CONTRACT_ID	CONTRACT_NAME	YEAR	CONTRACT_REC_NUM	REWARDS_YN	REWARDS_NAME	ACTIVITY_DESCRIPTION	EARN_DESCRIPTION	REWARD_VALUE	TRACK_PARTICIPATION	TOTAL_ENROLLED	TOTAL_REWARDS	
H0022	BUCKEYE COMMUNITY HEALTH PLAN, INC.	2021	1	Y	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	19970	24148
H0028	CHA HMO, INC.	2021	1	Y	Go365 by Humana	Fitness: rewards for completing monthly workouts, Social/Health Education: 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, education 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.	365547	4199305
H0034	HAMASPIK, INC.	2021	1	N	 	 	 	 	 	0	0
H0062	SUPERIOR HEALTHPLAN COMMUNITY SOLUTIONS, INC.	2021	1	Y	MEDICARE HEALTHY REWARDS PROGRAM | SUPERIOR HEALTHPLAN COMMUNITY SOLUTIONS, INC.	BREAST CANCER SCREENING, COLORECTAL CANCER SCREENING, COMPREHENSIVE DIABETES CARE - EYE EXAM, HBA1C, NEPHROPATHY, BONE DENSITY SCREENING, ANNUAL WELLNESS VISIT, LEARN and EARN, COLORECTAL SCREENING, DIABETIC EYE EXAM, DIABETIC HBA1C, DIABETIC KIDNEY SCREENING, FLU VACCINE, HEALTH RISK ASSESSMENT AND WELLNESS VISIT	REWARDS VARY FROM $10 - $50 DEPENDING ON SERVICE COMPLETED.  MEMBERS WERE ABLE TO CHOOSE FROM A VARIETY OF GIFT CARDS INCLUDING: WALMART, VISA, SUBWAY, VISA PREPAID DEBIT CARD	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. | 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 | 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.	4068	14118
H0074	WELLCARE OF MISSISSIPPI, INC.	2021	1	Y	MEDICARE HEALTHY REWARDS PROGRAM	BREAST CANCER SCREENING, COLORECTAL CANCER SCREENING, COMPREHENSIVE DIABETES CARE - EYE EXAM, HBA1C, NEPHROPATHY, BONE DENSITY SCREENING, ANNUAL WELLNESS VISIT, FLU VACCINE, LEARN and EARN	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.	302	434
H0088	WELLCARE HEALTH INSURANCE OF NEW YORK, INC.	2021	1	Y	MEDICARE HEALTHY REWARDS PROGRAM	BREAST CANCER SCREENING, COLORECTAL CANCER SCREENING, COMPREHENSIVE DIABETES CARE - EYE EXAM, HBA1C, NEPHROPATHY, BONE DENSITY SCREENING, ANNUAL WELLNESS VISIT, FLU VACCINE, LEARN and EARN	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.	862	723
H0104	BLUE CROSS AND BLUE SHIELD OF ALABAMA	2021	1	Y	Blue Advantage Rewards Program	Annual Wellness Visit, Breast Cancer Screening (Mammogram), Colorectal Cancer Screening, Diabetic Eye Exam	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.	19662	372635
H0107	HEALTH CARE SERVICE CORPORATION	2021	1	Y	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	9893	34092
H0111	WELLCARE OF GEORGIA, INC.	2021	1	Y	MEDICARE HEALTHY REWARDS PROGRAM	BREAST CANCER SCREENING, COLORECTAL CANCER SCREENING, COMPREHENSIVE DIABETES CARE - EYE EXAM, HBA1C, NEPHROPATHY, BONE DENSITY SCREENING, ANNUAL WELLNESS VISIT, FLU VACCINE, LEARN and EARN	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.	13911	54308
H0137	COMMONWEALTH CARE ALLIANCE, INC.	2021	1	N	 	 	 	 	 	0	0
H0148	BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN	2021	1	Y	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.	5331	644
H0154	VIVA HEALTH, INC.	2021	1	N	 	 	 	 	 	0	0
H0169	UNITEDHEALTHCARE OF THE MIDWEST, INC.	2021	1	Y	HouseCalls Program, UnitedHealthcare Dual Complete Rewards, Vivify Program	HouseCall, Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, 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,Health Risk Assessment ,Flu Shot, Device-Based Activities (Step), Registration for Vivify mobile application., , , , , ,	Gift Card,  Vivify 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., 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 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 care activity itself.	HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in a 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., 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 four channels by providing certain required data (e.g., appointment date). Once UHC validates the eligibility period for the activity, the reward is issued.  For Vivify Reward 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, once the system has registered the members acceptance.Member self-report the Registration of Vivify mobile application) through any od four channels by providing the required data (Date of registration of Vivify mobile application)once UHC vaidates the eigibility period and reward is issued.,  ,	41434	48388
H0174	WELLCARE OF TEXAS, INC.	2021	1	Y	MEDICARE HEALTHY REWARDS PROGRAM	BREAST CANCER SCREENING, COLORECTAL CANCER SCREENING, COMPREHENSIVE DIABETES CARE - EYE EXAM, HBA1C, NEPHROPATHY, BONE DENSITY SCREENING, ANNUAL WELLNESS VISIT, FLU VACCINE, LEARN and EARN	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.	61189	203545
H0192	AMERIHEALTH MICHIGAN, INC.	2021	1	Y	Influenza Prevention	Annual Flu Vaccine	Gift Card	Gift Card Face Value 15.00 per member who  received a flu vaccine	All members are notified of the incentive program. Receipt of claim is used to identify members who have earned the incentive.	3178	787
H0192	AMERIHEALTH MICHIGAN, INC.	2021	2	Y	Dental Care	Annual Dental Visit	Gift Card	Gift Card Face Value 15.00 per member who received dental care	All members are notified of the incentive program. Receipt of claim is used to identify members who have earned the incentive.	3178	525
H0192	AMERIHEALTH MICHIGAN, INC.	2021	3	Y	Virtual Health In Home Assessments	Meeting with licensed health professional to perfrom a detailed exam, discuss health history, and answer your questions	Gift Card	Gift Card Face Value 15.00 per member that completed an assessment.	Detailed operational report containing member detail of completions	3178	341
H0251	UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.	2021	1	Y	HouseCalls Program, UnitedHealthcare Dual Complete Rewards	HouseCall, Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, Flu Shot, Health Assessment completion	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., 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 HouseCalls program contacts eligible members who then agree to participate in a 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., 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.,  , ,	45832	57610
H0270	WELLCARE HEALTH INSURANCE COMPANY OF AMERICA	2021	1	Y	MEDICARE HEALTHY REWARDS PROGRAM	BREAST CANCER SCREENING, COLORECTAL CANCER SCREENING, COMPREHENSIVE DIABETES CARE - EYE EXAM, HBA1C, NEPHROPATHY, BONE DENSITY SCREENING, ANNUAL WELLNESS VISIT, FLU VACCINE, LEARN and EARN	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.	707	1594
H0271	UNITEDHEALTHCARE INSURANCE COMPANY OF AMERICA	2021	1	Y	HouseCalls Program, Renew Rewards and/or Vivify Program	HouseCall, Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening,Health Risk Assessment ,Flu Shot, Device-Based Activities (Step), Registration for Vivify mobile application., ,	Gift Card or Vivify 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.,Renew Rewards Program: 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 care activity itself., ,	HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in a visit.  Members can receive information about the opportunity to have a HouseCalls visit by outbound phone outreach from our scheduling agents, mailed materials, or email.  The clinician performing the visit will enter member information into the eHouseCalls app housed on the tablet our clinicians use in the field.  Once the HouseCalls system receive s confirmation of a completed visit, the reward is issued.,  , Renew Rewards Program: Enrollees initiate the redemption process by activating 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 four channels by providing certain required data (e.g., appointment date). Once UHC validates the eligibility period for the activity, the reward is issued.  For Vivify Reward 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, once the system has registered the members acceptance.Member self-report the Registration of Vivify mobile application) through any od four channels by providing the required data (Date of registration of Vivify mobile application)once UHC vaidates the eigibility period and reward is issued.,	78959	76451
H0292	HUMANA HEALTH PLAN OF OHIO, INC.	2021	1	Y	Go365 by Humana	Fitness: rewards for completing monthly workouts, Social/Health Education: 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, education 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.	8082	162940
H0294	CARE IMPROVEMENT PLUS WISCONSIN INSURANCE COMPANY	2021	1	Y	HouseCalls Program, Renew Rewards and/or Vivify Program	HouseCall, Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening,Health Risk Assessment ,Flu Shot, Device-Based Activities (Step), Registration for Vivify mobile application., ,	Gift Card or Vivify 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.,Renew Rewards Program: 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 care activity itself., ,	HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in a visit.  Members can receive information about the opportunity to have a HouseCalls visit by outbound phone outreach from our scheduling agents, mailed materials, or email.  The clinician performing the visit will enter member information into the eHouseCalls app housed on the tablet our clinicians use in the field.  Once the HouseCalls system receive s confirmation of a completed visit, the reward is issued.,  , Renew Rewards Program: Enrollees initiate the redemption process by activating 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 four channels by providing certain required data (e.g., appointment date). Once UHC validates the eligibility period for the activity, the reward is issued.  For Vivify Reward 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, once the system has registered the members acceptance.Member self-report the Registration of Vivify mobile application) through any od four channels by providing the required data (Date of registration of Vivify mobile application)once UHC vaidates the eigibility period and reward is issued.,	21571	28961
H0302	MEDISUN, INC.	2021	1	Y	MyBlue Medicare Wellness Rewards Program, Welvie	Annual Physical Exam, Breast Cancer Screening, Annual Flu Shot, Direct Decision Support for preference sensitive surgeries	Prepaid gift card	Value of prepaid gift card for annual physical exam, breast cancer screening, Direct Decision Support for preference sensitive surgeries are $25 each and $10 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.	23460	29173
H0321	ARIZONA PHYSICIANS IPA, INC.	2021	1	Y	HouseCalls Program, UnitedHealthcare Dual Complete Rewards	HouseCall, Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, Flu Shot, Health Assessment completion	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., 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 HouseCalls program contacts eligible members who then agree to participate in a 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., 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.,  , ,	32301	37337
H0332	KS PLAN ADMINISTRATORS, LLC	2021	1	N	 	 	 	 	 	0	0
H0336	HUMANA HEALTH PLAN, INC.	2021	1	N	 	 	 	 	 	0	0
H0342	CAREPARTNERS OF CONNECTICUT, INC.	2021	1	N	 	 	 	 	 	0	0
H0351	HEALTH NET OF ARIZONA, INC.	2021	1	Y	HEALTH NET OF ARIZONA, INC. | MEDICARE HEALTHY REWARDS PROGRAM	BREAST CANCER SCREENING, COLORECTAL CANCER SCREENING, COMPREHENSIVE DIABETES CARE - EYE EXAM, HBA1C, NEPHROPATHY, BONE DENSITY SCREENING, ANNUAL WELLNESS VISIT, LEARN and EARN, COLORECTAL SCREENING, DIABETIC EYE EXAM, DIABETIC HBA1C, DIABETIC KIDNEY SCREENING, FLU VACCINE, HEALTH RISK ASSESSMENT AND WELLNESS VISIT	REWARDS VARY FROM $10 - $50 DEPENDING ON SERVICE COMPLETED.  MEMBERS WERE ABLE TO CHOOSE FROM A VARIETY OF GIFT CARDS INCLUDING: WALMART, VISA, SUBWAY, VISA PREPAID DEBIT CARD	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. | 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 | 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.	28503	55588
H0354	CIGNA HEALTHCARE OF ARIZONA, INC.	2021	1	Y	Cigna Medicare Advantage Incentives (CMAI)	360 Exam (wellness exam), HbA1c, Diabetic Retinal Eye Exam, Mammogram, Colonoscopy, Flu Shot	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) - $25 gift card, HbA1c -$25 gift card, Diabetic Eye Exam - $15 gift card, Mammogram - $25 gift card, Colonoscopy 5 or 10 year - $25 gift card, Flu Shot - $15 gift card. Customers can earn a maximum of $50 for completeing their 360 Exam (wellness exam) ($25 gift card) and any combination of additional screenings completed up to a total value of $25 in gift cards. 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. All customers in this plan, 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 (5,10 year), Flu Shot. 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.	49304	9968
H0422	UCARE HEALTH, INC.	2021	1	Y	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	872	4
H0422	UCARE HEALTH, INC.	2021	2	Y	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	375	11
H0422	UCARE HEALTH, INC.	2021	3	Y	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	113	19
H0422	UCARE HEALTH, INC.	2021	4	Y	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	113	14
H0422	UCARE HEALTH, INC.	2021	5	Y	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	113	9
H0422	UCARE HEALTH, INC.	2021	6	Y	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	162	20
H0423	METROPLUS HEALTH PLAN, INC.	2021	1	Y	MetroPlusRewards	ANOCEventattendance,breastcancerscreening,coloncancerscreening,diabetesretinaleyeexam,fluvaccinehealthassessment,memberportalregistration,newmemberPCPvisit,StepUpwalkingchallenge,JustDrinkWaterChallenge	Pointsbasedprogramwithmembersearningpoints,exchangingforitemsinacatalog	NocashvalueTenpointsequalsonedollar	ParticipationistrackedbyourrewardsplatformvendorFinityParticipationisdefinedasmemberswhoareengagedatleasttwiceviatwodifferentmediaandwhocompletearewardactivityFinityalsotracksallmemberengagementsaswellasrewardsearnedandredeemed	9109	14006
H0432	UNITEDHEALTHCARE OF ALABAMA, INC.	2021	1	Y	HouseCalls Program, Renew Rewards and/or Vivify Program	HouseCall, Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening,Health Risk Assessment ,Flu Shot, Device-Based Activities (Step), Registration for Vivify mobile application., ,	Gift Card or Vivify 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.,Renew Rewards Program: 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 care activity itself., ,	HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in a visit.  Members can receive information about the opportunity to have a HouseCalls visit by outbound phone outreach from our scheduling agents, mailed materials, or email.  The clinician performing the visit will enter member information into the eHouseCalls app housed on the tablet our clinicians use in the field.  Once the HouseCalls system receive s confirmation of a completed visit, the reward is issued.,  , Renew Rewards Program: Enrollees initiate the redemption process by activating 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 four channels by providing certain required data (e.g., appointment date). Once UHC validates the eligibility period for the activity, the reward is issued.  For Vivify Reward 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, once the system has registered the members acceptance.Member self-report the Registration of Vivify mobile application) through any od four channels by providing the required data (Date of registration of Vivify mobile application)once UHC vaidates the eigibility period and reward is issued.,	41456	40700
H0439	CIGNA HEALTHCARE OF GEORGIA, INC.	2021	1	Y	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.	24839	8603
H0473	HUMANA INSURANCE COMPANY OF KENTUCKY	2021	1	Y	Go365 by Humana	Fitness: rewards for completing monthly workouts, Social/Health Education: 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, education 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.	33610	236805
H0480	MERIDIAN HEALTH PLAN OF MICHIGAN, INC.	2021	1	N	 	 	 	 	 	0	0
H0482	CENTENE VENTURE COMPANY MICHIGAN	2021	1	Y	MI-MEDICARE-MAPD ASCENSION COMPLETE	BREAST CANCER SCREENING, COLORECTAL CANCER SCREENING, DIABETES HBA1C, DIABETES KIDNEY SCREENING, 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	686	633
H0504	CALIFORNIA PHYSICIANS' SERVICE	2021	1	Y	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.	32432	24728
H0523	AETNA HEALTH OF CALIFORNIA INC.	2021	1	N	 	 	 	 	 	0	0
H0524	KAISER FOUNDATION HP, INC.	2021	1	Y	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.	2129	1378
H0543	UHC OF CALIFORNIA	2021	1	Y	HouseCalls Program, Renew Rewards and/or Vivify Program	HouseCall, Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening,Health Risk Assessment ,Flu Shot, Device-Based Activities (Step), Registration for Vivify mobile application., ,	Gift Card or Vivify 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.,Renew Rewards Program: 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 care activity itself., ,	HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in a visit.  Members can receive information about the opportunity to have a HouseCalls visit by outbound phone outreach from our scheduling agents, mailed materials, or email.  The clinician performing the visit will enter member information into the eHouseCalls app housed on the tablet our clinicians use in the field.  Once the HouseCalls system receive s confirmation of a completed visit, the reward is issued.,  , Renew Rewards Program: Enrollees initiate the redemption process by activating 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 four channels by providing certain required data (e.g., appointment date). Once UHC validates the eligibility period for the activity, the reward is issued.  For Vivify Reward 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, once the system has registered the members acceptance.Member self-report the Registration of Vivify mobile application) through any od four channels by providing the required data (Date of registration of Vivify mobile application)once UHC vaidates the eigibility period and reward is issued.,	37544	83183
H0544	BLUE CROSS OF CALIFORNIA	2021	1	Y	BCS Rewards Program	Mammogram screening	Gift cards	Improved performance in Star measure, breast cancer screening	All members within the specified contracts were eligible for the program. Participants actively redeemed the reward by submitting screening completion details. All redemptions were tracked and reported through the fulfillment vendor	7166	867
H0545	INTER VALLEY HEALTH PLAN, INC.	2021	1	N	 	 	 	 	 	0	0
H0562	HEALTH NET OF CALIFORNIA,INC.	2021	1	Y	HEALTH NET OF CALIFORNIA | HEALTH NET OF CALIFORNIA REWARDS PROGRAM H0562 - ICARIO PORTION	BONE DENSITY, BREAST CANCER SCREENING, COLORECTAL SCREENING, DIABETCI EYE EXAM, DIABETIC HBA1C, DIABETIC KIDNEY SCREENING, FLU VACCINE, HEALTH RISK ASSESSMENT AND WELLNESS VISIT, THE HEALTH NET CARE CARDS PROGRAM FOCUSED ON A PLAN-SPECIFIED CONTRACT, H0562, TO CLOSE GAPS IN CARE FOR SPECIFIC MEASURES. MEMBERS IN THIS CONTRACT WHO ARE NOT IN PBPS PARTICIPATING IN MY HEALTH PAYS AND HISTORICALLY NON-COMPLIANT IN AN ANNUAL WELLNESS VISIT OR AT LEAST ONE HEDIS HEALTH CARE ACTIVITY RECEIVED THE MEDIUM TOUCH COMMUNICATION PLAN. MEMBER MATERIALS WERE AVAILABLE IN ENGLISH AND SPANISH. MEMBERS WERE REWARDED WITH GIFT CARDS TO COMPLETE THE SPECIFIED HEALTH CARE ACTIVITIES.  MEMBERS WERE ABLE TO ACTIVATE INTO THE HEALTH NET CARE CARDS PROGRAM, ATTEST TO THEIR HEALTH CARE ACTIVITY AND REDEEM GIFT CARDS VIA MAIL (REDEMPTIONS), IVR, CALL CENTER AND A DIGITAL ONLINE CHANNEL.	THE MEMBERS HAD THE OPTION OF PRINTING AN E-GIFT CARD IMMEDIATELY OR HAVING A PHYSICAL GIFT CARD MAILED TO THEM. THESE WERE MERCHANT GIFT CARDS THAT WERE NOT CONVERTIBLE TO CASH. THE HEALTH CARE ACTIVITIES AND REWARD VALUES WERE AS FOLLOWS: ANNUAL WELLNESS VISIT $50, ANNUAL FLU VACCINE $20, DIABETIC EYE EXAM $20, HBA1C CONTROL $20, BONE DENSITY TEST $20, BREAST CANCER SCREENING $20, COLON CANCER SCREENING $20, LEARN AND EARN (FLU and COVID-19) $10, LEARN AND EARN (ACCESS TO CARE) $10., 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. | 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.	INTERNAL PROCESS REVIEWS DATA SOURCES SUCH AS CLAIMS, ASSESSMENT DATA, LABS, ETC. SUBMITTED AND ISSUES REWARDS BASED ON LOGIC BUILT TO IDENTIFY REWARDABLE ACTIVITIES | MEMBERS INTERACT THROUGH THE  PROGRAM VIA THE MAIL, TELEPHONIC AND DIGITAL CHANNELS. MEMBER INTERACTIONS ACROSS THE CHANNELS ARE CAPTURED IN ICARIO'S CMS-COMPLIANT DATA STORAGE AS ACTIVATIONS AND REDEMPTIONS (PARTICIPATION).	96229	16952
H0571	CHINESE COMMUNITY HEALTH PLAN	2021	1	N	 	 	 	 	 	0	0
H0609	PACIFICARE OF COLORADO, INC.	2021	1	Y	HouseCalls Program, Renew Rewards and/or Vivify Program	HouseCall, Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening,Health Risk Assessment ,Flu Shot, Device-Based Activities (Step), Registration for Vivify mobile application., ,	Gift Card or Vivify 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.,Renew Rewards Program: 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 care activity itself., ,	HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in a visit.  Members can receive information about the opportunity to have a HouseCalls visit by outbound phone outreach from our scheduling agents, mailed materials, or email.  The clinician performing the visit will enter member information into the eHouseCalls app housed on the tablet our clinicians use in the field.  Once the HouseCalls system receive s confirmation of a completed visit, the reward is issued.,  , Renew Rewards Program: Enrollees initiate the redemption process by activating 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 four channels by providing certain required data (e.g., appointment date). Once UHC validates the eligibility period for the activity, the reward is issued.  For Vivify Reward 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, once the system has registered the members acceptance.Member self-report the Registration of Vivify mobile application) through any od four channels by providing the required data (Date of registration of Vivify mobile application)once UHC vaidates the eigibility period and reward is issued.,	79759	103770
H0624	UNITEDHEALTHCARE INSURANCE COMPANY	2021	1	Y	HouseCalls Program, UnitedHealthcare Dual Complete Rewards, Vivify Program	HouseCall, Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, 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,Health Risk Assessment ,Flu Shot, Device-Based Activities (Step), Registration for Vivify mobile application., , , , , ,	Gift Card,  Vivify 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., 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 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 care activity itself.,	HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in a 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., 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 four channels by providing certain required data (e.g., appointment date). Once UHC validates the eligibility period for the activity, the reward is issued.  For Vivify Reward 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, once the system has registered the members acceptance.Member self-report the Registration of Vivify mobile application) through any od four channels by providing the required data (Date of registration of Vivify mobile application)once UHC vaidates the eigibility period and reward is issued.,  ,	14075	15592
H0628	AETNA HEALTH OF OHIO INC.	2021	1	N	 	 	 	 	 	0	0
H0630	KAISER FOUNDATION HP OF CO	2021	1	N	 	 	 	 	 	0	0
H0672	CIGNA HEALTHCARE OF COLORADO, INC.	2021	1	Y	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.	3453	1687
H0710	SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	2021	1	Y	HouseCalls Program, Renew Rewards and/or Vivify Program	HouseCall, Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening,Health Risk Assessment ,Flu Shot, Device-Based Activities (Step), Registration for Vivify mobile application., ,	Gift Card or Vivify 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.,Renew Rewards Program: 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 care activity itself., ,	HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in a visit.  Members can receive information about the opportunity to have a HouseCalls visit by outbound phone outreach from our scheduling agents, mailed materials, or email.  The clinician performing the visit will enter member information into the eHouseCalls app housed on the tablet our clinicians use in the field.  Once the HouseCalls system receive s confirmation of a completed visit, the reward is issued.,  , Renew Rewards Program: Enrollees initiate the redemption process by activating 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 four channels by providing certain required data (e.g., appointment date). Once UHC validates the eligibility period for the activity, the reward is issued.  For Vivify Reward 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, once the system has registered the members acceptance.Member self-report the Registration of Vivify mobile application) through any od four channels by providing the required data (Date of registration of Vivify mobile application)once UHC vaidates the eigibility period and reward is issued.,	22	22
H0712	WELLCARE OF CONNECTICUT, INC.	2021	1	Y	MEDICARE HEALTHY REWARDS PROGRAM	BREAST CANCER SCREENING, COLORECTAL CANCER SCREENING, COMPREHENSIVE DIABETES CARE - EYE EXAM, HBA1C, NEPHROPATHY, BONE DENSITY SCREENING, ANNUAL WELLNESS VISIT, FLU VACCINE, LEARN and EARN	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.	10510	59071
H0724	BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.	2021	1	Y	BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC. | MEDICARE HEALTHY REWARDS PROGRAM	BONE DENSITY, COLORECTAL SCREENING, DIABETIC EYE EXAM, DIABETIC HBA1C, DIABETIC KIDNEY SCREENING, FLU VACCINE, HEALTH RISK ASSESSMENT AND WELLNESS VISIT, BREAST CANCER SCREENING, COLORECTAL CANCER SCREENING, COMPREHENSIVE DIABETES CARE - EYE EXAM, HBA1C, NEPHROPATHY, BONE DENSITY SCREENING, ANNUAL WELLNESS VISIT, LEARN and EARN	REWARDS VARY FROM $10 - $50 DEPENDING ON SERVICE COMPLETED.  MEMBERS WERE ABLE TO CHOOSE FROM A VARIETY OF GIFT CARDS INCLUDING: WALMART, VISA, SUBWAY, VISA PREPAID DEBIT CARD	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. | 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 | 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.	9787	28884
H0755	OXFORD HEALTH PLANS (CT), INC.	2021	1	Y	HouseCalls Program, Renew Rewards and/or Vivify Program	HouseCall, Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening,Health Risk Assessment ,Flu Shot, Device-Based Activities (Step), Registration for Vivify mobile application., ,	Gift Card or Vivify 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.,Renew Rewards Program: 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 care activity itself., ,	HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in a visit.  Members can receive information about the opportunity to have a HouseCalls visit by outbound phone outreach from our scheduling agents, mailed materials, or email.  The clinician performing the visit will enter member information into the eHouseCalls app housed on the tablet our clinicians use in the field.  Once the HouseCalls system receive s confirmation of a completed visit, the reward is issued.,  , Renew Rewards Program: Enrollees initiate the redemption process by activating 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 four channels by providing certain required data (e.g., appointment date). Once UHC validates the eligibility period for the activity, the reward is issued.  For Vivify Reward 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, once the system has registered the members acceptance.Member self-report the Registration of Vivify mobile application) through any od four channels by providing the required data (Date of registration of Vivify mobile application)once UHC vaidates the eigibility period and reward is issued.,	49233	68454
H0783	HUMANA BENEFIT PLAN OF TEXAS, INC.	2021	1	Y	Go365 by Humana	Fitness: rewards for completing monthly workouts, Social/Health Education: 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, education 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.	56	95
H0798	MEDICA COMMUNITY HEALTH PLAN	2021	1	Y	HouseCalls	Member receives a giftcard if they complete a HouseCalls visit	Giftcard	We decide prior to sending. Current value $15	Giftcard is sent for each completed visit	111	8
H0838	UNIVERSAL CARE, INC.	2021	1	Y	Rewards Plus	Health Screenings	Visa Card is awarded for each health screening completed by enrollee.	Value of reward depends which health screening is completed.	Enrollee participation is tracked in our care management system, CASEY.	69706	100792
H0885	HEALTHIER NEW JERSEY INSURANCE COMPANY	2021	1	Y	2021 Member Rewards and Incentive Program	Annual Wellness Visit, Breast Cancer Screening, Colon Cancer Screening, Diabetic Eye Exam, Osteoporosis Management	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	16212	8644
H0907	AMERIGROUP IOWA, INC.	2021	1	N	 	 	 	 	 	0	0
H0908	BUCKEYE COMMUNITY HEALTH PLAN, INC.	2021	1	Y	BUCKEYE COMMUNITY HEALTH PLAN, INC. | MEDICARE HEALTHY REWARDS PROGRAM	BONE DENSITY, COLORECTAL SCREENING, DIABETIC EYE EXAM, DIABETIC HBA1C, DIABETIC KIDNEY SCREENING, FLU VACCINE, HEALTH RISK ASSESSMENT AND WELLNESS VISIT, BREAST CANCER SCREENING, COLORECTAL CANCER SCREENING, COMPREHENSIVE DIABETES CARE - EYE EXAM, HBA1C, NEPHROPATHY, BONE DENSITY SCREENING, ANNUAL WELLNESS VISIT, LEARN and EARN	REWARDS VARY FROM $10 - $50 DEPENDING ON SERVICE COMPLETED.  MEMBERS WERE ABLE TO CHOOSE FROM A VARIETY OF GIFT CARDS INCLUDING: WALMART, VISA, SUBWAY, VISA PREPAID DEBIT CARD	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. | 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 | 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.	3853	16523
H0913	WELLCARE HEALTH PLANS OF NEW JERSEY, INC.	2021	1	Y	MEDICARE HEALTHY REWARDS PROGRAM	BREAST CANCER SCREENING, COLORECTAL CANCER SCREENING, COMPREHENSIVE DIABETES CARE - EYE EXAM, HBA1C, NEPHROPATHY, BONE DENSITY SCREENING, ANNUAL WELLNESS VISIT, FLU VACCINE, LEARN and EARN	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.	6305	17231
H0927	HEALTH CARE SERVICE CORPORATION	2021	1	N	 	 	 	 	 	0	0
H0969	WELLCARE HEALTH INSURANCE COMPANY OF NEW HAMPSHIRE	2021	1	Y	MEDICARE HEALTHY REWARDS PROGRAM	BREAST CANCER SCREENING, COLORECTAL CANCER SCREENING, COMPREHENSIVE DIABETES CARE - EYE EXAM, HBA1C, NEPHROPATHY, BONE DENSITY SCREENING, ANNUAL WELLNESS VISIT, FLU VACCINE, LEARN and EARN	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.	1596	2129
H0982	SOLIS HEALTH PLANS, INC.	2021	1	N	 	 	 	 	 	0	0
H1016	AVMED, INC.	2021	1	Y	Medicare Healthyperks	Annual Wellness Visit, Colon Cancer Screening, Breast Cancer Screening, Diabetes Blood Test (A1C), Osteoporosis Screening (Bone Mineral Density), Diabetic Eye Exam,  Flu Shot, Treatment Plan Discussion ( with provider), Fall Risk Discussion (with Provider)  Personal Health Assessment, Online Wellness Courses	Gift Cards	Members can complete activities to earn rewards for a maximum of $125 combined per year	Weekly Activity Reports (Performance Dashboard)	6580	23744
H1019	CAREPLUS HEALTH PLANS, INC.	2021	1	Y	CarePlus Rewards	Wellness Assessment Activities (Annual Wellness Visit, Welcome to Medicare visit, Real Age Test) and Preventive Care Activities (Cardiovascular disease screenings, Bone mass measurement, Depression screening, Medical nutrition therapy, Flu shot, breast cancer screening,  colorectal cancer screening and diabetes management - blood sugar test, diabetic eye exam, kidney health test and diabetes self management training)	Enrollees can earn one $50 gift card in a plan year by completing one wellness assessment activity and four preventive care activities. Rewards can be redeemed via ShareCare (online), or by calling customer service for assistance in placing an order or requesting an order form (offline).	CarePlus collaborates with the clinical team to determine the value of the activity. Members earn 20 points by completing a Wellness assessment activity and 30 points for completing 4 Preventive care activities. CarePlus uses a cumulative point system therefore, the value of the $50 gift card will not exceed the value of the services included in the program.	Program participation is tracked for each member through activity trigger files as well as the eligibility files sent to CarePlus' rewards partners, Sharecare and Incomm.  The data is extracted solely from claims data.	206894	1985950
H1032	SUNSHINE STATE HEALTH PLAN, INC.	2021	1	Y	MEDICARE HEALTHY REWARDS PROGRAM	BREAST CANCER SCREENING, COLORECTAL CANCER SCREENING, COMPREHENSIVE DIABETES CARE - EYE EXAM, HBA1C, NEPHROPATHY, BONE DENSITY SCREENING, ANNUAL WELLNESS VISIT, FLU VACCINE, LEARN and EARN	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.	132498	716064
H1035	FLORIDA BLUE MEDICARE, INC.	2021	1	Y	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 $10, Breast Cancer Screening $25, Colon Cancer Screening (Fecal Occult Blood Test/Fecal Immunochemical Test/Flexible Sigmoidoscopy Colonoscopy) $25, Diabetes Care Eye Exam $25, Diabetes Care Kidney Exam $15, Diabetes Care A1C $20, 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 2021 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.	29081	20548
H1036	HUMANA MEDICAL PLAN, INC.	2021	1	Y	Go365 by Humana	Fitness: rewards for completing monthly workouts, Social/Health Education: 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, education 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.	535473	8987544
H1045	PREFERRED CARE PARTNERS, INC.	2021	1	Y	HouseCalls Program, UnitedHealthcare Dual Complete Rewards,  Renew Rewards and/or Vivify Program	HouseCall, Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, 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,Health Risk Assessment ,Flu Shot, Device-Based Activities (Step), Registration for Vivify mobile application., ,	Gift Card, Vivify 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., 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 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 care activity itself., ,	HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in a 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., 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 four channels by providing certain required data (e.g., appointment date). Once UHC validates the eligibility period for the activity, the reward is issued.  For Vivify Reward 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, once the system has registered the members acceptance.Member self-report the Registration of Vivify mobile application) through any od four channels by providing the required data (Date of registration of Vivify mobile application)once UHC vaidates the eigibility period and reward is issued.,	85143	98876
H1099	HEALTH FIRST HEALTH PLANS	2021	1	Y	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	35230	25500
H1109	AETNA HEALTH INC.(GA)	2021	1	Y	Aetna Healthy You Rewards	Completing Physical Activity, Annual Wellness Exam, Healthy Home Visit, 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 or 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.	1926	847
H1111	UNITEDHEALTHCARE OF GEORGIA, INC.	2021	1	Y	HouseCalls Program, Renew Rewards and/or Vivify Program	HouseCall, Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening,Health Risk Assessment ,Flu Shot, Device-Based Activities (Step), Registration for Vivify mobile application., ,	Gift Card or Vivify 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.,Renew Rewards Program: 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 care activity itself., ,	HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in a visit.  Members can receive information about the opportunity to have a HouseCalls visit by outbound phone outreach from our scheduling agents, mailed materials, or email.  The clinician performing the visit will enter member information into the eHouseCalls app housed on the tablet our clinicians use in the field.  Once the HouseCalls system receive s confirmation of a completed visit, the reward is issued.,  , Renew Rewards Program: Enrollees initiate the redemption process by activating 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 four channels by providing certain required data (e.g., appointment date). Once UHC validates the eligibility period for the activity, the reward is issued.  For Vivify Reward 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, once the system has registered the members acceptance.Member self-report the Registration of Vivify mobile application) through any od four channels by providing the required data (Date of registration of Vivify mobile application)once UHC vaidates the eigibility period and reward is issued.,	5674	5763
H1112	WELLCARE OF GEORGIA, INC.	2021	1	Y	MEDICARE HEALTHY REWARDS PROGRAM	BREAST CANCER SCREENING, COLORECTAL CANCER SCREENING, COMPREHENSIVE DIABETES CARE - EYE EXAM, HBA1C, NEPHROPATHY, BONE DENSITY SCREENING, ANNUAL WELLNESS VISIT, FLU VACCINE, LEARN and EARN	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.	58522	414429
H1119	TSG GUARD, INC.	2021	1	N	 	 	 	 	 	0	0
H1170	KAISER FOUNDATION HP OF GA, INC.	2021	1	N	 	 	 	 	 	0	0
H1181	NETWORK HEALTH INSURANCE CORPORATION	2021	1	Y	Healthy Living with Diabetes	Completion of heath related educational programming	Gift card to Amazon,   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 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	2021	2	Y	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 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	2021	3	Y	MSA Wellness Program	annual wellness visit-flu shot	Reloadable gift card that can be used at various merchants	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.	Members do not enroll into the program but are eligible when they enroll with Network Health. Spreadsheets and vendor reporting	1316	304
H1181	NETWORK HEALTH INSURANCE CORPORATION	2021	4	Y	Matrix Mobile	Completion of mobile quality or risk adjustment visit	Reloadable gift card that can be used at various merchants	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	2	2
H1181	NETWORK HEALTH INSURANCE CORPORATION	2021	5	Y	Innovalon Home Visit	Completion of in home or virtual assessment	Reloadable gift card that can be used at various merchants	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	1316	225
H1189	CHRISTUS HEALTH PLAN	2021	1	N	 	 	 	 	 	0	0
H1225	HOPKINS HEALTH ADVANTAGE, INC.	2021	1	N	 	 	 	 	 	0	0
H1230	KAISER FOUNDATION HP, INC.	2021	1	Y	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.	652	431
H1248	LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY	2021	1	Y	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	The reward amount is calculated based on the sum of reward dollars associated with the list of approved activities and respective award amounts for each activity, up to the capped annual earnings	Was tracked by third party vendor  HealthMine	946	837
H1277	ALIGN SENIOR CARE, INC.	2021	1	N	 	 	 	 	 	0	0
H1278	HARKEN HEALTH INSURANCE COMPANY	2021	1	Y	HouseCalls Program, Renew Rewards and/or Vivify Program	HouseCall, Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening,Health Risk Assessment ,Flu Shot, Device-Based Activities (Step), Registration for Vivify mobile application., ,	Gift Card or Vivify 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.,Renew Rewards Program: 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 care activity itself., ,	HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in a visit.  Members can receive information about the opportunity to have a HouseCalls visit by outbound phone outreach from our scheduling agents, mailed materials, or email.  The clinician performing the visit will enter member information into the eHouseCalls app housed on the tablet our clinicians use in the field.  Once the HouseCalls system receive s confirmation of a completed visit, the reward is issued.,  , Renew Rewards Program: Enrollees initiate the redemption process by activating 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 four channels by providing certain required data (e.g., appointment date). Once UHC validates the eligibility period for the activity, the reward is issued.  For Vivify Reward 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, once the system has registered the members acceptance.Member self-report the Registration of Vivify mobile application) through any od four channels by providing the required data (Date of registration of Vivify mobile application)once UHC vaidates the eigibility period and reward is issued.,	32317	34739
H1290	DEVOTED HEALTH PLAN OF FLORIDA, INC.	2021	1	Y	Devoted Dollars	Breast Cancer Screening, Colorectal Cancer Screening, Comprehensive PCP Visit, First PCP Visit, Flu Shot, Health Risk Assessment, Routine Diabetes Exam	Prepaid Gift Cards	$25 USD for Breast Cancer Screening on an yearly basis, $25 USD for Colorectal Cancer Screening on an yearly basis, $25 USD for Comprehensive PCP Visit on an yearly basis, $10 USD for First PCP Visit on an yearly basis, $20 USD for Flu Shot on an yearly basis, $25 USD for Health Risk Assessment on an yearly basis, $25 USD for Routine Diabetes Exam on an yearly basis	A medical claim for a PCP visit in first 90 days of enrollment 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, a medical claim for CAV triggers a Comprehensive visit reward, a HRA for member on DSNP plan will trigger a HRA Reward	23074	81493
H1302	BLUE CROSS OF IDAHO CARE PLUS, INC.	2021	1	Y	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.	100	198
