 140/90 two times a 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.	14407	2
H8786	AMERIGROUP TEXAS, INC.	2020	6	Amerigroup Member Rewards	Diabetes set	60 reward dollars redeemable for OTCs and health care products	Diabetic members are rewarded for completing a retinopathy exam, kidney exam and HbA1c blood test. All three activities must be completed to receive reward.	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.	14407	38
H8786	AMERIGROUP TEXAS, INC.	2020	7	Amerigroup Member Rewards	Participation in Interdisciplinary Care Team (IDT) meeting	20 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.	14407	7755
H8786	AMERIGROUP TEXAS, INC.	2020	8	Amerigroup Member Rewards	Post discharge assessment	25 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.	14407	308
H8786	AMERIGROUP TEXAS, INC.	2020	9	Amerigroup 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 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.	14407	1760
H8786	AMERIGROUP TEXAS, INC.	2020	10	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.	14407	19
H8786	AMERIGROUP TEXAS, INC.	2020	11	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.	14407	0
H8786	AMERIGROUP TEXAS, INC.	2020	12	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.	14407	0
H8845	MAGELLAN COMPLETE CARE OF ARIZONA, INC.	2020	1	 	 	 	 	 	0	0
H8854	UNIVERSITY OF MARYLAND HEALTH ADVANTAGE, INC.	2020	1	2020 Healthy Rewards Program	Annual Well Visit	$15 Visa gift card	DSNP members that completed the preventative service in Column C and completed the rewards and incentive form received one $15 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.	524	524
H8854	UNIVERSITY OF MARYLAND HEALTH ADVANTAGE, INC.	2020	2	2020 Healthy Rewards Program	Mammogram	$15 Visa gift card	DSNP members that completed the preventative service in Column C and completed the rewards and incentive form received one $15 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.	217	217
H8854	UNIVERSITY OF MARYLAND HEALTH ADVANTAGE, INC.	2020	3	2020 Healthy Rewards Program	Colorectal Cancer Screening	$15 Visa gift card	DSNP members that completed the preventative service in Column C and completed the rewards and incentive form received one $15 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.	109	109
H8854	UNIVERSITY OF MARYLAND HEALTH ADVANTAGE, INC.	2020	4	2020 Healthy Rewards Program	Post-Hospitalization	$15 Visa gift card	DSNP members that completed the preventative service in Column C and completed the rewards and incentive form received one $15 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.	13	13
H8854	UNIVERSITY OF MARYLAND HEALTH ADVANTAGE, INC.	2020	5	2020 Healthy Rewards Program	Health Risk Assessment	$15 Visa gift card	DSNP members that completed the preventative service in Column C and completed the rewards and incentive form received one $15 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.	1448	1448
H8854	UNIVERSITY OF MARYLAND HEALTH ADVANTAGE, INC.	2020	6	2020 Healthy Rewards Program	Health Risk Re-Assessment	$15 Visa gift card	DSNP members that completed the preventative service in Column C and completed the rewards and incentive form received one $15 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.	2090	2090
H8854	UNIVERSITY OF MARYLAND HEALTH ADVANTAGE, INC.	2020	7	2020 Healthy Rewards Program	Flu Shot	$15 Visa gift card	DSNP members that completed the preventative service in Column C and completed the rewards and incentive form received one $15 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.	352	352
H8854	UNIVERSITY OF MARYLAND HEALTH ADVANTAGE, INC.	2020	8	2020 Healthy Rewards Program	Diabetic Retinal Eye Exam	$15 Visa gift card	DSNP members that completed the preventative service in Column C and completed the rewards and incentive form received one $15 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.	106	106
H8854	UNIVERSITY OF MARYLAND HEALTH ADVANTAGE, INC.	2020	9	2020 Healthy Rewards Program	Diabetic Screenings, A1c, Nephrology Exam	$15 Visa gift card	DSNP members that completed the preventative service in Column C and completed the rewards and incentive form received one $15 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.	105	105
H8854	UNIVERSITY OF MARYLAND HEALTH ADVANTAGE, INC.	2020	10	2020 Healthy Rewards Program	Post-Hospitalization Physician Visit	$15 Visa gift card	DSNP members that completed the preventative service in Column C and completed the rewards and incentive form received one $15 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.	13	13
H8889	MEDICA HEALTH PLANS	2020	1	 	 	 	 	 	0	0
H8908	HUMANA MEDICAL PLAN OF MICHIGAN, INC.	2020	1	Annual Wellness Visit Incentive - Go365 by Humana	Due to COVID, AWV completions are down for 2020. This incentive is geared towards increasing the AWV completion rate.	Medicare members can earn an additional $25 gift card for completing an AWV in 2020.	The messaging is a call to action for members to schedule & complete their AWV in 2020 and earn an additional $25 reward.	Program participation is tracked for each member through the receipt of the AWV coded claim.	11130	96350
H8908	HUMANA MEDICAL PLAN OF MICHIGAN, INC.	2020	2	Go365 by Humana	Fitness: rewards for completing monthly workouts, Social/Lifestyle: rewards for completing monthly volunteering, athletic event, education class, or community nutrition program Prevention: Annual Wellness Exam, Mammogram, Colorectal Screening, Cardiovascular disease screening, Bone density, Flu Shot.	Medicare members can earn Rewards for participating and engaging in the program, such as completing preventive screenings and exercising.  Rewards can be redeemed for various items in the Go365 Mall. Members can choose gift cards from a variety of retailers, in amounts ranging from $10.00 - $100.00 as program rewards.	Go365 collaborates with the Humana Medicare team to identify the value of preventive services awarded in the program and then assigns a reward value that does not exceed the value of the service. For social, lifestyle and athletic activities, rewards are calculated to be of sufficient value to motivate participation (based on prior program data), but of a lower value than disease prevention services.	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.	26901	80315
H8967	GOOD SAMARITAN INSURANCE PLAN OF NORTH DAKOTA, LLC	2020	1	 	 	 	 	 	0	0
H9001	FALLON COMMUNITY HEALTH PLAN	2020	1	 	 	 	 	 	0	0
H9003	KAISER FOUNDATION HP OF THE N W	2020	1	Yes, Silver&Fit Rewards Program	Members are rewarded for meeting a threshold of fitness facility visits and/or physical activity.	Members may earn nominal rewards such as a Silver&Fit hat or collectable pin each quarter.	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.	1452	148
H9047	PROVIDENCE HEALTH ASSURANCE	2020	1	 	 	 	 	 	0	0
H9065	AMH HEALTH, LLC	2020	1	 	 	 	 	 	0	0
H9066	VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK	2020	1	 	 	 	 	 	0	0
H9070	COMPBENEFITS INSURANCE COMPANY	2020	1	Go365 by Humana	Fitness: rewards for completing monthly workouts, Social/Lifestyle: rewards for completing monthly volunteering, athletic event, education class, or community nutrition program Prevention: Annual Wellness Exam, Mammogram, Colorectal Screening, Cardiovascular disease screening, Bone density, Flu Shot.	Medicare members can earn Rewards for participating and engaging in the program, such as completing preventive screenings and exercising.  Rewards can be redeemed for various items in the Go365 Mall. Members can choose gift cards from a variety of retailers, in amounts ranging from $10.00 - $100.00 as program rewards.	Go365 collaborates with the Humana Medicare team to identify the value of preventive services awarded in the program and then assigns a reward value that does not exceed the value of the service. For social, lifestyle and athletic activities, rewards are calculated to be of sufficient value to motivate participation (based on prior program data), but of a lower value than disease prevention services.	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.	40809	1104735
H9082	MOLINA HEALTHCARE OF NEW MEXICO, INC.	2020	1	Member Rewards Program	Colon Cancer screening, Diabetes Eye Exam, Flu Shot, Annual Wellness Visit	Colon Cancer Screening $48 gift card, Diabetes Eye Exam $25 gift card, Flu Shot $15 gift card, Annual Wellness Visit $25 gift card	Amount was chosen based on existing health and wellness incentives within the contract and/or market, and CMS guidance/State regulations.	Member participation will be tracked by program eligibility status, claims data, and member attestation of service.	2706	230
H9095	LONGEVITY HEALTH PLAN OF OKLAHOMA, INC	2020	1	 	 	 	 	 	0	0
H9096	DEAN HEALTH PLAN, INC.	2020	1	Living Healthy	Dental visit, eye exam, flu vaccine, preventive screening, state park pass, Daily Habits goal, garden maintenance, health trackers, volunteer activity	Gift cards	Reward is based on plan, Essential members earn $25, Assurance $50, Balance $100, Confidence  $150, Complete $200	Gift card redemptions	857	232
H9104	SCAN HEALTH PLAN	2020	1	 	 	 	 	 	0	0
H9153	WEST VIRGINIA SENIOR ADVANTAGE, INC.	2020	1	 	 	 	 	 	0	0
H9207	HEALTH PARTNERS PLANS, INC.	2020	1	HPP Rewards	PCP/Specialist Visit, Annual Health Risk Assessment, Initial Health Risk Assessment, Colorectal Cancer Screening, Diabetes Retinal Eye Exam, Breast Cancer Screening, Bone Mineral Density Test	Members earned money on a reloadable card for each eligible activity completed in 2020. The rewards card could be used to purchase eligible health and wellness items at participating retailers.	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.	The Rewards & Incentive Program is managed internally by Health Partners Medicare. Member engagement in the program is tracked through the internal call center automated messages (IVRs) and data through the internal portal used by HPP representatives.	15161	26245
H9276	SUNSHINE HEALTH COMMUNITY SOLUTIONS, INC.	2020	1	SUNSHINE HEALTH COMMUNITY SOLUTIONS, INC.	BONE DENSITY, BREAST CANCER SCREENING, COLORECTAL SCREENING, DENTAL EXAM, DIABETIC EYE EXAM, DIABETIC HBA1C, DIABETIC KIDNEY EXAM, FLU VACCINE, HEALTH RISK ASSESSMENT, PROSTATE EXAM AND WELLNESS VISIT	VISA PREPAID DEBIT CARD	THE REWARD VALUE IS CALCULATED BASED ON THE HEALTH CARE ACTIVITY AND THE CMS GUIDELINE PERTAINING TO THE VALUE OF THE HEALTH RELATED SERVICE OR ACTIVITY.	INTERNAL PROCESS REVIEWS DATA SOURCES SUCH AS CLAIMS, ASSESSMENT DATA, LABS, ETC. SUBMITTED AND ISSUES REWARDS BASED ON LOGIC BUILT TO IDENTIFY REWARDABLE ACTIVITIES	1158	2017
H9302	PREMERA BLUE CROSS	2020	1	Healthy Rewards	Annual Physical, Breast Cancer Screening, Annual Flu Vaccine, Diabetes Care-Eye Exam, Diabetes Care Kidney, Diabetes Care Blood Sugar, Statin Therapy Cardio, Risk of Fall, Physical Activity.	Annual Physical $25, Breast Cancer Screening $50, Annual Flu Vaccine $15, Diabetes Care-Eye Exam $50, Diabetes Care - Kidney $25, Diabetes Blood Sugar Screening $25, Statin Therapy Cardio $25, Risk of Fall $10, Physical Activity $15.	Reward value is based on market research and ask of the member. Value of reward is less than the market value of the service, per CMS guidelines.	Member self-attestation.  Tracked in partnership with NovuHealth, vendor with experience running the program.	1078	3216
H9364	WELLCARE OF MAINE, INC.	2020	1	Medicare Healthy Rewards Program	Breast Cancer Screening, Colorectal Cancer Screening (fit kit accepted), Comprehensive Diabetes Care - Eye Exam, HbA1c, Nephropathy, Bone Density Screening, Arthritis Management, Annual Wellness Visit, Flu Vaccine, Taking Care of Your Overall Health	Rewards vary from $10 - $50 depending on service completed.  Members were able to choose from a variety of gift cards including: Walmart, Visa, Subway	Reward values are calculated based on data supporting certain values being associated with member participation.  We also analyze member utilization across the program to determine values to remain within program budget.  Additionally, consulting firms may be used to understand industry parity in choosing reward values.	We review monthly data files receveived from the vendor to understand enrollee participation.  We review this against claims data on our side and complete our analysis.	5138	537
H9403	EON HEALTH, INC. (SC)	2020	1	Better Health 4 You	Annual Flu Shot (Influenza Vaccination), Colorectal Cancer Screening, Breast Cancer Screening (Mammogram), Osteoporosis Screening (Bone Mineral Density Exam), Diabetic Retinopathy Screening (Eye Exam for diabetic members only)	Gift Cards	There are 5 preventive screenings that may be completed and submitted to the Plans and member is awarded a $10 gift card for each. The 2021 maximum total a member may receive for preventive screenings upon completion is $50.	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 the Plan. Once the completed form is received at the Plan, the Quality 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
H9408	VIBRA HEALTH PLAN, INC.	2020	1	Member Incentive Program	Breast Cancer Screening, Colorectal Cancer SCreening, Bone Density Testing, Diabetes Eye Exam, Diabetes A1C Testing, Arthritis Management, Reducing the Risk of Falling, Flu Shot, Monitoring Physical Activity, Annual Wellness Visit, Bladder Control, Statin Medications	Walmart Gift Card	Market driven incentive	Self attestation	4639	785
H9428	WELLCARE HEALTH INSURANCE OF TENNESSEE, INC.	2020	1	Medicare Healthy Rewards Program	Breast Cancer Screening, Colorectal Cancer Screening (fit kit accepted), Comprehensive Diabetes Care - Eye Exam, HbA1c, Nephropathy, Bone Density Screening, Arthritis Management, Annual Wellness Visit, Flu Vaccine, Taking Care of Your Overall Health	Rewards vary from $10 - $50 depending on service completed.  Members were able to choose from a variety of gift cards including: Walmart, Visa, Subway	Reward values are calculated based on data supporting certain values being associated with member participation.  We also analyze member utilization across the program to determine values to remain within program budget.  Additionally, consulting firms may be used to understand industry parity in choosing reward values.	We review monthly data files receveived from the vendor to understand enrollee participation.  We review this against claims data on our side and complete our analysis.	51	9
H9431	FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY	2020	1	 	 	 	 	 	0	0
H9455	HEALTH CHOICE UTAH, INC.	2020	1	Health Choice Utah Quality Performance Program	In Home Assessment	Gift Card	TwentyFive	Weekly detail report and claims submitted	254	135
H9460	CIGNA HEALTHCARE OF ST LOUIS, INC.	2020	1	Cigna Medicare Advantage Incentives (CMAI)	360 Exam (wellness exam), HbA1c, Diabetic Retinal Eye Exam, Mammogram, Colonoscopy	A gift card to one of 3 retailers: Walmart, Amazon.com or Target for each preventative screening. There are different values to for each.	360 Exam (wellness exam) - $50 gift card, HbA1c -$25 gift card, Diabetic Eye Exam - $15 gift card, Mammogram - $25 gift card, Colonoscopy 1 or 3 year - $15 gift card, Colonoscopy 5 or 10 year - $50 gift card. We established values based on industry ranges, level of effort required by the beneficiary, and clinical value. It's also to encourage participation in preventive screenings that have been deemed important by CMS through inclusion in its Star rating program	Customer completes their 360 Exam at doctor's office. They are responsible for returning the 360 Exam attestation by using the doctor-signed form or going online to verify. To use the online incentive portal, customers can set up an account by going to www.CignaMedicareAdvantage.com/incentives to attest and also access extra health and wellness information. If participating by paper, customer forms have a unique barcode. All returned customer forms are scanned and processed by a vendor. The vendor provides a weekly file of all returned forms via sFTP to the internal program mamangement database. Database logic confirms customer eligibilty, approval or denial based on set program criteria, and when appropriate it triggers gift card fullfilment. If a PPO customer, after they complete the 360 Exam (wellness exam) they are encouraged to complete additional preventative screenings including the HbA1c, Diabetic Retinal Eye Exam, Mammogram, Colonoscopy (1,3,5,10 year). The incentive is earned once a claim is found to validate the screening took place. Database logic confirms customer eligibilty, approval or denial based on set program criteria, and when appropriate it triggers gift card fullfilment with the same gift card choice made for the 360 Exam.	3925	954