H1304	REGENCE BLUESHIELD OF IDAHO	2021	1	Y	Onlife Health Member Incentive Program	Annual Wellness Exam, Colorectal Cancer Screening, Breast Cancer Screening, Diabetes Care, Osteoporosis Management, Advanced Care Planning, Fall Risk Prevention discussion	Gift Cards	Members earn gift cards by having the services (AWV, Breast Cancer Screening, Colorectal Cancer Screening, Diabetes Care, and Advanced Care Planning, Fall Risk Discussion)	Members Opt-in to the program and Onlife, tracks their rewards based on opt-in status and whether or not our claims' feed and or attestation shows the services rendered to participants.	1515	815
H1350	BLUE CROSS OF IDAHO CARE PLUS, INC.	2021	1	Y	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.	6963	18978
H1352	BLUE-ADVANTAGE PLUS OF KANSAS CITY, INC.	2021	1	Y	Medicare Reward Program	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. Member must register with Rewards vendor to participate.	1860	2976
H1353	WELLCARE OF WASHINGTON, INC.	2021	1	Y	MEDICARE HEALTHY REWARDS PROGRAM	BREAST CANCER SCREENING, COLORECTAL CANCER SCREENING, COMPREHENSIVE DIABETES CARE - EYE EXAM, HBA1C, NEPHROPATHY, BONE DENSITY SCREENING, ANNUAL WELLNESS VISIT, FLU VACCINE, LEARN and EARN	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.	3310	4836
H1360	HEALTH PLAN OF NEVADA, INC.	2021	1	Y	HouseCalls Program, UnitedHealthcare Dual Complete Rewards	HouseCall, Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, Flu Shot, Health Assessment completion	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., 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 HouseCalls program contacts eligible members who then agree to participate in a 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., 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.,  , ,	780	893
H1365	MARTIN'S POINT GENERATIONS ADVANTAGE, INC.	2021	1	Y	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	58	58
H1372	MARQUIS ADVANTAGE, INC.	2021	1	N	 	 	 	 	 	0	0
H1375	UNITEDHEALTHCARE COMMUNITY PLAN OF CALIFORNIA, INC	2021	1	Y	HouseCalls Program, UnitedHealthcare Dual Complete Rewards	HouseCall, Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, Flu Shot, Health Assessment completion	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., 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 HouseCalls program contacts eligible members who then agree to participate in a 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., 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.,  , ,	829	784
H1415	HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.	2021	1	Y	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.	11200	3203
H1416	HARMONY HEALTH PLAN,  INC.	2021	1	Y	MEDICARE HEALTHY REWARDS PROGRAM	BREAST CANCER SCREENING, COLORECTAL CANCER SCREENING, COMPREHENSIVE DIABETES CARE - EYE EXAM, HBA1C, NEPHROPATHY, BONE DENSITY SCREENING, ANNUAL WELLNESS VISIT, FLU VACCINE, LEARN and EARN	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.	96758	663737
H1423	AMERIGROUP OHIO, INC.	2021	1	N	 	 	 	 	 	0	0
H1426	VITALITY HEALTH PLAN OF CALIFORNIA, INC.	2021	1	N	 	 	 	 	 	0	0
H1436	ABSOLUTE TOTAL CARE, INC.	2021	1	Y	ABSOLUTE TOTAL CARE, INC. | MEDICARE HEALTHY REWARDS PROGRAM	BREAST CANCER SCREENING, COLORECTAL CANCER SCREENING, COMPREHENSIVE DIABETES CARE - EYE EXAM, HBA1C, NEPHROPATHY, BONE DENSITY SCREENING, ANNUAL WELLNESS VISIT, FLU VACCINE, LEARN and EARN, COLORECTAL SCREENING, DIABETIC EYE EXAM, DIABETIC HBA1C, DIABETIC KIDNEY SCREENING, FLU VACCINE AND HEALTH RISK ASSESSMENT	REWARDS VARY FROM $10 - $50 DEPENDING ON SERVICE COMPLETED.  MEMBERS WERE ABLE TO CHOOSE FROM A VARIETY OF GIFT CARDS INCLUDING: WALMART, VISA, SUBWAY, VISA PREPAID DEBIT CARD	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. | 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 | 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.	11194	35178
H1463	HEALTH ALLIANCE CONNECT, INC.	2021	1	Y	Wellness Rewards	Eligible activities include: annual wellness visit or physical (required), breast cancer screening, colorectal cancer screening, diagnostic eye exam, nephropathy urine test, Be Fit fitness reimbursement	Member earns a $50 Visa gift card by completing three program activities	Member must complete annual wellness visit or physical and two additional program activities	Participation is tracked through claims submissions	27241	10856
H1468	HUMANA BENEFIT PLAN OF ILLINOIS, INC.	2021	1	Y	Go365 by Humana	Fitness: rewards for completing monthly workouts, Social/Health Education: 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, education 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.	128625	1819365
H1537	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	2021	1	Y	HouseCalls Program, Renew Rewards and/or Vivify Program	HouseCall, Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening,Health Risk Assessment ,Flu Shot, Device-Based Activities (Step), Registration for Vivify mobile application., ,	Gift Card or Vivify 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.,Renew Rewards Program: 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 care activity itself., ,	HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in a visit.  Members can receive information about the opportunity to have a HouseCalls visit by outbound phone outreach from our scheduling agents, mailed materials, or email.  The clinician performing the visit will enter member information into the eHouseCalls app housed on the tablet our clinicians use in the field.  Once the HouseCalls system receive s confirmation of a completed visit, the reward is issued.,  , Renew Rewards Program: Enrollees initiate the redemption process by activating 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 four channels by providing certain required data (e.g., appointment date). Once UHC validates the eligibility period for the activity, the reward is issued.  For Vivify Reward 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, once the system has registered the members acceptance.Member self-report the Registration of Vivify mobile application) through any od four channels by providing the required data (Date of registration of Vivify mobile application)once UHC vaidates the eigibility period and reward is issued.,	735	690
H1587	ARKANSAS SUPERIOR SELECT, INC.	2021	1	N	 	 	 	 	 	0	0
H1607	ANTHEM INSURANCE COMPANIES, INC.	2021	1	N	 	 	 	 	 	0	0
H1608	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	2021	1	Y	Aetna Healthy You Rewards	Completing Physical Activity, Annual Wellness Exam, Healthy Home Visit, 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 or 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.	20536	5828
H1609	AETNA HEALTH INC. (FL)	2021	1	Y	Aetna Healthy You Rewards	Completing Physical Activity, Annual Wellness Exam, Healthy Home Visit, 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 or 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.	13321	3031
H1610	COVENTRY HEALTH CARE OF VIRGINIA, INC.	2021	1	Y	DSNP HRA Incentive	Completed annual SNP Health Risk Assessment (HRA)	$25 gift card	For every completed and compliant HRA a member received a $25 Walmart gift card in the mail.	All DSNP members are eligible for 1 reward annually for the completion of their annual HRA.	5943	3886
H1610	COVENTRY HEALTH CARE OF VIRGINIA, INC.	2021	2	Y	Covid Vaccine Reward Program	Complete one dose of COVID Vaccine.	$100 gift card	Members that received at least 1 dose of covid vax confirmed on the state file received a $100 gift card in the mail.	In Q4 2021 members that received at least 1 dose of covid vax confirmed on the state file received a $100 gift card in the mail.	5943	168
H1644	LONGEVITY HEALTH PLAN OF FLORIDA, INC.	2021	1	N	 	 	 	 	 	0	0
H1659	UNITEDHEALTHCARE INSURANCE CO. OF THE RIVER VALLEY	2021	1	Y	HouseCalls Program, Renew Rewards and/or Vivify Program	HouseCall, Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening,Health Risk Assessment ,Flu Shot, Device-Based Activities (Step), Registration for Vivify mobile application., ,	Gift Card or Vivify 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.,Renew Rewards Program: 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 care activity itself., ,	HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in a visit.  Members can receive information about the opportunity to have a HouseCalls visit by outbound phone outreach from our scheduling agents, mailed materials, or email.  The clinician performing the visit will enter member information into the eHouseCalls app housed on the tablet our clinicians use in the field.  Once the HouseCalls system receive s confirmation of a completed visit, the reward is issued.,  , Renew Rewards Program: Enrollees initiate the redemption process by activating 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 four channels by providing certain required data (e.g., appointment date). Once UHC validates the eligibility period for the activity, the reward is issued.  For Vivify Reward 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, once the system has registered the members acceptance.Member self-report the Registration of Vivify mobile application) through any od four channels by providing the required data (Date of registration of Vivify mobile application)once UHC vaidates the eigibility period and reward is issued.,	980	941
H1664	HOME STATE HEALTH PLAN, INC.	2021	1	Y	HOME STATE HEALTH PLAN, INC. | MEDICARE HEALTHY REWARDS PROGRAM	BONE DENSITY, COLORECTAL SCREENING, DIABETIC EYE EXAM, DIABETIC HBA1C, DIABETIC KIDNEY EXAM, FLU VACCINE, HEALTH RISK ASSESSMENT AND WELLNESS VISIT, BREAST CANCER SCREENING, COLORECTAL CANCER SCREENING, COMPREHENSIVE DIABETES CARE - EYE EXAM, HBA1C, NEPHROPATHY, BONE DENSITY SCREENING, ANNUAL WELLNESS VISIT, LEARN and EARN	REWARDS VARY FROM $10 - $50 DEPENDING ON SERVICE COMPLETED.  MEMBERS WERE ABLE TO CHOOSE FROM A VARIETY OF GIFT CARDS INCLUDING: WALMART, VISA, SUBWAY, VISA PREPAID DEBIT CARD	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. | 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 | 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.	8710	18035
H1666	HCSC INSURANCE SERVICES COMPANY	2021	1	Y	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	6830	24157
H1692	COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.	2021	1	Y	Aetna Healthy You Rewards	Completing Physical Activity, Annual Wellness Exam, Healthy Home Visit, 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 or 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.	9550	3120
H1722	HEALTHFIRST HEALTH PLAN, INC.	2021	1	Y	Reward Card Program	Completion of Health Risk Assessment, Flu Shot, Breast Cancer Screening, Colorectal Cancer Screening, Diabetic Eye Exam, Bone Density Test, Welcome Checklist: Completion of New Member Questionnaire, Set Up Online Account, Confirm In-Network Pharmacy, Check Covered Formulary Prescription, Schedule 1st PCP Visit	Members are offered a reward card or virtual reward that can be used in-stores and online shops	We chose to use the baseline amount of $5 (with the exception of Welcome Checklist Activities at $1) per measure and increase the reward with measures that are not performing at the desired level	We maintain a database that keeps track of member participation	246	657
H1723	ABSOLUTE TOTAL CARE, INC.	2021	1	Y	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	6448	5415
H1732	HEALTHPLUS HP, LLC	2021	1	N	 	 	 	 	 	0	0
H1737	HEALTH ALLIANCE - MIDWEST, INC.	2021	1	Y	Wellness Rewards	Eligible activities include: annual wellness visit or physical (required), breast cancer screening, colorectal cancer screening, diagnostic eye exam, nephropathy urine test, Be Fit fitness reimbursement	Member earns a $50 Visa gift card by completing three program activities	Member must complete annual wellness visit or physical and two additional program activities	Participation is tracked through claims submissions	729	297
H1774	CENTENE VENTURE COMPANY INDIANA, INC.	2021	1	Y	IN-MEDICARE-PPO ASCENSION COMPLETE	BREAST CANCER SCREENING, COLORECTAL CANCER SCREENING, DIABETES HBA1C, DIABETES KIDNEY SCREENING, 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	85	75
H1777	CATHOLIC SPECIAL NEEDS PLAN, LLC	2021	1	N	 	 	 	 	 	0	0
H1787	GOOD SAMARITAN INSURANCE PLAN OF SOUTH DAKOTA, INC	2021	1	N	 	 	 	 	 	0	0
H1821	UNITEDHEALTHCARE OF OREGON, INC.	2021	1	Y	HouseCalls Program, Renew Rewards and/or Vivify Program, WEconnect $360 Program	HouseCall, Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening,Health Risk Assessment ,Flu Shot, Device-Based Activities (Step), Registration for Vivify mobile application., , Any activities which support recovery from SUD (doctors appointments, therapy, counseling, exercise), broken into support and self-care categories.	Gift Card, Vivify loaned Tablet, Digital Amazon giftcards	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 Rewards Program: 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 care activity itself., , WEconnect: Rewards are distributed based on a pre-determined challenge schedule. Members must complete a certain number of activities to satisfy the challenge and earn the incentive.	HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in a visit.  Members can receive information about the opportunity to have a HouseCalls visit by outbound phone outreach from our scheduling agents, mailed materials, or email.  The clinician performing the visit will enter member information into the eHouseCalls app housed on the tablet our clinicians use in the field.  Once the HouseCalls system receive s confirmation of a completed visit, the reward is issued.,  , Renew Rewards Program: Enrollees initiate the redemption process by activating 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 four channels by providing certain required data (e.g., appointment date). Once UHC validates the eligibility period for the activity, the reward is issued.  For Vivify Reward 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, once the system has registered the members acceptance.Member self-report the Registration of Vivify mobile application) through any od four channels by providing the required data (Date of registration of Vivify mobile application)once UHC vaidates the eigibility period and reward is issued., WEconnect: Members track activities in the mobile application, which verifies participation with GPS tracking and URL verification.	12469	15389
H1846	MOUNT CARMEL HEALTH INSURANCE COMPANY	2021	1	Y	MediGold Member Rewards	Breast Cancer Screening, Colorectal Cancer Screening, Osteoporosis Management, Diabetic Eye Exam, Diabetes Nephropathy, Diabetes A1c, Annual Wellness Visit	Reloadable MasterCard	All reward activities are eligible for a fixed, tangible value of $25 gift card dollars. The fixed amount is set at a median value as not to exceed the value of the service.	Reward participation is tracked through member attestation. Members may choose to attest to service completion through mail or phone. Mail and verbal attestation forms are collected, converted to a report and stored.	97	161
H1848	WELLCARE OF ALABAMA, INC.	2021	1	Y	MEDICARE HEALTHY REWARDS PROGRAM	BREAST CANCER SCREENING, COLORECTAL CANCER SCREENING, COMPREHENSIVE DIABETES CARE - EYE EXAM, HBA1C, NEPHROPATHY, BONE DENSITY SCREENING, ANNUAL WELLNESS VISIT, FLU VACCINE, LEARN and EARN	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.	629	386
H1862	WELLCARE HEALTH PLANS OF VERMONT, INC.	2021	1	Y	MEDICARE HEALTHY REWARDS PROGRAM	BREAST CANCER SCREENING, COLORECTAL CANCER SCREENING, COMPREHENSIVE DIABETES CARE - EYE EXAM, HBA1C, NEPHROPATHY, BONE DENSITY SCREENING, ANNUAL WELLNESS VISIT, FLU VACCINE, LEARN and EARN	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.	333	52
H1889	UNITEDHEALTHCARE OF FLORIDA, INC.	2021	1	Y	UnitedHealthcare Dual Complete Rewards	Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, Flu Shot, Health Assessment completion	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.,,	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.,  , ,	7739	18513
H1894	AMERIGROUP WASHINGTON, INC.	2021	1	N	 	 	 	 	 	0	0
H1914	WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.	2021	1	Y	MEDICARE HEALTHY REWARDS PROGRAM	BREAST CANCER SCREENING, COLORECTAL CANCER SCREENING, COMPREHENSIVE DIABETES CARE - EYE EXAM, HBA1C, NEPHROPATHY, BONE DENSITY SCREENING, ANNUAL WELLNESS VISIT, FLU VACCINE, LEARN and EARN	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.	6712	21882
H1924	PORT HOLDINGS, INC.	2021	1	Y	Lasso Healthcare Rewards Program	Members earn rewards for completing Annual Wellness Visit, Health Survey and Lab Work	Members can earn reward cards totaling up to $250 ($100 for AWV, $75 for Health Survey, $75 for Lab work)	Incentives are valued to elicit member participation and are established using reasonable and appropriate values that comply with guidance.	Lasso Healthcare records forms as they are returned and can create reports based on reward type by member.	6264	5696
H1944	UNITEDHEALTHCARE OF NEW ENGLAND, INC.	2021	1	Y	HouseCalls Program, Renew Rewards and/or Vivify Program	HouseCall, Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening,Health Risk Assessment ,Flu Shot, Device-Based Activities (Step), Registration for Vivify mobile application., ,	Gift Card or Vivify 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.,Renew Rewards Program: 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 care activity itself., ,	HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in a visit.  Members can receive information about the opportunity to have a HouseCalls visit by outbound phone outreach from our scheduling agents, mailed materials, or email.  The clinician performing the visit will enter member information into the eHouseCalls app housed on the tablet our clinicians use in the field.  Once the HouseCalls system receive s confirmation of a completed visit, the reward is issued.,  , Renew Rewards Program: Enrollees initiate the redemption process by activating 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 four channels by providing certain required data (e.g., appointment date). Once UHC validates the eligibility period for the activity, the reward is issued.  For Vivify Reward 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, once the system has registered the members acceptance.Member self-report the Registration of Vivify mobile application) through any od four channels by providing the required data (Date of registration of Vivify mobile application)once UHC vaidates the eigibility period and reward is issued.,	31806	33744
H1947	COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.	2021	1	N	 	 	 	 	 	0	0
H1951	HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.	2021	1	Y	Go365 by Humana	Fitness: rewards for completing monthly workouts, Social/Health Education: 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, education 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.	184460	2448990
H1961	PEOPLES HEALTH, INC.	2021	1	Y	Peoples Health	Comprehensive Wellness Assessment, Breast Cancer Screening, Colorectal Cancer Screening	Gift Card	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.	Peoples Health: Contracts with Icario, a member engagement company, to manage the Peoples Health Member Rewards program. Icario provides weekly 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)., , , , ,	28781	29043
H1969	REGENCE BLUESHIELD OF IDAHO	2021	1	Y	Onlife Health Member Incentive Program	Annual Wellness Exam, Colorectal Cancer Screening, Breast Cancer Screening, Diabetes Care, Osteoporosis Management, Advanced Care Planning, Fall Risk Prevention discussion	Gift Cards	Members earn gift cards by having the services (AWV, Breast Cancer Screening, Colorectal Cancer Screening, Diabetes Care, and Advanced Care Planning, Fall Risk Prevention discussion)	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.	621	561
H1977	UPPER PENINSULA HEALTH PLAN, LLC	2021	1	N	 	 	 	 	 	0	0
H1993	ASTIVA HEALTH, INC.	2021	1	N	 	 	 	 	 	0	0
H1994	SELECTHEALTH, INC.	2021	1	Y	1) Healthy Living 2) Covid Vaccine	1)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). 2) Complete a full course of vaccination for Covid-19 during 2021.	1) $50 gift card  2) $100 gift card	1) Only one dollar amount is available for completion. 2) Only one dollar amount is available for completion	1) Members must track activities and submit information to 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. 2) Covid Vaccine completion was either self-reported by the member or tracked by the healthplan.	40454	4515
H1997	REGENCE BLUESHIELD	2021	1	Y	Onlife Health Member Incentive Program	Fall Risk Reduction discussion	Gift Cards	Members earn gift cards by having the services (Fall Risk Reduction discussion)	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.	330	38
H2001	SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	2021	1	Y	HouseCalls Program,  Renew Motion, Renew Rewards and/or Vivify Program	HouseCall, Renew Motion, Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening,Health Risk Assessment ,Flu Shot, Device-Based Activities (Step), Registration for Vivify mobile application., ,	Gift Card, Vivify 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., , , , , , 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., Renew Rewards Program: 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 care activity itself., ,	HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in a 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., 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 four channels by providing certain required data (e.g., appointment date). Once UHC validates the eligibility period for the activity, the reward is issued.  For Vivify Reward 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, once the system has registered the members acceptance.Member self-report the Registration of Vivify mobile application) through any od four channels by providing the required data (Date of registration of Vivify mobile application)once UHC vaidates the eigibility period and reward is issued.,	549716	502616
H2020	DELAWARE LIFE INSURANCE COMPANY	2021	1	N	 	 	 	 	 	0	0
H2029	HUMANA INSURANCE OF PUERTO RICO, INC.	2021	1	Y	Go365 by Humana	Fitness: rewards for completing monthly workouts, Social/Health Education: 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, education 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.	715	33820
H2032	BAYLOR SCOTT & WHITE INSURANCE COMPANY	2021	1	N	 	 	 	 	 	0	0
H2034	COMMUNITY CARE HEALTH PLAN, INC.	2021	1	N	 	 	 	 	 	0	0
H2056	AETNA BETTER HEALTH OF MICHIGAN INC.	2021	1	N	 	 	 	 	 	0	0
H2108	BRAVO HEALTH MID-ATLANTIC, INC.	2021	1	Y	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.	15864	4364
H2134	WESTERN SKY COMMUNITY CARE, INC.	2021	1	Y	MEDICARE HEALTHY REWARDS PROGRAM	BREAST CANCER SCREENING, COLORECTAL CANCER SCREENING, COMPREHENSIVE DIABETES CARE - EYE EXAM, HBA1C, NEPHROPATHY, BONE DENSITY SCREENING, ANNUAL WELLNESS VISIT, FLU VACCINE, LEARN and EARN	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.	4881	4280
H2161	UPPER PENINSULA HEALTH PLAN, LLC	2021	1	Y	Diabetic Eye Exam Incentive	Diabetic Retinal Eye Exam	$15.00 Gift Card	Face value of gift card, max one gift card per member per year for the activity. Ensured that the amount of the reward does not exceed the value of the activity.	A monthly claims report identies the members who are part of the eligible population and have completed a an annual diabetic retinal eye exam. Each gift card number is entered into a spreadsheet for tracking purposes.	717	66
H2161	UPPER PENINSULA HEALTH PLAN, LLC	2021	2	Y	Annual Well Visit Incentive	Annual Wellness Visit or Welcome to Medicare Visit	$15.00 Gift Card	Face value of gift card, max one gift card per member per year for the activity. Ensured that the amount of the reward does not exceed the value of the activity.	A monthly claims report identifies enrollees who are part of the eligible population and have completed a recommended a Welcome to Medicare or Annual Wellness Visit. Each gift card number is entered into a spreadsheet for tracking purposes.	717	271
H2162	WELLCARE OF NEW HAMPSHIRE, INC.	2021	1	Y	MEDICARE HEALTHY REWARDS PROGRAM	BREAST CANCER SCREENING, COLORECTAL CANCER SCREENING, COMPREHENSIVE DIABETES CARE - EYE EXAM, HBA1C, NEPHROPATHY, BONE DENSITY SCREENING, ANNUAL WELLNESS VISIT, FLU VACCINE, LEARN and EARN	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.	186	254
H2168	VILLAGE SENIOR SERVICES CORPORATION	2021	1	Y	VillageCareMAX Medicare Rewards Program	COVID 19 Vaccine, Influenza Vaccine, Colorectal Cancer Screening, Dental Exam, Eye Exam, Hearing Exam, Diabetes Screening, Breast Cancer Screening, Wellness Visit	Gift Cards	All rewards are valued at $15 except for the Influenza Vaccine which is valued at $20 and the COVID 19 Vaccine which is valued at $25. Plan ensure that the reward value is not more than the activity itself.	Enrollees submit an attestation for the completed activities. The attestations are signed by the provider who performed the service. Each activitiy and Gift Card number is recoded in the member's record in the VCMAX EMR.	3319	1430
H2171	CARE N' CARE INSURANCE COMPANY, INC.	2021	1	N	 	 	 	 	 	0	0
H2172	KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES	2021	1	Y	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.	348	295
H2174	TRILLIUM COMMUNITY HEALTH PLAN, INC.	2021	1	Y	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	1278	1000
H2185	LIFEWORKS ADVANTAGE, LLC	2021	1	N	 	 	 	 	 	0	0
H2196	UNITEDHEALTHCARE OF MISSISSIPPI, INC.	2021	1	Y	HouseCalls Program, Renew Rewards and/or Vivify Program	HouseCall, Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening,Health Risk Assessment ,Flu Shot, Device-Based Activities (Step), Registration for Vivify mobile application., ,	Gift Card or Vivify 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.,Renew Rewards Program: 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 care activity itself., ,	HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in a visit.  Members can receive information about the opportunity to have a HouseCalls visit by outbound phone outreach from our scheduling agents, mailed materials, or email.  The clinician performing the visit will enter member information into the eHouseCalls app housed on the tablet our clinicians use in the field.  Once the HouseCalls system receive s confirmation of a completed visit, the reward is issued.,  , Renew Rewards Program: Enrollees initiate the redemption process by activating 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 four channels by providing certain required data (e.g., appointment date). Once UHC validates the eligibility period for the activity, the reward is issued.  For Vivify Reward 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, once the system has registered the members acceptance.Member self-report the Registration of Vivify mobile application) through any od four channels by providing the required data (Date of registration of Vivify mobile application)once UHC vaidates the eigibility period and reward is issued.,	2938	2383
H2224	SENIOR WHOLE HEALTH, LLC	2021	1	Y	SWH Healthy Rewards	Completing mammogram, completing colon cancer screening, completing blood pressure check, completing A1c testing, retinal eye exam, completing, nephropathy testing, completing wellness visit, completing bone density screening	Members may choose from the following retailers: Walmart Amazon Target Kroger (gift card value $25-50)	The reward values were set based on collaboration with the vendor to determine fair market valueswere competitive and adhered to CMS and state regulations. Service type was also taken into account to make sure the reward amount was reasonable.	Member attestation	13537	1087
H2225	COMMONWEALTH CARE ALLIANCE, INC.	2021	1	N	 	 	 	 	 	0	0
H2226	UNITEDHEALTHCARE INSURANCE COMPANY	2021	1	Y	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 a 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.,  , , ,	10173	9262
H2228	UNITEDHEALTHCARE INSURANCE COMPANY	2021	1	Y	HouseCalls Program, UnitedHealthcare Dual Complete Rewards,  Renew Rewards and/or Vivify Program	HouseCall, Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, 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,Health Risk Assessment ,Flu Shot, Device-Based Activities (Step), Registration for Vivify mobile application., ,	Gift Card, Vivify 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., 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 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 care activity itself., ,	HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in a 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., 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 four channels by providing certain required data (e.g., appointment date). Once UHC validates the eligibility period for the activity, the reward is issued.  For Vivify Reward 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, once the system has registered the members acceptance.Member self-report the Registration of Vivify mobile application) through any od four channels by providing the required data (Date of registration of Vivify mobile application)once UHC vaidates the eigibility period and reward is issued.,	136711	160131
H2230	BCBS  OF MASSACHUSETTS HMO BLUE, INC.	2021	1	Y	In-Home Health Risk Assessment w/ Signify Health	Members can earn a $25  Gift Card.	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.	4957	4376
H2230	BCBS  OF MASSACHUSETTS HMO BLUE, INC.	2021	2	Y	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 & 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.	1494	574
H2235	BAYCARE SELECT HEALTH PLANS, INC.	2021	1	N	 	 	 	 	 	0	0
H2237	INDEPENDENT CARE HEALTH PLAN, INC.	2021	1	Y	iCare Healthy Rewards Program	Rewards are given for completing an in-person Annual Wellness Exam or a virtual Annual Wellness Exam, a face to face in-home HCC exam, or a virtual in-home HCC exam	iCare Medicare Members who have completed a virtual Annual Wellness Exam earn a $10 Walmart Select gift card, Those who have completed an in-person Annual Wellness Exam earn a $25 Walmart Select gift card, Those who have completed a virtual or face to face HCC exam earn a $20 Walmart Select gift card.	The iCare Medicare team assigned a reward value that does not exceed the value of the increase in star ratings, yet of sufficient value to motivate participation.	Program participation is tracked and abstracted from medical claims.  As claim data feeds into the system, members are rewarded by being mailed a physical gift card.  Both the activity completion and the reward are posted to the member account.	9117	163740
H2241	GOLDEN STATE MEDICARE HEALTH PLAN	2021	1	Y	Health Screenings	Diabetic HbA1c screening, Diabetic nephropathy screening, Diabetic retinal eye exam, breast cancer screening, 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	1265	131
H2247	UNITEDHEALTHCARE COMMUNITY PLAN, INC.	2021	1	Y	HouseCalls Program, UnitedHealthcare Dual Complete Rewards	HouseCall, Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, Flu Shot, Health Assessment completion	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., 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 HouseCalls program contacts eligible members who then agree to participate in a 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., 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.,  , ,	5667	5643
H2256	TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION	2021	1	N	 	 	 	 	 	0	0
H2261	BCBS  OF MASSACHUSETTS HMO BLUE, INC.	2021	1	Y	In-Home Health Risk Assessment w/ Signify Health	Members can earn a $25  Gift Card.	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.	1756	1535
H2261	BCBS  OF MASSACHUSETTS HMO BLUE, INC.	2021	2	Y	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 & 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.	407	175
H2288	BRIGHT HEALTH INSURANCE COMPANY OF NEW YORK	2021	1	Y	Member Incentives Program	diabetic eye exam, flu shot	A Visa gift card per action	$50 for diabetic eye exam, $50 for flu shot	Participation is manually tracked based on the receipt of the member's mailed in request for the reward	130	148
H2292	OXFORD HEALTH INSURANCE, INC.	2021	1	N	 	 	 	 	 	0	0
H2320	PRIORITY HEALTH	2021	1	Y	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. It is important to note that the taking of medications is not part of the rewardable activities. 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.	1498	379584
H2320	PRIORITY HEALTH	2021	2	Y	SmartRewards	Diabetic retinal eye screening, Breast cancer screening, Colorectal cancer screening, Signify In-home health assessment, Flu shot completion, Osteoporosis DEXA Screening	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 25 dollars (usd). A flu shot completion rewards 10 dollars (usd). An Osteoporosis Screening reward 25 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.	10323	682980
H2322	ALLIANCE HEALTH AND LIFE INSURANCE COMPANY	2021	1	Y	Osteoporsis screening after fracture	Bone density screening or Rx medication to treat osteoporosis within 6 months for women 67 to 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.	54	26
H2322	ALLIANCE HEALTH AND LIFE INSURANCE COMPANY	2021	2	Y	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.	1593	2700
H2334	EON HEALTH, INC. (SC)	2021	1	N	 	 	 	 	 	0	0
H2354	HEALTH ALLIANCE PLAN OF MICHIGAN	2021	1	Y	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.	14349	28043
H2354	HEALTH ALLIANCE PLAN OF MICHIGAN	2021	2	Y	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.	434	216
H2354	HEALTH ALLIANCE PLAN OF MICHIGAN	2021	3	Y	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	$50 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	551	332
H2392	KANSAS SUPERIOR SELECT, INC.	2021	1	N	 	 	 	 	 	0	0
H2400	SIGNATURE ADVANTAGE, LLC	2021	1	N	 	 	 	 	 	0	0
H2406	UNITEDHEALTHCARE INSURANCE COMPANY	2021	1	Y	HouseCalls Program, Renew Rewards and/or Vivify Program	HouseCall, Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening,Health Risk Assessment ,Flu Shot, Device-Based Activities (Step), Registration for Vivify mobile application., ,	Gift Card or Vivify 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.,Renew Rewards Program: 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 care activity itself., ,	HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in a visit.  Members can receive information about the opportunity to have a HouseCalls visit by outbound phone outreach from our scheduling agents, mailed materials, or email.  The clinician performing the visit will enter member information into the eHouseCalls app housed on the tablet our clinicians use in the field.  Once the HouseCalls system receive s confirmation of a completed visit, the reward is issued.,  , Renew Rewards Program: Enrollees initiate the redemption process by activating 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 four channels by providing certain required data (e.g., appointment date). Once UHC validates the eligibility period for the activity, the reward is issued.  For Vivify Reward 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, once the system has registered the members acceptance.Member self-report the Registration of Vivify mobile application) through any od four channels by providing the required data (Date of registration of Vivify mobile application)once UHC vaidates the eigibility period and reward is issued.,	68885	83314
H2416	PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE	2021	1	Y	Member Activation Program	health screenings	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.	145	35
H2417	ITASCA MEDICAL CARE	2021	1	N	 	 	 	 	 	0	0
H2419	SOUTH COUNTRY HEALTH ALLIANCE	2021	1	Y	Wellness Programs  and Preventive Care Reward Program	Exercising at a fitness center or health club, Community Education classes, 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, $25 gift card for enrollees who complete an annual Dental Visit	Scholarships for health club membership fees, Scholarships for Community Education class fees, and Annual dental visit gift card are 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.	31	31
H2422	HEALTHPARTNERS, INC.	2021	1	Y	MSHO Preventive Care Rewards	Mammography, Colorectal Cancer Screening, Osteoporosis Screening, Annual wellness visit	$50 gift card	All rewards are set up $50	Claims submission at completion of the service	5008	3979
H2422	HEALTHPARTNERS, INC.	2021	2	Y	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	3
H2425	BLUE PLUS	2021	1	N	 	 	 	 	 	0	0
H2456	UCARE MINNESOTA	2021	1	Y	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	14627	11
H2456	UCARE MINNESOTA	2021	2	Y	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	Vendor maintained member database of rewards and incentive activity	5188	204
H2456	UCARE MINNESOTA	2021	3	Y	Covid19 shot reward	Covid19 vaccination	gift card	Value of the activity or service and budget available for the estimated number of participants	member database of rewards and incentive activity	14627	34
H2456	UCARE MINNESOTA	2021	4	Y	Dental Incentive	Dental visit	gift card	Value of the activity or service and budget available for the estimated number of participants	Vendor maintained member database of rewards and incentive activity	14627	475
H2456	UCARE MINNESOTA	2021	5	Y	Diabetes Incentive	Hemoglobin A1c HbA1c testing	gift card	Value of the activity or service and budget available for the estimated number of participants	Vendor maintained member database of rewards and incentive activity	2103	187
H2456	UCARE MINNESOTA	2021	6	Y	Diabetes Incentive	eye exam retinal	gift card	Value of the activity or service and budget available for the estimated number of participants	Vendor maintained member database of rewards and incentive activity	2103	137
H2456	UCARE MINNESOTA	2021	7	Y	Diabetes Incentive	nephropathy test	gift card	Value of the activity or service and budget available for the estimated number of participants	Vendor maintained member database of rewards and incentive activity	2103	149
H2456	UCARE MINNESOTA	2021	8	Y	Mammogram Incentive	mammogram	gift card	Value of the activity or service and budget available for the estimated number of participants	Vendor maintained member database of rewards and incentive activity	2874	401
H2456	UCARE MINNESOTA	2021	9	Y	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	104	10
H2456	UCARE MINNESOTA	2021	10	Y	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	Vendor maintained member database of rewards and incentive activity	14467	934
H2458	MEDICA HEALTH PLANS	2021	1	N	 	 	 	 	 	0	0
H2459	UCARE MINNESOTA	2021	1	Y	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	116820	608
H2459	UCARE MINNESOTA	2021	2	Y	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	46993	1390
H2459	UCARE MINNESOTA	2021	3	Y	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	9313	1503
H2459	UCARE MINNESOTA	2021	4	Y	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	9313	1207
H2459	UCARE MINNESOTA	2021	5	Y	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	9313	754
H2459	UCARE MINNESOTA	2021	6	Y	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	21050	2446
H2459	UCARE MINNESOTA	2021	7	Y	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	1	1
H2459	UCARE MINNESOTA	2021	8	Y	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	705	180
H2459	UCARE MINNESOTA	2021	9	Y	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	109723	4172
H2463	HUMANA HEALTH PLAN OF TEXAS, INC.	2021	1	Y	Go365 by Humana	Fitness: rewards for completing monthly workouts, Social/Health Education: 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, education 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.	3276	21145
H2486	HUMANA MEDICAL PLAN OF UTAH, INC.	2021	1	Y	Go365 by Humana	Fitness: rewards for completing monthly workouts, Social/Health Education: 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, education 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.	9033	86865
H2491	WELLCARE HEALTH INSURANCE OF ARIZONA, INC.	2021	1	Y	MEDICARE HEALTHY REWARDS PROGRAM	BREAST CANCER SCREENING, COLORECTAL CANCER SCREENING, COMPREHENSIVE DIABETES CARE - EYE EXAM, HBA1C, NEPHROPATHY, BONE DENSITY SCREENING, ANNUAL WELLNESS VISIT, FLU VACCINE, LEARN and EARN	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.	27619	128509
H2506	AETNA BETTER HEALTH PREMIER PLAN MMAI INC.	2021	1	Y	Member Health Incentives Program	Annual PCP visits, Screenings for breast cancer, screenings for colorectal cancer, eye exams, HbA1c testing	$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.	7551	8426
H2531	UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.	2021	1	Y	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 a 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.,  , , ,	3538	2868
H2533	MOLINA HEALTHCARE OF SOUTH CAROLINA, INC.	2021	1	Y	Molina Healthy Rewards	Completing mammogram, completing colon cancer screening, completing blood pressure check, completing A1c testing, completing, nephropathy testing, completing wellness visit	Members may choose from the following retailers: Walmart Amazon Kroger CVS (gift card value $25)	The reward values were set based on collaboration with the vendor to determine fair market valueswere competitive and adhered to CMS and state regulations. Service type was also taken into account to make sure the reward amount was reasonable.	Member attestation	1526	70
H2563	OPTIMA HEALTH PLAN	2021	1	Y	2021 Healthy Rewards Program	Annual Wellness Visit, Annual Physical Exam, Breast Cancer Screening, Colon Cancer Screening, Annual Flu Vaccine, Diabetic Eye Exam, Diabetic HbA1c Test, Diabetic Kidney Function Testing	Gift Card	Members are eligible for one reward per year per activity at a fixed value of either $25 or $10.	Enrollee participation is tracked by claims on at least a monthly basis.	13504	23314