H9487	MICHIGAN COMPLETE HEALTH, INC.	2020	1	MICHIGAN COMPLETE HEALTH, INC.	BREAST CANCER SCREENING, FLU VACCINE AND WELLNESS VISIT	VISA PREPAID DEBIT CARD	THE REWARD VALUE IS CALCULATED BASED ON THE HEALTH CARE ACTIVITY AND THE CMS GUIDELINE PERTAINING TO THE VALUE OF THE HEALTH RELATED SERVICE OR ACTIVITY.	INTERNAL PROCESS REVIEWS DATA SOURCES SUCH AS CLAIMS, ASSESSMENT DATA, LABS, ETC. SUBMITTED AND ISSUES REWARDS BASED ON LOGIC BUILT TO IDENTIFY REWARDABLE ACTIVITIES	3956	1959
H9516	BRIGHT HEALTH INSURANCE COMPANY OF NEW YORK	2020	1	 	 	 	 	 	0	0
H9525	COMPCARE HEALTH SERVICES INSURANCE CORPORATION	2020	1	 	 	 	 	 	0	0
H9572	BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY	2020	1	Welvie My Surgery	Direct Decision Support for preference sensitive surgeries.	$25.00 Amazon gift Card from completion of program.	Limited to $25	Enrollees must register in the program and program progress is tracked electronically.	34588	25946
H9572	BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY	2020	2	Blue Cross Medicare Advantage Rewards - Satisfaction	Annual Wellness Visit, Flu Shot, Monitor Your Health.	Annual Wellness Visit $25, Flu Shot $15, Monitor Your Health $10.	Reward value is based on market research and ask of the member. Value of reward is less than the market value of the service per CMS guidelines.	Member self-attestation.Tracked in partnership with NovuHealth, vendor with experience running the program	109354	166958
H9572	BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY	2020	3	Blue Cross Medicare Advantage Rewards - Quality	Annual Wellness Visit, Breast Cancer Screening, Annual Flu Vaccine, Monitoring Physical Activity, Diabetes Care-Eye Exam, Diabetes Care-Kidney Screening, Diabetes Care-A1c	Breast Cancer Screening $50, Diabetes Care: Eye Exam $25, Diabetes Care: Kidney Disease $15, Diabetes Care: BSC $25 1x, Annual wellness $25, Physical Activity $15,Flu shot $10.	Reward value is based on market research and ask of the member. Value of reward is less than the market value of the service per CMS guidelines.	Member self-attestation.Tracked in partnership with NovuHealth, vendor with experience running the program.	9418	26312
H9576	NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND	2020	1	 	 	 	 	 	0	0
H9585	BOSTON MEDICAL CENTER HEALTH PLAN, INC.	2020	1	 	 	 	 	 	0	0
H9589	EON HEALTH, INC. (GA)	2020	1	Better Health 4 You	Annual Flu Shot (Influenza Vaccination), Colorectal Cancer Screening, Breast Cancer Screening (Mammogram), Osteoporosis Screening (Bone Mineral Density Exam), Diabetic Retinopathy Screening (Eye Exam for diabetic members only)	Gift Cards	There are 5 preventive screenings that may be completed and submitted to the Plans and member is awarded a $10 gift card for each. The 2021 maximum total a member may receive for preventive screenings upon completion is $50.	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 the Plan. Once the completed form is received at the Plan, the Quality 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
H9590	LONGEVITY HEALTH PLAN OF ILLINOIS, INC.	2020	1	 	 	 	 	 	0	0
H9615	MVP HEALTH PLAN, INC.	2020	1	MVP Medicare WellBeing Rewards Program	Annual Wellness Exam, Colorectal Cancer Screening, Mammogram, Bone Density Screening, Diabetic Screenings, Vision Exam, and WellBeing Attestations	$100 Visa Reward Card	The reward is calculated 100+ points = $100 Visa Reward Card,  Only 1 reward card of $100 can be earned per member, Members have several options of points earning activities from which to select to earn points	Members choose activities to earn their $100 reward. For each activity, members will see the number of points they can earn for completing each item. Points for an Annual Wellness Visit and other points earning screenings will be awarded when MVP receives a claim for such activities from a members doctor. Reporting of such claims earning activities will be generated and sent to American Specialty Health  Healthyroads monthly. Members can earn more points immediately by reading and clicking yes to any of the additional healthy living activity attestations that apply to them. Once a member has earned 100 points, they go to the home page and select Redeem to have their $100 Visa Gift Card sent to their home address. Alternatively, they can call in and speak to a representative to check their point balance and take the attestations verbally and have a representative redeem their reward when 100 points has been earned.	33243	4743
H9630	ARKANSAS HEALTH AND WELLNESS HEALTH PLAN, INC	2020	1	ARKANSAS HEALTH AND WELLNESS, INC.	INPATIENT MENTAL HEALTH FOLLOW UP VISIT, BONE DENSITY, BREAST CANCER SCREENING, COLORECTAL SCREENING, DIABETIC EYE EXAM, DIABETIC HBA1C, DIABETIC KIDNEY SCREENING, FLU VACCINE, HEALTH RISK ASSESSMENT AND WELLNESS VISIT	VISA PREPAID DEBIT CARD	THE REWARD VALUE IS CALCULATED BASED ON THE HEALTH CARE ACTIVITY AND THE CMS GUIDELINE PERTAINING TO THE VALUE OF THE HEALTH RELATED SERVICE OR ACTIVITY.	INTERNAL PROCESS REVIEWS DATA SOURCES SUCH AS CLAIMS, ASSESSMENT DATA, LABS, ETC. SUBMITTED AND ISSUES REWARDS BASED ON LOGIC BUILT TO IDENTIFY REWARDABLE ACTIVITIES	27250	62032
H9699	HMO PARTNERS, INC.	2020	1	Welvie My Surgery, Novu	Direct Decision Support for preference sensitive surgeries, Annual Wellness Visit, Breast Cancer Screening, Flu Shot, Colon Cancer Screening, Diabetic Retinal Eye Exam, Diabetic A1c Test, Diabetic Nephrology Screening	$25.00 Amazon Gift Card from completion of program, Members may earn gift cards that range in value for redemption	Limited to $25, The value of the reward was specified for members based upon their health action specified, flu shot was equivalent to $10, A1c test for a diabetic member was $25	Enrollees must register in the program and program progress is tracked electronically, Enrollees are notified of the program by multiple methods and may enroll via an online website, telephonic method, or welcome packet by mail. The vendor provided information as to who enrolled members who participated in attesting to health activities.	5096	4013
H9706	HCSC INSURANCE SERVICES COMPANY	2020	1	Rewards and Incentives Program	Annual Wellness Visit, Fall Risk Assessment, Flu Vaccine, Blood Glucose A1c Screening, ColorectalScreening, In Home Assessment, Mammogram, Nephropathy Screening, Retinal Eye Exam, Bone Density Screening	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 Mammogram, Nephropathy Screening, Retinal Eye Exam, Bone Density Screening. Members that complete the Annual Wellness Visit recieve two rewards of $25, amounting amounting to a total $50 reward	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 Reorts and Reward Redemption Reports	310	823
H9712	HAP EMPOWERED HEALTH PLAN, INC.	2020	1	Osteoporsis screening after fracture	Bone density screening or Rx medication to treat osteoporosis within 6 months for women 67-85 with a recent fracture	$15 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 $15 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.	4	0
H9725	CIGNA HEALTHCARE OF NORTH CAROLINA, INC.	2020	1	Cigna Medicare Advantage Incentives (CMAI)	360 Exam (wellness exam), HbA1c, Diabetic Retinal Eye Exam, Mammogram, Colonoscopy	A gift card to one of 3 retailers: Walmart, Amazon.com or Target for each preventative screening. There are different values to for each.	360 Exam (wellness exam) - $50 gift card, HbA1c -$25 gift card, Diabetic Eye Exam - $15 gift card, Mammogram - $25 gift card, Colonoscopy 1 or 3 year - $15 gift card, Colonoscopy 5 or 10 year - $50 gift card. We established values based on industry ranges, level of effort required by the beneficiary, and clinical value. It's also to encourage participation in preventive screenings that have been deemed important by CMS through inclusion in its Star rating program	Customer completes their 360 Exam at doctor's office. They are responsible for returning the 360 Exam attestation by using the doctor-signed form or going online to verify. To use the online incentive portal, customers can set up an account by going to www.CignaMedicareAdvantage.com/incentives to attest and also access extra health and wellness information. If participating by paper, customer forms have a unique barcode. All returned customer forms are scanned and processed by a vendor. The vendor provides a weekly file of all returned forms via sFTP to the internal program mamangement database. Database logic confirms customer eligibilty, approval or denial based on set program criteria, and when appropriate it triggers gift card fullfilment. If a PPO customer, after they complete the 360 Exam (wellness exam) they are encouraged to complete additional preventative screenings including the HbA1c, Diabetic Retinal Eye Exam, Mammogram, Colonoscopy (1,3,5,10 year). The incentive is earned once a claim is found to validate the screening took place. Database logic confirms customer eligibilty, approval or denial based on set program criteria, and when appropriate it triggers gift card fullfilment with the same gift card choice made for the 360 Exam.	16062	4543
H9730	WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC	2020	1	Medicare Healthy Rewards Program	Breast Cancer Screening, Colorectal Cancer Screening (fit kit accepted), Comprehensive Diabetes Care - Eye Exam, HbA1c, Nephropathy, Bone Density Screening, Arthritis Management, Annual Wellness Visit, Flu Vaccine, Taking Care of Your Overall Health	Rewards vary from $10 - $50 depending on service completed.  Members were able to choose from a variety of gift cards including: Walmart, Visa, Subway	Reward values are calculated based on data supporting certain values being associated with member participation.  We also analyze member utilization across the program to determine values to remain within program budget.  Additionally, consulting firms may be used to understand industry parity in choosing reward values.	We review monthly data files receveived from the vendor to understand enrollee participation.  We review this against claims data on our side and complete our analysis.	24593	11509
H9808	CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA	2020	1	 	 	 	 	 	0	0
H9811	MAGNOLIA HEALTH PLAN, INC.	2020	1	MAGNOLIA HEALTH PLAN, INC.	COLORECTAL SCREENING, DIABETIC HBA1C, FLU VACCINE AND WELLNESS VISIT	VISA PREPAID DEBIT CARD	THE REWARD VALUE IS CALCULATED BASED ON THE HEALTH CARE ACTIVITY AND THE CMS GUIDELINE PERTAINING TO THE VALUE OF THE HEALTH RELATED SERVICE OR ACTIVITY.	INTERNAL PROCESS REVIEWS DATA SOURCES SUCH AS CLAIMS, ASSESSMENT DATA, LABS, ETC. SUBMITTED AND ISSUES REWARDS BASED ON LOGIC BUILT TO IDENTIFY REWARDABLE ACTIVITIES	1613	1553
H9834	QUARTZ HEALTH PLAN MN CORPORATION	2020	1	QuartzWell	Preventive care, healthy activities and health education	Amazon gift cards	Accumulation of points	Vendor system reporting. Services are tracked via claim submission, fitness tracker data, and manual member submission (paper and online)	2321	45
H9861	RELIANCE HMO, INC.	2020	1	 	 	 	 	 	0	0
H9869	PARTNERS HEALTH PLAN, INC.	2020	1	ChooseHealth	Annual Dental Checkup, Flu Vaccine, Eye Exam, Preventive Screenings: Mammogram, PAP or Colorectal Screening	$10 CVS Giftcard, Tote Bag, Backpack, T-Shirt	The value of the rewards are all $10 and under.	Claims and enrollment data	357	128
H9870	PASSPORT HEALTH PLAN, INC.	2020	1	 	 	 	 	 	0	0
H9877	VIRGINIA PREMIER HEALTH PLAN, INC.	2020	1	Medicare Incentive Program	The completion of the Annual Wellness Visit (AWV) or Physical Exam	One $25.00 gift card per Enrollment year	It is a one-time gift card for the AWV or Physical Exam.	Through the Preventive Claims Report that records members with specific claims codes for the Annual Wellness Visit or Physical Exam. The vendor Focus Care, completes AWV on DSNP members and verification of completion will result in the reward.	9392	3103
H9878	BRIGHT HEALTH INSURANCE COMPANY OF OHIO, INC.	2020	1	 	 	 	 	 	0	0
H9942	LONGEVITY HEALTH PLAN OF NEW JERSEY INSURANCE COMP	2020	1	 	 	 	 	 	0	0
H9952	MEDICA HEALTH PLANS	2020	1	 	 	 	 	 	0	0
R0110	HUMANA INSURANCE COMPANY	2020	1	IHWA Incentive Humana	An In Home or Telehealth Wellness Assessment	Medicare members can earn a $50.00 Wal-Mart gift card for completion of an In-Home Health and Wellbeing Assessment (could have also been performed via telehealth) in 2020.	$50 per assessment	Member participation is tracked through the completion of the IHWA through our participating vendors.  A file/claim is received by Humana that triggers data feed to send a gift card to those members.	19113	4925
R0110	HUMANA INSURANCE COMPANY	2020	2	Go365 by Humana	Fitness: rewards for completing monthly workouts, Social/Lifestyle: rewards for completing monthly volunteering, athletic event, education class, or community nutrition program Prevention: Annual Wellness Exam, Mammogram, Colorectal Screening, Cardiovascular disease screening, Bone density, Flu Shot.	Medicare members can earn Rewards for participating and engaging in the program, such as completing preventive screenings and exercising.  Rewards can be redeemed for various items in the Go365 Mall. Members can choose gift cards from a variety of retailers, in amounts ranging from $10.00 - $100.00 as program rewards.	Go365 collaborates with the Humana Medicare team to identify the value of preventive services awarded in the program and then assigns a reward value that does not exceed the value of the service. For social, lifestyle and athletic activities, rewards are calculated to be of sufficient value to motivate participation (based on prior program data), but of a lower value than disease prevention services.	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.	27922	683040
R0759	UNITEDHEALTHCARE INSURANCE COMPANY	2020	1	UnitedHealthcare Dual Complete Rewards, Renew Rewards, HouseCalls Program, Vivify Program	Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, Rheumatoid Arthritis Visit, Reducing Risk of Falls Visit, Urinary Incontinence Visit, Flu Shot, Health Assessment completion.  Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, Rheumatoid Arthritis Visit,  Health Risk Assessment ,Flu Shot, Device-Based Activities .(Step) HouseCall.  Registration for mobile application based nurse support, health monitoring and health education.	Gift Card or loaned Tablet	UnitedHealthcare Dual Complete Rewards: 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: 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 care activity itself. HouseCalls Program: 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. Vivify: The reward is a gift card of a set monetary amount that must be spent down or a loaned tablet from UHC for use during Vivify program engagement. 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.	UnitedHealthcare Dual Complete Rewards: 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 the eligibility period for the activity is validated, the reward is issued. Renew Rewards Program: Enrollees initiate the redemption process by activating into the program through any of four channels (Customer Service, Online/Member Portals, IVR, Mobile) 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). Once UHC validates the eligibility period for the activity, the reward is issued. 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. Vivify: Members are notified of the program through nurse outreach, email, and direct mail promotion. Tracking the member accepting the terms and conditions of the mobile application, and issue the card once the system has registered the members acceptance.	66918	67150
R0802	MARTIN'S POINT GENERATIONS ADVANTAGE, INC.	2020	1	Grocery Gift Card for completion of Home Risk Assessment or attend Mobile Health Center event	Annual Wellness Visits and preventative screenings	$15 Hannaford Gift Card	$15 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	180	180
R0865	HUMANA INSURANCE COMPANY	2020	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.	234	56
R0865	HUMANA INSURANCE COMPANY	2020	2	IHWA Incentive Humana	An In Home or Telehealth Wellness Assessment	Medicare members can earn a $50.00 Wal-Mart gift card for completion of an In-Home Health and Wellbeing Assessment (could have also been performed via telehealth) in 2020.	$50 per assessment	Member participation is tracked through the completion of the IHWA through our participating vendors.  A file/claim is received by Humana that triggers data feed to send a gift card to those members.	20096	3376