H2577	CARE IMPROVEMENT PLUS OF TEXAS INSURANCE COMPANY	2021	1	Y	HouseCalls Program, Renew Rewards and/or Vivify Program	HouseCall, Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening,Health Risk Assessment ,Flu Shot, Device-Based Activities (Step), Registration for Vivify mobile application., ,	Gift Card or Vivify 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.,Renew Rewards Program: 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 care activity itself., ,	HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in a visit.  Members can receive information about the opportunity to have a HouseCalls visit by outbound phone outreach from our scheduling agents, mailed materials, or email.  The clinician performing the visit will enter member information into the eHouseCalls app housed on the tablet our clinicians use in the field.  Once the HouseCalls system receive s confirmation of a completed visit, the reward is issued.,  , Renew Rewards Program: Enrollees initiate the redemption process by activating 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 four channels by providing certain required data (e.g., appointment date). Once UHC validates the eligibility period for the activity, the reward is issued.  For Vivify Reward 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, once the system has registered the members acceptance.Member self-report the Registration of Vivify mobile application) through any od four channels by providing the required data (Date of registration of Vivify mobile application)once UHC vaidates the eigibility period and reward is issued.,	49564	51555
H2582	ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION INC	2021	1	Y	HouseCalls Program, Chronic Conditions Gap Closure, Preventive Care Gap Closure,  RMHP CheckIn	HouseCall, Breast Cancer Screening, Colorectal Cancer Screening, Flu Shot, Older Adults Wellness, CheckIn Visit	Gift Card, Blanket	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., , , 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 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 CheckIn: 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.,	HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in a 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., , 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 gift card in the amount of $15 for each completed activity. 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 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 gift card in the amount of $15 for each completed Breast Cancer Screening or Colorectal Cancer Screening , $10 for getting a flu shot, or $25 for completing the Older Adults Wellness activity. 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 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.,	10758	1164
H2591	HEALTH ALLIANCE - MIDWEST, INC.	2021	1	Y	Wellness Rewards	Eligible activities include: annual wellness visit or physical (required), breast cancer screening, colorectal cancer screening, diagnostic eye exam, nephropathy urine test, Be Fit fitness reimbursement	Member earns a $50 Visa gift card by completing three program activities	Member must complete annual wellness visit or physical and two additional program activities	Participation is tracked through claims submissions	432	217
H2593	AMERIGROUP TEXAS, INC.	2021	1	N	 	 	 	 	 	0	0
H2610	ESSENCE HEALTHCARE, INC.	2021	1	N	 	 	 	 	 	0	0
H2624	CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA	2021	1	N	 	 	 	 	 	0	0
H2663	COVENTRY HEALTH CARE OF MISSOURI, INC	2021	1	Y	Aetna Healthy You Rewards	Completing Physical Activity, Annual Wellness Exam, Healthy Home Visit, 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 or 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.	55619	27540
H2678	MORECARE, INC.	2021	1	N	 	 	 	 	 	0	0
H2697	DEVOTED HEALTH PLAN OF OHIO, INC.	2021	1	Y	Devoted Dollars	Breast Cancer Screening, Colorectal Cancer Screening, Comprehensive PCP Visit, First PCP Visit, Flu Shot, Health Risk Assessment, Routine Diabetes Exam	Prepaid Gift Cards	$25 USD for Breast Cancer Screening on an yearly basis, $25 USD for Colorectal Cancer Screening on an yearly basis, $25 USD for Comprehensive PCP Visit on an yearly basis, $10 USD for First PCP Visit on an yearly basis, $20 USD for Flu Shot on an yearly basis, $25 USD for Health Risk Assessment on an yearly basis, $25 USD for Routine Diabetes Exam on an yearly basis	A medical claim for a PCP visit in first 90 days of enrollment 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, a medical claim for CAV triggers a Comprehensive visit reward, a HRA for member on DSNP plan will trigger a HRA Reward	2785	6853
H2722	VANTAGE HEALTH PLAN OF ARKANSAS, INC.	2021	1	Y	Learn and Earn	Fall risk, mental and physical health	$10 to join the 8 week calls and $15 to complete survey at the end of the 8 weeks	small amount that would still gain attention	3rd party vendor keeps records of who joins the calls	53	36
H2722	VANTAGE HEALTH PLAN OF ARKANSAS, INC.	2021	2	Y	Medicare Quality	Annual Wellness Visit, Breast Cancer Screening, Controlling Blood Pressure, Diabetic A1C, Eye Exam, Diabetic Kidney Screening, Statin use, Flu, Colorectal Cancer Screening	Between $10 and $50 for each measure	We decided on a per measure level. Colorectal and Breast cancer screening pays $50 because less member want to perform those services. The other measures were based on national statistics of what it would take to get the member to perform the activity.	3rd party vendor keeps record of who completes which measure as self-reported by the member	11	26
H2765	SUMMIT HEALTH PLAN, INC.	2021	1	N	 	 	 	 	 	0	0
H2775	AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY	2021	1	Y	MEDICARE HEALTHY REWARDS PROGRAM	BREAST CANCER SCREENING, COLORECTAL CANCER SCREENING, COMPREHENSIVE DIABETES CARE - EYE EXAM, HBA1C, NEPHROPATHY, BONE DENSITY SCREENING, ANNUAL WELLNESS VISIT, FLU VACCINE, LEARN and EARN	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.	79777	328372
H2782	WESTERN HEALTH ADVANTAGE	2021	1	N	 	 	 	 	 	0	0
H2793	IMPERIAL INSURANCE COMPANIES INC.	2021	1	Y	HRA Incentive Program for SNP members	For SNP members who have completed the HRA surveys either by phone or returned completed HRAs by mail.  SNP members were outreached by phone to complete Health Risk Assessment. Also, a SNP member who was 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 cards.	$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 have completed the HRAs either by phone or by mail and received $25 gift cards	79	79
H2793	IMPERIAL INSURANCE COMPANIES INC.	2021	2	Y	Imperial 2021 Quality Rewards Program	Annual Wellness Exam  Breast Cancer Screening Colonoscopy Diabetic Member Screenings Kidney Health Evaluation Hypertensive Member Screenings	Annual Wellness Exam: $150 Breast Cancer Screening: $30 Colonoscopy: $25 or Stool Test: $10 Diabetic Member Screenings: $30 Kidney Health Evaluation: $15 Hypertensive Member Screenings: $15	The combined HEDIS report contains members who have completed the quality measures listed in column D of this report. They are identified with a 1 which means the member completed a quality measure. All 1s are added and based on the HEDIS measure identified in column D of this report will determine the reward and incentive amount the member will receive.	Members who complete the services listed in column D are tracked by the  claims department and encounter data to identify completion date. HEDIS Combined report are also reviewed to identity members that have completed any of the quality measures. Data from claims and HEDIS are maintained on an excel log and paid out the first month of the following year.	1812	0
H2802	UNITEDHEALTHCARE OF THE MIDLANDS, INC.	2021	1	Y	HouseCalls Program, Renew Rewards and/or Vivify Program	HouseCall, Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening,Health Risk Assessment ,Flu Shot, Device-Based Activities (Step), Registration for Vivify mobile application., ,	Gift Card or Vivify 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.,Renew Rewards Program: 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 care activity itself., ,	HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in a visit.  Members can receive information about the opportunity to have a HouseCalls visit by outbound phone outreach from our scheduling agents, mailed materials, or email.  The clinician performing the visit will enter member information into the eHouseCalls app housed on the tablet our clinicians use in the field.  Once the HouseCalls system receive s confirmation of a completed visit, the reward is issued.,  , Renew Rewards Program: Enrollees initiate the redemption process by activating 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 four channels by providing certain required data (e.g., appointment date). Once UHC validates the eligibility period for the activity, the reward is issued.  For Vivify Reward 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, once the system has registered the members acceptance.Member self-report the Registration of Vivify mobile application) through any od four channels by providing the required data (Date of registration of Vivify mobile application)once UHC vaidates the eigibility period and reward is issued.,	110495	132284
H2816	AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY	2021	1	Y	MEDICARE HEALTHY REWARDS PROGRAM	BREAST CANCER SCREENING, COLORECTAL CANCER SCREENING, COMPREHENSIVE DIABETES CARE - EYE EXAM, HBA1C, NEPHROPATHY, BONE DENSITY SCREENING, ANNUAL WELLNESS VISIT, FLU VACCINE, LEARN and EARN	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.	5578	17176
H2825	MARY WASHINGTON HEALTH PLAN	2021	1	N	 	 	 	 	 	0	0
H2836	ANTHEM HEALTH PLANS, INC.	2021	1	N	 	 	 	 	 	0	0
H2853	CENTENE VENTURE COMPANY TENNESSEE	2021	1	Y	TN-MEDICARE-MAPD ASCENSION COMPLETE	BREAST CANCER SCREENING, COLORECTAL CANCER SCREENING, DIABETES HBA1C, DIABETES KIDNEY SCREENING, 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	522	458
H2879	MOLINA HEALTHCARE OF WISCONSIN, INC.	2021	1	Y	Molina Healthy Rewards	Completing mammogram, completing colon cancer screening, completing blood pressure check, completing A1c testing, retinal eye exam, completing, nephropathy testing, completing wellness visit	Gift Card for each screening to assorted retailers	The reward values were set based on collaboration with the vendor to determine fair market valueswere competitive and adhered to CMS and state regulations. Service type was also taken into account to make sure the reward amount was reasonable.	Member attestation	1138	340
H2915	PENNSYLVANIA HEALTH & WELLNESS, INC.	2021	1	Y	MEDICARE HEALTHY REWARDS PROGRAM | PENNSYLVANIA HEALTH AND WELLNESS, INC.	BREAST CANCER SCREENING, COLORECTAL CANCER SCREENING, COMPREHENSIVE DIABETES CARE - EYE EXAM, HBA1C, NEPHROPATHY, BONE DENSITY SCREENING, ANNUAL WELLNESS VISIT, LEARN and EARN, COLORECTAL SCREENING, DIABETIC EYE EXAM, DIABETIC HBA1C, DIABETIC KIDNEY SCREENING, FLU VACCINE, HEALTH RISK ASSESSMENT AND WELLNESS VISIT	REWARDS VARY FROM $10 - $50 DEPENDING ON SERVICE COMPLETED.  MEMBERS WERE ABLE TO CHOOSE FROM A VARIETY OF GIFT CARDS INCLUDING: WALMART, VISA, SUBWAY, VISA PREPAID DEBIT CARD	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. | 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 | 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.	27026	35803
H2926	PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE	2021	1	Y	Member Activation Program	health screenings	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.	18	5
H2944	HUMANA INSURANCE COMPANY	2021	1	Y	Go365 by Humana	Fitness: rewards for completing monthly workouts, Social/Health Education: 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, education 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.	2884	10620
H2960	HOMETOWN HEALTH PLAN, INC.	2021	1	Y	Diabetic Health Clinic	Completing Diabetic Screenings	Gift Card	The same for every member	Electronic Record	1789	39
H2960	HOMETOWN HEALTH PLAN, INC.	2021	2	Y	Colorectal Cancer Initiative	Completion of Annual FIT Test or Colonoscopy	Gift Card	The same for every member	Electronic Record	8035	232
H2960	HOMETOWN HEALTH PLAN, INC.	2021	3	Y	Osteoporosis Screening	Completion of Bone Density Screening	Gift Card	The same for every member	Electronic Record	158	35
H2960	HOMETOWN HEALTH PLAN, INC.	2021	4	Y	MTM Completion	Completion of MTM	Gift Card	The same for every member	Electronic Record	1289	191
H2960	HOMETOWN HEALTH PLAN, INC.	2021	5	Y	Geriatric Assessment	Completion of Geriatric Assessment	Gift Card	The same for every member	Electronic Record	17666	4276
H2962	ULTIMATE HEALTH PLANS, INC.	2021	1	Y	Yes	2021 Member Wellness Incentive Program 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 $25, Colorectal Cancer Screening$50,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	8153	7535
H2986	ESSENCE HEALTHCARE OF CALIFORNIA, INC.	2021	1	N	 	 	 	 	 	0	0
H3015	SHARED HEALTH MISSISSIPPI, INC.	2021	1	Y	Member Incentive Program	Annual Wellness Visit, Health Risk Assessment	Gift Cards	Market research was conducted to determine an appropriate value that would have a positive outcome on member behavior.	On a monthly basis, Shared Health Mississippi identifies the members eligible for the Rewards Program and patrols the data repositories for completed behaviors. The data is summarized for program oversight and reconciliation purposes and the details are delivered to the designated internal team for fulfillment. The internal team works with the Correspondence Specialist 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.	128	109
H3047	WELLCARE HEALTH INSURANCE COMPANY OF LOUISIANA	2021	1	Y	MEDICARE HEALTHY REWARDS PROGRAM	BREAST CANCER SCREENING, COLORECTAL CANCER SCREENING, COMPREHENSIVE DIABETES CARE - EYE EXAM, HBA1C, NEPHROPATHY, BONE DENSITY SCREENING, ANNUAL WELLNESS VISIT, FLU VACCINE, LEARN and EARN	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.	2952	1829
H3071	COMMUNITY CARE ALLIANCE OF ILLINOIS, INC.	2021	1	N	 	 	 	 	 	0	0
H3113	OXFORD HEALTH PLANS (NJ), INC.	2021	1	Y	HouseCalls Program, UnitedHealthcare Dual Complete Rewards,  Renew Rewards and/or Vivify Program	HouseCall, Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, 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,Health Risk Assessment ,Flu Shot, Device-Based Activities (Step), Registration for Vivify mobile application., ,	Gift Card, Vivify 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., 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 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 care activity itself., ,	HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in a 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., 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 four channels by providing certain required data (e.g., appointment date). Once UHC validates the eligibility period for the activity, the reward is issued.  For Vivify Reward 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, once the system has registered the members acceptance.Member self-report the Registration of Vivify mobile application) through any od four channels by providing the required data (Date of registration of Vivify mobile application)once UHC vaidates the eigibility period and reward is issued.,	42868	46941
H3132	AHF MCO OF FLORIDA, INC.	2021	1	Y	Yes	The colorectal cancer screening improvement incentive program is for eligible PHP FL 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.	219	92
H3132	AHF MCO OF FLORIDA, INC.	2021	2	Y	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, PHP FL 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.	178	128
H3146	AETNA BETTER HEALTH INC. (GA)	2021	1	Y	Aetna Healthy You Rewards	Completing Physical Activity, Annual Wellness Exam, Healthy Home Visit, 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 or 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.	9662	4863
H3152	AETNA HEALTH INC. (NJ)	2021	1	N	 	 	 	 	 	0	0
H3154	HORIZON INSURANCE COMPANY	2021	1	Y	2021 Member Rewards and Incentive Program	Annual Wellness Visit, Breast Cancer Screening, Colon Cancer Screening, Diabetic Eye Exam, Fall Prevention, Improving Bladder Control, Monitor Your Physical Health, Osteoporosis Management	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	13398	3709
H3170	SAPPHIRE EDGE, INC.	2021	1	Y	Member Incentive Program  Annual Wellness Visit	Annual Physical Exam, Annual Wellness Visit, Welcome to Medicare Visit	Gift Card	Members receive a  Walmart gift card for completing any of the qualified visits and mailing in their self attestation coupon	Members mail in a coupon self attesting to one of the three qualifying visits and we track in house then mail gift cards monthly	1298	329
H3170	SAPPHIRE EDGE, INC.	2021	2	Y	Welvie My Surgery	Direct Decision Support for preference sensitive surgeries	Gift Card	Participant completes program to earn reward.	Enrollees must register in the program and program progress is tracked electronically	105	85
H3170	SAPPHIRE EDGE, INC.	2021	3	Y	NE Eye Incentive Program	Retinal Eye Exams	Gift Card	If the member attested to having a diabetic retinal eye exam in 2021.	Members either call in, or mail in a self attestation form, which those details are captured in spreadsheets.	151	13
H3192	AETNA HEALTH OF MICHIGAN INC.	2021	1	N	 	 	 	 	 	0	0
H3204	PRESBYTERIAN HEALTH PLAN	2021	1	Y	Live Well,Member Satisfaction,NonValue Based Insurance Design Diabetes,Value Based Insurance Design	Preventative health and wellbeing, Annual Wellness visit flu shot review plan benefits, Comprehensive Diabetes Care, Comprehensive Diabetes Care	Members choice of Amazon Walmart or Starbucks, Members choice of Amazon Walmart or Starbucks, Members choice of Amazon Walmart Walgreens Family Dollar Dollar General or CVS pharmacy, Members choice of Amazon Walmart Walgreens Family Dollar Dollar General or CVS pharmacy	10 dollar for completing week one and an additional 15 dollar for completing week eight, 25 dollar for completing Annual Wellness Visit 10 dollar flu shot 10 dollar review plan benefits, 10 dollar per Diabetic screening hemoglobin A1c retinal eye exam nephropathy screening, 10 dollar per Diabetic screening hemoglobin A1c retinal eye exam nephropathy screening, 10 dollar per Diabetic screening hemoglobin A1c retinal eye exam nephropathy screening, 10 dollar per Diabetic screening hemoglobin A1c retinal eye exam nephropathy screening	Program participation is monitored through Icario 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 in Incomm portal	53684	7078
H3206	PRESBYTERIAN INSURANCE COMPANY, INC.	2021	1	N	 	 	 	 	 	0	0
H3213	CARESOURCE KENTUCKY CO.	2021	1	N	 	 	 	 	 	0	0
H3219	ALLINA HEALTH AND AETNA INSURANCE COMPANY	2021	1	Y	Allina Healthy Rewards	Completing Physical Activity, Annual Wellness Exam, Healthy Home Visit, 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.  The kit explains they can "activate" the program by going online or 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 and 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.	15002	12718
H3237	HEALTH NET COMMUNITY SOLUTIONS, INC.	2021	1	Y	HEALTH NET COMMUNITY SOLUTIONS, INC.	BONE DENSITY, BREAST CANCER SCREENING, COLORECTAL COMPREHENSIVE, DIABETES EYE EXAM, DIABETES HBA1C, FLU VACCINE, 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	8936	8316
H3239	AETNA BETTER HEALTH, INC. (LA)	2021	1	N	 	 	 	 	 	0	0
H3240	AMERIGROUP NEW JERSEY, INC.	2021	1	N	 	 	 	 	 	0	0
H3251	HEALTH CARE SERVICE CORPORATION	2021	1	Y	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	5207	17666
H3256	UNITEDHEALTHCARE OF GEORGIA, INC.	2021	1	Y	HouseCalls Program, Renew Rewards and/or Vivify Program	HouseCall, Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening,Health Risk Assessment ,Flu Shot, Device-Based Activities (Step), Registration for Vivify mobile application., ,	Gift Card or Vivify 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.,Renew Rewards Program: 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 care activity itself., ,	HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in a visit.  Members can receive information about the opportunity to have a HouseCalls visit by outbound phone outreach from our scheduling agents, mailed materials, or email.  The clinician performing the visit will enter member information into the eHouseCalls app housed on the tablet our clinicians use in the field.  Once the HouseCalls system receive s confirmation of a completed visit, the reward is issued.,  , Renew Rewards Program: Enrollees initiate the redemption process by activating 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 four channels by providing certain required data (e.g., appointment date). Once UHC validates the eligibility period for the activity, the reward is issued.  For Vivify Reward 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, once the system has registered the members acceptance.Member self-report the Registration of Vivify mobile application) through any od four channels by providing the required data (Date of registration of Vivify mobile application)once UHC vaidates the eigibility period and reward is issued.,	10279	10712
H3259	VOLUNTEER STATE HEALTH PLAN	2021	1	Y	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.	21682	48974
H3276	CONNECTICARE INSURANCE COMPANY, INC.	2021	1	N	 	 	 	 	 	0	0
H3281	BRIGHT HEALTH INSURANCE COMPANY OF FLORIDA	2021	1	Y	Member Incentives Program	diabetic eye exam, flu shot, annual wellness visit	A Visa gift card per action	$50 for diabetic eye exam. $50 for flu shot. $50 before August 1st, $25 on or after August 1st for annual wellness visit	Participation is manually tracked based on the receipt of the member's mailed in request for the reward	170	216
H3288	AETNA HEALTH AND LIFE INSURANCE COMPANY	2021	1	N	 	 	 	 	 	0	0
H3291	PRUITTHEALTH PREMIER, INC.	2021	1	N	 	 	 	 	 	0	0
H3293	MMM OF FLORIDA, INC.	2021	1	N	 	 	 	 	 	0	0
H3305	MVP HEALTH PLAN, INC.	2021	1	Y	MVP Medicare WellBeing Rewards Program	Annual Wellness Exam, Colorectal Cancer Screening, Mammogram, Bone Density Screening, Diabetic Screenings, Prostate Screening, Vision Exam, and WellBeing Attestations	$200 Store Merchant Prepaid Reward Card (Target, Lowes, Home Depot, CVS, Kohls)	The reward is calculated 200+ points = $200 Store Merchant Reward Card,  Cards can beredeemed in $50 increments up to a total of $200 per member, Members have several options of points earning activities from which to select to earn points	Members choose activities to earn their $200 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 at least 50 points, they go to the home page and select Redeem to have their $200 Store Merchant Prepaid Reward 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 at least 50 points have been earned.	30219	4188
H3307	OXFORD HEALTH PLANS (NY), INC.	2021	1	Y	HouseCalls Program, Renew Rewards and/or Vivify Program	HouseCall, Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening,Health Risk Assessment ,Flu Shot, Device-Based Activities (Step), Registration for Vivify mobile application., ,	Gift Card or Vivify 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.,Renew Rewards Program: 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 care activity itself., ,	HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in a visit.  Members can receive information about the opportunity to have a HouseCalls visit by outbound phone outreach from our scheduling agents, mailed materials, or email.  The clinician performing the visit will enter member information into the eHouseCalls app housed on the tablet our clinicians use in the field.  Once the HouseCalls system receive s confirmation of a completed visit, the reward is issued.,  , Renew Rewards Program: Enrollees initiate the redemption process by activating 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 four channels by providing certain required data (e.g., appointment date). Once UHC validates the eligibility period for the activity, the reward is issued.  For Vivify Reward 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, once the system has registered the members acceptance.Member self-report the Registration of Vivify mobile application) through any od four channels by providing the required data (Date of registration of Vivify mobile application)once UHC vaidates the eigibility period and reward is issued.,	17726	22695
H3312	AETNA HEALTH INC. (NY)	2021	1	N	 	 	 	 	 	0	0
H3330	HEALTH INSURANCE PLAN OF GREATER NEW YORK	2021	1	Y	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 Gift Card	Each service is worth $25.00 per year	Enrollees register for the program in a portal	11113	30604
H3335	EXCELLUS HEALTH PLAN, INC.	2021	1	N	 	 	 	 	 	0	0
H3342	EMPIRE HEALTHCHOICE ASSURANCE, INC.	2021	1	N	 	 	 	 	 	0	0
H3344	INDEPENDENT HEALTH BENEFITS CORPORATION	2021	1	Y	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.	5794	2769
H3347	ELDERPLAN, INC.	2021	1	Y	Elderplan Wellness Incentive Program	Colorectal Cancer Screening, Flu Shot, Mammogram, Retinal Eye Exam, Covid Vaccination	$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.	332	554
H3351	EXCELLUS HEALTH PLAN, INC.	2021	1	N	 	 	 	 	 	0	0
H3359	HEALTHFIRST HEALTH PLAN, INC.	2021	1	Y	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	Members are offered a reward card or virtual reward that can be used in-stores and online shops	We chose to use the baseline amount of $5 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	53027	59173
H3362	INDEPENDENT HEALTH ASSOCIATION, INC.	2021	1	Y	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.	58828	39742
H3379	UNITEDHEALTHCARE OF NEW YORK, INC.	2021	1	Y	HouseCalls Program, Renew Rewards and/or Vivify Program	HouseCall, Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening,Health Risk Assessment ,Flu Shot, Device-Based Activities (Step), Registration for Vivify mobile application., ,	Gift Card or Vivify 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.,Renew Rewards Program: 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 care activity itself., ,	HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in a visit.  Members can receive information about the opportunity to have a HouseCalls visit by outbound phone outreach from our scheduling agents, mailed materials, or email.  The clinician performing the visit will enter member information into the eHouseCalls app housed on the tablet our clinicians use in the field.  Once the HouseCalls system receive s confirmation of a completed visit, the reward is issued.,  , Renew Rewards Program: Enrollees initiate the redemption process by activating 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 four channels by providing certain required data (e.g., appointment date). Once UHC validates the eligibility period for the activity, the reward is issued.  For Vivify Reward 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, once the system has registered the members acceptance.Member self-report the Registration of Vivify mobile application) through any od four channels by providing the required data (Date of registration of Vivify mobile application)once UHC vaidates the eigibility period and reward is issued.,	13525	15411
H3384	HIGHMARK WESTERN AND NORTHEASTERN NEW YORK INC.	2021	1	Y	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.	47868	36504
H3384	HIGHMARK WESTERN AND NORTHEASTERN NEW YORK INC.	2021	2	Y	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.	47868	20669
H3387	UNITEDHEALTHCARE OF NEW YORK, INC.	2021	1	Y	HouseCalls Program, UnitedHealthcare Dual Complete Rewards	HouseCall, Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, Flu Shot, Health Assessment completion	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., 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 HouseCalls program contacts eligible members who then agree to participate in a 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., 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.,  , ,	72460	100648
H3388	CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.	2021	1	N	 	 	 	 	 	0	0
H3404	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	2021	1	Y	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.	Bi-weekly claims files are generated for the Annual Wellness Visit and Welcome to Medicare Visit and maintained for tracking purposes.	21719	10660
H3404	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	2021	2	Y	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.	8731	1469
H3407	EL PASO FIRST HEALTH PLANS, INC.	2021	1	Y	EPH DSNP Rewards and Incentives Program	HRA,Flu Shot,Pneumonia Vaccine,Prostate Cancer Screening,Colorectal Cancer Screening,Breast Cancer Screening,Annual Wellness Exam	$25 Gift Card	$25 Gift Card per screening completed. Members can obtain $175 in rewards for the year.	Completion of HRAs and medical claims	45	45
H3416	HEALTHPARTNERS UNITYPOINT HEALTH, INC.	2021	1	Y	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	61
H3418	UNITEDHEALTHCARE INSURANCE COMPANY OF NEW YORK	2021	1	Y	HouseCalls Program, Renew Rewards and/or Vivify Program	HouseCall, Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening,Health Risk Assessment ,Flu Shot, Device-Based Activities (Step), Registration for Vivify mobile application., ,	Gift Card or Vivify 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.,Renew Rewards Program: 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 care activity itself., ,	HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in a visit.  Members can receive information about the opportunity to have a HouseCalls visit by outbound phone outreach from our scheduling agents, mailed materials, or email.  The clinician performing the visit will enter member information into the eHouseCalls app housed on the tablet our clinicians use in the field.  Once the HouseCalls system receive s confirmation of a completed visit, the reward is issued.,  , Renew Rewards Program: Enrollees initiate the redemption process by activating 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 four channels by providing certain required data (e.g., appointment date). Once UHC validates the eligibility period for the activity, the reward is issued.  For Vivify Reward 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, once the system has registered the members acceptance.Member self-report the Registration of Vivify mobile application) through any od four channels by providing the required data (Date of registration of Vivify mobile application)once UHC vaidates the eigibility period and reward is issued.,	12914	62800
H3419	PERENNIAL ADVANTAGE OF COLORADO, INC.	2021	1	N	 	 	 	 	 	0	0
H3442	UNITEDHEALTHCARE INSURANCE COMPANY OF ILLINOIS	2021	1	Y	HouseCalls Program, Renew Rewards and/or Vivify Program	HouseCall, Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening,Health Risk Assessment ,Flu Shot, Device-Based Activities (Step), Registration for Vivify mobile application., ,	Gift Card or Vivify 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.,Renew Rewards Program: 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 care activity itself., ,	HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in a visit.  Members can receive information about the opportunity to have a HouseCalls visit by outbound phone outreach from our scheduling agents, mailed materials, or email.  The clinician performing the visit will enter member information into the eHouseCalls app housed on the tablet our clinicians use in the field.  Once the HouseCalls system receive s confirmation of a completed visit, the reward is issued.,  , Renew Rewards Program: Enrollees initiate the redemption process by activating 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 four channels by providing certain required data (e.g., appointment date). Once UHC validates the eligibility period for the activity, the reward is issued.  For Vivify Reward 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, once the system has registered the members acceptance.Member self-report the Registration of Vivify mobile application) through any od four channels by providing the required data (Date of registration of Vivify mobile application)once UHC vaidates the eigibility period and reward is issued.,	27332	30584
H3447	HEALTHKEEPERS, INC.	2021	1	N	 	 	 	 	 	0	0
H3449	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	2021	1	Y	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.	Bi-weekly claims files are generated for the Annual Wellness Visit and Welcome to Medicare Visit and maintained for tracking purposes.	49947	19555
H3449	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	2021	2	Y	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.	16896	3708
H3464	UNITEDHEALTHCARE OF ARKANSAS, INC.	2021	1	Y	HouseCalls Program, Renew Rewards and/or Vivify Program	HouseCall, Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening,Health Risk Assessment ,Flu Shot, Device-Based Activities (Step), Registration for Vivify mobile application., ,	Gift Card or Vivify 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.,Renew Rewards Program: 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 care activity itself., ,	HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in a visit.  Members can receive information about the opportunity to have a HouseCalls visit by outbound phone outreach from our scheduling agents, mailed materials, or email.  The clinician performing the visit will enter member information into the eHouseCalls app housed on the tablet our clinicians use in the field.  Once the HouseCalls system receive s confirmation of a completed visit, the reward is issued.,  , Renew Rewards Program: Enrollees initiate the redemption process by activating 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 four channels by providing certain required data (e.g., appointment date). Once UHC validates the eligibility period for the activity, the reward is issued.  For Vivify Reward 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, once the system has registered the members acceptance.Member self-report the Registration of Vivify mobile application) through any od four channels by providing the required data (Date of registration of Vivify mobile application)once UHC vaidates the eigibility period and reward is issued.,	9843	9697
H3467	PROCARE ADVANTAGE, LLC	2021	1	N	 	 	 	 	 	0	0
H3471	HEALTH ALLIANCE NORTHWEST HEALTH PLAN	2021	1	Y	Wellness Rewards	Eligible activities include: annual wellness visit or physical (required), breast cancer screening, colorectal cancer screening, diagnostic eye exam, nephropathy urine test, Be Fit fitness reimbursement	Member earns a $50 Visa gift card by completing three program activities	Member must complete annual wellness visit or physical and two additional program activities	Participation is tracked through claims submissions	12329	4386
H3499	COORDINATED CARE CORPORATION	2021	1	Y	COORDINATED CARE CORPORATION | MEDICARE HEALTHY REWARDS PROGRAM	BREAST CANCER SCREENING, COLORECTAL CANCER SCREENING, COMPREHENSIVE DIABETES CARE - EYE EXAM, HBA1C, NEPHROPATHY, BONE DENSITY SCREENING, ANNUAL WELLNESS VISIT, LEARN and EARN, COLORECTAL SCREENING, DIABETIC EYE EXAM, DIABETIC HBA1C, DIABETIC KIDNEY SCREENING, FLU VACCINE, HEALTH RISK ASSESSMENT AND WELLNESS VISIT	REWARDS VARY FROM $10 - $50 DEPENDING ON SERVICE COMPLETED.  MEMBERS WERE ABLE TO CHOOSE FROM A VARIETY OF GIFT CARDS INCLUDING: WALMART, VISA, SUBWAY, VISA PREPAID DEBIT CARD	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. | 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 | 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.	7489	17241
H3528	CONNECTICARE, INC.	2021	1	N	 	 	 	 	 	0	0
H3533	HUMANA HEALTH COMPANY OF NEW YORK, INC.	2021	1	Y	Go365 by Humana	Fitness: rewards for completing monthly workouts, Social/Health Education: 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, education 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.	44670	335445
H3536	MATTHEW THORNTON HEALTH PLAN, INC.	2021	1	N	 	 	 	 	 	0	0
H3554	USABLE PPO INSURANCE COMPANY	2021	1	Y	HealthyBlue Rewards through Healthmine, Inc	Colorectal Cancer Screening, Health Risk Assessment, Annual Comprehensive Visit, Flu Vaccine, Diabetic HbA1c Test, Diabetic Retinal Eye Exam, Mammogram, and Flu Shot.	Members can redeem rewards in the form of gift cards that range in value items such as a scale or water bottle or fitness wearables, such as Fitbits.	The value of the reward is based upon their specific health action, such as an Annual Comprehensive Visit ($50) or a Mammogram ($25)	Enrollees are notified of the program by multiple methods and may register via an online website, telephonic method, or welcome packet by mail. The vendor provided information as to registered members who participated in attesting to health activities. This information was available through a real-time platform and weekly sFTP reporting.	1875	1399
H3557	BLUE CROSS & BLUE SHIELD OF RHODE ISLAND	2021	1	N	 	 	 	 	 	0	0
H3561	HEALTH NET COMMUNITY SOLUTIONS, INC.	2021	1	Y	HEALTH NET COMMUNITY SOLUTIONS, INC. | HEALTH NET OF CALIFORNIA REWARDS PROGRAM H3561 - ICARIO POR	BONE DENSITY, BREAST CANCER SCREENING, COLORECTAL SCREENING, DIABETCI EYE EXAM, DIABETIC HBA1C, DIABETIC KIDNEY SCREENING, FLU VACCINE, HEALTH RISK ASSESSMENT AND WELLNESS VISIT, THE HEALTH NET CARE CARDS PROGRAM FOCUSED ON A PLAN-SPECIFIED CONTRACT, H3561, TO CLOSE GAPS IN CARE FOR AN ANNUAL WELLNESS VISIT. MEMBERS IN THIS CONTRACT WHO ARE IN PBPS PARTICIPATING IN MY HEALTH PAYS AND HISTORICALLY NON-COMPLIANT IN AN ANNUAL WELLNESS VISIT RECEIVED THE LOW TOUCHCOMMUNICATION PLAN. MEMBER MATERIALS WERE AVAILABLE IN ENGLISH AND SPANISH. MEMBERS WERE REWARDED WITH GIFT CARDS TO COMPLETE THE SPECIFIED HEALTH CARE ACTIVITIES. MEMBERS WERE ABLE TO ACTIVATE INTO THE HEALTH NET CARE CARDS PROGRAM, ATTEST TO THEIR HEALTH CARE ACTIVITY AND REDEEM GIFT CARDS VIA MAIL (REDEMPTIONS), IVR, CALL CENTER AND A DIGITAL ONLINE CHANNEL.	THE MEMBERS HAD THE OPTION OF PRINTING AN E-GIFT CARD IMMEDIATELY OR HAVING A PHYSICAL GIFT CARD MAILED TO THEM. THESE WERE MERCHANT GIFT CARDS THAT WERE NOT CONVERTIBLE TO CASH. THE HEALTH CARE ACTIVITIES AND REWARD VALUES WERE AS FOLLOWS: ANNUAL WELLNESS VISIT $50, ANNUAL FLU VACCINE $20, LEARN AND EARN (FLU and COVID-19) $10, LEARN AND EARN (ACCESS TO CARE) $10., 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. | 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.	INTERNAL PROCESS REVIEWS DATA SOURCES SUCH AS CLAIMS, ASSESSMENT DATA, LABS, ETC. SUBMITTED AND ISSUES REWARDS BASED ON LOGIC BUILT TO IDENTIFY REWARDABLE ACTIVITIES | MEMBERS INTERACT THROUGH THE  PROGRAM VIA THE MAIL, TELEPHONIC AND DIGITAL CHANNELS. MEMBER INTERACTIONS ACROSS THE CHANNELS ARE CAPTURED IN ICARIO'S CMS-COMPLIANT DATA STORAGE AS ACTIVATIONS AND REDEMPTIONS (PARTICIPATION).	24657	35076
H3597	AETNA HEALTH INC. (ME)	2021	1	N	 	 	 	 	 	0	0
H3632	MEDICA COMMUNITY HEALTH PLAN	2021	1	Y	Housecalls	Member receives a giftcard if they complete a HouseCalls visit	Giftcard	We decide prior to sending. Current value $15	Giftcard is sent for each completed visit	44	7
H3653	PARAMOUNT CARE, INC.	2021	1	Y	Elite Member Incentive Program	Complete an annual wellness exam visit AND two preventive services from recommended by doctor from list which includes colorectal screening, DEXA scan, and flu or pneumonia vaccine.  If member is a diabetic choices include nephropathy screening, diabetic eye exam, diabetes self-management training, and/or HbA1C blood test	$50 visa gift card for all members who complete AWV and two preventive services from list and an additional $30 visa gift card for diabetic members who complete two of four screenings or $50 visa gift card for diabetic members who completed all four diabetic screenings.	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 with an additional incentive for our diabetic member population.  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	15116	9305
H3655	COMMUNITY INSURANCE COMPANY	2021	1	N	 	 	 	 	 	0	0
H3660	SUMMACARE INC.	2021	1	Y	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 or FIT Kit, CT Colonography (Virtual Colonoscopy) or 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.	7628	1810
H3664	AULTCARE HEALTH INSURING CORPORATION	2021	1	N	 	 	 	 	 	0	0
H3668	MOUNT CARMEL HEALTH PLAN, INC.	2021	1	Y	MediGold Member Rewards	Breast Cancer Screening, Colorectal Cancer Screening, Osteoporosis Management, Diabetic Eye Exam, Diabetes Nephropathy, Diabetes A1c, Annual Wellness Visit	Reloadable MasterCard	All reward activities are eligible for a fixed, tangible value of $25 gift card dollars. The fixed amount is set at a median value as not to exceed the value of the service.	Reward participation is tracked through member attestation. Members may choose to attest to service completion through mail or phone. Mail and verbal attestation forms are collected, converted to a report and stored.	7116	12353
H3672	THE HEALTH PLAN OF WEST VIRGINIA, INC.	2021	1	N	 	 	 	 	 	0	0
H3706	GLOBALHEALTH, INC.	2021	1	N	 	 	 	 	 	0	0
H3708	OKLAHOMA SUPERIOR SELECT, INC.	2021	1	N	 	 	 	 	 	0	0
H3727	OH CHS SNP INC.	2021	1	N	 	 	 	 	 	0	0
H3748	AETNA BETTER HEALTH OF WASHINGTON, INC.	2021	1	N	 	 	 	 	 	0	0
H3749	UNITEDHEALTHCARE OF OKLAHOMA, INC.	2021	1	Y	HouseCalls Program, Renew Rewards and/or Vivify Program	HouseCall, Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening,Health Risk Assessment ,Flu Shot, Device-Based Activities (Step), Registration for Vivify mobile application., ,	Gift Card or Vivify 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.,Renew Rewards Program: 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 care activity itself., ,	HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in a visit.  Members can receive information about the opportunity to have a HouseCalls visit by outbound phone outreach from our scheduling agents, mailed materials, or email.  The clinician performing the visit will enter member information into the eHouseCalls app housed on the tablet our clinicians use in the field.  Once the HouseCalls system receive s confirmation of a completed visit, the reward is issued.,  , Renew Rewards Program: Enrollees initiate the redemption process by activating 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 four channels by providing certain required data (e.g., appointment date). Once UHC validates the eligibility period for the activity, the reward is issued.  For Vivify Reward 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, once the system has registered the members acceptance.Member self-report the Registration of Vivify mobile application) through any od four channels by providing the required data (Date of registration of Vivify mobile application)once UHC vaidates the eigibility period and reward is issued.,	11978	13369