R0865	HUMANA INSURANCE COMPANY	2020	3	Go365 by Humana	Fitness: rewards for completing monthly workouts, Social/Lifestyle: rewards for completing monthly volunteering, athletic event, education class, or community nutrition program Prevention: Annual Wellness Exam, Mammogram, Colorectal Screening, Cardiovascular disease screening, Bone density, Flu Shot.	Medicare members can earn Rewards for participating and engaging in the program, such as completing preventive screenings and exercising.  Rewards can be redeemed for various items in the Go365 Mall. Members can choose gift cards from a variety of retailers, in amounts ranging from $10.00 - $100.00 as program rewards.	Go365 collaborates with the Humana Medicare team to identify the value of preventive services awarded in the program and then assigns a reward value that does not exceed the value of the service. For social, lifestyle and athletic activities, rewards are calculated to be of sufficient value to motivate participation (based on prior program data), but of a lower value than disease prevention services.	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.	26398	633150
R0923	HUMANA INSURANCE COMPANY	2020	1	IHWA Incentive Humana	An In Home or Telehealth Wellness Assessment	Medicare members can earn a $50.00 Wal-Mart gift card for completion of an In-Home Health and Wellbeing Assessment (could have also been performed via telehealth) in 2020.	$50 per assessment	Member participation is tracked through the completion of the IHWA through our participating vendors.  A file/claim is received by Humana that triggers data feed to send a gift card to those members.	5888	861
R0923	HUMANA INSURANCE COMPANY	2020	2	Go365 by Humana	Fitness: rewards for completing monthly workouts, Social/Lifestyle: rewards for completing monthly volunteering, athletic event, education class, or community nutrition program Prevention: Annual Wellness Exam, Mammogram, Colorectal Screening, Cardiovascular disease screening, Bone density, Flu Shot.	Medicare members can earn Rewards for participating and engaging in the program, such as completing preventive screenings and exercising.  Rewards can be redeemed for various items in the Go365 Mall. Members can choose gift cards from a variety of retailers, in amounts ranging from $10.00 - $100.00 as program rewards.	Go365 collaborates with the Humana Medicare team to identify the value of preventive services awarded in the program and then assigns a reward value that does not exceed the value of the service. For social, lifestyle and athletic activities, rewards are calculated to be of sufficient value to motivate participation (based on prior program data), but of a lower value than disease prevention services.	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.	7556	159930
R1390	HUMANA INSURANCE COMPANY	2020	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.	124	33
R1390	HUMANA INSURANCE COMPANY	2020	2	IHWA Incentive Humana	An In Home or Telehealth Wellness Assessment	Medicare members can earn a $50.00 Wal-Mart gift card for completion of an In-Home Health and Wellbeing Assessment (could have also been performed via telehealth) in 2020.	$50 per assessment	Member participation is tracked through the completion of the IHWA through our participating vendors.  A file/claim is received by Humana that triggers data feed to send a gift card to those members.	44633	6730
R1390	HUMANA INSURANCE COMPANY	2020	3	Go365 by Humana	Fitness: rewards for completing monthly workouts, Social/Lifestyle: rewards for completing monthly volunteering, athletic event, education class, or community nutrition program Prevention: Annual Wellness Exam, Mammogram, Colorectal Screening, Cardiovascular disease screening, Bone density, Flu Shot.	Medicare members can earn Rewards for participating and engaging in the program, such as completing preventive screenings and exercising.  Rewards can be redeemed for various items in the Go365 Mall. Members can choose gift cards from a variety of retailers, in amounts ranging from $10.00 - $100.00 as program rewards.	Go365 collaborates with the Humana Medicare team to identify the value of preventive services awarded in the program and then assigns a reward value that does not exceed the value of the service. For social, lifestyle and athletic activities, rewards are calculated to be of sufficient value to motivate participation (based on prior program data), but of a lower value than disease prevention services.	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.	55707	1556970
R1532	HUMANA INSURANCE COMPANY	2020	1	IHWA Incentive Humana	An In Home or Telehealth Wellness Assessment	Medicare members can earn a $50.00 Wal-Mart gift card for completion of an In-Home Health and Wellbeing Assessment (could have also been performed via telehealth) in 2020.	$50 per assessment	Member participation is tracked through the completion of the IHWA through our participating vendors.  A file/claim is received by Humana that triggers data feed to send a gift card to those members.	5230	772
R1532	HUMANA INSURANCE COMPANY	2020	2	Go365 by Humana	Fitness: rewards for completing monthly workouts, Social/Lifestyle: rewards for completing monthly volunteering, athletic event, education class, or community nutrition program Prevention: Annual Wellness Exam, Mammogram, Colorectal Screening, Cardiovascular disease screening, Bone density, Flu Shot.	Medicare members can earn Rewards for participating and engaging in the program, such as completing preventive screenings and exercising.  Rewards can be redeemed for various items in the Go365 Mall. Members can choose gift cards from a variety of retailers, in amounts ranging from $10.00 - $100.00 as program rewards.	Go365 collaborates with the Humana Medicare team to identify the value of preventive services awarded in the program and then assigns a reward value that does not exceed the value of the service. For social, lifestyle and athletic activities, rewards are calculated to be of sufficient value to motivate participation (based on prior program data), but of a lower value than disease prevention services.	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.	6813	116450
R1548	UNITEDHEALTHCARE INSURANCE CO OF THE RIVER VALLEY	2020	1	UnitedHealthcare Dual Complete Rewards, HouseCalls Program, Vivify Program	Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, Rheumatoid Arthritis Visit, Reducing Risk of Falls Visit, Urinary Incontinence Visit, Flu Shot, Health Assessment completion. HouseCall.  Registration for mobile application based nurse support, health monitoring and health education.	Gift Card or loaned Tablet	UnitedHealthcare Dual Complete Rewards: 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 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. Vivify: The reward is a gift card of a set monetary amount that must be spent down or a loaned tablet from UHC for use during Vivify program engagement. 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.	UnitedHealthcare Dual Complete Rewards: 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 the eligibility period for the activity is validated, the reward is issued. 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. Vivify: Members are notified of the program through nurse outreach, email, and direct mail promotion. Tracking the member accepting the terms and conditions of the mobile application, and issue the card once the system has registered the members acceptance.	29809	31067
R2604	UNITEDHEALTHCARE INSURANCE COMPANY	2020	1	Renew Rewards, HouseCalls Program, Vivify Program	Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, Rheumatoid Arthritis Visit,  Health Risk Assessment ,Flu Shot, Device-Based Activities .(Step) HouseCall.  Registration for mobile application based nurse support, health monitoring and health education.	Gift Card or loaned Tablet	Renew Rewards Program: 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 care activity itself. HouseCalls Program: 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. Vivify: The reward is a gift card of a set monetary amount that must be spent down or a loaned tablet from UHC for use during Vivify program engagement. 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 into the program through any of four channels (Customer Service, Online/Member Portals, IVR, Mobile) 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). Once UHC validates the eligibility period for the activity, the reward is issued. 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. Vivify: Members are notified of the program through nurse outreach, email, and direct mail promotion. Tracking the member accepting the terms and conditions of the mobile application, and issue the card once the system has registered the members acceptance.	134994	126905
R3175	UNITEDHEALTHCARE INSURANCE COMPANY	2020	1	UnitedHealthcare Dual Complete Rewards, Renew Rewards, HouseCalls Program	Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, Rheumatoid Arthritis Visit, Reducing Risk of Falls Visit, Urinary Incontinence Visit, Flu Shot, Health Assessment completion. Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, Rheumatoid Arthritis Visit,  Health Risk Assessment ,Flu Shot, Device-Based Activities .(Step) HouseCall.	Gift Card	UnitedHealthcare Dual Complete Rewards: 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: 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 care activity itself.  HouseCalls Program: 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.	UnitedHealthcare Dual Complete Rewards: 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 the eligibility period for the activity is validated, the reward is issued. Renew Rewards Program: Enrollees initiate the redemption process by activating into the program through any of four channels (Customer Service, Online/Member Portals, IVR, Mobile) 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). Once UHC validates the eligibility period for the activity, the reward is issued.  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.	1724	1677
R3332	BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.	2020	1	HealthyBlue Rewards	The health care activities and reward values were as follows: Annual Wellness Exam $50 or In Home Health Visit $50, 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, Health Risk Appraisal Survey $20.	Members were rewarded with gift cards to complete the specified health care activities. The members had the option of receiving 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 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 2020 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 were captured in Onlife Health's CMS-compliant data storage as activations and redemptions (participation).	9722	7751
R3392	HUMANA INSURANCE COMPANY	2020	1	IHWA Incentive Humana	An In Home or Telehealth Wellness Assessment	Medicare members can earn a $50.00 Wal-Mart gift card for completion of an In-Home Health and Wellbeing Assessment (could have also been performed via telehealth) in 2020.	$50 per assessment	Member participation is tracked through the completion of the IHWA through our participating vendors.  A file/claim is received by Humana that triggers data feed to send a gift card to those members.	23095	5396
R3392	HUMANA INSURANCE COMPANY	2020	2	Go365 by Humana	Fitness: rewards for completing monthly workouts, Social/Lifestyle: rewards for completing monthly volunteering, athletic event, education class, or community nutrition program Prevention: Annual Wellness Exam, Mammogram, Colorectal Screening, Cardiovascular disease screening, Bone density, Flu Shot.	Medicare members can earn Rewards for participating and engaging in the program, such as completing preventive screenings and exercising.  Rewards can be redeemed for various items in the Go365 Mall. Members can choose gift cards from a variety of retailers, in amounts ranging from $10.00 - $100.00 as program rewards.	Go365 collaborates with the Humana Medicare team to identify the value of preventive services awarded in the program and then assigns a reward value that does not exceed the value of the service. For social, lifestyle and athletic activities, rewards are calculated to be of sufficient value to motivate participation (based on prior program data), but of a lower value than disease prevention services.	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.	31254	923200
R3444	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	2020	1	Renew Rewards, HouseCalls Program, Vivify Program	Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, Rheumatoid Arthritis Visit,  Health Risk Assessment ,Flu Shot, Device-Based Activities .(Step) HouseCall.  Registration for mobile application based nurse support, health monitoring and health education.	Gift Card or loaned Tablet	Renew Rewards Program: 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 care activity itself. HouseCalls Program: 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. Vivify: The reward is a gift card of a set monetary amount that must be spent down or a loaned tablet from UHC for use during Vivify program engagement. 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 into the program through any of four channels (Customer Service, Online/Member Portals, IVR, Mobile) 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). Once UHC validates the eligibility period for the activity, the reward is issued. 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. Vivify: Members are notified of the program through nurse outreach, email, and direct mail promotion. Tracking the member accepting the terms and conditions of the mobile application, and issue the card once the system has registered the members acceptance.	38414	34066
R3887	HUMANA INSURANCE COMPANY	2020	1	IHWA Incentive Humana	An In Home or Telehealth Wellness Assessment	Medicare members can earn a $50.00 Wal-Mart gift card for completion of an In-Home Health and Wellbeing Assessment (could have also been performed via telehealth) in 2020.	$50 per assessment	Member participation is tracked through the completion of the IHWA through our participating vendors.  A file/claim is received by Humana that triggers data feed to send a gift card to those members.	7738	1063
R3887	HUMANA INSURANCE COMPANY	2020	2	Go365 by Humana	Fitness: rewards for completing monthly workouts, Social/Lifestyle: rewards for completing monthly volunteering, athletic event, education class, or community nutrition program Prevention: Annual Wellness Exam, Mammogram, Colorectal Screening, Cardiovascular disease screening, Bone density, Flu Shot.	Medicare members can earn Rewards for participating and engaging in the program, such as completing preventive screenings and exercising.  Rewards can be redeemed for various items in the Go365 Mall. Members can choose gift cards from a variety of retailers, in amounts ranging from $10.00 - $100.00 as program rewards.	Go365 collaborates with the Humana Medicare team to identify the value of preventive services awarded in the program and then assigns a reward value that does not exceed the value of the service. For social, lifestyle and athletic activities, rewards are calculated to be of sufficient value to motivate participation (based on prior program data), but of a lower value than disease prevention services.	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	223285
R4182	HUMANA INSURANCE COMPANY	2020	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.	162	43
R4182	HUMANA INSURANCE COMPANY	2020	2	IHWA Incentive Humana	An In Home or Telehealth Wellness Assessment	Medicare members can earn a $50.00 Wal-Mart gift card for completion of an In-Home Health and Wellbeing Assessment (could have also been performed via telehealth) in 2020.	$50 per assessment	Member participation is tracked through the completion of the IHWA through our participating vendors.  A file/claim is received by Humana that triggers data feed to send a gift card to those members.	35003	6009