H3755	COMMUNITYCARE GOVERNMENT PROGRAMS, INC.	2021	1	Y	HealthyRewards,LearnandEarn	AnnualWellnessVisit,ColonCancerScreening,DiabetesA1C,Diabetesretinalexam,DiabetesKidneyScreen,BreastCancerScreening,DiscussOsteoporosis,IVRcallsonemotionalandphysicalwellbeing	GiftCards	Vendorrecommendationsfromsimilarhealthplans	Weeklydashboardreports,monthlyactivityfiles,monthlyperformancereviews	2984	9830
H3777	EXPERIENCE HEALTH, INC.	2021	1	N	 	 	 	 	 	0	0
H3794	CARE IMPROVEMENT PLUS WISCONSIN INSURANCE COMPANY	2021	1	Y	HouseCalls Program, UnitedHealthcare Dual Complete Rewards	HouseCall, Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, Flu Shot, Health Assessment completion	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., 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 HouseCalls program contacts eligible members who then agree to participate in a 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., 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.,  , ,	13521	15838
H3800	PROVIDER PARTNERS HEALTH PLAN OF ILLINOIS	2021	1	N	 	 	 	 	 	0	0
H3805	UNITEDHEALTHCARE OF OREGON, INC.	2021	1	Y	HouseCalls Program, Renew Rewards and/or Vivify Program, WEconnect $360 Program	HouseCall, Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening,Health Risk Assessment ,Flu Shot, Device-Based Activities (Step), Registration for Vivify mobile application., , Any activities which support recovery from SUD (doctors appointments, therapy, counseling, exercise), broken into support and self-care categories.	Gift Card, Vivify loaned Tablet, Digital Amazon giftcards	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 Rewards Program: 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 care activity itself., , WEconnect: Rewards are distributed based on a pre-determined challenge schedule. Members must complete a certain number of activities to satisfy the challenge and earn the incentive.	HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in a visit.  Members can receive information about the opportunity to have a HouseCalls visit by outbound phone outreach from our scheduling agents, mailed materials, or email.  The clinician performing the visit will enter member information into the eHouseCalls app housed on the tablet our clinicians use in the field.  Once the HouseCalls system receive s confirmation of a completed visit, the reward is issued.,  , Renew Rewards Program: Enrollees initiate the redemption process by activating 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 four channels by providing certain required data (e.g., appointment date). Once UHC validates the eligibility period for the activity, the reward is issued.  For Vivify Reward 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, once the system has registered the members acceptance.Member self-report the Registration of Vivify mobile application) through any od four channels by providing the required data (Date of registration of Vivify mobile application)once UHC vaidates the eigibility period and reward is issued., WEconnect: Members track activities in the mobile application, which verifies participation with GPS tracking and URL verification.	49073	59014
H3810	ALLCARE HEALTH PLAN, INC.	2021	1	Y	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.	610	1764
H3811	SAMARITAN HEALTH PLANS, INC.	2021	1	N	 	 	 	 	 	0	0
H3813	MODA HEALTH PLAN, INC.	2021	1	N	 	 	 	 	 	0	0
H3814	ATRIO HEALTH PLANS	2021	1	N	 	 	 	 	 	0	0
H3815	ALIGNMENT HEALTH PLAN	2021	1	Y	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.	82198	68482
H3817	REGENCE BLUECROSS BLUESHIELD OF OREGON	2021	1	N	 	 	 	 	 	0	0
H3822	HEALTH CARE SERVICE CORPORATION	2021	1	Y	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	12961	42362
H3832	HAWAII MEDICAL SERVICE ASSOCIATION	2021	1	Y	Novu Medicare Member Incentive Campaign, including Experience More, Live Well, and My Health Rewards	Learning about the plan, Learning about provider relationships, Learning about access to care, Learning about aging well, Learning about stress management, Learning about physical activity, Annual wellness visit, Flu shot, Learning about plan benefits, Diabetes kidney exam, Diabetes blood test, Breast cancer screening, Colon cancer screening, Statin treatment review, Monitoring physical health	Gift Cards	For the CAHPS IVR and the HOS IVR, a $10 reward is earned after listening to the first week's topic and an additional $15 reward is earned after completing the 8th topic. In the quality Program, enrollees may earn a maximum reward value of $170 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.	For the CAHPS IVR and the HOS IVR, participation is tracked as enrollees opt-in to program via the telephonic IVR system or through a Customer Service agent and complete the weekly call topics. In the quality program, participation is tracked as enrollees attest to completed health care activities by mail, phone, online, or verbally through a Customer Service agent. All attestations are  tracked for services rendered through December 31, 2021.	1832	13606
H3864	PACIFICSOURCE COMMUNITY HEALTH PLANS	2021	1	Y	PacificSource Healthy Rewards Program	Breast cancer screening, First A1c test, Second A1c test, Annual Wellness Visit, Diabetic eye exam	Gift card (s) with assigned values based on the activities completed. Breast cancer screening $25, First A1c test $15, Second A1c test $25, Annual Wellness Visit $50, Diabetic eye exam $25	Reward calculations are based on an evaluation of the cost of the service and estimated time commitment to complete the activity required by eligible beneficiaries. The value is further evaluated to ensure it would influence enrollees behavior at a level that is meaningful. PacificSource strives to ensure we are setting reward values that promote achievement of activities as well as improving member experience with the health plan. The value of the reward should not exceed the value of the health related service or activity.	Participation is based on activities completed and processed through the medical claims system and other supplemental data files that track activity. Beneficiaries are also able to track available and earned rewards through the member portal. Member participation is monitored for quality assurance on a monthly basis.	17414	30647
H3890	HOPKINS HEALTH ADVANTAGE, INC.	2021	1	N	 	 	 	 	 	0	0
H3907	UPMC HEALTH PLAN, INC.	2021	1	Y	Preventive Incentive Program	Annual Wellness Visit (AWV), preventive screening services for breast cancer, colorectal cancer, and members who have a diabetes diagnosis who are screened for retinopathy	A prepaid gift card for each service: AWV $30, Breast cancer screening $50, colorectal cancer screening $60, and diabetic eye exam $25	Activites that are time intensive and uncomfortable have a higher reward value	Participation is tracked through internal  incentive platform,  SSRS and PowerBI reporting tools and external  vendor portal	163738	128603
H3909	QCC INSURANCE COMPANY	2021	1	Y	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 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: Diabetic HbA1C testing 2x$10, Annual Wellness Visit $50, 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 New Ocean Health Solutions program via telephonic and digital channels. Member interactions across the channels are captured in New Ocean Health Solutions CMS-compliant data storage as activations and redemptions (participation).	16967	1229
H3909	QCC INSURANCE COMPANY	2021	2	Y	Personal health visit program via Inovalon	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.	1067	1067
H3916	HIGHMARK SENIOR HEALTH COMPANY	2021	1	Y	Highmark Wellness Rewards	In 2021, eligible members could earn a reward for completing an Annual Wellness Visit, House call visit, and/or Bone Mineral Density Test.	Once the necessary activity(ies) are completed by a member, eligible members will receive a prepaid Mastercard reward. Reward activities and values are below: Annual Wellness Visit = $25, House Call Visit = $25, Bone Mineral Density Test = $100	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 weekly completion files that are sent over to Welltok for reward distribution.  These completion files include member level data and the reward type earned. Welltok in turn will send us a shipping report of all rewards sent.	174114	114417
H3923	CAPITAL ADVANTAGE INSURANCE COMPANY	2021	1	Y	Your Rewards	Annual Wellness Visit, Breast Cancer Screening, Colon Cancer Screening Diabetes Blood Test (A1C), Diabetes Eye Exam, Fall Prevention, Flu Shot, Improving Bladder Control, Monitory Your Physical Health, Osteoporosis Management, Statin Treatment Review, Taking Care of Your Mental Health	merchant gift cards	values range from $5 to $50	Enrollees provide date of service and provider to receive specific health activity reward	15678	10031
H3924	GEISINGER INDEMNITY INSURANCE COMPANY	2021	1	Y	Wellness Visit,Colorectal,Breast,Hba1c,Eye Exam,Nephropathy,Osteo	Annual Health and Wellness Visit,Colonoscopy,Cologuard,FitKit,Breast Cancer Screening,Diabetic Hba1c Test,Diabetic Eye Exam,Diabetic Nephropathy Screening,Bone Mineral Density Test	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, 50.00 for completion of Bone Mineral Density Test	Enrollee is auto-opted in to join the incentive program once an Annual Wellness Visit occurs and is entered as a participant for other care gap closure tracking After completion of eligible visits the member qualifies for reimbursement	10057	18762
H3928	AETNA HEALTH INC. (LA)	2021	1	Y	Aetna Healthy You Rewards	Completing Physical Activity, Annual Wellness Exam, Healthy Home Visit, 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 or 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.	994	396
H3931	AETNA HEALTH INC. (PA)	2021	1	Y	Aetna Healthy You Rewards	Completing Physical Activity, Annual Wellness Exam, Healthy Home Visit, 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 or 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.	1887	34
H3949	BRAVO HEALTH PENNSYLVANIA, INC.	2021	1	Y	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.	48161	13302
H3952	KEYSTONE HEALTH PLAN EAST, INC.	2021	1	Y	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 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: Diabetic HbA1C testing 2x$10, Annual Wellness Visit $50, 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 New Ocean Health Solutions program via telephonic and digital channels. Member interactions across the channels are captured in New Ocean Health Solutions CMS-compliant data storage as activations and redemptions (participation).	82073	5733
H3952	KEYSTONE HEALTH PLAN EAST, INC.	2021	2	Y	Personal health visit (PHV) program via Inovalon	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.	9753	9753
H3954	GEISINGER HEALTH PLAN	2021	1	Y	Wellness Visit,Colorectal,Breast,Hba1c,Eye Exam,Nephropathy,Osteo	Annual Health and Wellness Visit, Colonoscopy, Cologuard, FitKit, Breast Cancer Screening, Diabetic Hba1c Test, Diabetic Eye Exam, Diabetic Nephropathy Screening, Bone Mineral Density Test	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, 50.00 for completion of Bone Mineral Density Test	Enrollee is auto-opted in to join the incentive program once an Annual Wellness Visit occurs and is entered as a participant for other care gap closure tracking After completion of eligible visits the member qualifies for reimbursement	25611	52321
H3957	HIGHMARK CHOICE COMPANY	2021	1	Y	Highmark Wellness Rewards	In 2021, eligible members could earn a reward for completing an Annual Wellness Visit, House call visit, and/or Bone Mineral Density Test.	Once the necessary activity(ies) are completed by a member, eligible members will receive a prepaid Mastercard reward. Reward activities and values are below: Annual Wellness Visit = $25, House Call Visit = $25, Bone Mineral Density Test = $100	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 weekly completion files that are sent over to Welltok for reward distribution.  These completion files include member level data and the reward type earned. Welltok in turn will send us a shipping report of all rewards sent.	76872	62378
H3959	AETNA HEALTH INC. (PA)	2021	1	Y	Aetna Healthy You Rewards	Completing Physical Activity, Annual Wellness Exam, Healthy Home Visit, 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 or 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.	109546	56437
H3962	KEYSTONE HEALTH PLAN CENTRAL, INC.	2021	1	Y	Your Rewards	Annual Wellness Visit, Breast Cancer Screening, Colon Cancer Screening Diabetes Blood Test (A1C), Diabetes Eye Exam, Fall Prevention, Flu Shot, Improving Bladder Control, Monitory Your Physical Health, Osteoporosis Management, Statin Treatment Review, Taking Care of Your Mental Health	merchant gift cards	values range from $5 to $50	Enrollees provide date of service and provider to receive specific health activity reward	12255	10105
H3975	WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC	2021	1	Y	MEDICARE HEALTHY REWARDS PROGRAM	BREAST CANCER SCREENING, COLORECTAL CANCER SCREENING, COMPREHENSIVE DIABETES CARE - EYE EXAM, HBA1C, NEPHROPATHY, BONE DENSITY SCREENING, ANNUAL WELLNESS VISIT, FLU VACCINE, LEARN and EARN	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.	3670	13080
H3979	GHS HEALTH MAINTENANCE ORGANIZATION, INC.	2021	1	Y	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	1047	3586
H4003	MMM HEALTHCARE, LLC	2021	1	Y	Recompensando tu Salud	Special Care Clinics, Eye Exam Clinics, Multi Health Clinics, Vaccination Clinics, Health Education and Quality workshops as well as interventions, and the compliance with the preventive care tests or assessments: Screening Mammography, Colorectal Cancer Screening, Retinopathy test, Annual Health Assessment, Densitometry test, A1c Test, Kidney Disease monitoring.	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, coffe 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 make sure that the value we give out for the completion of the activity to be rewarded does not exceed the value of the activity itself.	Using our Customer Service Application, C3PO, as well as Excel Workbooks and/or attendance sheets provided by departments which are in charge of the clinics.	10086	21748
H4004	MMM HEALTHCARE, LLC	2021	1	Y	Recompensando tu Salud	Special Care Clinics, Eye Exam Clinics, Multi Health Clinics, Vaccination Clinics, Health Education and Quality workshops as well as interventions, and the compliance with the preventive care tests or assessments: Screening Mammography, Colorectal Cancer Screening, Retinopathy test, Annual Health Assessment, Densitometry test, A1c Test, Kidney Disease monitoring.	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, coffe 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 make sure that the value we give out for the completion of the activity to be rewarded does not exceed the value of the activity itself.	Using our Customer Service Application, C3PO, as well as Excel Workbooks and/or attendance sheets provided by departments which are in charge of the clinics.	1048	2266
H4005	TRIPLE S ADVANTAGE, INC.	2021	1	Y	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, Gift Certificate	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 2021 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.  Once all targeted tests were performed and properly verified by the Stars Unit Department a $10 gift card or certificate was sent via mail. This mailings also reminded the member if other rewarded tests were pending to be completed. Verification of test completion was performed in a quarterly basis and mailings were completed accordingly.  Test should be completed on or before September, 30 2021. An excel spreadsheet maintains all information regarding the members compliance status and incentive payment.	4161	6745
H4007	HUMANA HEALTH PLANS OF PUERTO RICO, INC.	2021	1	Y	Go365 by Humana	Fitness: rewards for completing monthly workouts, Social/Health Education: 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, education 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.	22644	1643710
H4036	ANTHEM INSURANCE COMPANIES, INC.	2021	1	N	 	 	 	 	 	0	0
H4091	SIMPRA ADVANTAGE, INC.	2021	1	N	 	 	 	 	 	0	0
H4093	PROVIDER PARTNERS HEALTH PLAN OF PENNSYLVANIA, INC	2021	1	N	 	 	 	 	 	0	0
H4094	OPTIMUM CHOICE, INC.	2021	1	Y	HouseCalls Program, UnitedHealthcare Dual Complete Rewards	HouseCall, Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, Flu Shot, Health Assessment completion	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., 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 HouseCalls program contacts eligible members who then agree to participate in a 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., 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.,  , ,	1047	1148
H4140	DOCTORS HEALTHCARE PLANS, INC.	2021	1	Y	Rewards Program	Healthy activity, zumba, gym, Annual Wellness Visits, Welcome to Medicare Visit, Health Risk Assessment, DRE Eye Exam, HbA1C testing, healthy nutrition, portion control, healthy you, Mental Health, Habit Control, Dependency, Depression Screening, colon cancer screening, breast cancer screening, lipid panel screening, Influenza vaccine, Pneumococcal vacine, PCP visits.	Gift cards	Reward is calculated by the amount of points the member accumulates. Specific points are associated with each targeted activity. The activities must be completed by the eligible Plan member. The evidence of completion of the targeted activity includes submission of a claim, encounter, or other method such as verbal completion of a Health Risk Assessment. Members must complete a minimum of 60 points to receive a gift card each calendar quarter. The maximum Reward is 100 points per calandar quarter and a maximum of 400 points per Plan year. Points are pulled from the Plan operating system into the datawarehouse and then calculated in the Plan database.	All members in PBP 007, DrChoice HMO POS qualify for inclusion in the Rewards Program. The internal reporting system is populated with member specific data identified to achieve rewards. Members voluntarily complete targeted activities as specified by the Plan in exchange for rewards.	128	39
H4141	HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.	2021	1	Y	Go365 by Humana	Fitness: rewards for completing monthly workouts, Social/Health Education: 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, education 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.	85475	1217290
H4152	BLUE CROSS & BLUE SHIELD OF RHODE ISLAND	2021	1	N	 	 	 	 	 	0	0
H4172	NHC ADVANTAGE, LLC	2021	1	N	 	 	 	 	 	0	0
H4198	COMMUNITYCARE GOVERNMENT PROGRAMS, INC.	2021	1	N	 	 	 	 	 	0	0
H4213	USABLE MUTUAL INSURANCE COMPANY	2021	1	Y	HealthyBlue Rewards through Healthmine, Inc	Colorectal Cancer Screening, Health Risk Assessment, Annual Comprehensive Visit, Flu Vaccine, Diabetic HbA1c Test, Diabetic Retinal Eye Exam, Mammogram, and Flu Shot.	Members can redeem rewards in the form of gift cards that range in value items such as a scale or water bottle or fitness wearables, such as Fitbits.	The value of the reward is based upon their specific health action, such as an Annual Comprehensive Visit ($50) or a Mammogram ($25)	Enrollees are notified of the program by multiple methods and may register via an online website, telephonic method, or welcome packet by mail. The vendor provided information as to registered members who participated in attesting to health activities. This information was available through a real-time platform and weekly sFTP reporting.	4397	3067
H4227	VISTA HEALTH PLAN, INC.	2021	1	Y	HRA Completion Incentive	Completion of initial and annual assessment	Gift Card	Gift Card Face Value 20.00 per member that completed an assessment.	tracked monthly based on assessment completion rates	15166	6890
H4227	VISTA HEALTH PLAN, INC.	2021	2	Y	Virtual Health In Home Assessments	Meeting with licensed health professional to perfrom a detailed exam, discuss health history, and answer your questions	Gift Card	Gift Card Face Value 50.00 per member that completed an assessment.	Detailed operational report containing member detail of completions	15166	3259
H4227	VISTA HEALTH PLAN, INC.	2021	3	Y	Medicare Annual Wellness Visit	Health Promotion and Disease Prevention Visit	Gift Card	Gift Card Face Value 75.00 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.	15166	2997
H4227	VISTA HEALTH PLAN, INC.	2021	4	Y	HEDIS Colorectal Cancer Screening Colonoscopy	Preventive Health Screening	Gift Card	Gift Card Face Value 50.00 per member that completed a colonoscopy.	Verify and track all plan members that completed a colonoscopy.  Verify testing completion by monthly claims reporting.	15166	827
H4227	VISTA HEALTH PLAN, INC.	2021	5	Y	HEDIS Colorectal Cancer Screening Cologuard testing	Preventive Health Screening	Gift Card	Gift Card Face Value 50.00 per member that completed and returned a Cologuard test.	Verify and track all plan members that completed a Cologuardtest.  Verify testing completion by monthly claims reporting.	15166	61
H4227	VISTA HEALTH PLAN, INC.	2021	6	Y	HEDIS Colorectal Cancer Screening In Home FIT Kit	Preventive Health Screening	Gift Card	Gift Card Face Value 25.00 per member that completed and returned the In home Fit Kit test.	Verify and track all plan members that completed a Fit Kit  test.  Verify testing completion by monthly claims reporting.	15166	838
H4227	VISTA HEALTH PLAN, INC.	2021	7	Y	HEDIS Colorectal Cancer Screening Medical Records	Preventive Health Screening- Medical Records supporting Colonoscopy completion during the past 10 years	Gift Card	Gift Card Face Value 50.00 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 all plan members that completed a colonoscopy.  Verify testing completion by medical records.	15166	31
H4227	VISTA HEALTH PLAN, INC.	2021	8	Y	HEDIS Breast Cancer Screening	Mammography Preventive Health Screening	Gift Card	Gift Card Face Value 50.00 per member that completed mammography services.	Verify and track all plan members male and female who completed a mammogram.  Verify testing completion by monthly claims reporting and or medical records for members.	15166	3185
H4227	VISTA HEALTH PLAN, INC.	2021	9	Y	HEDIS Diabetic Retinal Exams	Diabetic Preventive Health screening	Gift Card	Gift Card Face Value 50.00 per diabetic 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.	3481	1753
H4227	VISTA HEALTH PLAN, INC.	2021	10	Y	HEDIS Diabetic HbA1c Lab Testing	Diabetic Preventive Health screening	Gift Card	Gift Card Face Value 25.00 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.	3481	3058
H4227	VISTA HEALTH PLAN, INC.	2021	11	Y	HEDIS Diabetic Nephropathy Lab Testing	Diabetic Preventive Health screening	Gift Card	Gift Card Face Value 25.00 per diabetic member that completed Nephropathy lab testing or filled an ACE and ARB medication.	Verify and track diabetic members in need of nephropathy lab testing or an ACE and ARB medication fill. Verify testing completion by monthly claims reporting or ACE and ARB medication compliance by monthly HEDIS reporting.	3481	3090
H4227	VISTA HEALTH PLAN, INC.	2021	12	Y	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 Card	Gift Card Face Value 25.00 per diabetic member that completed in home diabetes lab testing.	Verify members in need of diabetic lab testing and track members receiving in home testing visits.  Verify testing is complete by claims data and LabCorp monthly reporting.	749	3
H4227	VISTA HEALTH PLAN, INC.	2021	13	Y	Bone Density Testing	Preventive Health Screening for female members 67-85 years of age that had a fracture	Gift Card	Gift Card Face Value 50.00 per member in the Osteoporosis Management for Women Who had a Fracture OMW HEDIS measure that completed bone density testing.	Verify and track eligible members in need of bone density testing.  Verify testing completion by monthly claims reporting.	32	10
H4227	VISTA HEALTH PLAN, INC.	2021	14	Y	Flu Vaccine	Preventive Health Vaccine	Gift Card	Gift Card Face Value 25.00 per member that received a flu vaccine during each flu season.	Verify and track all plan members that received a flu vaccine.  Verify visit completion by monthly claims reporting.	15166	6357
H4227	VISTA HEALTH PLAN, INC.	2021	15	Y	Ezekiel Church HEDIS Screening Event	Diabetic Preventive Health screening	Gift Card	Gift Card Face Value 35.00 per member who completed any diabetic preventive screening at the event	Collect the receipts of gift cards that were distributed at the event and enter to the Gift card information to the  database to track and monitor the distribution	131	10
H4227	VISTA HEALTH PLAN, INC.	2021	16	Y	CHESTER CITY HALL HEDIS Screening Event	Diabetic Preventive Health screening	Gift Card	Gift Card Face Value 35.00 per member who completed any diabetic preventive screening at the event	Collect the receipts of gift cards that were distributed at the event and enter to the Gift card information to the  database to track and monitor the distribution	78	15
H4227	VISTA HEALTH PLAN, INC.	2021	17	Y	OAK STREET Roosevelt HEDIS COVID-19 EVENT	COVID-19 vaccination, Flu shot, and Diabetic preventive health screening	Gift Card	Gift Card Face Value 35.00 per member who completed vaccination and or diabetic preventive screening	Collect the receipts of gift cards that were distributed at the event and enter to the Gift card information to the  database to track and monitor the distribution	186	9
H4227	VISTA HEALTH PLAN, INC.	2021	18	Y	OAK STREET South Philadelphia HEDIS COVID-19 EVENT	COVID-19 vaccination, Flu shot, and Diabetic preventive health screening	Gift Card	Gift Card Face Value 35.00 per member who completed vaccination and or diabetic preventive screening	Collect the receipts of gift cards that were distributed at the event and enter to the Gift card information to the  database to track and monitor the distribution	266	8
H4227	VISTA HEALTH PLAN, INC.	2021	19	Y	OAK STREET Cheltenham HEDIS COVID-19 EVENT	COVID-19 vaccination, Flu shot, and Diabetic preventive health screening	Gift Card	Gift Card Face Value 35.00 per member who completed vaccination and or diabetic preventive screening	Collect the receipts of gift cards that were distributed at the event and enter to the Gift card information to the  database to track and monitor the distribution	76	3
H4227	VISTA HEALTH PLAN, INC.	2021	20	Y	OAK STREET Parkside HEDIS COVID-19 EVENT	COVID-19 vaccination, Flu shot, and Diabetic preventive health screening	Gift Card	Gift Card Face Value 35.00 per member who completed vaccination and or diabetic preventive screening	Collect the receipts of gift cards that were distributed at the event and enter to the Gift card information to the  database to track and monitor the distribution	334	8
H4232	AMERICAN HEALTH PLAN OF UT, INC.	2021	1	N	 	 	 	 	 	0	0
H4279	UPMC FOR YOU, INC	2021	1	Y	Preventive Incentive Program	AWV, preventive screening services for breast cancer, colorectal cancer, and members who have a diabetes diagnosis who are screened for retinopathy	A prepaid gift card for each service: AWV, Breast cancer screening, colorectal cancer screening and diabetic eye exam	Breast cancer and colorectal cancer screening offers a higher reward value because the activites are time intensive and uncomfortable	When a claim is received for the service the member is rewarded and internal reporting and tracking through an incentive platform	40961	26522
H4304	UNIVERSITY OF UTAH HEALTH INSURANCE PLANS	2021	1	Y	Member Rewards Program	Annual wellness visit, visit with provider using CPT 99213, 99214, or 99215	20 dollar gift card one time per year	reward can only be 20 dollars	members are automatically enrolled in the program upon enrollment in the plan, each month claims data is queried to determine which members have completed the required action for the first time in the year and are rewarded with the 20 dollar gift card	1052	955
H4343	CENTENE VENTURE COMPANY ALABAMA HEALTH PLAN, INC.	2021	1	Y	AL-MEDICARE-MAPD ASCENSION COMPLETE	BREAST CANCER SCREENING, COLORECTAL CANCER SCREENING, DIABETES HBA1C, DIABETES KIDNEY SCREENING, 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	557	394
H4346	HMO COLORADO, INC.	2021	1	N	 	 	 	 	 	0	0
H4388	SECURITY HEALTH PLAN OF WISCONSIN, INC.	2021	1	N	 	 	 	 	 	0	0
H4407	HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.	2021	1	Y	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.	13465	6140
H4461	CARITEN HEALTH PLAN INC.	2021	1	Y	Go365 by Humana	Fitness: rewards for completing monthly workouts, Social/Health Education: 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, education 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.	136460	2047530
H4490	MISSOURI MEDICARE SELECT, LLC	2021	1	N	 	 	 	 	 	0	0
H4497	MEDICAL MUTUAL OF OHIO	2021	1	Y	Medical Mutual 2021 MA Wellness Rewards Program	Annual Wellness Visit, Breast Cancer Screening, Retinal Eye Exam, Hemoglobin A1C test, Microalbumin test, Osteoporosis screening	$25-$175 Gift Cards	The completion of any of the listed services during the 2021 calendar year earns members rewards as follows (a member may earn up to $175 in a year but may not receive an additional reward for completing the same service twice): Annual Wellness Visit earns $25, Breast Cancer Screening earns $50, Retinal Eye Exam earns $25, Hemoglobin A1C test earns $25, Microalbumin test earns $25, Osteoporosis screening 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.	8403	1310
H4506	SELECTCARE OF TEXAS, INC.	2021	1	Y	MEDICARE HEALTHY REWARDS PROGRAM	BREAST CANCER SCREENING, COLORECTAL CANCER SCREENING, COMPREHENSIVE DIABETES CARE - EYE EXAM, HBA1C, NEPHROPATHY, BONE DENSITY SCREENING, ANNUAL WELLNESS VISIT, FLU VACCINE, LEARN and EARN	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.	47974	316048
H4513	HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.	2021	1	Y	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.	224237	92557
H4514	UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.	2021	1	Y	HouseCalls Program, UnitedHealthcare Dual Complete Rewards,  Renew Rewards and/or Vivify Program	HouseCall, Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, 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,Health Risk Assessment ,Flu Shot, Device-Based Activities (Step), Registration for Vivify mobile application., ,	Gift Card, Vivify 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., 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 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 care activity itself., ,	HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in a 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., 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 four channels by providing certain required data (e.g., appointment date). Once UHC validates the eligibility period for the activity, the reward is issued.  For Vivify Reward 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, once the system has registered the members acceptance.Member self-report the Registration of Vivify mobile application) through any od four channels by providing the required data (Date of registration of Vivify mobile application)once UHC vaidates the eigibility period and reward is issued.,	24460	27487
H4523	AETNA HEALTH INC. (TX)	2021	1	N	 	 	 	 	 	0	0
H4527	PHYSICIANS HEALTH CHOICE OF TEXAS, LLC	2021	1	Y	HouseCalls Program, UnitedHealthcare Dual Complete Rewards,  Renew Rewards and/or Vivify Program	HouseCall, Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, 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,Health Risk Assessment ,Flu Shot, Device-Based Activities (Step), Registration for Vivify mobile application., ,	Gift Card, Vivify 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., 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 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 care activity itself., ,	HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in a 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., 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 four channels by providing certain required data (e.g., appointment date). Once UHC validates the eligibility period for the activity, the reward is issued.  For Vivify Reward 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, once the system has registered the members acceptance.Member self-report the Registration of Vivify mobile application) through any od four channels by providing the required data (Date of registration of Vivify mobile application)once UHC vaidates the eigibility period and reward is issued.,	36687	39923
H4544	PEOPLES HEALTH, INC.	2021	1	Y	Peoples Health	Comprehensive Wellness Assessment, Breast Cancer Screening, Colorectal Cancer Screening	Gift Card	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.	Peoples Health: Contracts with Icario, a member engagement company, to manage the Peoples Health Member Rewards program. Icario provides weekly 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)., , , , ,	338	297
H4590	UNITEDHEALTHCARE BENEFITS OF TEXAS, INC.	2021	1	Y	HouseCalls Program, UnitedHealthcare Dual Complete Rewards,  Renew Rewards and/or Vivify Program	HouseCall, Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, 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,Health Risk Assessment ,Flu Shot, Device-Based Activities (Step), Registration for Vivify mobile application., ,	Gift Card, Vivify 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., 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 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 care activity itself., ,	HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in a 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., 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 four channels by providing certain required data (e.g., appointment date). Once UHC validates the eligibility period for the activity, the reward is issued.  For Vivify Reward 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, once the system has registered the members acceptance.Member self-report the Registration of Vivify mobile application) through any od four channels by providing the required data (Date of registration of Vivify mobile application)once UHC vaidates the eigibility period and reward is issued.,	74645	94849
H4604	UNITEDHEALTHCARE OF UTAH, INC.	2021	1	Y	HouseCalls Program, Renew Rewards and/or Vivify Program	HouseCall, Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening,Health Risk Assessment ,Flu Shot, Device-Based Activities (Step), Registration for Vivify mobile application., ,	Gift Card or Vivify 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.,Renew Rewards Program: 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 care activity itself., ,	HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in a visit.  Members can receive information about the opportunity to have a HouseCalls visit by outbound phone outreach from our scheduling agents, mailed materials, or email.  The clinician performing the visit will enter member information into the eHouseCalls app housed on the tablet our clinicians use in the field.  Once the HouseCalls system receive s confirmation of a completed visit, the reward is issued.,  , Renew Rewards Program: Enrollees initiate the redemption process by activating 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 four channels by providing certain required data (e.g., appointment date). Once UHC validates the eligibility period for the activity, the reward is issued.  For Vivify Reward 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, once the system has registered the members acceptance.Member self-report the Registration of Vivify mobile application) through any od four channels by providing the required data (Date of registration of Vivify mobile application)once UHC vaidates the eigibility period and reward is issued.,	33674	42092
H4605	REGENCE BLUECROSS BLUESHIELD OF UTAH	2021	1	Y	Onlife Health Member Incentive Program	Annual Wellness Exam, Colorectal Cancer Screening, Breast Cancer Screening, Diabetes Care, Osteoporosis Management, Advanced Care Planning, Fall Risk Reduction discussion	Gift Cards	Members earn gift cards by having the services (AWV, Breast Cancer Screening, Colorectal Cancer Screening, Diabetes Care, and Advanced Care Planning, Fall Risk Reduction discussion)	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.	2103	1427
H4623	HUMANA REGIONAL HEALTH PLAN, INC.	2021	1	Y	Go365 by Humana	Fitness: rewards for completing monthly workouts, Social/Health Education: 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, education 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.	17911	153170
H4624	ZING HEALTH OF MICHIGAN, INC.	2021	1	N	 	 	 	 	 	0	0
H4675	HEALTHIER NEW JERSEY INSURANCE COMPANY	2021	1	Y	2021 Member Rewards and Incentive Program	Annual Wellness Visit, Breast Cancer Screening, Colon Cancer Screening, Diabetic Eye Exam, Osteoporosis Management	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	987	446
H4676	TROY HEALTH, INC.	2021	1	N	 	 	 	 	 	0	0
H4699	WELLCARE HEALTH PLANS OF RHODE ISLAND, INC.	2021	1	Y	MEDICARE HEALTHY REWARDS PROGRAM	BREAST CANCER SCREENING, COLORECTAL CANCER SCREENING, COMPREHENSIVE DIABETES CARE - EYE EXAM, HBA1C, NEPHROPATHY, BONE DENSITY SCREENING, ANNUAL WELLNESS VISIT, FLU VACCINE, LEARN and EARN	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.	891	155
H4709	BRIGHT HEALTH INSURANCE COMPANY OF FLORIDA	2021	1	Y	Member Incentives Program	diabetic eye exam, flu shot	A Visa gift card per action	$50 for diabetic eye exam, $50 for flu shot	Participation is manually tracked based on the receipt of the member's mailed in request for the reward	126	146
H4711	COVENTRY HEALTH CARE OF NEBRASKA, INC.	2021	1	N	 	 	 	 	 	0	0
H4754	PACIFICSOURCE COMMUNITY HEALTH PLANS	2021	1	Y	PacificSource Healthy Rewards Program	Breast cancer screening, First A1c test, Second A1c test, Annual Wellness Visit, Diabetic eye exam	Gift card (s) with assigned values based on the activities completed. Breast cancer screening $25, First A1c test $15, Second A1c test $25, Annual Wellness Visit $50, Diabetic eye exam $25	Reward calculations are based on an evaluation of the cost of the service and estimated time commitment to complete the activity required by eligible beneficiaries. The value is further evaluated to ensure it would influence enrollees behavior at a level that is meaningful. PacificSource strives to ensure we are setting reward values that promote achievement of activities as well as improving member experience with the health plan. The value of the reward should not exceed the value of the health related service or activity.	Participation is based on activities completed and processed through the medical claims system and other supplemental data files that track activity. Beneficiaries are also able to track available and earned rewards through the member portal. Member participation is monitored for quality assurance on a monthly basis.	5308	9381
H4829	UHC OF CALIFORNIA	2021	1	Y	HouseCalls Program, Renew Rewards and/or Vivify Program	HouseCall, Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening,Health Risk Assessment ,Flu Shot, Device-Based Activities (Step), Registration for Vivify mobile application., ,	Gift Card or Vivify 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.,Renew Rewards Program: 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 care activity itself., ,	HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in a visit.  Members can receive information about the opportunity to have a HouseCalls visit by outbound phone outreach from our scheduling agents, mailed materials, or email.  The clinician performing the visit will enter member information into the eHouseCalls app housed on the tablet our clinicians use in the field.  Once the HouseCalls system receive s confirmation of a completed visit, the reward is issued.,  , Renew Rewards Program: Enrollees initiate the redemption process by activating 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 four channels by providing certain required data (e.g., appointment date). Once UHC validates the eligibility period for the activity, the reward is issued.  For Vivify Reward 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, once the system has registered the members acceptance.Member self-report the Registration of Vivify mobile application) through any od four channels by providing the required data (Date of registration of Vivify mobile application)once UHC vaidates the eigibility period and reward is issued.,	789	742
H4835	AETNA BETTER HEALTH OF OKLAHOMA INC.	2021	1	Y	Aetna Healthy You Rewards	Completing Physical Activity, Annual Wellness Exam, Healthy Home Visit, 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 or 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.	18179	8573
H4847	WELLCARE OF SOUTH CAROLINA, INC.	2021	1	Y	MEDICARE HEALTHY REWARDS PROGRAM	BREAST CANCER SCREENING, COLORECTAL CANCER SCREENING, COMPREHENSIVE DIABETES CARE - EYE EXAM, HBA1C, NEPHROPATHY, BONE DENSITY SCREENING, ANNUAL WELLNESS VISIT, FLU VACCINE, LEARN and EARN	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.	8376	45189
H4853	BRIGHT HEALTH COMPANY OF ARIZONA	2021	1	Y	Member Incentives Program	diabetic eye exam, flu shot, annual wellness visit, breast cancer screening, colorectal cancer screening, A1C	A Visa gift card per action	$50 for diabetic eye exam. $50 for flu shot. $50 before August 1st, $25 on or after August 1st for annual wellness visit. $25 for breast cancer screening. $10 for colorectal cancer screening. $10 for A1C	Participation is manually tracked based on the receipt of the member's mailed in request for the reward	355	609