R4182	HUMANA INSURANCE COMPANY	2020	3	Go365 by Humana	Fitness: rewards for completing monthly workouts, Social/Lifestyle: rewards for completing monthly volunteering, athletic event, education class, or community nutrition program Prevention: Annual Wellness Exam, Mammogram, Colorectal Screening, Cardiovascular disease screening, Bone density, Flu Shot.	Medicare members can earn Rewards for participating and engaging in the program, such as completing preventive screenings and exercising.  Rewards can be redeemed for various items in the Go365 Mall. Members can choose gift cards from a variety of retailers, in amounts ranging from $10.00 - $100.00 as program rewards.	Go365 collaborates with the Humana Medicare team to identify the value of preventive services awarded in the program and then assigns a reward value that does not exceed the value of the service. For social, lifestyle and athletic activities, rewards are calculated to be of sufficient value to motivate participation (based on prior program data), but of a lower value than disease prevention services.	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.	45007	83235
R4487	ANTHEM INSURANCE COMPANIES, INC.	2020	1	 	 	 	 	 	0	0
R4845	HUMANA INSURANCE COMPANY	2020	1	IHWA Incentive Humana	An In Home or Telehealth Wellness Assessment	Medicare members can earn a $50.00 Wal-Mart gift card for completion of an In-Home Health and Wellbeing Assessment (could have also been performed via telehealth) in 2020.	$50 per assessment	Member participation is tracked through the completion of the IHWA through our participating vendors.  A file/claim is received by Humana that triggers data feed to send a gift card to those members.	5723	805
R4845	HUMANA INSURANCE COMPANY	2020	2	Go365 by Humana	Fitness: rewards for completing monthly workouts, Social/Lifestyle: rewards for completing monthly volunteering, athletic event, education class, or community nutrition program Prevention: Annual Wellness Exam, Mammogram, Colorectal Screening, Cardiovascular disease screening, Bone density, Flu Shot.	Medicare members can earn Rewards for participating and engaging in the program, such as completing preventive screenings and exercising.  Rewards can be redeemed for various items in the Go365 Mall. Members can choose gift cards from a variety of retailers, in amounts ranging from $10.00 - $100.00 as program rewards.	Go365 collaborates with the Humana Medicare team to identify the value of preventive services awarded in the program and then assigns a reward value that does not exceed the value of the service. For social, lifestyle and athletic activities, rewards are calculated to be of sufficient value to motivate participation (based on prior program data), but of a lower value than disease prevention services.	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.	7596	132605
R5329	SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	2020	1	Renew Rewards, HouseCalls Program, Vivify Program	Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, Rheumatoid Arthritis Visit,  Health Risk Assessment ,Flu Shot, Device-Based Activities .(Step) HouseCall.  Registration for mobile application based nurse support, health monitoring and health education.	Gift Card or loaned Tablet	Renew Rewards Program: 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 care activity itself. HouseCalls Program: 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. Vivify: The reward is a gift card of a set monetary amount that must be spent down or a loaned tablet from UHC for use during Vivify program engagement. 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 into the program through any of four channels (Customer Service, Online/Member Portals, IVR, Mobile) 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). Once UHC validates the eligibility period for the activity, the reward is issued. 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. Vivify: Members are notified of the program through nurse outreach, email, and direct mail promotion. Tracking the member accepting the terms and conditions of the mobile application, and issue the card once the system has registered the members acceptance.	1594	1361
R5342	UNITEDHEALTHCARE INSURANCE COMPANY OF NEW YORK	2020	1	Renew Rewards, HouseCalls Program, Telehealth Program, Vivify Program	Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, Rheumatoid Arthritis Visit,  Health Risk Assessment ,Flu Shot, Device-Based Activities .(Step) HouseCall.  Virtual office visit with a provider. Registration for mobile application based nurse support, health monitoring and health education.	Gift Card or loaned Tablet	Renew Rewards Program: 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 care activity itself. HouseCalls Program: 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. Telehealth: 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. Vivify: The reward is a gift card of a set monetary amount that must be spent down or a loaned tablet from UHC for use during Vivify program engagement. 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 into the program through any of four channels (Customer Service, Online/Member Portals, IVR, Mobile) 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). Once UHC validates the eligibility period for the activity, the reward is issued. 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. Telehealth: Members are notified of the program through email and direct mail promotion. Track claim data for telehealth visits and issue the card once the paid claim has been processed. Vivify: Members are notified of the program through nurse outreach, email, and direct mail promotion. Tracking the member accepting the terms and conditions of the mobile application, and issue the card once the system has registered the members acceptance.	52434	50339
R5361	HUMANA INSURANCE COMPANY	2020	1	IHWA Incentive Humana	An In Home or Telehealth Wellness Assessment	Medicare members can earn a $50.00 Wal-Mart gift card for completion of an In-Home Health and Wellbeing Assessment (could have also been performed via telehealth) in 2020.	$50 per assessment	Member participation is tracked through the completion of the IHWA through our participating vendors.  A file/claim is received by Humana that triggers data feed to send a gift card to those members.	13886	2272
R5361	HUMANA INSURANCE COMPANY	2020	2	Go365 by Humana	Fitness: rewards for completing monthly workouts, Social/Lifestyle: rewards for completing monthly volunteering, athletic event, education class, or community nutrition program Prevention: Annual Wellness Exam, Mammogram, Colorectal Screening, Cardiovascular disease screening, Bone density, Flu Shot.	Medicare members can earn Rewards for participating and engaging in the program, such as completing preventive screenings and exercising.  Rewards can be redeemed for various items in the Go365 Mall. Members can choose gift cards from a variety of retailers, in amounts ranging from $10.00 - $100.00 as program rewards.	Go365 collaborates with the Humana Medicare team to identify the value of preventive services awarded in the program and then assigns a reward value that does not exceed the value of the service. For social, lifestyle and athletic activities, rewards are calculated to be of sufficient value to motivate participation (based on prior program data), but of a lower value than disease prevention services.	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.	17968	345995
R5495	HUMANA INSURANCE COMPANY	2020	1	IHWA Incentive Humana	An In Home or Telehealth Wellness Assessment	Medicare members can earn a $50.00 Wal-Mart gift card for completion of an In-Home Health and Wellbeing Assessment (could have also been performed via telehealth) in 2020.	$50 per assessment	Member participation is tracked through the completion of the IHWA through our participating vendors.  A file/claim is received by Humana that triggers data feed to send a gift card to those members.	5392	853
R5495	HUMANA INSURANCE COMPANY	2020	2	Go365 by Humana	Fitness: rewards for completing monthly workouts, Social/Lifestyle: rewards for completing monthly volunteering, athletic event, education class, or community nutrition program Prevention: Annual Wellness Exam, Mammogram, Colorectal Screening, Cardiovascular disease screening, Bone density, Flu Shot.	Medicare members can earn Rewards for participating and engaging in the program, such as completing preventive screenings and exercising.  Rewards can be redeemed for various items in the Go365 Mall. Members can choose gift cards from a variety of retailers, in amounts ranging from $10.00 - $100.00 as program rewards.	Go365 collaborates with the Humana Medicare team to identify the value of preventive services awarded in the program and then assigns a reward value that does not exceed the value of the service. For social, lifestyle and athletic activities, rewards are calculated to be of sufficient value to motivate participation (based on prior program data), but of a lower value than disease prevention services.	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.	6996	135395