H4868	WELLCARE OF NEW YORK, INC.	2021	1	Y	MEDICARE HEALTHY REWARDS PROGRAM	BREAST CANCER SCREENING, COLORECTAL CANCER SCREENING, COMPREHENSIVE DIABETES CARE - EYE EXAM, HBA1C, NEPHROPATHY, BONE DENSITY SCREENING, ANNUAL WELLNESS VISIT, FLU VACCINE, LEARN and EARN	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.	45122	137773
H4875	PRIORITY HEALTH	2021	1	Y	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. It is important to note that the taking of medications is not part of the rewardable activities. 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.	799	193271
H4875	PRIORITY HEALTH	2021	2	Y	SmartRewards	Diabetic retinal eye screening, Breast cancer screening, Colorectal cancer screening, Signify In-home health assessment, Flu shot completion, Osteoporosis DEXA Screening	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 25 dollars (usd). A flu shot completion rewards 10 dollars (usd). An Osteoporosis Screening reward 25 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.	5122	348260
H4882	HEALTHPARTNERS, INC.	2021	1	Y	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	536	296
H4909	ANTHEM INSURANCE COMPANIES, INC.	2021	1	N	 	 	 	 	 	0	0
H4922	AGEWELL NEW YORK, LLC	2021	1	N	 	 	 	 	 	0	0
H4931	BANNER - UNIVERSITY CARE ADVANTAGE	2021	1	Y	Annual Well Visit Incentive Program for members enrolled in the Plan during 2021	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 Visit	Completed incentive forms are tracked in an Excel spreadsheet	14181	1040
H4937	CALIFORNIA PHYSICIANS' SERVICE	2021	1	Y	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.	515	418
H4961	ALIGNMENT HEALTH PLAN	2021	1	Y	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.	1375	1067
H4982	AETNA BETTER HEALTH OF CALIFORNIA INC.	2021	1	N	 	 	 	 	 	0	0
H5008	UNITEDHEALTHCARE INSURANCE COMPANY	2021	1	Y	HouseCalls Program, UnitedHealthcare Dual Complete Rewards	HouseCall, Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, Flu Shot, Health Assessment completion	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., 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 HouseCalls program contacts eligible members who then agree to participate in a 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., 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.,  , ,	39160	47104
H5009	REGENCE BLUESHIELD	2021	1	N	 	 	 	 	 	0	0
H5010	ASURIS NORTHWEST HEALTH	2021	1	N	 	 	 	 	 	0	0
H5015	TEXAS INDEPENDENCE HEALTH PLAN, INC.	2021	1	N	 	 	 	 	 	0	0
H5042	CDPHP UNIVERSAL BENEFITS, INC.	2021	1	N	 	 	 	 	 	0	0
H5050	KAISER FOUNDATION HEALTH PLAN OF WASHINGTON	2021	1	Y	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.	1141	1021
H5050	KAISER FOUNDATION HEALTH PLAN OF WASHINGTON	2021	2	Y	KPWA Rewards & Incentive Program	Annual Wellness, Annual Physical Exam, and Comprehensive Health Assessment	$50 Visa Gift Card	Member must complete one of the required exams to qualify for reward	Members must go to a redemption website and submit for the reward. Plan is able to pull reports showing all embers who have submitted for the reward	7769	1002
H5087	WELLCARE OF CALIFORNIA, INC.	2021	1	Y	MEDICARE HEALTHY REWARDS PROGRAM	BREAST CANCER SCREENING, COLORECTAL CANCER SCREENING, COMPREHENSIVE DIABETES CARE - EYE EXAM, HBA1C, NEPHROPATHY, BONE DENSITY SCREENING, ANNUAL WELLNESS VISIT, FLU VACCINE, LEARN and EARN	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.	71897	177144
H5106	HIGHMARK SENIOR SOLUTIONS COMPANY	2021	1	Y	Highmark Wellness Rewards	In 2021, eligible members could earn a reward for completing an Annual Wellness Visit, House call visit, and/or Bone Mineral Density Test.	Once the necessary activity(ies) are completed by a member, eligible members will receive a prepaid Mastercard reward. Reward activities and values are below: Annual Wellness Visit = $25, House Call Visit = $25, Bone Mineral Density Test = $100	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 weekly completion files that are sent over to Welltok for reward distribution.  These completion files include member level data and the reward type earned. Welltok in turn will send us a shipping report of all rewards sent.	6250	3788
H5117	LOUISIANA HEALTHCARE CONNECTIONS, INC.	2021	1	Y	LOUISIANA HEALTHCARE CONNECTIONS, INC. | MEDICARE HEALTHY REWARDS PROGRAM	BREAST CANCER SCREENING, COLORECTAL CANCER SCREENING, COMPREHENSIVE DIABETES CARE - EYE EXAM, HBA1C, NEPHROPATHY, BONE DENSITY SCREENING, ANNUAL WELLNESS VISIT, LEARN and EARN, COLORECTAL SCREENING, DIABETIC EYE EXAM, DIABETIC HBA1C, FLU VACCINE, HEALTH RISK ASSESSMENT AND WELLNESS VISIT	REWARDS VARY FROM $10 - $50 DEPENDING ON SERVICE COMPLETED.  MEMBERS WERE ABLE TO CHOOSE FROM A VARIETY OF GIFT CARDS INCLUDING: WALMART, VISA, SUBWAY, VISA PREPAID DEBIT CARD	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. | 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 | 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.	3081	6019
H5126	OSCAR INSURANCE COMPANY	2021	1	Y	Member Onboarding and Health-Related Activities Program	Member onboarding activities include completion of health risk assessment, select a PCP, visiting a PCP, create a web account, complete a welcome call, complete an authorized representative form. Health-related activities include Annual Wellness Visit, breast cancer screening, osteoperosis screening, colorectal cancer screening, blood pressure reading, diabetic retinal eye exam, diabetic HbA1c, nephrology screening.	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. Members who complete 4 out of 6 onboarding activities receive a $100 gift card.	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. For member onboarding activities, Oscar uses a data query to aggregate and count the activities completed. Completion of 4 out of 6 activities triggers a gift card to the member.	917	2209
H5140	BLUE CROSS AND BLUE SHIELD ARIZONA, INC.	2021	1	Y	MyBlue Medicare Wellness Rewards Program, Welvie	Annual Physical Exam, Colorectal Cancer Screening, Breast Cancer Screening, Diabetic Retinal Eye Exam, Annual Flu Shot, Direct Decision Support for preference sensitive surgeries	Prepaid gift card	Value of prepaid gift card for annual physical exam, breast cancer sreening, colorectal cancer screening, diabetic retinal eye exam, Direct Decision Support for preference sensitive surgeries are $25 each and $10 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.	984	1379
H5141	CLOVER INSURANCE COMPANY	2021	1	Y	GA/SC PCP Visit Incentive, CCV Incentive	GA/SC members who complete a PCP visit (limit one per member), Reward MA members who schedule and complete a Clover Care Visit (CCV) or Readmission Prevention Program (limit one per member)	One time fund added to Solutran OTC Card OR $50 Amazon card, Blackhawk issues Clover branded Visa or MasterCard	Flat $50 per visit	For Solutran: Members are tracked by claims submitted for PCP visits. Solutran provides member member level tracking at https://psp.solutran.com/psp/cardholdersearch For BlackHawk cards members were tracked manually on this spreadsheet https://docs.google.com/spreadsheets/d/1XZruDx2xWbjnPWmyxwl3EFFAbXzPpvpm35YZ6S85vqE/edit?usp=sharing, Enrollees are tracked by having a visit completed in our EHR or by completing a visit with our vendors (vendor visits are tracked by excel sheets sent to us by each vendor) Blackhawk provides member level tracking at https://galaxy.qlik.blackhawknetwork.com/hmsso/hub/my/work	11595	11595
H5172	COMMUNITY HEALTH GROUP	2021	1	Y	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	7033	4817
H5190	SUNSHINE STATE HEALTH PLAN, INC.	2021	1	Y	MEDICARE HEALTHY REWARDS PROGRAM | SUNSHINE STATE HEALTH PLAN, INC.	BONE DENSITY, COLORECTAL SCREENING, DIABETIC EYE EXAM, DIABETIC HBA1C, DIABETIC KIDNEY SCREENING, FLU VACCINE, HEALTH RISK ASSESSMENT, PROSTATE EXAM AND WELLNESS VISIT, BREAST CANCER SCREENING, COLORECTAL CANCER SCREENING, COMPREHENSIVE DIABETES CARE - EYE EXAM, HBA1C, NEPHROPATHY, BONE DENSITY SCREENING, ANNUAL WELLNESS VISIT, LEARN and EARN	REWARDS VARY FROM $10 - $50 DEPENDING ON SERVICE COMPLETED.  MEMBERS WERE ABLE TO CHOOSE FROM A VARIETY OF GIFT CARDS INCLUDING: WALMART, VISA, SUBWAY, VISA PREPAID DEBIT CARD	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. | 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 | 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.	3011	11677
H5199	WELLCARE HEALTH INSURANCE OF ARIZONA, INC.	2021	1	Y	MEDICARE HEALTHY REWARDS PROGRAM	BREAST CANCER SCREENING, COLORECTAL CANCER SCREENING, COMPREHENSIVE DIABETES CARE - EYE EXAM, HBA1C, NEPHROPATHY, BONE DENSITY SCREENING, ANNUAL WELLNESS VISIT, FLU VACCINE, LEARN and EARN	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.	9469	18829
H5209	MY CHOICE WISCONSIN HEALTH PLAN, INC.	2021	1	N	 	 	 	 	 	0	0
H5211	SECURITY HEALTH PLAN OF WISCONSIN, INC.	2021	1	N	 	 	 	 	 	0	0
H5215	NETWORK HEALTH INSURANCE CORPORATION	2021	1	Y	Healthy Living with Diabetes	Completion of heath related educational programming	Gift card to Amazon,   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 gift card value for the completion of the service/activity, is nominal - less than or equal to $50.	Spreadsheets and vendor reporting	25	45
H5215	NETWORK HEALTH INSURANCE CORPORATION	2021	2	Y	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	16	16
H5215	NETWORK HEALTH INSURANCE CORPORATION	2021	3	Y	SNP Wellness Program	Completion of HRA - annual wellnes visit-flu shot	Reloadable gift card that can be used at various merchants	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	2640	2672
H5215	NETWORK HEALTH INSURANCE CORPORATION	2021	4	Y	Matrix Mobile	Completion of mobile quality or risk adjustment visit	Reloadable gift card that can be used at various merchants	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
H5215	NETWORK HEALTH INSURANCE CORPORATION	2021	5	Y	Innovalon Home Visit	Completion of in home or virtual assessment	Reloadable gift card that can be used at various merchants	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	65967	12665
H5216	HUMANA INSURANCE COMPANY	2021	1	Y	Go365 by Humana	Fitness: rewards for completing monthly workouts, Social/Health Education: 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, education 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.	346716	3376993
H5216	HUMANA INSURANCE COMPANY	2021	2	Y	Go365 by Humana	Fitness: rewards for completing monthly workouts, Social/Health Education: 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, education 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.	346716	3376993
H5216	HUMANA INSURANCE COMPANY	2021	3	Y	Go365 by Humana	Fitness: rewards for completing monthly workouts, Social/Health Education: 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, education 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.	346716	3376993
H5216	HUMANA INSURANCE COMPANY	2021	4	Y	Go365 by Humana	Fitness: rewards for completing monthly workouts, Social/Health Education: 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, education 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.	346716	3376993
H5216	HUMANA INSURANCE COMPANY	2021	5	Y	Go365 by Humana	Fitness: rewards for completing monthly workouts, Social/Health Education: 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, education 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.	346716	3376993
H5216	HUMANA INSURANCE COMPANY	2021	6	Y	Icario	Specialized outreach to Special Needs Plan (SNP) members in contract H5216 members to complete SNP HRA, if not yet completed at the time of launch of this program. The project goal was to further improve HRA completion performance in the SNP Care Management Star  Measure (HRA completion) goals, this project will offer incentive to contract H5216 members for HRA completion.	Members can earn an additional $25 gift card for completion of HRA	Call to action for SNP members in H5216 to complete the Special Needs Health Risk Assessment before 12.31.2021 and offered an opportunity for a $25 gift card with 3 merchant options.	Humana defined the members eligible for outreach based on SNP membership by contract.  Our vendor Icario tracked member attestation of request for incentive and sent us monthly attestation reports.	58080	8790
H5216	HUMANA INSURANCE COMPANY	2021	7	Y	IHWA	The In Home Health and Wellbeing assessment is a one time a year in home visit provided to NCSHP Group Medicare members at no additional close.  It is a visit with a licensed medical professional to seek advice, discuss how the member is feeling and ensure they are aware of preventative measures that could further assist.  Vendor may do additional testing in the home including PAD, DRE.  They provide answers to members questions and provide a copy of the assessment to the members PCP.	Medicare members can earn the incentive reward for the completion of their In Home Health and Well-being assessment from 1.1.2022 to 12.31.2022.  The member is provided a $15 Walmart restricted card for completion of the visit either in home or through a video tele health visit.	Group Medicare - North Carolina State Health Plan came to the IHWA program with the value of the incentive they have selected to use.	Program participation is based on weekly reporting received from the IHWA vendors on members who have completed their IHWA with the vendor (signify).  Once reporting is received, our data team creates the incentive file to process with the incentive vendor	161158	16620
H5216	HUMANA INSURANCE COMPANY	2021	8	Y	Sharecare Wellness Product in partnership with Humana	The digital platform provides the ability for registered members to track health habits and health measures.  Members can utilize the platform to track daily their weight, stress, smoking, sleep, relationships, medications, fitness, nutrional intake, cholesterol, blood pressure, steps, glucose, & alcohol. Registered members are also provided with educational wellness articles and a range of opportunities to earn rewards for participating in healthy activities such as self health assessments, physical exams, cancer screenings, flu shot and preventative screenings.	Registered members are able to earn rewards through platform engagement such as using trackers for challenges and completing the digital self health assessment. Members are rewarded for completing these healthy activities: Annual Wellness Visit, Mammogram, Colorectal screening, Bone density screening, Cardiovascular disease screening, Flu shot, Diabetic eye exam, Diabetic kidney health test, Diabetic A1c test, Diabetic foot exam. Rewards can be redeemed through the Rewards Mall or by calling customer service. Rewards are offered from a variety of retailers in a range of $10- $50 denominations.	The value of the rewards is modeled after our Go365 health initiative. We collaborate with the Humana Medicare team to identify the value of preventive services awarded in the program and assign 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 member participation (based on prior program data), and a lower value than disease prevention services.	Members on the eligible plans must register for the program in order for the rewards to become available for redemption. Activity completion is posted to the member account through claims data feeds and the digital platform activity (challenges, digital self health assessment). Self reporting activity is available on the platform in December. Rewards are applied to the member's account in the Rewards Mall for redemption.	262	745
H5253	UNITEDHEALTHCARE OF WISCONSIN, INC.	2021	1	Y	HouseCalls Program, UnitedHealthcare Dual Complete Rewards,  Renew Rewards and/or Vivify Program	HouseCall, Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, 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,Health Risk Assessment ,Flu Shot, Device-Based Activities (Step), Registration for Vivify mobile application., ,	Gift Card, Vivify 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., 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 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 care activity itself., ,	HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in a 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., 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 four channels by providing certain required data (e.g., appointment date). Once UHC validates the eligibility period for the activity, the reward is issued.  For Vivify Reward 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, once the system has registered the members acceptance.Member self-report the Registration of Vivify mobile application) through any od four channels by providing the required data (Date of registration of Vivify mobile application)once UHC vaidates the eigibility period and reward is issued.,	219177	291546
H5262	QUARTZ HEALTH PLAN CORPORATION	2021	1	Y	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)	25109	1428
H5273	CAREPARTNERS OF CONNECTICUT, INC.	2021	1	Y	2021 Healthy Behavior Reward Program	Activities related to routine diabetic care: one retinal eye exam, one urine protein test, and one Hemoglobin A1c test.	$75 gift card to retail stores Target or Walmart, or Visa gift card.	All three 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.	191	188
H5280	MOLINA HEALTHCARE OF OHIO, INC.	2021	1	Y	Molina Healthy Rewards	Completing blood pressure check, completing wellness visit, completing colon cancer screening	Members may choose from the following retailers: Walmart Amazon Target Kroger CVS (gift card value $25)	The reward values were set based on collaboration with the vendor to determine fair market valueswere competitive and adhered to CMS and state regulations. Service type was also taken into account to make sure the reward amount was reasonable.	Member attestation	17154	340
H5294	SUPERIOR HEALTHPLAN, INC.	2021	1	Y	MEDICARE HEALTHY REWARDS PROGRAM | SUPERIOR HEALTH PLAN, INC.	BREAST CANCER SCREENING, COLORECTAL CANCER SCREENING, COMPREHENSIVE DIABETES CARE - EYE EXAM, HBA1C, NEPHROPATHY, BONE DENSITY SCREENING, ANNUAL WELLNESS VISIT, FLU VACCINE, LEARN and EARN, COLORECTAL SCREENING, DIABETIC EYE EXAM, DIABETIC HBA1C, DIABETIC KIDNEY SCREENING, FLU VACCINE AND WELLNESS VISIT	REWARDS VARY FROM $10 - $50 DEPENDING ON SERVICE COMPLETED.  MEMBERS WERE ABLE TO CHOOSE FROM A VARIETY OF GIFT CARDS INCLUDING: WALMART, VISA, SUBWAY, VISA PREPAID DEBIT CARD	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. | 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 | 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.	41021	69391
H5296	ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.	2021	1	Y	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.	1136	1148
H5302	AETNA HEALTH INC. (GA)	2021	1	N	 	 	 	 	 	0	0
H5322	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	2021	1	Y	HouseCalls Program, UnitedHealthcare Dual Complete Rewards,  Renew Rewards and/or Vivify Program	HouseCall, Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, 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,Health Risk Assessment ,Flu Shot, Device-Based Activities (Step), Registration for Vivify mobile application., ,	Gift Card, Vivify 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., 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 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 care activity itself., ,	HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in a 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., 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 four channels by providing certain required data (e.g., appointment date). Once UHC validates the eligibility period for the activity, the reward is issued.  For Vivify Reward 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, once the system has registered the members acceptance.Member self-report the Registration of Vivify mobile application) through any od four channels by providing the required data (Date of registration of Vivify mobile application)once UHC vaidates the eigibility period and reward is issued.,	34223	39667
H5325	COVENTRY HEALTH CARE OF KANSAS, INC.	2021	1	N	 	 	 	 	 	0	0
H5355	IEHP HEALTH ACCESS	2021	1	Y	Baby-N-Me	Members download the Baby-N-Me mobile application on their phone or tablet from the Apple App Store or the Google Play store. The application includes a series of interactive educational modules that coincide with the stages of pregnancy. Upon download, the user completes a registration survey, profile and answers a series of screening questions to confirm that they are pregnant and which stage of pregnancy they are in. The app then sends notifications and reminders for prenatal care and screening leading up to the birth of their baby.	Upon completing their profile in the app (i.e., submitting the screening survey), the Member receives a link to download an electronic gift card. When accessing the link, the Member is offered a list of 25 popular retailers such as Amazon, Walmart, Target, etc. to choose from. After selecting their preferred retailer, the member is provided the electronic gift card.	Each Member who downloads the app and completes their profile andscreening survey receives a $25 gift card to the retailer of their choice. The $25 amount was selected to be consistent with other incentive programs we have offered historically.	In order to access the mobile application after downloading, the user must enter their unique IEHP Member ID number. The app recorders their ID Number and all uses of the app including which modules they view and complete as well as any behaviors or actions they report in the app are associated with their Member ID number and the complete history is viewable and downloadable by the Health Education Department for evaluation purposes. This also allows us to ensure that any duplicate downloads/registrations of the app do not result in duplicate incentives being issued to Members.	0	0
H5355	IEHP HEALTH ACCESS	2021	2	Y	Breast Cancer Screening IEHP-Member Incentive Program	Breast cancer screening	Member will be provided a gift card selection from which to choose. Types of gift cards included retail, entertainment, grocery, pharmacy, gas station, and food service establishments.	The value of $25 was selected as this aligns with other Inland Empire Health Plan incentive programs requiring a single visit to complete the needed service. The $25 reward value has been determined as reasonable by other regulatory agencies.	Member participation is tracked in a centralized database.	9179	2471
H5355	IEHP HEALTH ACCESS	2021	3	Y	Diabetic Labs IEHP-Member Incentive Program	Diabetic labs (A1c testing and Nephropathy Screening)	Member will be provided a gift card selection from which to choose. Types of gift cards included retail, entertainment, grocery, pharmacy, gas station, and food service establishments.	The value of $25 was selected as this aligns with other Inland Empire Health Plan incentive programs requiring a single visit to complete the needed service. The $25 reward value has been determined as reasonable by other regulatory agencies.	Member participation is tracked in a centralized database.	8472	6766
H5355	IEHP HEALTH ACCESS	2021	4	Y	Colorectal Cancer Screening IEHP-Member Incentive Program	Colorectal cancer screening	Member will be provided a gift card selection from which to choose. Types of gift cards included retail, entertainment, grocery, pharmacy, gas station, and food service establishments.	The value of $25 was selected as this aligns with other Inland Empire Health Plan incentive programs requiring a single visit to complete the needed service. The $25 reward value has been determined as reasonable by other regulatory agencies.	Member participation is tracked in a centralized database.	17202	4279
H5355	IEHP HEALTH ACCESS	2021	5	Y	Dilated Retinal Exams IEHP-Member Incentive Program	Retinal eye exams for Members with diabetes.	Member will be provided a gift card selection from which to choose. Types of gift cards included retail, entertainment, grocery, pharmacy, gas station, and food service establishments.	The value of $25 was selected as this aligns with other Inland Empire Health Plan incentive programs requiring a single visit to complete the needed service. The $25 reward value has been determined as reasonable by other regulatory agencies.	Member participation is tracked in a centralized database.	8472	4025
H5374	LONGEVITY HEALTH PLAN OF NORTH CAROLINA, INC.	2021	1	N	 	 	 	 	 	0	0
H5377	HUMANA MEDICAL PLAN OF PENNSYLVANIA, INC.	2021	1	Y	Go365 by Humana	Fitness: rewards for completing monthly workouts, Social/Health Education: 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, education 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.	272	1690
H5386	SHARP HEALTH PLAN	2021	1	N	 	 	 	 	 	0	0
H5398	CENTENE VENTURE COMPANY KANSAS	2021	1	Y	KS-MEDICARE-MAPD ASCENSION COMPLETE	BREAST CANCER SCREENING, COLORECTAL CANCER SCREENING, DIABETES HBA1C, DIABETES KIDNEY SCREENING, 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	1059	1257
H5410	HEALTHSPRING OF FLORIDA, INC.	2021	1	Y	Cigna Medicare Advantage Incentives (CMAI)	360 Exam (wellness exam), HbA1c, Diabetic Retinal Eye Exam, Mammogram, Colonoscopy, Flu Shot	A gift card to one of 3 retailers: Walmart, Amazon.com or Target for each preventative screening or merchandise item of equivalent value. 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. For customers in H5410_001 and H5410_807, customers earn merchandise rewards: 360 Exam (wellness exam) -  choice of either domino set, beach chair, or umbrella, HbA1c - hat and travel mug, Diabetic Eye Exam - Collabpsible mini lantern, Mammogram - Plush throw blanket, Colonoscopy 1 or 3 year - Deluxe bingo set, Colonoscopy 5 or 5 year - Variety Game Box set, Flu Shot - 2 oz Cafe Cup. We established values based on industry ranges, level of effort required by the beneficiary, and clinical value. Items selected are aligned to gift card values offered. 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), Flu Shot. 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.	37895	13235
H5420	PREFERRED CARE NETWORK, INC.	2021	1	Y	HouseCalls Program, Renew Rewards and/or Vivify Program	HouseCall, Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening,Health Risk Assessment ,Flu Shot, Device-Based Activities (Step), Registration for Vivify mobile application., ,	Gift Card or Vivify 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.,Renew Rewards Program: 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 care activity itself., ,	HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in a visit.  Members can receive information about the opportunity to have a HouseCalls visit by outbound phone outreach from our scheduling agents, mailed materials, or email.  The clinician performing the visit will enter member information into the eHouseCalls app housed on the tablet our clinicians use in the field.  Once the HouseCalls system receive s confirmation of a completed visit, the reward is issued.,  , Renew Rewards Program: Enrollees initiate the redemption process by activating 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 four channels by providing certain required data (e.g., appointment date). Once UHC validates the eligibility period for the activity, the reward is issued.  For Vivify Reward 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, once the system has registered the members acceptance.Member self-report the Registration of Vivify mobile application) through any od four channels by providing the required data (Date of registration of Vivify mobile application)once UHC vaidates the eigibility period and reward is issued.,	4883	4470
H5422	BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA	2021	1	N	 	 	 	 	 	0	0
H5425	SCAN HEALTH PLAN	2021	1	Y	Chronic Disease Self-Management Program workshop	Presentation and practice of self-management tools to help with chronic disease and chronic pain management	elf-Management book, meditation  CD, SCAN water bottle, belt, exercise towel and stretch band. Rewards offered only for those who complete the workshop (attend minimum of 4 of 6 sessions).	Actual Cost	We maintain a list of participants, dates and sessions attended in a database	60	46
H5427	FREEDOM HEALTH, INC.	2021	1	Y	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 $25 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.	8293	3088
H5427	FREEDOM HEALTH, INC.	2021	2	Y	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 $25 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.	983	475
H5427	FREEDOM HEALTH, INC.	2021	3	Y	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 $25 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.	478	226
H5427	FREEDOM HEALTH, INC.	2021	4	Y	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.	848	207
H5430	ONECARE BY CARE1ST HEALTH PLAN OF ARIZONA INC.	2021	1	Y	MEDICARE HEALTHY REWARDS PROGRAM	BREAST CANCER SCREENING, COLORECTAL CANCER SCREENING, COMPREHENSIVE DIABETES CARE - EYE EXAM, HBA1C, NEPHROPATHY, BONE DENSITY SCREENING, ANNUAL WELLNESS VISIT, FLU VACCINE, LEARN and EARN	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.	5280	17047
H5431	HEALTHSUN HEALTH PLANS, INC.	2021	1	Y	HealthSun Member Rewards Program	Annual Flu Vaccine, Annual Wellness Exam, Breast Cancer Screening  Mammogram, Colorectal Screening  Fecal Occult Blood Test (FOBT) or Fecal Immunochemical Test (FIT), Colorectal Cancer Screening  Colonoscopy or Sigmoidoscopy, Diabetes Care  Eye Exam, Health Risk Assessment (HRA), Depression Screening, Fall Risk Screening	Gift Cards	Each Health Rewards healthcare services amounts are approved/pre-set every program year by Management/Business Owners and these amounts can go from $10 to $20 rewards value. Members can receive worth up to $80 per calendar year. Annual Flu Vaccine  $20, Annual Wellness Exam  $10, Breast Cancer Screening  Mammogram  $20, Colorectal Screening  Fecal Occult Blood Test (FOBT) or Fecal Immunochemical Test (FIT)  $10, Colorectal Cancer Screening  Colonoscopy or Sigmoidoscopy  $20, Diabetes Care  Eye Exam  $10, Health Risk Assessment (HRA)  $10, Depression Screening  $10, Fall Risk Screening  $10	The plan receives an Activity Report from Rewards vendor (Vimarc) in a weekly basis that includes all enrollee participation information as of member details, what coupons have been received and processed, which have been granted or which have been denied and the amounts of cards issued for each member and the values of mentioned cards. Quarterly and annually, at the end of the program, vendor provides participation rates based on active membership and amount of members using the program, for reporting purposes. Internally, utilization is measured out via Claims/Encounter Reports in our system SHMS.	4463	11214
H5433	ORANGE COUNTY HEALTH AUTHORITY	2021	1	Y	DCSr, COL,  IHA , CCM, CDE-E, CDC-A1C, AWV, COVID-19 Vaccines.	Mamm gram, Assessment, Eye and A1C  Exam,  Vaccin.	$25 Visa, $20 Target gift card,  $50 Visa gift card, Subway gift cards fo IZ program.	By aligning their dollar amounts to other successful incentive campaigns used for past.	Used incentive forms, COZEVA data, health  visit data,  EMR data and  CAIRS data.	1918	2199
H5434	BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.	2021	1	Y	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 $10, Breast Cancer Screening $25, Colon Cancer Screening (Fecal Occult Blood Test/Fecal Immunochemical Test/Flexible Sigmoidoscopy Colonoscopy) $25, Diabetes Care Eye Exam $25, Diabetes Care Kidney Exam $15, Diabetes Care A1C $20, 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 2021 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).	12969	10012
H5435	UNITEDHEALTHCARE INSURANCE COMPANY	2021	1	Y	HouseCalls Program, Renew Rewards and/or Vivify Program	HouseCall, Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening,Health Risk Assessment ,Flu Shot, Device-Based Activities (Step), Registration for Vivify mobile application., ,	Gift Card or Vivify 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.,Renew Rewards Program: 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 care activity itself., ,	HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in a visit.  Members can receive information about the opportunity to have a HouseCalls visit by outbound phone outreach from our scheduling agents, mailed materials, or email.  The clinician performing the visit will enter member information into the eHouseCalls app housed on the tablet our clinicians use in the field.  Once the HouseCalls system receive s confirmation of a completed visit, the reward is issued.,  , Renew Rewards Program: Enrollees initiate the redemption process by activating 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 four channels by providing certain required data (e.g., appointment date). Once UHC validates the eligibility period for the activity, the reward is issued.  For Vivify Reward 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, once the system has registered the members acceptance.Member self-report the Registration of Vivify mobile application) through any od four channels by providing the required data (Date of registration of Vivify mobile application)once UHC vaidates the eigibility period and reward is issued.,	794	692
H5439	HEALTH NET LIFE INSURANCE COMPANY	2021	1	Y	MEDICARE HEALTHY REWARDS PROGRAM	BREAST CANCER SCREENING, COLORECTAL CANCER SCREENING, COMPREHENSIVE DIABETES CARE - EYE EXAM, HBA1C, NEPHROPATHY, BONE DENSITY SCREENING, ANNUAL WELLNESS VISIT, FLU VACCINE, LEARN and EARN	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.	19522	76332
H5454	CLEAR SPRING HEALTH OF ILLINOIS, INC.	2021	1	N	 	 	 	 	 	0	0
H5471	SIMPLY HEALTHCARE PLANS, INC.	2021	1	Y	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	65142	3685
H5471	SIMPLY HEALTHCARE PLANS, INC.	2021	2	Y	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	65142	3685
H5471	SIMPLY HEALTHCARE PLANS, INC.	2021	3	Y	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	65142	3685
H5471	SIMPLY HEALTHCARE PLANS, INC.	2021	4	Y	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	65142	3685
H5471	SIMPLY HEALTHCARE PLANS, INC.	2021	5	Y	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	65142	3685
H5471	SIMPLY HEALTHCARE PLANS, INC.	2021	6	Y	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	65142	3685
H5471	SIMPLY HEALTHCARE PLANS, INC.	2021	7	Y	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	65142	3685
H5471	SIMPLY HEALTHCARE PLANS, INC.	2021	8	Y	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	65142	3685
H5471	SIMPLY HEALTHCARE PLANS, INC.	2021	9	Y	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	65142	3685
H5471	SIMPLY HEALTHCARE PLANS, INC.	2021	10	Y	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	65142	3685
H5471	SIMPLY HEALTHCARE PLANS, INC.	2021	11	Y	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	65142	3685
H5475	MERIDIAN HEALTH PLAN OF MICHIGAN, INC.	2021	1	Y	MEDICARE HEALTHY REWARDS PROGRAM	BREAST CANCER SCREENING, COLORECTAL CANCER SCREENING, COMPREHENSIVE DIABETES CARE - EYE EXAM, HBA1C, NEPHROPATHY, BONE DENSITY SCREENING, ANNUAL WELLNESS VISIT, FLU VACCINE, LEARN and EARN	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.	50338	225717
H5496	IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.	2021	1	Y	HRA Incentive Program for SNP members	For SNP members who have completed the HRA surveys either by phone or returned completed HRAs by mail.  SNP members were outreached by phone to complete Health Risk Assessment. Also, a SNP member who was 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 cards.	$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 have completed the HRAs either by phone or by mail and received $25 gift cards	296	296
H5496	IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.	2021	2	Y	Imperial 2021 Quality Rewards Program	Annual Wellness Exam  Breast Cancer Screening Colonoscopy Diabetic Member Screenings Kidney Health Evaluation Hypertensive Member Screenings	Annual Wellness Exam: $150 Breast Cancer Screening: $30 Colonoscopy: $25 or Stool Test: $10 Diabetic Member Screenings: $30 Kidney Health Evaluation: $15 Hypertensive Member Screenings: $15	The combined HEDIS report contains members who have completed the quality measures listed in column D of this report. They are identified with a 1 which means the member completed a quality measure. All 1s are added and based on the HEDIS measure identified in column D of this report will determine the reward and incentive amount the member will receive.	Members who complete the services listed in column D are tracked by the  claims department and encounter data to identify completion date. HEDIS Combined report are also reviewed to identity members that have completed any of the quality measures. Data from claims and HEDIS are maintained on an excel log and paid out the first month of the following year.	4557	0
H5521	AETNA LIFE INSURANCE COMPANY	2021	1	Y	Aetna Healthy Rewards	Rewards activation, Healthy Home Visit, health risk assessment, annual wellness visit, physical activity, colon cancer screening, breast cancer screening, depression screening, diabetic eye exam, diabetic A1C, educational series on physical and mental health, biometric screening, and flu vaccination	Eligible members received variable amounts for different rewardable activities.  A&BC platform administered the Aetna Healthy Rewards program for 38 plan sponsors where members can earn $200.  ActiveHealth platform administered the Aetna Healthy Rewards program for State of New Jersey SEHBP plan sponsor where members can earn up to $250.	Value of the reward is based on the difficulty to completion.  Higher reward amount designated for a rewardable activity with a higher perceived barrier to completion.	Eligible member self-attested to each activity once they have completed it. Attestation can be done by calling incentive program help line. through direct mail response or by using online resources. The attestation data were to track the participation.	329184	193073
H5521	AETNA LIFE INSURANCE COMPANY	2021	2	Y	Aetna Healthy You Rewards	Completing Physical Activity, Annual Wellness Exam, Healthy Home Visit, 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 or 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.	10780	260
H5522	HEALTHASSURANCE PENNSYLVANIA, INC.	2021	1	Y	Aetna Healthy You Rewards	Completing Physical Activity, Annual Wellness Exam, Healthy Home Visit, 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 or 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.	86915	46729
H5525	HUMANA BENEFIT PLAN OF ILLINOIS, INC.	2021	1	Y	Go365 by Humana	Fitness: rewards for completing monthly workouts, Social/Health Education: 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, education 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.	148183	1039790
H5526	HIGHMARK WESTERN AND NORTHEASTERN NEW YORK INC.	2021	1	Y	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.	18987	12563
H5526	HIGHMARK WESTERN AND NORTHEASTERN NEW YORK INC.	2021	2	Y	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.	18987	8267
H5528	EMBLEMHEALTH, INC.	2021	1	Y	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 Gift Card	Each service is worth $25.00 per year	Enrollees register for the program in a portal	0	0
H5533	UPMC HEALTH NETWORK, INC.	2021	1	Y	Preventive Incentive Program	AWV, preventive screening services for breast cancer, colorectal cancer, and members who have a diabetes diagnosis who are screened for retinopathy	A prepaid gift card for each service: AWV $30, Breast cancer screening $50, colorectal cancer screening $60, and diabetic eye exam $25	Breast cancer and colorectal cancer screening offers a higher reward value because the activites are time intensive and uncomfortable	When a claim is received for the service the member is rewarded and internal reporting and tracking through an incentive platform	8249	6054
H5549	VNS CHOICE	2021	1	Y	Healthy CHOICE Healthy You	Mammogram, Colon Cancer Screening, Statin Treatment for Cardiovascular Disease, Hemoglobin A1c Reading for Diabetes, Retinal Eye Exam for Diabetes, Blood Pressure Reading Hypertension, Flu Shot, Annual Wellness Visit	Reloadable gift card	The reward is $25 for each completed health-related activity	Enrollee participation is tracked by a quarterly retrospective review of claims data	2926	3255
H5576	VANTAGE HEALTH PLAN, INC.	2021	1	Y	Learn and Earn	Fall risk, mental and physical health	$10 to join the 8 week calls and $15 to complete survey at the end of the 8 weeks	small amount that would still gain attention	3rd party vendor keeps records of who joins the calls	1800	1297
H5576	VANTAGE HEALTH PLAN, INC.	2021	2	Y	Medicare Quality	Annual Wellness Visit, Breast Cancer Screening, Controlling Blood Pressure, Diabetic A1C, Eye Exam, Diabetic Kidney Screening, Statin use, Flu, Colorectal Cancer Screening	Between $10 and $50 for each measure	We decided on a per measure level. Colorectal and Breast cancer screening pays $50 because less member want to perform those services. The other measures were based on national statistics of what it would take to get the member to perform the activity.	3rd party vendor keeps record of who completes which measure as self-reported by the member	1105	4484
H5577	MCS ADVANTAGE, INC.	2021	1	Y	MCS Classicare Te Cuida	Breast Cancer Screening, Colorectal Cancer Screening, Annual Flu Vaccine, Diabetes Care-Eye Exam	Gift cards	The cost of the gift card is lower than preventive care cost as established in CMS Guidelines. 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	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 CRM system and the member is enrolled in the program.	184404	5682
H5580	MERCY CARE	2021	1	Y	Mercy Care Advantage Member Incentives	A single Mercy Care Advantage Rewards program which includes incentives for members to complete breast cancer screening, colon cancer screening, annual wellness visit, flu shot, diabetes kidney exam, health risk assessment completion, enrollment in our Health Outcomes program and completion of our Health Outcomes Program.	Gift cards from a list of vendors.  Breast cancer screening $50, colon cancer screening $50, annual wellness visit $25, flu shot $15, diabetes kidney exam $15, health risk assessment completion $15, enrollment in our Health Outcomes program $10 and completion of our Health Outcomes Program $15.	All members are eligible to receive the flu shot on monitor your physical health rewards.  All other rewards are targeted to specific member based on clinical indicators or standards of care.  The value of the award was selected to balance the cost of the reward the ability to influence member behavior.	Breast cancer screening, colon cancer screening, annual wellness visit, flu shot, and diabetes kidney exam are tracked utilizing claims data. Health risk assessment completion is tracked in our care management system. And enrollment in our Health Outcomes program and completion of our Health Outcomes Program is tracked through dashboard reporting from our program vendor	15813	23725
H5587	HEALTH CHOICE ARIZONA, INC.	2021	1	Y	Health Choice Pathway Healthy Rewards Program	Breast Cancer Screening (BCS), Comprehensive Health Examination (CHE/AWV), Colorectal Cancer Screening (COL), Influenza Vaccination (FLU), Behavioral Health Treatment (Wellth)	Gift Cards	$10-$25	Member participation is documented in each members record within web-based population health management system (CareRadius)	8990	482
H5590	BRIDGEWAY HEALTH SOLUTIONS OF ARIZONA, INC.	2021	1	Y	BRIDGEWAY HEALTH SOLUTIONS | MEDICARE HEALTHY REWARDS PROGRAM	BREAST CANCER SCREENING, COLORECTAL CANCER SCREENING, COMPREHENSIVE DIABETES CARE - EYE EXAM, HBA1C, NEPHROPATHY, BONE DENSITY SCREENING, ANNUAL WELLNESS VISIT, LEARN and EARN, COLORECTAL SCREENING, DIABETIC EYE EXAM, DIABETIC HBA1C, DIABETIC KIDNEY SCREENING, FLU VACCINE, HEALTH RISK ASSESSMENT AND WELLNESS VISIT	REWARDS VARY FROM $10 - $50 DEPENDING ON SERVICE COMPLETED.  MEMBERS WERE ABLE TO CHOOSE FROM A VARIETY OF GIFT CARDS INCLUDING: WALMART, VISA, SUBWAY, VISA PREPAID DEBIT CARD	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. | 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 | 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.	31510	48418
H5591	MARTIN'S POINT GENERATIONS ADVANTAGE, INC.	2021	1	Y	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	3664	3664
H5591	MARTIN'S POINT GENERATIONS ADVANTAGE, INC.	2021	2	Y	Martins Point HRA Incentive Program	HRA Completion for C-SNP members	$15 Hannaford Gift Card	A set amount for completing an HRA	Systems report completion of HRAs	194	194
H5593	AETNA HEALTH OF IOWA INC.	2021	1	N	 	 	 	 	 	0	0
H5594	OPTIMUM HEALTHCARE, INC.	2021	1	Y	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 $25 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.	8020	3380
H5594	OPTIMUM HEALTHCARE, INC.	2021	2	Y	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 $25 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.	532	298
H5594	OPTIMUM HEALTHCARE, INC.	2021	3	Y	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 $25 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.	335	183
H5594	OPTIMUM HEALTHCARE, INC.	2021	4	Y	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.	671	168
H5599	NEW YORK QUALITY HEALTHCARE CORPORATION	2021	1	Y	FIDELIS REWARDS PROGRAM	ANNUAL WELLNESS VISIT, DIABETES EYE EXAM, BREAST CANCER SCREENING, COLORECTAL CANCER SCREENING, DIABETES KIDNEY EXAM, DIABETES BLOOD TEST (A1C), FLU SHOT, BONE DENSITY TEST, MONITOR YOUR PHYSICAL HEALTH, REDUCING THE RISK OF FALLING, IMPROVING BLADDER CONTROL, PAIN SCREENING, FUNCTIONAL STATUS, MEDICATION REVIEW.	GIFT CARD FROM LIST OF AVAILABLE MERCHANTS.	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.	PROGRAM IS ADMINISTERED BY ICARIO HEALTH (FORMERLY NOVU HEALTH) ON BEHALF OF FIDELIS CARE. FIDELIS CARE PROVIDES ICARIO HEALTH WITH MEMBER DATA SHOWING ELIGIBLE ACTIVITIES. MEMBERS ATTEST TO ACTIVITIES THROUGH ICARIO.	7498	23145
H5608	DENVER HEALTH MEDICAL PLAN, INC.	2021	1	Y	Medicare Wellness Rewards	Annual wellness exam	Prepaid Mastercard	All rewards are $30	Via the vendor website QLIK	4793	492
H5613	MVP HEALTH PLAN, INC.	2021	1	N	 	 	 	 	 	0	0
H5619	ARCADIAN HEALTH PLAN, INC.	2021	1	Y	Go365 by Humana	Fitness: rewards for completing monthly workouts, Social/Health Education: 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, education 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.	472698	5258660
H5628	MOLINA HEALTHCARE OF UTAH, INC.	2021	1	Y	Molina Choice Care/ Complete Care Healthy Rewards	Completing mammogram, completing colon cancer screening, completing blood pressure check, completing A1c testing, retinal eye exam, completing, nephropathy testing, completing wellness visit, completing bone density screening	Members may choose from the following retailers: Walmart Amazon Target Kroger (gift card value $25-50)	The reward values were set based on collaboration with the vendor to determine fair market valueswere competitive and adhered to CMS and state regulations. Service type was also taken into account to make sure the reward amount was reasonable.	Member attestation	16247	10239
H5644	NETWORK HEALTH INSURANCE CORPORATION	2021	1	Y	Healthy Living with Diabetes	Completion of heath related educational programming	Gift card to Amazon,   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 gift card value for the copmpletion of the service/activity, is nominal less than or equal to $50.	Spreadsheets and vendor reporting	0	0
H5644	NETWORK HEALTH INSURANCE CORPORATION	2021	2	Y	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 gift card value for the copmpletion of the service/activity, is nominal less than or equal to $50.	Spreadsheets and vendor reporting	0	0
H5644	NETWORK HEALTH INSURANCE CORPORATION	2021	3	Y	Matrix Mobile	Completion of mobile quality or risk adjustment visit	Reloadable gift card that can be used at various merchants	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
H5644	NETWORK HEALTH INSURANCE CORPORATION	2021	4	Y	Innovalon Home Visit	Completion of in home or virtual assessment	Reloadable gift card that can be used at various merchants	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	316	53
H5649	CENTRAL HEALTH PLAN OF CALIFORNIA, INC.	2021	1	Y	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.	33756	18
H5649	CENTRAL HEALTH PLAN OF CALIFORNIA, INC.	2021	2	Y	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 or have PCP to make online submission before the program deadline. 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.	$100 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.	33756	15717
H5649	CENTRAL HEALTH PLAN OF CALIFORNIA, INC.	2021	3	Y	Diabetes and Hyperlipidemia  educational and dietary Management Classes	$15 Visa Cards (Target/Grocery) are offered for attendance	$15 Grocery/Target Gift Cards	Reward amount is preloaded onto visa cards provided by Nation Benefits and calculated based on our budget	The class coordinator provides a sign-in sheet for members attending the class in-person or does roll-call for virtual sessions	14180	12
H5649	CENTRAL HEALTH PLAN OF CALIFORNIA, INC.	2021	4	Y	Diabetes Prevention Program: CDC recognized Prevent Type 2 program	$15 Visa Cards (Target/Grocery) are offered for completing 8 regular or make-up sessions and food/activity logs. Pedometers are awarded for completing 10 regular or make-up sessions of the program. $15 Visa Cards (Target/Grocery) are offered for completing 6 months of the program, or 20 regular or make-up sessions, and food/activity logs. $30 Visa Cards (Target/Grocery) are offered for completing all 26 regular or make-up sessions and food/activity logs. Scales were given to participants who did not have a working scale at home. Due to COVID, scales are given to participants to self-report their weight every week. Other miscellaneous rewards given to members throughout the one-year program include resistant bands, pens, grocery bags, journals, etc.	$15 Grocery/Target Gift Cards, pedometers, fitness trackers, scales, or other health-related ite	The value of the other rewards is calculated based off of the market value of the item.	The program coordinator provides a sign-in sheet for members attending the class in-person or does roll-call for virtual sessions. All data for completion of sessions, regular or make-up, is kept in a database.  CDC requires data submission every six months.	28	123
H5652	SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	2021	1	N	 	 	 	 	 	0	0
H5703	SOUTH COUNTRY HEALTH ALLIANCE	2021	1	Y	Wellness Programs and Preventive Care Reward Program	Prenatal exam, Postpartum 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.	$25 Gift card for completing 4 prenatal care visits, $25 for completing a Postpartum visit within 7-84 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,  $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.	66	66
H5746	AMERIGROUP COMMUNITY CARE OF NEW MEXICO, INC.	2021	1	N	 	 	 	 	 	0	0
H5774	TRIPLE S ADVANTAGE, INC.	2021	1	Y	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, Gift Certificate	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 2021 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.  Once all targeted tests were performed and properly verified by the Stars Unit Department a $10 gift card or certificate was sent via mail. This mailings also reminded the member if other rewarded tests were pending to be completed. Verification of test completion was performed in a quarterly basis and mailings were completed accordingly.  Test should be completed on or before September, 30 2021. An excel spreadsheet maintains all information regarding the members compliance status and incentive payment.	54323	108502
H5779	MERIDIAN HEALTH PLAN OF ILLINOIS, INC.	2021	1	Y	MEDICARE HEALTHY REWARDS PROGRAM	BREAST CANCER SCREENING, COLORECTAL CANCER SCREENING, COMPREHENSIVE DIABETES CARE - EYE EXAM, HBA1C, NEPHROPATHY, BONE DENSITY SCREENING, ANNUAL WELLNESS VISIT, FLU VACCINE, LEARN and EARN	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.	8430	27160
H5793	AETNA HEALTH INC. (CT)	2021	1	Y	Aetna Healthy You Rewards	Completing Physical Activity, Annual Wellness Exam, Healthy Home Visit, 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 or 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.	359	170
H5810	MOLINA HEALTHCARE OF CALIFORNIA	2021	1	Y	Molina Healthy Rewards	Completing mammogram, completing colon cancer screening, completing blood pressure check, completing A1c testing, retinal eye exam, completing, nephropathy testing, completing wellness visit	Members may choose from the following retailers: Walmart Amazon Target Kroger (gift card value $25-50)	The reward values were set based on collaboration with the vendor to determine fair market valueswere competitive and adhered to CMS and state regulations. Service type was also taken into account to make sure the reward amount was reasonable.	Member attestation	2698	303
H5823	MOLINA HEALTHCARE OF WASHINGTON, INC.	2021	1	Y	Molina Healthy Rewards	Completing mammogram, completing colon cancer screening, completing blood pressure check, completing A1c testing, retinal eye exam, completing, nephropathy testing, completing wellness visit, completing bone density screening	Members may choose from the following retailers: Walmart Amazon Target Kroger (gift card value $25-50)	The reward values were set based on collaboration with the vendor to determine fair market valueswere competitive and adhered to CMS and state regulations. Service type was also taken into account to make sure the reward amount was reasonable.	Member attestation	12631	3155
H5826	COMMUNITY HEALTH PLAN OF WASHINGTON	2021	1	Y	CHPW Cares Program	Health care activities such as annual wellness visit, statin therapy, connect with your case manager.	Gift cards	$78.96 is the average incentive per enrollee attesting to one or more health care activity. Each activity is rewarded a varied amount depending on the activity.	Enrollees are tracked when they engage in an activity and provide an attestation that they completed the activity.	2670	1200
H5826	COMMUNITY HEALTH PLAN OF WASHINGTON	2021	2	Y	FITCHEK in-home colorectal 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 test.	3872	973
H5828	AMERIGROUP TENNESSEE, INC.	2021	1	N	 	 	 	 	 	0	0
H5843	BANNER HEALTH PLAN, INC.	2021	1	N	 	 	 	 	 	0	0
H5852	AIDS HEALTHCARE FOUNDATION	2021	1	Y	Yes	The colorectal cancer screening improvement incentive program is for PHP CA 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.	109	67
H5852	AIDS HEALTHCARE FOUNDATION	2021	2	Y	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, PHP CA 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.	96	31
H5854	ANTHEM HEALTH PLANS, INC.	2021	1	N	 	 	 	 	 	0	0
H5859	HEALTH PLAN OF CAREOREGON, INC.	2021	1	Y	Healthy Rewards	Preventive Screenings, Flu Shot, Annual Wellness Visits, Health Risk Assessment , healthy activities at home	Gift cards	Twenty-Five 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.	7443	15777
H5883	BLUE CARE NETWORK OF MICHIGAN	2021	1	Y	VBID Welvie My Life Letters	Advanced Care Planning	Gift Card	Upon completion of program enrollee earns gift card	Enrollees must register in the program and program progress is tracked electronically	56	23
H5883	BLUE CARE NETWORK OF MICHIGAN	2021	2	Y	Medicare Advantage Rewards       Stay Healthy	Annual Wellness Visit, Monitoring Physical Activity, Flu Shot	Gift Card	Each activity has an assigned value the member receives based on completion of that activity.	Member self-attestation.  Tracked in partnership with Icario, vendor with experience running the program	5371	12093
H5883	BLUE CARE NETWORK OF MICHIGAN	2021	3	Y	Medicare Advantage Rewards     Quality	Breast Cancer Screening, Diabetes blood test (A1C), Diabetes eye exam, Diabetes kidney exam	Gift Card	Each activity has an assigned value the member receives based on completion of that activity.	Member self-attestation.  Tracked in partnership with Icario, vendor with experience running the program	619	1425
H5883	BLUE CARE NETWORK OF MICHIGAN	2021	4	Y	URMBT In Home Assessments	Health Risk Assessments	Gift Card	Every member that completes the service receives a $30.00 gift card	Vendor operational weekly reporting	25071	3272
H5883	BLUE CARE NETWORK OF MICHIGAN	2021	5	Y	Welvie My Surgery	Direct Decision Support for preference sensitive surgeries	Gift Card	Participant completes program to earn reward.	Enrollees must register in the program and program progress is tracked electronically	5435	4150
H5883	BLUE CARE NETWORK OF MICHIGAN	2021	6	Y	URMBT BCNA Wellness	Member Education about Care Management Behavioral Health & Nutrition	Gift Card	Members had to register for this event and  participate virtually via Zoom platform or via an Information Call until the end of the event and complete a wellness survey to receive a gift card	Members are tracked by participating in the activity and completing a survey.	242	227
H5883	BLUE CARE NETWORK OF MICHIGAN	2021	7	Y	Osteoporosis Outreach Program	In-Home Bone Mineral Density Tests	Gift Card	Upon completion of in-home BMD test member will be mailed the reward.	Tracked through reporting and member information in the database.	593	44
H5883	BLUE CARE NETWORK OF MICHIGAN	2021	8	Y	Listen & Earn	Listen to recordings on HOS topics and complete survey to receive reward.	Gift Card	$10 for registering and completing first assessment  $15 for completing all 8 Listen & Earn sessions and completing assessment	Vendor tracked program	968	1729
H5926	MOLINA HEALTHCARE OF MICHIGAN, INC.	2021	1	Y	Molina Healthy Rewards	Completing mammogram, completing colon cancer screening, completing blood pressure check, completing A1c testing, retinal eye exam, completing, nephropathy testing, completing wellness visit, completing bone density screening	Members may choose from the following retailers: Walmart Amazon Target Kroger (gift card value $25-50)	The reward values were set based on collaboration with the vendor to determine fair market valueswere competitive and adhered to CMS and state regulations. Service type was also taken into account to make sure the reward amount was reasonable.	Member attestation	14773	7136
H5928	CALIFORNIA PHYSICIANS' SERVICE	2021	1	Y	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.	20715	10248
H5932	GATEWAY HEALTH PLAN, INC.	2021	1	Y	Goodness Rewards Activation Form (Short HRA)	Member must complete and Goodness Rewards Activation form to activate into the program	Activation Into the Program $0	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 Chip Rewards reporting which is receieved weekly. Participation is also monitoreddaily when completion files are sent to the vendor.	25493	25493
H5932	GATEWAY HEALTH PLAN, INC.	2021	2	Y	Goodness Rewards Reassessement HRA	Member must complete a full length HRA in 2021.	$25 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 Chip Rewards reporting which is receieved weekly. Participation is also monitoreddaily when completion files are sent to the vendor.	25493	21933
H5932	GATEWAY HEALTH PLAN, INC.	2021	3	Y	Goodness Rewards Annual Wellness Visit	Member must complete and Annual Wellness Visit with a provider in 2021 or have an in-home Annual Wellness Visit with Innovalon in 2021.	$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 Chip Rewards reporting which is receieved weekly. Participation is also monitoreddaily when completion files are sent to the vendor.	25493	25112
H5932	GATEWAY HEALTH PLAN, INC.	2021	4	Y	Goodness Rewards Osteoporosis Management in Women	Member must complete a Bone Denisty Scan in 2021	$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 Chip Rewards reporting which is receieved weekly. Participation is also monitoreddaily when completion files are sent to the vendor.	114	89
H5937	UCARE MINNESOTA	2021	1	Y	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	5695	48
H5937	UCARE MINNESOTA	2021	2	Y	Asthma Incentive	Asthma education via telephone	gift card	Value of the activity or service and budget available for the estimated number of participants	member care management system	99	138
H5937	UCARE MINNESOTA	2021	3	Y	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	12	0
H5937	UCARE MINNESOTA	2021	4	Y	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	2607	58
H5937	UCARE MINNESOTA	2021	5	Y	Covid19 shot reward	Covid19 vaccination	gift card	Value of the activity or service and budget available for the estimated number of participants	member database of rewards and incentive activity	5695	35
H5937	UCARE MINNESOTA	2021	6	Y	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	5695	360
H5937	UCARE MINNESOTA	2021	7	Y	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	1378	217
H5937	UCARE MINNESOTA	2021	8	Y	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	1378	157
H5937	UCARE MINNESOTA	2021	9	Y	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	1378	138
H5937	UCARE MINNESOTA	2021	10	Y	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	5695	828
H5937	UCARE MINNESOTA	2021	11	Y	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	1390	247
H5937	UCARE MINNESOTA	2021	12	Y	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	39	16
H5937	UCARE MINNESOTA	2021	13	Y	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	4	1
H5937	UCARE MINNESOTA	2021	14	Y	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	5456	581
H5938	CAPITAL HEALTH PLAN	2021	1	N	 	 	 	 	 	0	0
H5943	SCAN HEALTH PLAN	2021	1	N	 	 	 	 	 	0	0
H5945	PROMINENCE HEALTHFIRST	2021	1	Y	Annual Health Assessment Program	Annual Health  Assessment	Gift Cards	The value of the gift care 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 the documents are visible in the electronic health record system.	15941	11038
H5945	PROMINENCE HEALTHFIRST	2021	2	Y	Prominence Healthy Rewards Program	Colorectal Cancer Screening, Diabetes Retinal Eye Exam, Breast Cancer Screening, Flu Shot	Gift Cards	The value of the gift care 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	15941	11261
H5945	PROMINENCE HEALTHFIRST	2021	3	Y	Prominence Healthy Rewards Program - Additional Incentive	Welcome Call	Gift Cards	The value of the gift care 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 2021 benefits and programs	15941	11583
H5945	PROMINENCE HEALTHFIRST	2021	4	Y	Prominence Perks Health Rewards Program - Additional Incentive	Health Risk Assessment Survey	Gift Cards	The value of the gift care was established to elicit enrollee behavior, but not to exceed the value of the health related service or activity.	New member for 2021 completes the Health Assessment Tool via mail or Online member portal	5525	901
H5945	PROMINENCE HEALTHFIRST	2021	5	Y	Prominence Healthy Rewards Program	Osteoporosis Screening	Gift Cards	The value of the gift care was established to elicit enrollee behavior, but not to exceed the value of the health related service or activity.	Member completes bone density scan after a fracture	119	45
H5959	BLUE CROSS AND BLUE SHIELD OF MINNESOTA	2021	1	N	 	 	 	 	 	0	0
H5965	WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON	2021	1	Y	MEDICARE HEALTHY REWARDS PROGRAM	BREAST CANCER SCREENING, COLORECTAL CANCER SCREENING, COMPREHENSIVE DIABETES CARE - EYE EXAM, HBA1C, NEPHROPATHY, BONE DENSITY SCREENING, ANNUAL WELLNESS VISIT, FLU VACCINE, LEARN and EARN	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.	299	370
H5969	ALOHACARE	2021	1	Y	AlohaCare Wellness Rewards Program	Annual Flu Vaccine, Annual Wellness Visit, Improving Bladder Control, Learn & Earn: Plan Benefits, Monitoring Your Physical Health	Members can earn rewards for completing health care activities and may choose gift cards or e-gift cards from the following: Amazon, Starbucks, Subway, Walmart                                                                    Annual Flu Vaccine ($15), Annual Wellness Visit ($25), Improving Bladder Control ($10), Learn & Earn: Plan Benefits ($10), Monitoring Your Physical Health ($10)	Reward value is based on how many activities a member is eligible for and how many were attested.                           For example: If a member is eligible to complete 3 activities, such as Annual Flu Vaccine ($15), Annual Wellness Visit ($25), and Improving Bladder Control ($10), then the member is eligible to earn up to $50. Member attested to completing 2 out of 3 activities - Annual Flu Vaccine ($15 reward value) and Annual Wellness Visit ($25 reward value). Total reward value earned for completing the activities is $40.	AlohaCare receives assistance from our vendor, Icario, who tracks member participation via mailers, phone calls, online account log ins, and IVR.	2413	512
H5970	HUMANA INSURANCE COMPANY OF NEW YORK	2021	1	Y	Go365 by Humana	Fitness: rewards for completing monthly workouts, Social/Health Education: 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, education 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.	58712	430670
H5970	HUMANA INSURANCE COMPANY OF NEW YORK	2021	2	Y	IHWA	The In Home Health and Wellbeing assessment is a one time a year in home visit provided to NCSHP Group Medicare members at no additional close.  It is a visit with a licensed medical professional to seek advice, discuss how the member is feeling and ensure they are aware of preventative measures that could further assist.  Vendor may do additional testing in the home including PAD, DRE.  They provide answers to members questions and provide a copy of the assessment to the members PCP.	Medicare members can earn the incentive reward for the completion of their In Home Health and Well-being assessment from 1.1.2022 to 12.31.2022.  The member is provided a $15 Walmart restricted card for completion of the visit either in home or through a video tele health visit.	Group Medicare - North Carolina State Health Plan came to the IHWA program with the value of the incentive they have selected to use.	Program participation is based on weekly reporting received from the IHWA vendors on members who have completed their IHWA with the vendor (signify).  Once reporting is received, our data team creates the incentive file to process with the incentive vendor	165	15
H5989	HEALTHFIRST HEALTH PLAN, INC.	2021	1	Y	Reward Card Program	Completion of Health Risk Assessment, Flu Shot, Breast Cancer Screening, Colorectal Cancer Screening, Diabetic Eye Exam, Daily, Bone Density Test, Welcome Checklist: Completion of New Member Questionnaire, Set Up Online Account, Confirm In-Network Pharmacy, Check Covered Formulary Prescription, Schedule 1st PCP Visit	Members are offered a reward card or virtual reward that can be used in-stores and online shops	We chose to use the baseline amount of $5 (with the exception of Welcome Checklist Activities at $1) per measure and increase the reward with measures that are not performing at the desired level	We maintain a database that keeps track of member participation	4525	13532
H5991	HEALTH INSURANCE PLAN OF GREATER NEW YORK	2021	1	Y	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 Gift Card	Each service is worth $25.00 per year	Enrollees register for the program in a portal	1059	2788
H5992	SENIOR WHOLE HEALTH OF NEW YORK, INC.	2021	1	N	 	 	 	 	 	0	0
H5995	ATRIO HEALTH PLANS	2021	1	N	 	 	 	 	 	0	0
H6067	CAREFIRST ADVANTAGE, INC.	2021	1	N	 	 	 	 	 	0	0
H6078	GROUP RETIREE HEALTH SOLUTIONS, INC.	2021	1	N	 	 	 	 	 	0	0
H6080	MERIDIAN HEALTH PLAN OF ILLINOIS, INC.	2021	1	N	 	 	 	 	 	0	0
H6121	BRIGHT HEALTH INSURANCE COMPANY OF ILLINOIS	2021	1	Y	Member Incentives Program	diabetic eye exam, flu shot	A Visa gift card per action	$50 for diabetic eye exam, $50 for flu shot	Participation is manually tracked based on the receipt of the member's mailed in request for the reward	5	6
H6154	MEDICA HEALTH PLANS	2021	1	Y	HouseCalls	Member receives a giftcard if they complete a HouseCalls visit	Giftcard	We decide prior to sending. Current value $15	Giftcard is sent for each completed visit	864	86
H6158	USABLE HMO, INC.	2021	1	Y	HealthyBlue Rewards through Healthmine, Inc	Colorectal Cancer Screening, Health Risk Assessment, Annual Comprehensive Visit, Flu Vaccine, Diabetic HbA1c Test, Diabetic Retinal Eye Exam, Mammogram, and Flu Shot.	Members can redeem rewards in the form of gift cards that range in value items such as a scale or water bottle or fitness wearables, such as Fitbits.	The value of the reward is based upon their specific health action, such as an Annual Comprehensive Visit ($50) or a Mammogram ($25)	Enrollees are notified of the program by multiple methods and may register via an online website, telephonic method, or welcome packet by mail. The vendor provided information as to registered members who participated in attesting to health activities. This information was available through a real-time platform and weekly sFTP reporting.	4864	5196
H6202	NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY	2021	1	Y	Member Incentive Program - Annual Wellness Visit	Annual Physical Exam, Annual Wellness Visit, Welcome to Medicare Visit	Gift Card	Members receive a gift card for completing any of the qualified visits and mailing in their self attestation coupon	Members mail in a coupon self attesting to one of the three qualifying visits and we track in house then mail gift cards monthly	1104	556
H6202	NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY	2021	2	Y	In Home Assessment Program	Complete an In Home Assessment, via either in person or virtual	Gift Card	Reward is provided upon completion of an In Home assessment.	Weekly reporting	743	39
H6229	BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC.	2021	1	N	 	 	 	 	 	0	0
H6237	REGENCE BLUECROSS BLUESHIELD OF OREGON	2021	1	Y	Onlife Health Member Incentive Program	Fall Risk Reduction discussion	Gift Cards	Members earn gift cards by having the services (Fall Risk Reduction discussion)	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.	795	82
H6306	FIRSTCAROLINACARE INSURANCE COMPANY	2021	1	Y	HealthRiskAssessments,ColonCancerScreening,Annual WellVisit,FluVaccine,Peerfit classes or Gym visit	Complete a Health Risk Assessment by provider or physician by December 31,2021,Health Risk Assessment, Jump Start Assessment,Colon Cancer Screening,Annual Wellness Visit,Flu Vaccine,Complete 10 Peerfit Classes or Gym Visits	$25 Walmart Gift card to members who have completed a HRA visit by a physician or provider by December 31, 2021,Reward dollars loaded on Alignment branded ACCESS Card (Debit Card)	The reward is valued at $25 per valuation by the vendor. Each reward activity has a different dollar value such as $5, $10, $20, $25, $100. The value of the reward is calculated based on identifying a value less than the actual reward provided to the member.	Reward distribution is tracked via log containing member and gift card information, Based on types of visits completed within the program year	4603	3685
H6316	MISSOURI CARE, INCORPORATED	2021	1	N	 	 	 	 	 	0	0
H6328	CARE N' CARE INSURANCE COMPANY, INC.	2021	1	N	 	 	 	 	 	0	0
H6345	PRUITTHEALTH PREMIER NORTH CAROLINA, LLC	2021	1	N	 	 	 	 	 	0	0
H6348	COORDINATED CARE CORPORATION	2021	1	Y	COORDINATED CARE CORPORATION | MEDICARE HEALTHY REWARDS PROGRAM	BREAST CANCER SCREENING, COLORECTAL CANCER SCREENING, COMPREHENSIVE DIABETES CARE - EYE EXAM, HBA1C, NEPHROPATHY, BONE DENSITY SCREENING, ANNUAL WELLNESS VISIT, LEARN and EARN, COLORECTAL SCREENING, DIABETIC EYE EXAM, DIABETIC HBA1C, DIABETIC KIDNEY SCREENING, FLU VACCINE, HEALTH RISK ASSESSMENT AND WELLNESS VISIT	REWARDS VARY FROM $10 - $50 DEPENDING ON SERVICE COMPLETED.  MEMBERS WERE ABLE TO CHOOSE FROM A VARIETY OF GIFT CARDS INCLUDING: WALMART, VISA, SUBWAY, VISA PREPAID DEBIT CARD	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. | 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 | 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.	868	5454
H6351	LIBERTY ADVANTAGE, LLC	2021	1	N	 	 	 	 	 	0	0
H6379	CLEAR SPRING HEALTH (CO), INC.	2021	1	N	 	 	 	 	 	0	0
H6396	CARESOURCE OHIO, INC.	2021	1	Y	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, Follow-up Primary Care Provider (PCP) Visit Post Hospital/Observation	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 - $100 ($50 if completed by 6/30/2021 and $40 from 7/1/2021-12/31/2021, Breast Cancer Screening - $75, Annual Wellness Exam - $25 for new members if completed within 1st 30days of enrollment of eligibilit and $20 for annual completion by all members, Flu Vaccine - $25, Health Risk Assessment Completion - $15,  Follow-up Primary Care Provider (PCP) Visit Post Hospital/Observation - $25 (follow-up visit must be within 14 days - maximum 3 times per year)	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.	3292	15142
H6399	AETNA BETTER HEALTH INC. (NJ)	2021	1	N	 	 	 	 	 	0	0
H6446	SILVERSUMMIT HEALTHPLAN, INC.	2021	1	Y	MEDICARE HEALTHY REWARDS PROGRAM | NV SILVER SUMMIT HEALTH PLAN	BONE DENSITY, COLORECTAL CANCER SCREENING, DIABETES EYE EXAM, DIABETES HBA1C, DIABETES KIDNEY SCREENING, F/U INPATIENT, FLU VACCINE, HEALTH RISK ASSESSMENT, WELLNESS VISIT, BREAST CANCER SCREENING, COMPREHENSIVE DIABETES CARE - EYE EXAM, HBA1C, NEPHROPATHY, BONE DENSITY SCREENING, ANNUAL WELLNESS VISIT, LEARN and EARN	REWARDS VARY FROM $10 - $50 DEPENDING ON SERVICE COMPLETED.  MEMBERS WERE ABLE TO CHOOSE FROM A VARIETY OF GIFT CARDS INCLUDING: WALMART, VISA, SUBWAY, VISA PREPAID DEBIT CARD	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. | 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 | 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.	7520	8701
H6453	HMO LOUISIANA, INC.	2021	1	Y	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	3468	3147
H6502	MISSOURI VALLEY LIFE AND HEALTH INSURANCE COMPANY	2021	1	Y	Medicare Reward Program	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. Member must register with Rewards vendor to participate.	5881	9396
H6526	UNITEDHEALTHCARE OF NEW MEXICO, INC.	2021	1	Y	HouseCalls Program, Renew Rewards and/or Vivify Program	HouseCall, Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening,Health Risk Assessment ,Flu Shot, Device-Based Activities (Step), Registration for Vivify mobile application., ,	Gift Card or Vivify 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.,Renew Rewards Program: 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 care activity itself., ,	HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in a visit.  Members can receive information about the opportunity to have a HouseCalls visit by outbound phone outreach from our scheduling agents, mailed materials, or email.  The clinician performing the visit will enter member information into the eHouseCalls app housed on the tablet our clinicians use in the field.  Once the HouseCalls system receive s confirmation of a completed visit, the reward is issued.,  , Renew Rewards Program: Enrollees initiate the redemption process by activating 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 four channels by providing certain required data (e.g., appointment date). Once UHC validates the eligibility period for the activity, the reward is issued.  For Vivify Reward 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, once the system has registered the members acceptance.Member self-report the Registration of Vivify mobile application) through any od four channels by providing the required data (Date of registration of Vivify mobile application)once UHC vaidates the eigibility period and reward is issued.,	2827	3376
H6528	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	2021	1	Y	HouseCalls Program, Renew Rewards and/or Vivify Program	HouseCall, Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening,Health Risk Assessment ,Flu Shot, Device-Based Activities (Step), Registration for Vivify mobile application., ,	Gift Card or Vivify 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.,Renew Rewards Program: 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 care activity itself., ,	HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in a visit.  Members can receive information about the opportunity to have a HouseCalls visit by outbound phone outreach from our scheduling agents, mailed materials, or email.  The clinician performing the visit will enter member information into the eHouseCalls app housed on the tablet our clinicians use in the field.  Once the HouseCalls system receive s confirmation of a completed visit, the reward is issued.,  , Renew Rewards Program: Enrollees initiate the redemption process by activating 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 four channels by providing certain required data (e.g., appointment date). Once UHC validates the eligibility period for the activity, the reward is issued.  For Vivify Reward 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, once the system has registered the members acceptance.Member self-report the Registration of Vivify mobile application) through any od four channels by providing the required data (Date of registration of Vivify mobile application)once UHC vaidates the eigibility period and reward is issued.,	14138	13942
H6529	SOUTHEASTERN INDIANA HEALTH ORGANIZATION, INC.	2021	1	N	 	 	 	 	 	0	0
H6550	SUNFLOWER STATE HEALTH PLAN, INC.	2021	1	Y	MEDICARE HEALTHY REWARDS PROGRAM | SUNFLOWER STATE HEALTH PLAN, INC.	BONE DENSITY, COLORECTAL SCREENING, DIABETIC EYE EXAM, DIABETIC HBA1C, DIABETIC KIDNEY SCREENING, FLU VACCINE, HEALTH RISK ASSESSMENT AND WELLNESS VISIT, BREAST CANCER SCREENING, COLORECTAL CANCER SCREENING, COMPREHENSIVE DIABETES CARE - EYE EXAM, HBA1C, NEPHROPATHY, BONE DENSITY SCREENING, ANNUAL WELLNESS VISIT, LEARN and EARN	REWARDS VARY FROM $10 - $50 DEPENDING ON SERVICE COMPLETED.  MEMBERS WERE ABLE TO CHOOSE FROM A VARIETY OF GIFT CARDS INCLUDING: WALMART, VISA, SUBWAY, VISA PREPAID DEBIT CARD	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. | 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 | 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.	5853	15237
H6594	WELLCARE HEALTH PLANS OF VERMONT, INC.	2021	1	Y	MEDICARE HEALTHY REWARDS PROGRAM	BREAST CANCER SCREENING, COLORECTAL CANCER SCREENING, COMPREHENSIVE DIABETES CARE - EYE EXAM, HBA1C, NEPHROPATHY, BONE DENSITY SCREENING, ANNUAL WELLNESS VISIT, FLU VACCINE, LEARN and EARN	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.	1485	181
H6595	UNITEDHEALTHCARE OF KENTUCKY, LTD.	2021	1	Y	UnitedHealthcare Dual Complete Rewards	Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, Flu Shot, Health Assessment completion	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.,,	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.,  , ,	592	1254
H6622	HUMANA WI HEALTH ORGANIZATION INSURANCE CORP	2021	1	Y	Go365 by Humana	Fitness: rewards for completing monthly workouts, Social/Health Education: 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, education 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.	360264	4189445
H6672	EON HEALTH, INC. (GA)	2021	1	N	 	 	 	 	 	0	0
H6706	UNITEDHEALTHCARE OF COLORADO, INC.	2021	1	Y	HouseCalls Program, Renew Rewards and/or Vivify Program	HouseCall, Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening,Health Risk Assessment ,Flu Shot, Device-Based Activities (Step), Registration for Vivify mobile application., ,	Gift Card or Vivify 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.,Renew Rewards Program: 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 care activity itself., ,	HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in a visit.  Members can receive information about the opportunity to have a HouseCalls visit by outbound phone outreach from our scheduling agents, mailed materials, or email.  The clinician performing the visit will enter member information into the eHouseCalls app housed on the tablet our clinicians use in the field.  Once the HouseCalls system receive s confirmation of a completed visit, the reward is issued.,  , Renew Rewards Program: Enrollees initiate the redemption process by activating 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 four channels by providing certain required data (e.g., appointment date). Once UHC validates the eligibility period for the activity, the reward is issued.  For Vivify Reward 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, once the system has registered the members acceptance.Member self-report the Registration of Vivify mobile application) through any od four channels by providing the required data (Date of registration of Vivify mobile application)once UHC vaidates the eigibility period and reward is issued.,	77	89
H6713	WELLCARE OF ILLINOIS, INC.	2021	1	Y	MEDICARE HEALTHY REWARDS PROGRAM	BREAST CANCER SCREENING, COLORECTAL CANCER SCREENING, COMPREHENSIVE DIABETES CARE - EYE EXAM, HBA1C, NEPHROPATHY, BONE DENSITY SCREENING, ANNUAL WELLNESS VISIT, FLU VACCINE, LEARN and EARN	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.	3987	4501
H6723	MEDICAL MUTUAL OF OHIO	2021	1	Y	Medical Mutual 2021 MA Wellness Rewards Program	Annual Wellness Visit, Breast Cancer Screening, Retinal Eye Exam, Hemoglobin A1C test, Microalbumin test, Osteoporosis screening	$25-$175 Gift Cards	The completion of any of the listed services during the 2021 calendar year earns members rewards as follows (a member may earn up to $175 in a year but may not receive an additional reward for completing the same service twice): Annual Wellness Visit earns $25, Breast Cancer Screening earns $50, Retinal Eye Exam earns $25, Hemoglobin A1C test earns $25, Microalbumin test earns $25, Osteoporosis screening 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.	26074	4024
H6743	ATRIO HEALTH PLANS	2021	1	N	 	 	 	 	 	0	0
H6750	HARVARD PILGRIM HEALTH CARE OF NEW ENGLAND, INC.	2021	1	Y	Harvard Pilgrim Rewards	Annual Wellness Visit, Breast Cancer Screening,  Colorectal Cancer Screening, Diabetes Eye Exam	Beneficiaries may choose gift cards from Amazon, Walmart, Target and Darden Restaurants.	Beneficiaries are rewarded $25 in gift cards for completion of the Annual Wellness Visit, Breast Cancer Screening and Diabetes Dilated Eye Exam. Beneficiaries are rewarded $50 in gift cards 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.	2995	5144
H6776	ELDERSERVE HEALTH, INC.	2021	1	N	 	 	 	 	 	0	0
H6815	HEALTH NET HEALTH PLAN OF OREGON, INC.	2021	1	Y	MEDICARE HEALTHY REWARDS PROGRAM	BREAST CANCER SCREENING, COLORECTAL CANCER SCREENING, COMPREHENSIVE DIABETES CARE - EYE EXAM, HBA1C, NEPHROPATHY, BONE DENSITY SCREENING, ANNUAL WELLNESS VISIT, FLU VACCINE, LEARN and EARN	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.	20035	111149
H6830	CENTENE VENTURE COMPANY KANSAS	2021	1	Y	KS-MEDICARE-PPO ASCENSION COMPLETE	BREAST CANCER SCREENING, COLORECTAL CANCER SCREENING, DIABETES HBA1C, DIABETES KIDNEY SCREENING, 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	146	104
H6832	ALIGN SENIOR CARE MI, LLC	2021	1	N	 	 	 	 	 	0	0
H6870	SUPERIOR HEALTHPLAN, INC.	2021	1	Y	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	10803	14795
H6874	ASPIRUS HEALTH PLAN, INC.	2021	1	N	 	 	 	 	 	0	0
H6891	AMERICAN HEALTH PLAN OF TX, INC.	2021	1	N	 	 	 	 	 	0	0
H6898	VERMONT BLUE ADVANTAGE, INC.	2021	1	Y	Member Incentive Program- Annual Wellness Visit	Annual Physical Exam, Annual Wellness Visit, Welcome to Medicare Visit	Gift Card	Members receive a  gift card for completing any of the qualified visits and mailing in their self attestation coupon	Members mail in a coupon self attesting to one of the three qualifying visits and we track in house then mail gift cards monthly	4205	1462
H6898	VERMONT BLUE ADVANTAGE, INC.	2021	2	Y	In Home Assessment Program	Complete an In Home Assessment, via either in person or virtual	Gift Card	Reward is provided upon completion of an assessment.	Weekly Reporting	2000	90
H6910	MOUNT CARMEL HEALTH PLAN OF IDAHO, INC.	2021	1	Y	MediGold Member Rewards	Breast Cancer Screening, Colorectal Cancer Screening, Osteoporosis Management, Diabetic Eye Exam, Diabetes Nephropathy, Diabetes A1c, Annual Wellness Visit	Reloadable MasterCard	All reward activities are eligible for a fixed, tangible value of $25 gift card dollars. The fixed amount is set at a median value as not to exceed the value of the service.	Reward participation is tracked through member attestation. Members may choose to attest to service completion through mail or phone. Mail and verbal attestation forms are collected, converted to a report and stored.	185	334