R5826	HUMANA INSURANCE COMPANY	2020	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.	90	23
R5826	HUMANA INSURANCE COMPANY	2020	2	IHWA Incentive Humana	An In Home or Telehealth Wellness Assessment	Medicare members can earn a $50.00 Wal-Mart gift card for completion of an In-Home Health and Wellbeing Assessment (could have also been performed via telehealth) in 2020.	$50 per assessment	Member participation is tracked through the completion of the IHWA through our participating vendors.  A file/claim is received by Humana that triggers data feed to send a gift card to those members.	20644	3081
R5826	HUMANA INSURANCE COMPANY	2020	3	Go365 by Humana	Fitness: rewards for completing monthly workouts, Social/Lifestyle: rewards for completing monthly volunteering, athletic event, education class, or community nutrition program Prevention: Annual Wellness Exam, Mammogram, Colorectal Screening, Cardiovascular disease screening, Bone density, Flu Shot.	Medicare members can earn Rewards for participating and engaging in the program, such as completing preventive screenings and exercising.  Rewards can be redeemed for various items in the Go365 Mall. Members can choose gift cards from a variety of retailers, in amounts ranging from $10.00 - $100.00 as program rewards.	Go365 collaborates with the Humana Medicare team to identify the value of preventive services awarded in the program and then assigns a reward value that does not exceed the value of the service. For social, lifestyle and athletic activities, rewards are calculated to be of sufficient value to motivate participation (based on prior program data), but of a lower value than disease prevention services.	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.	26283	46835
R5941	ANTHEM INSURANCE COMPANIES, INC.	2020	1	 	 	 	 	 	0	0
R6694	AETNA LIFE INSURANCE COMPANY	2020	1	 	 	 	 	 	0	0
R6801	CARE IMPROVEMENT PLUS OF TEXAS INSURANCE COMPANY	2020	1	Renew Rewards, HouseCalls Program, Vivify Program	Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, Rheumatoid Arthritis Visit,  Health Risk Assessment ,Flu Shot, Device-Based Activities .(Step) HouseCall.  Registration for mobile application based nurse support, health monitoring and health education.	Gift Card or loaned Tablet	Renew Rewards Program: 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 care activity itself. HouseCalls Program: 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. Vivify: The reward is a gift card of a set monetary amount that must be spent down or a loaned tablet from UHC for use during Vivify program engagement. 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 into the program through any of four channels (Customer Service, Online/Member Portals, IVR, Mobile) 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). Once UHC validates the eligibility period for the activity, the reward is issued. 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. Vivify: Members are notified of the program through nurse outreach, email, and direct mail promotion. Tracking the member accepting the terms and conditions of the mobile application, and issue the card once the system has registered the members acceptance.	58342	50219
R7220	HUMANA INSURANCE COMPANY	2020	1	IHWA Incentive Humana	An In Home or Telehealth Wellness Assessment	Medicare members can earn a $50.00 Wal-Mart gift card for completion of an In-Home Health and Wellbeing Assessment (could have also been performed via telehealth) in 2020.	$50 per assessment	Member participation is tracked through the completion of the IHWA through our participating vendors.  A file/claim is received by Humana that triggers data feed to send a gift card to those members.	6177	759
R7220	HUMANA INSURANCE COMPANY	2020	2	Go365 by Humana	Fitness: rewards for completing monthly workouts, Social/Lifestyle: rewards for completing monthly volunteering, athletic event, education class, or community nutrition program Prevention: Annual Wellness Exam, Mammogram, Colorectal Screening, Cardiovascular disease screening, Bone density, Flu Shot.	Medicare members can earn Rewards for participating and engaging in the program, such as completing preventive screenings and exercising.  Rewards can be redeemed for various items in the Go365 Mall. Members can choose gift cards from a variety of retailers, in amounts ranging from $10.00 - $100.00 as program rewards.	Go365 collaborates with the Humana Medicare team to identify the value of preventive services awarded in the program and then assigns a reward value that does not exceed the value of the service. For social, lifestyle and athletic activities, rewards are calculated to be of sufficient value to motivate participation (based on prior program data), but of a lower value than disease prevention services.	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.	7739	149105
R7315	HUMANA INSURANCE COMPANY	2020	1	IHWA Incentive Humana	An In Home or Telehealth Wellness Assessment	Medicare members can earn a $50.00 Wal-Mart gift card for completion of an In-Home Health and Wellbeing Assessment (could have also been performed via telehealth) in 2020.	$50 per assessment	Member participation is tracked through the completion of the IHWA through our participating vendors.  A file/claim is received by Humana that triggers data feed to send a gift card to those members.	13060	2320
R7315	HUMANA INSURANCE COMPANY	2020	2	Go365 by Humana	Fitness: rewards for completing monthly workouts, Social/Lifestyle: rewards for completing monthly volunteering, athletic event, education class, or community nutrition program Prevention: Annual Wellness Exam, Mammogram, Colorectal Screening, Cardiovascular disease screening, Bone density, Flu Shot.	Medicare members can earn Rewards for participating and engaging in the program, such as completing preventive screenings and exercising.  Rewards can be redeemed for various items in the Go365 Mall. Members can choose gift cards from a variety of retailers, in amounts ranging from $10.00 - $100.00 as program rewards.	Go365 collaborates with the Humana Medicare team to identify the value of preventive services awarded in the program and then assigns a reward value that does not exceed the value of the service. For social, lifestyle and athletic activities, rewards are calculated to be of sufficient value to motivate participation (based on prior program data), but of a lower value than disease prevention services.	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.	17622	379295
R7444	UNITEDHEALTHCARE INSURANCE COMPANY	2020	1	Renew Rewards, HouseCalls Program, Vivify Program	Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, Rheumatoid Arthritis Visit,  Health Risk Assessment ,Flu Shot, Device-Based Activities .(Step) HouseCall.  Registration for mobile application based nurse support, health monitoring and health education.	Gift Card or loaned Tablet	Renew Rewards Program: 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 care activity itself. HouseCalls Program: 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. Vivify: The reward is a gift card of a set monetary amount that must be spent down or a loaned tablet from UHC for use during Vivify program engagement. 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 into the program through any of four channels (Customer Service, Online/Member Portals, IVR, Mobile) 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). Once UHC validates the eligibility period for the activity, the reward is issued. 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. Vivify: Members are notified of the program through nurse outreach, email, and direct mail promotion. Tracking the member accepting the terms and conditions of the mobile application, and issue the card once the system has registered the members acceptance.	6486	5650