H6936	BLUE CROSS & BLUE SHIELD OF ARIZONA, INC.	2021	1	Y	MyBlue Medicare Wellness Rewards Program, Welvie	Annual Physical Exam, Colorectal Cancer Screening, Breast Cancer Screening, Diabetic Retinal Eye Exam, Annual Flu Shot, Direct Decision Support for preference sensitive surgeries	Prepaid gift card	Value of prepaid gift card for annual physical exam, breast cancer sreening, colorectal cancer screening, diabetic retinal eye exam, Direct Decision Support for preference sensitive surgeries are $25 each and $10 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.	3024	3930
H6959	ISNP VENTURES, LLC	2021	1	N	 	 	 	 	 	0	0
H6975	WELLCARE OF ALABAMA, INC.	2021	1	Y	MEDICARE HEALTHY REWARDS PROGRAM	BREAST CANCER SCREENING, COLORECTAL CANCER SCREENING, COMPREHENSIVE DIABETES CARE - EYE EXAM, HBA1C, NEPHROPATHY, BONE DENSITY SCREENING, ANNUAL WELLNESS VISIT, FLU VACCINE, LEARN and EARN	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.	875	670
H6988	CENTERS PLAN FOR HEALTHY LIVING, LLC	2021	1	N	 	 	 	 	 	0	0
H7006	ATRIO HEALTH PLANS	2021	1	N	 	 	 	 	 	0	0
H7020	CIGNA HEALTHCARE OF SOUTH CAROLINA, INC.	2021	1	Y	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.	5375	2011
H7063	BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.	2021	1	Y	Member Incentive Program - Annual Wellness Visit	Annual Physical Exam, Annual Wellness Visit, Welcome to Medicare Visit	Gift Card	Members receive a $50 Walmart gift card for completing any of the qualified visits and mailing in their self attestation coupon	Members mail in a coupon self attesting to 1 of the 3 qualifying visits and we track in house then mail gift cards monthly	2287	871
H7076	CARESOURCE INDIANA, INC.	2021	1	N	 	 	 	 	 	0	0
H7115	MEMORIAL HERMANN HEALTH PLAN	2021	1	Y	Memorial Hermann Healthy Advantage Wellness Program	Annual wellness exam with primary care provider, annual eye exam, breast cancer screening, colorectal cancer screening and osteoporosis screening	Gift card	Dollar amount	Run monthly claim reports to identify services completed	6267	9884
H7123	UPMC HEALTH COVERAGE, INC.	2021	1	Y	Preventive Incentive Program	AWV, preventive screening services for breast cancer, colorectal cancer, and members who have a diabetes diagnosis who are screened for retinopathy	A prepaid gift card for each service: AWV $30, Breast cancer screening $50, colorectal cancer screening $60, and diabetic eye exam $25	Breast cancer and colorectal cancer screening offers a higher reward value because the activites are time intensive and uncomfortable	When a claim is received for the service the member is rewarded and internal reporting and tracking through an incentive platform	900	449
H7149	AETNA HEALTH INC. (PA)	2021	1	N	 	 	 	 	 	0	0
H7163	VANTAGE HEALTH PLAN OF MISSISSIPPI, INC.	2021	1	Y	Learn and Earn	Fall risk, mental and physical health	$10 to join the 8 week calls and $15 to complete survey at the end of the 8 weeks	small amount that would still gain attention	3rd party vendor keeps records of who joins the calls	91	61
H7163	VANTAGE HEALTH PLAN OF MISSISSIPPI, INC.	2021	2	Y	Medicare Quality	Annual Wellness Visit, Breast Cancer Screening, Controlling Blood Pressure, Diabetic A1C, Eye Exam, Diabetic Kidney Screening, Statin use, Flu, Colorectal Cancer Screening	Between $10 and $50 for each measure	We decided on a per measure level. Colorectal and Breast cancer screening pays $50 because less member want to perform those services. The other measures were based on national statistics of what it would take to get the member to perform the activity.	3rd party vendor keeps record of who completes which measure as self-reported by the member	14	31
H7165	BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA	2021	1	N	 	 	 	 	 	0	0
H7172	AETNA BETTER HEALTH INC. (OH)	2021	1	Y	Breast Cancer Diabetic Engagement Program	PCP visit for breast cancer screenings, eye exams, HbA1c testing	$25 gift card per measure for which the member is eligible	$25 gift card per measure - no calcuation	Weekly reports are provided to the Plan by the fulfillment vendor and imported into an internal databse that is accessible to both Member Services and the Care Management Team. Database allows both departments to look up Member reward status and or reward codes.	7007	11433
H7172	AETNA BETTER HEALTH INC. (OH)	2021	2	Y	COVID Vaccine Reward Program	Complete one dose of COVID Vaccine.	$100 gift card	Members that received at least 1 dose of a covid vaccine confirmed on the state and/or CMS file received a $100 gift card in the mail.	Confirmed on the state or CMS file for COVID vaccinations and pulled into internal database for tracking purposes.	12562	862
H7173	PEACH STATE HEALTH PLAN, INC.	2021	1	Y	MEDICARE HEALTHY REWARDS PROGRAM | PEACH STATE HEALTH PLAN, INC.	BONE DENSITY, COLORECTAL SCREENING, DIABETIC EYE EXAM, DIABETIC HBA1C, DIABETIC KIDNEY SCREENING, FLU VACCINE, HEALTH RISK ASSESSMENT AND WELLNESS VISIT, BREAST CANCER SCREENING, COLORECTAL CANCER SCREENING, COMPREHENSIVE DIABETES CARE - EYE EXAM, HBA1C, NEPHROPATHY, BONE DENSITY SCREENING, ANNUAL WELLNESS VISIT, LEARN and EARN	REWARDS VARY FROM $10 - $50 DEPENDING ON SERVICE COMPLETED.  MEMBERS WERE ABLE TO CHOOSE FROM A VARIETY OF GIFT CARDS INCLUDING: WALMART, VISA, SUBWAY, VISA PREPAID DEBIT CARD	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. | 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 | 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.	2828	17830
H7175	WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.	2021	1	Y	MEDICARE HEALTHY REWARDS PROGRAM	BREAST CANCER SCREENING, COLORECTAL CANCER SCREENING, COMPREHENSIVE DIABETES CARE - EYE EXAM, HBA1C, NEPHROPATHY, BONE DENSITY SCREENING, ANNUAL WELLNESS VISIT, FLU VACCINE, LEARN and EARN	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.	8384	11082
H7220	INDIANA UNIVERSITY HEALTH PLANS NFP, INC.	2021	1	Y	IUH Plans MA Member Incentive Quality Program	wellness exam, colonoscopy, mammogram, fecal occult blood test, Cologuard test	Gift cards	The reward is 25 dollars for all of the services except colonoscopy and the reward is 50 dollars for a colonoscopy	Monthly reporting from the gift card vendor company indicates the number of active cards	6808	8843
H7245	PREMERA BLUE CROSS	2021	1	Y	Experience More	Health plan education related to benefits and CAHPS activities	Gift Cards	Members receive a  gift card for opting in to the program Members receive a  gift card for listening to eight IVR topics and completing a final IVR survey	Member opt-in via IVR	1213	1633
H7245	PREMERA BLUE CROSS	2021	2	Y	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, Statin Use Diabetes, Controlling Blood Pressure, Colorectal Cancer Screening	Gift Cards	Member completes activity and receives a gift card for each one completed.	Member self-attestation.  Tracked in partnership with Icario vendor with experience running the program.	2595	7838
H7273	BANNER HEALTH INSURANCE GROUP	2021	1	N	 	 	 	 	 	0	0
H7284	HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC.	2021	1	Y	Go365 by Humana	Fitness: rewards for completing monthly workouts, Social/Health Education: 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, education 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.	2968	36965
H7301	COVENTRY HEALTH CARE OF ILLINOIS, INC.	2021	1	Y	Aetna Healthy You Rewards	Completing Physical Activity, Annual Wellness Exam, Healthy Home Visit, 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 or 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.	45753	23572
H7322	OSCAR HEALTH PLAN OF NEW YORK, INC.	2021	1	Y	Member Onboarding and Health-Related Activities Program	Member onboarding activities include completion of health risk assessment, select a PCP, visiting a PCP, create a web account, complete a welcome call, complete an authorized representative form. Health-related activities include Annual Wellness Visit, breast cancer screening, osteoperosis screening, colorectal cancer screening, blood pressure reading, diabetic retinal eye exam, diabetic HbA1c, nephrology screening.	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. Members who complete 4 out of 6 onboarding activities receive a $100 gift card.	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. For member onboarding activities, Oscar uses a data query to aggregate and count the activities completed. Completion of 4 out of 6 activities triggers a gift card to the member.	2087	4890
H7323	WELLCARE NATIONAL HEALTH INSURANCE COMPANY	2021	1	Y	MEDICARE HEALTHY REWARDS PROGRAM	BREAST CANCER SCREENING, COLORECTAL CANCER SCREENING, COMPREHENSIVE DIABETES CARE - EYE EXAM, HBA1C, NEPHROPATHY, BONE DENSITY SCREENING, ANNUAL WELLNESS VISIT, FLU VACCINE, LEARN and EARN	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.	2977	5759
H7326	WELLCARE OF SOUTH CAROLINA, INC.	2021	1	Y	MEDICARE HEALTHY REWARDS PROGRAM	BREAST CANCER SCREENING, COLORECTAL CANCER SCREENING, COMPREHENSIVE DIABETES CARE - EYE EXAM, HBA1C, NEPHROPATHY, BONE DENSITY SCREENING, ANNUAL WELLNESS VISIT, FLU VACCINE, LEARN and EARN	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.	19155	64440
H7330	ZING HEALTH, INC.	2021	1	N	 	 	 	 	 	0	0
H7399	CENTENE VENTURE COMPANY ILLINOIS	2021	1	Y	IL-MEDICARE-MAPD ASCENSION COMPLETE	BREAST CANCER SCREENING, COLORECTAL CANCER SCREENING, DIABETES HBA1C, DIABETES KIDNEY SCREENING, 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	830	1066
H7404	PACIFICARE LIFE ASSURANCE COMPANY	2021	1	Y	HouseCalls Program, Renew Rewards and/or Vivify Program	HouseCall, Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening,Health Risk Assessment ,Flu Shot, Device-Based Activities (Step), Registration for Vivify mobile application., ,	Gift Card or Vivify 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.,Renew Rewards Program: 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 care activity itself., ,	HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in a visit.  Members can receive information about the opportunity to have a HouseCalls visit by outbound phone outreach from our scheduling agents, mailed materials, or email.  The clinician performing the visit will enter member information into the eHouseCalls app housed on the tablet our clinicians use in the field.  Once the HouseCalls system receive s confirmation of a completed visit, the reward is issued.,  , Renew Rewards Program: Enrollees initiate the redemption process by activating 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 four channels by providing certain required data (e.g., appointment date). Once UHC validates the eligibility period for the activity, the reward is issued.  For Vivify Reward 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, once the system has registered the members acceptance.Member self-report the Registration of Vivify mobile application) through any od four channels by providing the required data (Date of registration of Vivify mobile application)once UHC vaidates the eigibility period and reward is issued.,	15934	19083
H7419	TUFTS HEALTH PUBLIC PLANS, INC.	2021	1	N	 	 	 	 	 	0	0
H7445	UNITEDHEALTHCARE OF ILLINOIS, INC.	2021	1	Y	HouseCalls Program, Renew Rewards and/or Vivify Program	HouseCall, Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening,Health Risk Assessment ,Flu Shot, Device-Based Activities (Step), Registration for Vivify mobile application., ,	Gift Card or Vivify 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.,Renew Rewards Program: 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 care activity itself., ,	HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in a visit.  Members can receive information about the opportunity to have a HouseCalls visit by outbound phone outreach from our scheduling agents, mailed materials, or email.  The clinician performing the visit will enter member information into the eHouseCalls app housed on the tablet our clinicians use in the field.  Once the HouseCalls system receive s confirmation of a completed visit, the reward is issued.,  , Renew Rewards Program: Enrollees initiate the redemption process by activating 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 four channels by providing certain required data (e.g., appointment date). Once UHC validates the eligibility period for the activity, the reward is issued.  For Vivify Reward 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, once the system has registered the members acceptance.Member self-report the Registration of Vivify mobile application) through any od four channels by providing the required data (Date of registration of Vivify mobile application)once UHC vaidates the eigibility period and reward is issued.,	1495	1386
H7464	UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.	2021	1	Y	HouseCalls Program, UnitedHealthcare Dual Complete Rewards	HouseCall, Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, Flu Shot, Health Assessment completion	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., 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 HouseCalls program contacts eligible members who then agree to participate in a 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., 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.,  , ,	8172	9117
H7511	GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.	2021	1	N	 	 	 	 	 	0	0
H7518	WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC	2021	1	Y	MEDICARE HEALTHY REWARDS PROGRAM	BREAST CANCER SCREENING, COLORECTAL CANCER SCREENING, COMPREHENSIVE DIABETES CARE - EYE EXAM, HBA1C, NEPHROPATHY, BONE DENSITY SCREENING, ANNUAL WELLNESS VISIT, FLU VACCINE, LEARN and EARN	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.	1232	936
H7522	MMM HEALTHCARE, LLC	2021	1	Y	Recompensando tu Salud	Special Care Clinics, Eye Exam Clinics, Multi Health Clinics, Vaccination Clinics, Health Education and Quality workshops as well as interventions, and the compliance with the preventive care tests or assessments: Screening Mammography, Colorectal Cancer Screening, Retinopathy test, Annual Health Assessment, Densitometry test, A1c Test, Kidney Disease monitoring.	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, coffe 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 make sure that the value we give out for the completion of the activity to be rewarded does not exceed the value of the activity itself.	Using our Customer Service Application, C3PO, as well as Excel Workbooks and/or attendance sheets provided by departments which are in charge of the clinics.	4	4
H7557	LONGEVITY HEALTH PLAN OF MICHIGAN, INC.	2021	1	N	 	 	 	 	 	0	0
H7559	MAGELLAN COMPLETE CARE OF VIRGINIA, LLC.	2021	1	N	 	 	 	 	 	0	0
H7607	CLEVER CARE OF GOLDEN STATE, INC.	2021	1	Y	Clever Care Health Plan Preventive Incentive Rewards	Annual Wellness Visit, Health Risk Assessment, Flu and Covid Vaccination, Mammogram, Colorectal Cancer Screening, Prostate Cancer Screening, Post Hospital Discharge Visit, Diabetic screening test completion	Health Dollars to a maximum of $60 for 2021, Welcome to Medicare Visit $20, Annual Wellness Visit, $20, Health Risk Assessment $20, Flu Vaccine $10, Covid 19 Vaccine $10, Post Hospitalization Discharge visit within 30 days $20, Any 2 of the following Diabetic tests HbA1c, Urine Protein, Retinal Eye Exam $25 (total) Annual colon cancer screening $25, Prostate Cancer Screening $20, Mammogram Screening $25	Members provide documentation or test results to substantiate reward earned. Rewards submitted are tracked against annual maximum value	In a dedicated data base and reports of reward expenditure from vendor	982	1578
H7621	HUMANA HEALTH PLAN OF CALIFORNIA, INC.	2021	1	Y	Go365 by Humana	Fitness: rewards for completing monthly workouts, Social/Health Education: 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, education 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.	8963	84435
H7646	PHP MEDICARE	2021	1	N	 	 	 	 	 	0	0
H7678	MOLINA HEALTHCARE OF TEXAS, INC.	2021	1	Y	Molina Healthy Rewards	Completing mammogram, completing colon cancer screening, completing blood pressure check, completing A1c testing, retinal eye exam, completing, nephropathy testing, completing wellness visit	Members may choose from the following retailers: Walmart Amazon Target Kroger (gift card value $25-50)	The reward values were set based on collaboration with the vendor to determine fair market valueswere competitive and adhered to CMS and state regulations. Service type was also taken into account to make sure the reward amount was reasonable.	Member attestation	2400	571
H7680	PROMINENCE HEALTHFIRST OF TEXAS	2021	1	Y	Annual Health Assessment Program	Annual Health  Assessment	Gift Cards	The value of the gift care 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 the documents are visible in the electronic health record system.	2630	1874
H7680	PROMINENCE HEALTHFIRST OF TEXAS	2021	2	Y	Prominence Healthy Rewards Program	Colorectal Cancer Screening, Diabetes Retinal Eye Exam, Breast Cancer Screening, Flu Shot	Gift Cards	The value of the gift care 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	2630	2233
H7680	PROMINENCE HEALTHFIRST OF TEXAS	2021	3	Y	Prominence Healthy Rewards Program - Additional Incentive	Welcome Call	Gift Cards	The value of the gift care 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 2021 benefits and programs	2630	1978
H7680	PROMINENCE HEALTHFIRST OF TEXAS	2021	4	Y	Prominence Perks Health Rewards Program - Additional Incentive	Health Risk Assessment Survey	Gift Cards	The value of the gift care was established to elicit enrollee behavior, but not to exceed the value of the health related service or activity.	New member for 2021 completes the Health Assessment Tool via mail or Online member portal	1676	147
H7680	PROMINENCE HEALTHFIRST OF TEXAS	2021	5	Y	Prominence Healthy Rewards Program	Osteoporosis Screening	Gift Cards	The value of the gift care was established to elicit enrollee behavior, but not to exceed the value of the health related service or activity.	Member completes bone density scan after a fracture	32	26
H7728	ANTHEM HEALTH PLANS OF NEW HAMPSHIRE, INC.	2021	1	N	 	 	 	 	 	0	0
H7779	AMERICAN HEALTH PLAN, INC.	2021	1	N	 	 	 	 	 	0	0
H7787	HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.	2021	1	Y	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.	2223	1131
H7833	UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.	2021	1	N	 	 	 	 	 	0	0
H7844	MOLINA HEALTHCARE OF MICHIGAN, INC.	2021	1	Y	Molina Healthy Rewards	Completing blood pressure check, completing wellness visit, completing colon cancer screening	Members may choose from the following retailers: Walmart Amazon Target Kroger CVS (gift card value $25-50)	The reward values were set based on collaboration with the vendor to determine fair market valueswere competitive and adhered to CMS and state regulations. Service type was also taken into account to make sure the reward amount was reasonable.	Member attestation	12769	497
H7849	CIGNA HEALTH AND LIFE INSURANCE COMPANY	2021	1	Y	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.	35738	23946
H7853	BRIGHT HEALTH INSURANCE COMPANY	2021	1	Y	Member Incentives Program	diabetic eye exam, flu shot, annual wellness visit, breast cancer screening, colorectal cancer screening, A1C	A Visa gift card per action	$50 for diabetic eye exam. $50 for flu shot. $50 before August 1st, $25 on or after August 1st for annual wellness visit. $25 for breast cancer screening. $10 for colorectal cancer screening. $10 for A1C	Participation is manually tracked based on the receipt of the member's mailed in request for the reward	572	953
H7885	SAN MATEO HEALTH COMMISSION	2021	1	N	 	 	 	 	 	0	0
H7890	SANTA CLARA COUNTY HEALTH AUTHORITY	2021	1	N	 	 	 	 	 	0	0
H7917	BLUECROSS BLUESHIELD OF TENNESSEE, INC.	2021	1	Y	2021 myHealthpath	Annual Wellness Visit Breast Cancer Screening Colorectal Cancer Screening Diabetes HbA1C testing 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	69132	81670
H7925	CENTENE VENTURE COMPANY INDIANA, INC.	2021	1	Y	IN-MEDICARE-MAPD ASCENSION COMPLETE	BREAST CANCER SCREENING, COLORECTAL CANCER SCREENING, DIABETES HBA1C, DIABETES KIDNEY SCREENING, 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	648	555
H7971	HORIZON INSURANCE COMPANY	2021	1	Y	2021 Member Rewards and Incentive Program	Annual Wellness Visit, Breast Cancer Screening, Colon Cancer Screening, Diabetic Eye Exam, Fall Prevention, Improving Bladder Control, Monitor your Physical Health, Osteoporosis Management	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	1037	259
H7993	DEVOTED HEALTH PLAN OF TEXAS, INC.	2021	1	Y	Devoted Dollars	Breast Cancer Screening, Colorectal Cancer Screening, Comprehensive PCP Visit, First PCP Visit, Flu Shot, Health Risk Assessment, Routine Diabetes Exam	Prepaid Gift Cards	$25 USD for Breast Cancer Screening on an yearly basis, $25 USD for Colorectal Cancer Screening on an yearly basis, $25 USD for Comprehensive PCP Visit on an yearly basis, $10 USD for First PCP Visit on an yearly basis, $20 USD for Flu Shot on an yearly basis, $25 USD for Health Risk Assessment on an yearly basis, $25 USD for Routine Diabetes Exam on an yearly basis	A medical claim for a PCP visit in first 90 days of enrollment 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, a medical claim for CAV triggers a Comprehensive visit reward, a HRA for member on DSNP plan will trigger a HRA Reward	15666	51458
H8003	BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA	2021	1	N	 	 	 	 	 	0	0
H8010	CLOVER HMO OF NEW JERSEY, INC.	2021	1	Y	GA/SC PCP Visit Incentive, CCV Incentive	GA/SC members who complete a PCP visit (limit one per member), Reward MA members who schedule and complete a Clover Care Visit (CCV) or Readmission Prevention Program (limit one per member)	One time fund added to Solutran OTC Card OR $50 Amazon card, Blackhawk issues Clover branded Visa or MasterCard	Flat $50 per visit	For Solutran: Members are tracked by claims submitted for PCP visits. Solutran provides member member level tracking at https://psp.solutran.com/psp/cardholdersearch For BlackHawk cards members were tracked manually on this spreadsheet https://docs.google.com/spreadsheets/d/1XZruDx2xWbjnPWmyxwl3EFFAbXzPpvpm35YZ6S85vqE/edit?usp=sharing, Enrollees are tracked by having a visit completed in our EHR or by completing a visit with our vendors (vendor visits are tracked by excel sheets sent to us by each vendor) Blackhawk provides member level tracking at https://galaxy.qlik.blackhawknetwork.com/hmsso/hub/my/work	11595	11595
H8016	ORANGE COUNTY HEALTH AUTHORITY	2021	1	Y	DCSr, COL,  IHA , CCM, CDE-E, CDC-A1C, AWV, COVID-19 Vaccines.	Mamm gram, Assessment, Eye and A1C  Exam,  Vaccin.	$25 Visa, $20 Target gift card,  $50 Visa gift card, Subway gift cards fo IZ program.	By aligning their dollar amounts to other successful incentive campaigns used for past.	Used incentive forms, COZEVA data, health  visit data,  EMR data and  CAIRS data.	11743	23233
H8019	SSM HEALTH PLAN	2021	1	Y	Living Healthy	Self-reported activities and activities within the portal that auto credit - Dental visit, Immunizations, preventive screening, mental health assesment, foodsmart NutriQuiz, state park pass, Daily Habits goal and volunteer activity	Gift Cards	Eligible members can earn up to $150	Track gift card redemptions	79	5700
H8026	AETNA BETTER HEALTH OF MICHIGAN INC.	2021	1	N	 	 	 	 	 	0	0
H8046	MOLINA HEALTHCARE OF ILLINOIS, INC.	2021	1	Y	Molina Healthy Rewards	Completing blood pressure check	Members may choose from the following retailers: Walmart Amazon  Kroger CVS (gift card value $25)	The reward values were set based on collaboration with the vendor to determine fair market valueswere competitive and adhered to CMS and state regulations. Service type was also taken into account to make sure the reward amount was reasonable.	Member attestation	1904	63
H8064	FIRSTCAROLINACARE INSURANCE COMPANY	2021	1	Y	Health Risk Assessment	Complete a Health Risk Assessment by provider or physician by December 31,2022	$25 Walmart Gift card to members who have completed a HRA visit by a physician or provider by December 31,2021	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.	546	445
H8067	PROVIDER PARTNERS HEALTH PLAN, INC.	2021	1	N	 	 	 	 	 	0	0
H8087	HUMANADENTAL INSURANCE COMPANY	2021	1	Y	Go365 by Humana	Fitness: rewards for completing monthly workouts, Social/Health Education: 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, education 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.	45359	312605
H8093	GEORGIA ASSURANCE, INC.	2021	1	N	 	 	 	 	 	0	0
H8125	UNITEDHEALTHCARE INSURANCE COMPANY OF AMERICA	2021	1	Y	HouseCalls Program, UnitedHealthcare Dual Complete Rewards	HouseCall, Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, Flu Shot, Health Assessment completion	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., 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 HouseCalls program contacts eligible members who then agree to participate in a 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., 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.,  , ,	6386	7097
H8130	MOLINA HEALTHCARE OF FLORIDA, INC.	2021	1	Y	Molina Healthy Rewards	Completing mammogram, completing colon cancer screening, completing blood pressure check, completing A1c testing, retinal eye exam, completing, nephropathy testing, completing wellness visit	Members may choose from the following retailers: Walmart Amazon Target Kroger (gift card value $25-50)	The reward values were set based on collaboration with the vendor to determine fair market valueswere competitive and adhered to CMS and state regulations. Service type was also taken into account to make sure the reward amount was reasonable.	Member attestation	1743	462
H8133	GHS INSURANCE COMPANY	2021	1	Y	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	2141	7751
H8142	SCOTT AND WHITE HEALTH PLAN	2021	1	N	 	 	 	 	 	0	0
H8145	HUMANA INSURANCE COMPANY	2021	1	Y	Go365 by Humana	Fitness: rewards for completing monthly workouts, Social/Health Education: 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, education 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.	35631	171520
H8173	DEVOTED HEALTH PLAN OF ARIZONA, INC.	2021	1	Y	Devoted Dollars	Breast Cancer Screening, Colorectal Cancer Screening, Comprehensive PCP Visit, First PCP Visit, Flu Shot, Health Risk Assessment, Routine Diabetes Exam	Prepaid Gift Cards	$25 USD for Breast Cancer Screening on an yearly basis, $25 USD for Colorectal Cancer Screening on an yearly basis, $25 USD for Comprehensive PCP Visit on an yearly basis, $10 USD for First PCP Visit on an yearly basis, $20 USD for Flu Shot on an yearly basis, $25 USD for Health Risk Assessment on an yearly basis, $25 USD for Routine Diabetes Exam on an yearly basis	A medical claim for a PCP visit in first 90 days of enrollment 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, a medical claim for CAV triggers a Comprehensive visit reward, a HRA for member on DSNP plan will trigger a HRA Reward	1877	4831
H8176	MOLINA HEALTHCARE OF SOUTH CAROLINA,INC	2021	1	Y	Molina Healthy Rewards	Completing mammogram, completing colon cancer screening, completing blood pressure check, completing A1c testing, retinal eye exam, completing, nephropathy testing, completing wellness visit	Members may choose from the following retailers: Walmart Amazon Target Kroger (gift card value $25-50)	The reward values were set based on collaboration with the vendor to determine fair market valueswere competitive and adhered to CMS and state regulations. Service type was also taken into account to make sure the reward amount was reasonable.	Member attestation	2254	841
H8181	SAPPHIRE EDGE, INC.	2021	1	Y	Member Incentive Program - Annual Wellness Visit	Annual Physical Exam, Annual Wellness Visit, Welcome to Medicare Visit	Gift Card	Members receive a  Walmart gift card for completing any of the qualified visits and mailing in their self attestation coupon	Members mail in a coupon self attesting to one of the three qualifying visits and we track in house then mail gift cards monthly	5047	1487
H8181	SAPPHIRE EDGE, INC.	2021	2	Y	Welvie My Surgery	Direct Decision Support for preference sensitive surgeries	Gift Card	Participant completes program to earn reward.	Enrollees must register in the program and program progress is tracked electronically	468	359
H8181	SAPPHIRE EDGE, INC.	2021	3	Y	NE Eye Incentive Program	Retinal Eye Exams	Gift Card	If the member attested to having a diabetic retinal eye exam in 2021.	Members either call in, or mail in a self attestation form, which those details are captured in spreadsheets.	469	44
H8189	MANAGED HEALTH SERVICES INSURANCE CORP.	2021	1	Y	MANAGED HEALTH SERVICES INSURANCE CORP. WISCONSIN | MEDICARE HEALTHY REWARDS PROGRAM	BREAST CANCER SCREENING, COLORECTAL CANCER SCREENING, COMPREHENSIVE DIABETES CARE - EYE EXAM, HBA1C, NEPHROPATHY, BONE DENSITY SCREENING, ANNUAL WELLNESS VISIT, LEARN and EARN, COLORECTAL SCREENING, DIABETIC EYE EXAM, DIABETIC HBA1C, FLU VACCINE, HEALTH RISK ASSESSMENT AND WELLNESS VISIT	REWARDS VARY FROM $10 - $50 DEPENDING ON SERVICE COMPLETED.  MEMBERS WERE ABLE TO CHOOSE FROM A VARIETY OF GIFT CARDS INCLUDING: WALMART, VISA, SUBWAY, VISA PREPAID DEBIT CARD	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. | 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 | 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.	5536	23639
H8197	MOLINA HEALTHCARE OF TEXAS, INC.	2021	1	Y	Molina Healthy Rewards	completing flu vaccine, Completing blood pressure check, completing A1c testing, retinal eye exam, completing wellness visit	Members may choose from the following retailers: Walmart Amazon Target Kroger CVS Dollar Tree (gift card value $20-$25)	The reward values were set based on collaboration with the vendor to determine fair market valueswere competitive and adhered to CMS and state regulations. Service type was also taken into account to make sure the reward amount was reasonable.	Member attestation and claims verification	11242	116
H8211	MAMSI LIFE AND HEALTH INSURANCE COMPANY	2021	1	Y	HouseCalls Program, Renew Rewards and/or Vivify Program	HouseCall, Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening,Health Risk Assessment ,Flu Shot, Device-Based Activities (Step), Registration for Vivify mobile application., ,	Gift Card or Vivify 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.,Renew Rewards Program: 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 care activity itself., ,	HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in a visit.  Members can receive information about the opportunity to have a HouseCalls visit by outbound phone outreach from our scheduling agents, mailed materials, or email.  The clinician performing the visit will enter member information into the eHouseCalls app housed on the tablet our clinicians use in the field.  Once the HouseCalls system receive s confirmation of a completed visit, the reward is issued.,  , Renew Rewards Program: Enrollees initiate the redemption process by activating 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 four channels by providing certain required data (e.g., appointment date). Once UHC validates the eligibility period for the activity, the reward is issued.  For Vivify Reward 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, once the system has registered the members acceptance.Member self-report the Registration of Vivify mobile application) through any od four channels by providing the required data (Date of registration of Vivify mobile application)once UHC vaidates the eigibility period and reward is issued.,	3434	3086
H8213	SELECT HEALTH OF SOUTH CAROLINA, INC.	2021	1	Y	Influenza Prevention	Annual Flu Vaccine	Gift Card	Gift Card Face Value 20.00 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.	6532	2252
H8213	SELECT HEALTH OF SOUTH CAROLINA, INC.	2021	2	Y	Virtual Health In Home Assessments	Meeting with licensed health professional to perfrom a detailed exam, discuss health history, and answer your questions	Gift Card	Gift Card Face Value 25.00 per member that completed an assessment	Detailed operational report containing member detail of completions	6532	312
H8225	CENTENE VENTURE COMPANY FLORIDA	2021	1	Y	FL-MEDICARE-MAPD ASCENSION COMPLETE	BREAST CANCER SCREENING, COLORECTAL CANCER SCREENING, DIABETES HBA1C, DIABETES KIDNEY SCREENING, 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	1552	2334
H8258	LOCAL INITIATIVE HEALTH AUTHORITY FOR L.A. COUNTY	2021	1	Y	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.	In Q1-Q3 of 2021, members received a A $25 debit card. However, in Q4 of 2021, we transitioned to a new member incentive vendor and members received a $25 gift card.   Members can receive two awards per year and four awards per lifetime.	The value of the reward was calculated based on the budget.	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 L.A. Care Health Plan at the time of discharge and award the member.  However, this process changed in Q4 of 2021 because we are working with a new vendor that requires claims/encounters data in order to award members. Therefore, award lists are generated based on a list from the Quality Performance Management team that includes members who went in for their follow-up visit and we have recieved claims/encounter data for.	67	74
H8293	CLEAR SPRING HEALTH (VA), INC.	2021	1	N	 	 	 	 	 	0	0
H8298	HORIZON HEALTHCARE OF NEW JERSEY, INC.	2021	1	Y	2021 Member Rewards and Incentive Program	Annual Wellness Visit, Breast Cancer Screening, Colon Cancer Screening, Diabetic Eye Exam, Osteoporosis Management	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	17365	3707
H8332	AETNA BETTER HEALTH OF KANSAS, INC.	2021	1	Y	Aetna Healthy You Rewards	Completing Physical Activity, Annual Wellness Exam, Healthy Home Visit, 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 or 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.	8265	2774
H8343	AMERIGROUP INSURANCE COMPANY	2021	1	N	 	 	 	 	 	0	0
H8379	PRIORITY HEALTH CHOICE, INC.	2021	1	Y	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. It is important to note that the taking of medications is not part of the rewardable activities. 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.	155	30710
H8379	PRIORITY HEALTH CHOICE, INC.	2021	2	Y	SmartRewards	Diabetic retinal eye screening, Breast cancer screening, Colorectal cancer screening, Signify In-home health assessment, Flu shot completion, Osteoporosis DEXA Screening	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 25 dollars (usd). A flu shot completion rewards 10 dollars (usd). An Osteoporosis Screening reward 25 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.	447	32535
H8390	CARESOURCE GEORGIA CO.	2021	1	N	 	 	 	 	 	0	0
H8423	MOLINA HEALTHCARE OF TEXAS, INC.	2021	1	N	 	 	 	 	 	0	0
H8432	EMPIRE HEALTHCHOICE HMO, INC.	2021	1	N	 	 	 	 	 	0	0
H8452	CARESOURCE	2021	1	Y	My CareSource Rewards	Hemoglobin A1c test                                                                                                                                              Diabetic Retinal Exam                                                                                                                                             Microalbumin test Colorectal Cancer Screening Breast Cancer Screening Flu Vaccine Annual Wellness Visit	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 25 Breast Cancer Screening 50 Flu Vaccine 25 Annual Wellness Visit 20	All members are automatically enrolled in the My CareSource Rewards Program when they enroll with CareSource. CareSource tracks screening completions through provider claims.	22721	82664
H8457	LONGEVITY HEALTH PLAN OF NEW YORK, INC.	2021	1	N	 	 	 	 	 	0	0
H8492	DIGNITY CARE CORPORATION	2021	1	N	 	 	 	 	 	0	0
H8547	ILLINOIS BLUE CROSS BLUE SHIELD INSURANCE COMPANY	2021	1	Y	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	244	596
H8552	ANTHEM BLUE CROSS LIFE AND HEALTH INS COMPANY	2021	1	N	 	 	 	 	 	0	0
H8553	WELLCARE HEALTH INSURANCE OF THE SOUTHWEST, INC.	2021	1	Y	MEDICARE HEALTHY REWARDS PROGRAM	BREAST CANCER SCREENING, COLORECTAL CANCER SCREENING, COMPREHENSIVE DIABETES CARE - EYE EXAM, HBA1C, NEPHROPATHY, BONE DENSITY SCREENING, ANNUAL WELLNESS VISIT, FLU VACCINE, LEARN and EARN	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.	1052	0
H8554	GHS INSURANCE COMPANY	2021	1	Y	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	316	1171
H8578	HEALTH NEW ENGLAND, INC.	2021	1	Y	Member Incentive for Healthmap Care Navigation Program Participation	Care Navigation Program, Health Risk Assessment	Gift Card	15	Healthmap Compass System	1189	188
H8578	HEALTH NEW ENGLAND, INC.	2021	2	Y	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.	9563	1926
H8597	AETNA BETTER HEALTH OF TEXAS INC.	2021	1	N	 	 	 	 	 	0	0
H8604	THP INSURANCE COMPANY	2021	1	N	 	 	 	 	 	0	0
H8634	HEALTH CARE SERVICE CORPORATION	2021	1	Y	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	8451	29387
H8649	AETNA HEALTH OF UTAH INC	2021	1	N	 	 	 	 	 	0	0
H8677	MOLINA HEALTHCARE OF CALIFORNIA	2021	1	Y	Molina Healthy Rewards	Completing blood pressure check, completing wellness visit	Members may choose from the following retailers: Walmart Amazon Target Kroger CVS (gift card value $25)	The reward values were set based on collaboration with the vendor to determine fair market valueswere competitive and adhered to CMS and state regulations. Service type was also taken into account to make sure the reward amount was reasonable.	Member attestation	7714	242
H8711	WELLCARE HEALTH INSURANCE COMPANY OF NEW JERSEY	2021	1	Y	MEDICARE HEALTHY REWARDS PROGRAM	BREAST CANCER SCREENING, COLORECTAL CANCER SCREENING, COMPREHENSIVE DIABETES CARE - EYE EXAM, HBA1C, NEPHROPATHY, BONE DENSITY SCREENING, ANNUAL WELLNESS VISIT, FLU VACCINE, LEARN and EARN	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.	9277	5032
H8748	UNITEDHEALTHCARE INSURANCE COMPANY	2021	1	Y	HouseCalls Program, Renew Rewards and/or Vivify Program	HouseCall, Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening,Health Risk Assessment ,Flu Shot, Device-Based Activities (Step), Registration for Vivify mobile application., ,	Gift Card or Vivify 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.,Renew Rewards Program: 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 care activity itself., ,	HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in a visit.  Members can receive information about the opportunity to have a HouseCalls visit by outbound phone outreach from our scheduling agents, mailed materials, or email.  The clinician performing the visit will enter member information into the eHouseCalls app housed on the tablet our clinicians use in the field.  Once the HouseCalls system receive s confirmation of a completed visit, the reward is issued.,  , Renew Rewards Program: Enrollees initiate the redemption process by activating 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 four channels by providing certain required data (e.g., appointment date). Once UHC validates the eligibility period for the activity, the reward is issued.  For Vivify Reward 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, once the system has registered the members acceptance.Member self-report the Registration of Vivify mobile application) through any od four channels by providing the required data (Date of registration of Vivify mobile application)once UHC vaidates the eigibility period and reward is issued.,	18803	19553
H8764	ASPIRE HEALTH PLAN	2021	1	Y	Aspire Rewards	Annual Wellness Visit Or Health At Home Visit, Breast Cancer Screening, Diabetes Eye Exam	Over-the-counter reward	The value of each reward ($25 or $50) is determined at the beginning of each year for each activity.	Customer service agents enter the activity as an attestation in CIM when the member calls to report the activity.	2521	533
H8768	UNITEDHEALTHCARE INSURANCE CO. OF THE RIVER VALLEY	2021	1	Y	HouseCalls Program, Renew Rewards and/or Vivify Program	HouseCall, Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening,Health Risk Assessment ,Flu Shot, Device-Based Activities (Step), Registration for Vivify mobile application., ,	Gift Card or Vivify 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.,Renew Rewards Program: 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 care activity itself., ,	HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in a visit.  Members can receive information about the opportunity to have a HouseCalls visit by outbound phone outreach from our scheduling agents, mailed materials, or email.  The clinician performing the visit will enter member information into the eHouseCalls app housed on the tablet our clinicians use in the field.  Once the HouseCalls system receive s confirmation of a completed visit, the reward is issued.,  , Renew Rewards Program: Enrollees initiate the redemption process by activating 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 four channels by providing certain required data (e.g., appointment date). Once UHC validates the eligibility period for the activity, the reward is issued.  For Vivify Reward 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, once the system has registered the members acceptance.Member self-report the Registration of Vivify mobile application) through any od four channels by providing the required data (Date of registration of Vivify mobile application)once UHC vaidates the eigibility period and reward is issued.,	100701	117888
H8783	UCARE HEALTH, INC.	2021	1	Y	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	2133	2
H8783	UCARE HEALTH, INC.	2021	2	Y	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	1258	23
H8783	UCARE HEALTH, INC.	2021	3	Y	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	276	33
H8783	UCARE HEALTH, INC.	2021	4	Y	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	276	29
H8783	UCARE HEALTH, INC.	2021	5	Y	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	276	18
H8783	UCARE HEALTH, INC.	2021	6	Y	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	386	26
H8786	AMERIGROUP TEXAS, INC.	2021	1	Y	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.	10632	2131
H8786	AMERIGROUP TEXAS, INC.	2021	2	Y	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.	10632	8703
H8786	AMERIGROUP TEXAS, INC.	2021	3	Y	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.	10632	670
H8786	AMERIGROUP TEXAS, INC.	2021	4	Y	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.	10632	829
H8786	AMERIGROUP TEXAS, INC.	2021	5	Y	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.	10632	0
H8786	AMERIGROUP TEXAS, INC.	2021	6	Y	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.	10632	55
H8786	AMERIGROUP TEXAS, INC.	2021	7	Y	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.	10632	7209
H8786	AMERIGROUP TEXAS, INC.	2021	8	Y	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.	10632	139
H8786	AMERIGROUP TEXAS, INC.	2021	9	Y	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.	10632	1718
H8786	AMERIGROUP TEXAS, INC.	2021	10	Y	Amerigroup Member Rewards	Post discharge Mental health provider	20 reward dollars redeemable for OTCs and health care products	Member rewarded for follow-up visit with their assigned mental health physician within 14 days of in-patient mental health admission.	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.	10632	375
H8797	PERENNIAL ADVANTAGE OF OHIO, INC.	2021	1	N	 	 	 	 	 	0	0
H8845	MAGELLAN COMPLETE CARE OF ARIZONA, INC.	2021	1	N	 	 	 	 	 	0	0
H8849	AMERIGROUP INSURANCE COMPANY	2021	1	Y	BCS Rewards Program	Mammogram screening	Gift cards	Improved performance in Star measure, breast cancer screening	All members within the specified contracts were eligible for the program. Participants actively redeemed the reward by submitting screening completion details. All redemptions were tracked and reported through the fulfillment vendor	10034	439
H8854	CAREFIRST ADVANTAGE DSNP, INC.	2021	1	Y	2021 Healthy Rewards Program	Annual Well Visit	$15 Visa gift card	DSNP members that completed the service in Column C and completed the rewards and incentive form received a Visa Gift Card. All rewards are based on evidence of service completion not the result or outcome.	A Quality Improvement Specialist tracked participation in the Rewards program via CareFirst internal system. All eligible active CareFirst BlueCross BlueSheild Medicare Advantage members were invited to participate in the rewards and incentive program.	7411	410
H8854	CAREFIRST ADVANTAGE DSNP, INC.	2021	2	Y	2021 Healthy Rewards Program	Mammogram	$15 Visa gift card	DSNP members that completed the service in Column C and completed the rewards and incentive form received a Visa Gift Card. All rewards are based on evidence of service completion not the result or outcome.	A Quality Improvement Specialist tracked participation in the Rewards program via CareFirst internal system. All eligible active CareFirst BlueCross BlueSheild Medicare Advantage members were invited to participate in the rewards and incentive program.	4324	327
H8854	CAREFIRST ADVANTAGE DSNP, INC.	2021	3	Y	2021 Healthy Rewards Program	Colorectal Cancer Screening	$15 Visa gift card	DSNP members that completed the service in Column C and completed the rewards and incentive form received a Visa Gift Card. All rewards are based on evidence of service completion not the result or outcome.	A Quality Improvement Specialist tracked participation in the Rewards program via CareFirst internal system. All eligible active CareFirst BlueCross BlueSheild Medicare Advantage members were invited to participate in the rewards and incentive program.	6598	153
H8854	CAREFIRST ADVANTAGE DSNP, INC.	2021	4	Y	2021 Healthy Rewards Program	Post-Hospitalization Physician Visit	$15 Visa gift card	DSNP members that completed the service in Column C within 30 days of leaving the hospital with a primary care provider or specialist and completed the rewards and incentive form received a Visa Gift Card. All rewards are based on evidence of service completion not the result or outcome.	A Quality Improvement Specialist tracked participation in the Rewards program via CareFirst internal system. All eligible active CareFirst BlueCross BlueSheild Medicare Advantage members were invited to participate in the rewards and incentive program.	7411	31
H8854	CAREFIRST ADVANTAGE DSNP, INC.	2021	5	Y	2021 Healthy Rewards Program	Health Risk Assessment	$15 Visa gift card	DSNP members that completed the service in Column C received a Visa Gift Card. All rewards are based on evidence of service completion not the result or outcome.	A Quality Improvement Specialist tracked participation in the Rewards program via CareFirst internal system. All eligible active CareFirst BlueCross BlueSheild Medicare Advantage members were invited to participate in the rewards and incentive program.	7411	3633
H8854	CAREFIRST ADVANTAGE DSNP, INC.	2021	6	Y	2021 Healthy Rewards Program	Flu Shot	$15 Visa gift card	DSNP members that completed the service in Column C and completed the rewards snd incentive form received a Visa Gift Card. All rewards are based on evidence of service completion not the result or outcome.	A Quality Improvement Specialist tracked participation in the Rewards program via CareFirst internal system. All eligible active CareFirst BlueCross BlueSheild Medicare Advantage members were invited to participate in the rewards and incentive program.	7411	274
H8854	CAREFIRST ADVANTAGE DSNP, INC.	2021	7	Y	2021 Healthy Rewards Program	Diabetic Retinal Eye Exam	$15 Visa gift card	DSNP members that completed the service in Column C received a Visa Gift Card. All rewards are based on evidence of service completion not the result or outcome.	A Quality Improvement Specialist tracked participation in the Rewards program via CareFirst internal system. All eligible active CareFirst BlueCross BlueSheild Medicare Advantage members were invited to participate in the rewards and incentive program.	7411	155
H8854	CAREFIRST ADVANTAGE DSNP, INC.	2021	8	Y	2021 Healthy Rewards Program	Diabetic Screenings (A1c and Nephrology)	$15 Visa gift card	DSNP members that completed the service in Column B received a Visa Gift Card. All rewards are based on evidence of service completion not the result or outcome.	A Quality Improvement Specialist tracked participation in the Rewards program via CareFirst internal system. All eligible active CareFirst BlueCross BlueSheild Medicare Advantage members were invited to participate in the rewards and incentive program.	7411	142
H8889	MEDICA HEALTH PLANS	2021	1	Y	HouseCalls	Member receives a giftcard if they complete a HouseCalls visit	Giftcard	We decide prior to sending. Current value $15	Giftcard is sent for each completed visit	17628	1784
H8908	HUMANA MEDICAL PLAN OF MICHIGAN, INC.	2021	1	Y	Go365 by Humana	Fitness: rewards for completing monthly workouts, Social/Health Education: 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, education 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.	25802	163695
H8961	OSCAR MANAGED CARE OF SOUTH FLORIDA, INC	2021	1	Y	Member Onboarding and Health-Related Activities Program	Member onboarding activities include completion of health risk assessment, select a PCP, visiting a PCP, create a web account, complete a welcome call, complete an authorized representative form. Health-related activities include Annual Wellness Visit, breast cancer screening, osteoperosis screening, colorectal cancer screening, blood pressure reading, diabetic retinal eye exam, diabetic HbA1c, nephrology screening.	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. Members who complete 4 out of 6 onboarding activities receive a $100 gift card.	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. For member onboarding activities, Oscar uses a data query to aggregate and count the activities completed. Completion of 4 out of 6 activities triggers a gift card to the member.	440	1143
H8967	GOOD SAMARITAN INSURANCE PLAN OF NORTH DAKOTA, LLC	2021	1	N	 	 	 	 	 	0	0
H9001	FALLON COMMUNITY HEALTH PLAN	2021	1	N	 	 	 	 	 	0	0
H9003	KAISER FOUNDATION HP OF THE N W	2021	1	Y	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.	1456	804
H9042	SOUTHEASTERN INDIANA HEALTH ORGANIZATION, INC.	2021	1	N	 	 	 	 	 	0	0
H9047	PROVIDENCE HEALTH ASSURANCE	2021	1	N	 	 	 	 	 	0	0
H9065	AMH HEALTH, LLC	2021	1	N	 	 	 	 	 	0	0
H9066	VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK	2021	1	N	 	 	 	 	 	0	0
H9070	COMPBENEFITS INSURANCE COMPANY	2021	1	Y	Go365 by Humana	Fitness: rewards for completing monthly workouts, Social/Health Education: 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, education 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.	42653	315945
H9082	MOLINA HEALTHCARE OF NEW MEXICO, INC.	2021	1	Y	Molina Healthy Rewards	Completing mammogram, completing colon cancer screening, completing blood pressure check, completing A1c testing, retinal eye exam, completing, nephropathy testing, completing wellness visit	Members may choose from the following retailers: Walmart Amazon Target Kroger (gift card value $25-50)	The reward values were set based on collaboration with the vendor to determine fair market valueswere competitive and adhered to CMS and state regulations. Service type was also taken into account to make sure the reward amount was reasonable.	Member attestation	2150	593
H9096	DEAN HEALTH PLAN, INC.	2021	1	Y	Living Healthy	Self-reported activities and activities within the portal that auto credit - Dental visit, Immunizations, preventive screening, mental health assessment, foodsmart NutriQuiz, state park pass, Daily Habits goal and volunteer activity	Gift cards	Eligible members can earn up to $150	Track gift card redemptions	1484	59100
H9104	SCAN HEALTH PLAN	2021	1	N	 	 	 	 	 	0	0
H9147	BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH	2021	1	Y	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.	1	1
H9153	WEST VIRGINIA SENIOR ADVANTAGE, INC.	2021	1	N	 	 	 	 	 	0	0
H9191	PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.	2021	1	N	 	 	 	 	 	0	0
H9207	HEALTH PARTNERS PLANS, INC.	2021	1	Y	Medicare Wellness Rewards	PCP/Specialist Visit, Health Risk Assessment, Colorectal Cancer Screening, Diabetes Retinal Eye Exam, Diabetes Kidney Tests, Breast Cancer Screening, Bone Mineral Density Test	Members earned money on a reloadable card for each eligible activity completed in 2021. 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.	14437	27024
H9219	AMH HEALTH PLANS OF MAINE, INC.	2021	1	N	 	 	 	 	 	0	0
H9258	WELLCARE HEALTH PLANS OF RHODE ISLAND, INC.	2021	1	Y	MEDICARE HEALTHY REWARDS PROGRAM	BREAST CANCER SCREENING, COLORECTAL CANCER SCREENING, COMPREHENSIVE DIABETES CARE - EYE EXAM, HBA1C, NEPHROPATHY, BONE DENSITY SCREENING, ANNUAL WELLNESS VISIT, FLU VACCINE, LEARN and EARN	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.	168	128
H9276	SUNSHINE HEALTH COMMUNITY SOLUTIONS, INC.	2021	1	Y	MEDICARE HEALTHY REWARDS PROGRAM | SUNSHINE HEALTH COMMUNITY SOLUTIONS, INC.	BONE DENSITY, COLORECTAL SCREENING, DENTAL EXAM, DIABETIC EYE EXAM, DIABETIC HBA1C, DIABETIC KIDNEY EXAM, FLU VACCINE, HEALTH RISK ASSESSMENT, PROSTATE EXAM AND WELLNESS VISIT, BREAST CANCER SCREENING, COLORECTAL CANCER SCREENING, COMPREHENSIVE DIABETES CARE - EYE EXAM, HBA1C, NEPHROPATHY, BONE DENSITY SCREENING, ANNUAL WELLNESS VISIT, LEARN and EARN	REWARDS VARY FROM $10 - $50 DEPENDING ON SERVICE COMPLETED.  MEMBERS WERE ABLE TO CHOOSE FROM A VARIETY OF GIFT CARDS INCLUDING: WALMART, VISA, SUBWAY, VISA PREPAID DEBIT CARD	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. | 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 | 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.	88	628
H9302	PREMERA BLUE CROSS	2021	1	Y	Experience More	Health plan education related to benefits and CAHPS activities	Gift Cards	Members receive a  gift card for opting in to the program Members receive a  gift card for listening to 8 IVR topics and completing a final IVR survey	Member opt-in via IVR	676	884
H9302	PREMERA BLUE CROSS	2021	2	Y	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, Statin Use Diabetes, Controlling Blood Pressure, Colorectal Cancer Screening	Gift Cards	Member attests to completed services and receives a gift card for each service completed	Member self-attestation.  Tracked in partnership with Icario vendor with experience running the program.	1198	3622
H9335	WELLCARE HEALTH PLANS OF MISSOURI, INC.	2021	1	Y	MEDICARE HEALTHY REWARDS PROGRAM	BREAST CANCER SCREENING, COLORECTAL CANCER SCREENING, COMPREHENSIVE DIABETES CARE - EYE EXAM, HBA1C, NEPHROPATHY, BONE DENSITY SCREENING, ANNUAL WELLNESS VISIT, FLU VACCINE, LEARN and EARN	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.	1004	243
H9364	WELLCARE OF MAINE, INC.	2021	1	Y	MEDICARE HEALTHY REWARDS PROGRAM	BREAST CANCER SCREENING, COLORECTAL CANCER SCREENING, COMPREHENSIVE DIABETES CARE - EYE EXAM, HBA1C, NEPHROPATHY, BONE DENSITY SCREENING, ANNUAL WELLNESS VISIT, FLU VACCINE, LEARN and EARN	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.	6529	20813
H9387	SUNFLOWER STATE HEALTH PLAN, INC.	2021	1	Y	MEDICARE HEALTHY REWARDS PROGRAM | PPO-KS-SUNFLOWER	BREAST CANCER SCREENING, COLORECTAL CANCER SCREENING, COMPREHENSIVE DIABETES CARE - EYE EXAM, HBA1C, NEPHROPATHY, BONE DENSITY SCREENING, ANNUAL WELLNESS VISIT, LEARN and EARN, FLU VACCINE, BONE DENSITY, WELLNESS VISIT, DIABETES KIDNEY SCREENING, DIABETES EYE EXAM, DIABETES HBA1C, HEALTH RISK ASSESSMENT, COLORECTAL COMPREHENSIVE, F/U INPATIENT	REWARDS VARY FROM $10 - $50 DEPENDING ON SERVICE COMPLETED.  MEMBERS WERE ABLE TO CHOOSE FROM A VARIETY OF GIFT CARDS INCLUDING: WALMART, VISA, SUBWAY, VISA PREPAID DEBIT CARD	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. | 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 | 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.	642	349
H9403	EON HEALTH, INC. (SC)	2021	1	N	 	 	 	 	 	0	0
H9408	VIBRA HEALTH PLAN, INC.	2021	1	Y	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	6752	1850
H9428	WELLCARE HEALTH INSURANCE OF TENNESSEE, INC.	2021	1	Y	MEDICARE HEALTHY REWARDS PROGRAM	BREAST CANCER SCREENING, COLORECTAL CANCER SCREENING, COMPREHENSIVE DIABETES CARE - EYE EXAM, HBA1C, NEPHROPATHY, BONE DENSITY SCREENING, ANNUAL WELLNESS VISIT, FLU VACCINE, LEARN and EARN	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.	943	2441
H9431	FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY	2021	1	Y	Aetna Healthy You Rewards	Completing Physical Activity, Annual Wellness Exam, Healthy Home Visit, 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 or 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.	3366	2197
H9455	HEALTH CHOICE UTAH, INC.	2021	1	N	 	 	 	 	 	0	0
H9460	CIGNA HEALTHCARE OF ST LOUIS, INC.	2021	1	Y	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.	1842	1723
H9489	VERMONT BLUE ADVANTAGE, INC.	2021	1	Y	Member Incentive Program -Annual Wellness Visit	Annual Physical Exam, Annual Wellness Visit, Welcome to Medicare Visit	Gift Card	Members receive a  gift card for completing any of the qualified visits and mailing in their self attestation coupon	Members mail in a coupon self attesting to one of the three qualifying visits and we track in house then mail gift cards monthly	379	99
H9489	VERMONT BLUE ADVANTAGE, INC.	2021	2	Y	In Home Assessment Program	Complete an In Home Assessment, via either in person or virtual	Gift Card	Reward is provided upon completion of an assessment.	Weekly Reporting	792	21
H9525	COMPCARE HEALTH SERVICES INSURANCE CORPORATION	2021	1	N	 	 	 	 	 	0	0
H9572	BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY	2021	1	Y	In Home Assessment Program	In Home Assessment	Gift Card	Reward is provided upon completion of an In Home assessment.	Weekly Reporting	160000	13760
H9572	BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY	2021	2	Y	Medicare Advantage Rewards       Stay Healthy	Annual Wellness Visit, Monitoring Physical Activity, Flu Shot	Gift Card	Each activity has an assigned value the member receives based on completion of that activity.	Member self-attestation.  Tracked in partnership with Icario, vendor with experience running the program	31206	70201
H9572	BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY	2021	3	Y	Medicare Advantage Rewards       Quality	Breast Cancer Screening, Diabetes blood test (A1C), Diabetes eye exam, Diabetes kidney exam	Gift Card	Each activity has an assigned value the member receives based on completion of that activity.	Member self-attestation.  Tracked in partnership with Icario, vendor with experience running the program	6328	10378
H9572	BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY	2021	4	Y	URMBT In Home Assessments	Risk Adjustment Health Risk Assessments	Gift Card	Every member that completes the service receives a $30.00 gift card	Vendor operational weekly reporting	169444	21597
H9572	BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY	2021	5	Y	Welvie My Surgery	Direct Decision Support for preference sensitive surgeries	Gift Card	Participant completes program to earn reward.	Enrollees must register in the program and program progress is tracked electronically	27714	18006
H9572	BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY	2021	6	Y	Osteoporosis Outreach Program	In-Home Bone Mineral Density Tests	Gift Card	Upon completion of in-home BMD test member will be mailed the reward.	Tracked through reporting and member information in the database.	757	84
H9572	BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY	2021	7	Y	Listen & Earn	Listen to recordings on HOS topics and complete survey to receive reward.	Gift Card	$10 for registering and completing first assessment $15 for completing all 8 Listen & Earn sessions and completing assessment	Vendor tracked program	4956	8502
H9576	NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND	2021	1	N	 	 	 	 	 	0	0
H9585	BOSTON MEDICAL CENTER HEALTH PLAN, INC.	2021	1	N	 	 	 	 	 	0	0
H9589	EON HEALTH, INC. (GA)	2021	1	N	 	 	 	 	 	0	0
H9590	LONGEVITY HEALTH PLAN OF ILLINOIS, INC.	2021	1	N	 	 	 	 	 	0	0
H9615	MVP HEALTH PLAN, INC.	2021	1	Y	MVP Medicare WellBeing Rewards Program	Annual Wellness Exam, Colorectal Cancer Screening, Mammogram, Bone Density Screening, Diabetic Screenings, Prostate Screening, Vision Exam, and WellBeing Attestations	$200 Store Merchant Prepaid Reward Card (Target, Lowes, Home Depot, CVS, Kohls)	The reward is calculated 200+ points = $200 Store Merchant Reward Card,  Cards can beredeemed in $50 increments up to a total of $200 per member, Members have several options of points earning activities from which to select to earn points	Members choose activities to earn their $200 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 at least 50 points, they go to the home page and select Redeem to have their $200 Store Merchant Prepaid Reward 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 at least 50 points have been earned.	35325	5618
H9630	ARKANSAS HEALTH AND WELLNESS HEALTH PLAN, INC	2021	1	Y	ARKANSAS HEALTH AND WELLNESS, INC. | MEDICARE HEALTHY REWARDS PROGRAM	BREAST CANCER SCREENING, COLORECTAL CANCER SCREENING, COMPREHENSIVE DIABETES CARE - EYE EXAM, HBA1C, NEPHROPATHY, BONE DENSITY SCREENING, ANNUAL WELLNESS VISIT, LEARN and EARN, INPATIENT MENTAL HEALTH FOLLOW UP VISIT, BONE DENSITY, COLORECTAL SCREENING, DIABETIC EYE EXAM, DIABETIC HBA1C, DIABETIC KIDNEY SCREENING, FLU VACCINE, HEALTH RISK ASSESSMENT AND WELLNESS VISIT	REWARDS VARY FROM $10 - $50 DEPENDING ON SERVICE COMPLETED.  MEMBERS WERE ABLE TO CHOOSE FROM A VARIETY OF GIFT CARDS INCLUDING: WALMART, VISA, SUBWAY, VISA PREPAID DEBIT CARD	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. | 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 | 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.	57376	456015
H9686	ALIGNMENT HEALTH PLAN OF NEVADA, INC.	2021	1	Y	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.	591	674
H9699	HMO PARTNERS, INC.	2021	1	Y	HealthyBlue Rewards through Healthmine, Inc	Colorectal Cancer Screening, Health Risk Assessment, Annual Comprehensive Visit, Flu Vaccine, Diabetic HbA1c Test, Diabetic Retinal Eye Exam, Mammogram, and Flu Shot.	Members can redeem rewards in the form of gift cards that range in value items such as a scale or water bottle or fitness wearables, such as Fitbits.	The value of the reward is based upon their specific health action, such as an Annual Comprehensive Visit ($50) or a Mammogram ($25)	Enrollees are notified of the program by multiple methods and may register via an online website, telephonic method, or welcome packet by mail. The vendor provided information as to registered members who participated in attesting to health activities. This information was available through a real-time platform and weekly sFTP reporting.	3579	3682
H9706	HCSC INSURANCE SERVICES COMPANY	2021	1	Y	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	627	2208
H9712	HAP EMPOWERED HEALTH PLAN, INC.	2021	1	Y	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.	7	1
H9725	CIGNA HEALTHCARE OF NORTH CAROLINA, INC.	2021	1	Y	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.	14432	4861
H9730	WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC	2021	1	Y	MEDICARE HEALTHY REWARDS PROGRAM	BREAST CANCER SCREENING, COLORECTAL CANCER SCREENING, COMPREHENSIVE DIABETES CARE - EYE EXAM, HBA1C, NEPHROPATHY, BONE DENSITY SCREENING, ANNUAL WELLNESS VISIT, FLU VACCINE, LEARN and EARN	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.	40374	381692
H9808	CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA	2021	1	N	 	 	 	 	 	0	0
H9811	MAGNOLIA HEALTH PLAN, INC.	2021	1	Y	MAGNOLIA HEALTH PLAN, INC. | MEDICARE HEALTHY REWARDS PROGRAM	BREAST CANCER SCREENING, COLORECTAL CANCER SCREENING, COMPREHENSIVE DIABETES CARE - EYE EXAM, HBA1C, NEPHROPATHY, BONE DENSITY SCREENING, ANNUAL WELLNESS VISIT, FLU VACCINE, LEARN and EARN, COLORECTAL SCREENING, DIABETIC HBA1C, FLU VACCINE AND WELLNESS VISIT	REWARDS VARY FROM $10 - $50 DEPENDING ON SERVICE COMPLETED.  MEMBERS WERE ABLE TO CHOOSE FROM A VARIETY OF GIFT CARDS INCLUDING: WALMART, VISA, SUBWAY, VISA PREPAID DEBIT CARD	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. | 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 | 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.	5045	19468
H9826	COMMUNITY HEALTH CHOICE TEXAS, INC.	2021	1	N	 	 	 	 	 	0	0
H9834	QUARTZ HEALTH PLAN MN CORPORATION	2021	1	Y	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)	2997	139
H9861	RELIANCE HMO, INC.	2021	1	N	 	 	 	 	 	0	0
H9869	PARTNERS HEALTH PLAN, INC.	2021	1	Y	ChooseHealth	Annual Dental Checkup, Flu Vaccine, Eye Exam, Preventive Screenings: Mammogram, PAP, Colorectal Screening, Hemoglobin A1c or Osteoporosis Screening	$10 CVS Giftcard, Tote Bag, Baseball Cap, Water Bottle	The value of the rewards are all $10 and under.	Claims and enrollment data	916	214
H9877	VIRGINIA PREMIER HEALTH PLAN, INC.	2021	1	Y	Virginia Premier has a DSNP Incentive Program	The member is eligible for a reward when the complete and Annual Wellness Visit or the New to Medicare visit or the Physical Exam.	The member can earn a $25.00 reward	The reward of $25.00 was the result of discussion with the BID team and takes into consideration all the benfit dollars the member receives	Claims report for the completion of the AWV or New to Medicare Visit or Physical Exam	6894	1329
H9909	AMERICAN HEALTH PLAN OF MS, INC.	2021	1	N	 	 	 	 	 	0	0
H9917	ALIGN SENIOR CARE FLORIDA, INC.	2021	1	N	 	 	 	 	 	0	0
H9942	LONGEVITY HEALTH PLAN OF NEW JERSEY INSURANCE COMP	2021	1	N	 	 	 	 	 	0	0
H9952	MEDICA HEALTH PLANS	2021	1	N	 	 	 	 	 	0	0
H9955	MOLINA HEALTHCARE OF OHIO, INC.	2021	1	Y	Molina Healthy Rewards	Completing mammogram, completing colon cancer screening, completing blood pressure check, completing A1c testing, retinal eye exam, completing, nephropathy testing, completing wellness visit	Members may choose from the following retailers: Walmart Amazon Target Kroger (gift card value $25-50)	The reward values were set based on collaboration with the vendor to determine fair market valueswere competitive and adhered to CMS and state regulations. Service type was also taken into account to make sure the reward amount was reasonable.	Member attestation	971	280
R0110	HUMANA INSURANCE COMPANY	2021	1	Y	Go365 by Humana	Fitness: rewards for completing monthly workouts, Social/Health Education: 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, education 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.	18484	135475
R0759	UNITEDHEALTHCARE INSURANCE COMPANY	2021	1	Y	HouseCalls Program, UnitedHealthcare Dual Complete Rewards,  Renew Rewards and/or Vivify Program	HouseCall, Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, 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,Health Risk Assessment ,Flu Shot, Device-Based Activities (Step), Registration for Vivify mobile application., ,	Gift Card, Vivify 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., 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 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 care activity itself., ,	HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in a 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., 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 four channels by providing certain required data (e.g., appointment date). Once UHC validates the eligibility period for the activity, the reward is issued.  For Vivify Reward 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, once the system has registered the members acceptance.Member self-report the Registration of Vivify mobile application) through any od four channels by providing the required data (Date of registration of Vivify mobile application)once UHC vaidates the eigibility period and reward is issued.,	26699	28007
R0802	MARTIN'S POINT GENERATIONS ADVANTAGE, INC.	2021	1	Y	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	308	308
R0865	HUMANA INSURANCE COMPANY	2021	1	Y	Go365 by Humana	Fitness: rewards for completing monthly workouts, Social/Health Education: 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, education 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.	16455	646970
R0923	HUMANA INSURANCE COMPANY	2021	1	Y	Go365 by Humana	Fitness: rewards for completing monthly workouts, Social/Health Education: 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, education 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.	4998	171430
R1390	HUMANA INSURANCE COMPANY	2021	1	Y	Go365 by Humana	Fitness: rewards for completing monthly workouts, Social/Health Education: 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, education 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.	47370	297665
R1532	HUMANA INSURANCE COMPANY	2021	1	Y	Go365 by Humana	Fitness: rewards for completing monthly workouts, Social/Health Education: 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, education 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.	7347	28160
R1548	UNITEDHEALTHCARE INSURANCE CO. OF THE RIVER VALLEY	2021	1	Y	HouseCalls Program, UnitedHealthcare Dual Complete Rewards,  Renew Rewards and/or Vivify Program	HouseCall, Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, 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,Health Risk Assessment ,Flu Shot, Device-Based Activities (Step), Registration for Vivify mobile application., ,	Gift Card, Vivify 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., 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 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 care activity itself., ,	HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in a 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., 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 four channels by providing certain required data (e.g., appointment date). Once UHC validates the eligibility period for the activity, the reward is issued.  For Vivify Reward 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, once the system has registered the members acceptance.Member self-report the Registration of Vivify mobile application) through any od four channels by providing the required data (Date of registration of Vivify mobile application)once UHC vaidates the eigibility period and reward is issued.,	38298	44124
R2604	UNITEDHEALTHCARE INSURANCE COMPANY	2021	1	Y	HouseCalls Program, Renew Rewards and/or Vivify Program	HouseCall, Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening,Health Risk Assessment ,Flu Shot, Device-Based Activities (Step), Registration for Vivify mobile application., ,	Gift Card or Vivify 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.,Renew Rewards Program: 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 care activity itself., ,	HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in a visit.  Members can receive information about the opportunity to have a HouseCalls visit by outbound phone outreach from our scheduling agents, mailed materials, or email.  The clinician performing the visit will enter member information into the eHouseCalls app housed on the tablet our clinicians use in the field.  Once the HouseCalls system receive s confirmation of a completed visit, the reward is issued.,  , Renew Rewards Program: Enrollees initiate the redemption process by activating 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 four channels by providing certain required data (e.g., appointment date). Once UHC validates the eligibility period for the activity, the reward is issued.  For Vivify Reward 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, once the system has registered the members acceptance.Member self-report the Registration of Vivify mobile application) through any od four channels by providing the required data (Date of registration of Vivify mobile application)once UHC vaidates the eigibility period and reward is issued.,	113197	113275
R3175	UNITEDHEALTHCARE INSURANCE COMPANY	2021	1	Y	HouseCalls Program, UnitedHealthcare Dual Complete Rewards,  Renew Rewards and/or Vivify Program	HouseCall, Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening, 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,Health Risk Assessment ,Flu Shot, Device-Based Activities (Step), Registration for Vivify mobile application., ,	Gift Card, Vivify 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., 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 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 care activity itself., ,	HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in a 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., 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 four channels by providing certain required data (e.g., appointment date). Once UHC validates the eligibility period for the activity, the reward is issued.  For Vivify Reward 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, once the system has registered the members acceptance.Member self-report the Registration of Vivify mobile application) through any od four channels by providing the required data (Date of registration of Vivify mobile application)once UHC vaidates the eigibility period and reward is issued.,	1327	1245
R3332	BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.	2021	1	Y	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 $10, Breast Cancer Screening $25, Colon Cancer Screening (Fecal Occult Blood Test/Fecal Immunochemical Test/Flexible Sigmoidoscopy Colonoscopy) $25, Diabetes Care Eye Exam $25, Diabetes Care Kidney Exam $15, Diabetes Care A1C $20, 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 2021 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).	11226	8419
R3392	HUMANA INSURANCE COMPANY	2021	1	Y	Go365 by Humana	Fitness: rewards for completing monthly workouts, Social/Health Education: 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, education 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.	18752	119595
R3444	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	2021	1	Y	HouseCalls Program, Renew Rewards and/or Vivify Program	HouseCall, Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening,Health Risk Assessment ,Flu Shot, Device-Based Activities (Step), Registration for Vivify mobile application., ,	Gift Card or Vivify 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.,Renew Rewards Program: 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 care activity itself., ,	HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in a visit.  Members can receive information about the opportunity to have a HouseCalls visit by outbound phone outreach from our scheduling agents, mailed materials, or email.  The clinician performing the visit will enter member information into the eHouseCalls app housed on the tablet our clinicians use in the field.  Once the HouseCalls system receive s confirmation of a completed visit, the reward is issued.,  , Renew Rewards Program: Enrollees initiate the redemption process by activating 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 four channels by providing certain required data (e.g., appointment date). Once UHC validates the eligibility period for the activity, the reward is issued.  For Vivify Reward 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, once the system has registered the members acceptance.Member self-report the Registration of Vivify mobile application) through any od four channels by providing the required data (Date of registration of Vivify mobile application)once UHC vaidates the eigibility period and reward is issued.,	39526	39550
R3887	HUMANA INSURANCE COMPANY	2021	1	Y	Go365 by Humana	Fitness: rewards for completing monthly workouts, Social/Health Education: 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, education 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.	6782	26035
R4182	HUMANA INSURANCE COMPANY	2021	1	Y	Go365 by Humana	Fitness: rewards for completing monthly workouts, Social/Health Education: 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, education 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.	32139	117870
R4487	ANTHEM INSURANCE COMPANIES, INC.	2021	1	N	 	 	 	 	 	0	0
R4845	HUMANA INSURANCE COMPANY	2021	1	Y	Go365 by Humana	Fitness: rewards for completing monthly workouts, Social/Health Education: 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, education 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.	8792	19760
R5329	SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	2021	1	Y	HouseCalls Program, Renew Rewards and/or Vivify Program	HouseCall, Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening,Health Risk Assessment ,Flu Shot, Device-Based Activities (Step), Registration for Vivify mobile application., ,	Gift Card or Vivify 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.,Renew Rewards Program: 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 care activity itself., ,	HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in a visit.  Members can receive information about the opportunity to have a HouseCalls visit by outbound phone outreach from our scheduling agents, mailed materials, or email.  The clinician performing the visit will enter member information into the eHouseCalls app housed on the tablet our clinicians use in the field.  Once the HouseCalls system receive s confirmation of a completed visit, the reward is issued.,  , Renew Rewards Program: Enrollees initiate the redemption process by activating 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 four channels by providing certain required data (e.g., appointment date). Once UHC validates the eligibility period for the activity, the reward is issued.  For Vivify Reward 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, once the system has registered the members acceptance.Member self-report the Registration of Vivify mobile application) through any od four channels by providing the required data (Date of registration of Vivify mobile application)once UHC vaidates the eigibility period and reward is issued.,	395	365
R5342	UNITEDHEALTHCARE INSURANCE COMPANY OF NEW YORK	2021	1	Y	HouseCalls Program, Renew Rewards and/or Vivify Program	HouseCall, Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening,Health Risk Assessment ,Flu Shot, Device-Based Activities (Step), Registration for Vivify mobile application., ,	Gift Card or Vivify 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.,Renew Rewards Program: 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 care activity itself., ,	HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in a visit.  Members can receive information about the opportunity to have a HouseCalls visit by outbound phone outreach from our scheduling agents, mailed materials, or email.  The clinician performing the visit will enter member information into the eHouseCalls app housed on the tablet our clinicians use in the field.  Once the HouseCalls system receive s confirmation of a completed visit, the reward is issued.,  , Renew Rewards Program: Enrollees initiate the redemption process by activating 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 four channels by providing certain required data (e.g., appointment date). Once UHC validates the eligibility period for the activity, the reward is issued.  For Vivify Reward 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, once the system has registered the members acceptance.Member self-report the Registration of Vivify mobile application) through any od four channels by providing the required data (Date of registration of Vivify mobile application)once UHC vaidates the eigibility period and reward is issued.,	44198	52156
R5361	HUMANA INSURANCE COMPANY	2021	1	Y	Go365 by Humana	Fitness: rewards for completing monthly workouts, Social/Health Education: 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, education 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.	14726	505430
R5495	HUMANA INSURANCE COMPANY	2021	1	Y	Go365 by Humana	Fitness: rewards for completing monthly workouts, Social/Health Education: 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, education 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.	4478	18390
R5826	HUMANA INSURANCE COMPANY	2021	1	Y	Go365 by Humana	Fitness: rewards for completing monthly workouts, Social/Health Education: 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, education 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.	17163	69035
R5941	ANTHEM INSURANCE COMPANIES, INC.	2021	1	N	 	 	 	 	 	0	0
R6694	AETNA LIFE INSURANCE COMPANY	2021	1	N	 	 	 	 	 	0	0
R6801	CARE IMPROVEMENT PLUS OF TEXAS INSURANCE COMPANY	2021	1	Y	HouseCalls Program, Renew Rewards and/or Vivify Program	HouseCall, Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening,Health Risk Assessment ,Flu Shot, Device-Based Activities (Step), Registration for Vivify mobile application., ,	Gift Card or Vivify 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.,Renew Rewards Program: 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 care activity itself., ,	HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in a visit.  Members can receive information about the opportunity to have a HouseCalls visit by outbound phone outreach from our scheduling agents, mailed materials, or email.  The clinician performing the visit will enter member information into the eHouseCalls app housed on the tablet our clinicians use in the field.  Once the HouseCalls system receive s confirmation of a completed visit, the reward is issued.,  , Renew Rewards Program: Enrollees initiate the redemption process by activating 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 four channels by providing certain required data (e.g., appointment date). Once UHC validates the eligibility period for the activity, the reward is issued.  For Vivify Reward 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, once the system has registered the members acceptance.Member self-report the Registration of Vivify mobile application) through any od four channels by providing the required data (Date of registration of Vivify mobile application)once UHC vaidates the eigibility period and reward is issued.,	50261	51858
R7220	HUMANA INSURANCE COMPANY	2021	1	Y	Go365 by Humana	Fitness: rewards for completing monthly workouts, Social/Health Education: 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, education 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.	6964	25615
R7315	HUMANA INSURANCE COMPANY	2021	1	Y	Go365 by Humana	Fitness: rewards for completing monthly workouts, Social/Health Education: 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, education 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.	9167	54850
R7444	UNITEDHEALTHCARE INSURANCE COMPANY	2021	1	Y	HouseCalls Program, Renew Rewards and/or Vivify Program	HouseCall, Annual Physical or Wellness Visit, Diabetic Eye Exam, Colon Cancer Screening (iFOBT, Colonoscopy, Flexible Sigmoidoscopy, Cologuard), Breast Cancer Screening, Osteoporosis Screening,Health Risk Assessment ,Flu Shot, Device-Based Activities (Step), Registration for Vivify mobile application., ,	Gift Card or Vivify 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.,Renew Rewards Program: 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 care activity itself., ,	HouseCalls Program: The HouseCalls program contacts eligible members who then agree to participate in a visit.  Members can receive information about the opportunity to have a HouseCalls visit by outbound phone outreach from our scheduling agents, mailed materials, or email.  The clinician performing the visit will enter member information into the eHouseCalls app housed on the tablet our clinicians use in the field.  Once the HouseCalls system receive s confirmation of a completed visit, the reward is issued.,  , Renew Rewards Program: Enrollees initiate the redemption process by activating 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 four channels by providing certain required data (e.g., appointment date). Once UHC validates the eligibility period for the activity, the reward is issued.  For Vivify Reward 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, once the system has registered the members acceptance.Member self-report the Registration of Vivify mobile application) through any od four channels by providing the required data (Date of registration of Vivify mobile application)once UHC vaidates the eigibility period and reward is issued.,	5966	5667
