Wellness programs
are Mandated as an Essential Health Benefit Section I. Final Regulations will increase the greatest permissible reward under a health-contingent wellness program from 20 percent to 30 percent of the cost of health coverage, and that further increase the largest reward to as much as 50 percent for programs designed to prevent or cut tobacco use. (Fact Sheet) Health Net Q&A 8.9.2013 Kaiser Health Reform Summary last page Dubai is paying $40/pound of weight loss CNN
How will Covered California health insurance companies improve quality of care?
Covered California and each health insurance company selected are committed to ensuring high quality of care for all enrollees. Specifically, each health insurance plan must:
- ensure that each enrollee has had a preventive health and wellness visit during the first year of enrollment
- identify and proactively manage all “at-risk” enrollees [pre-existing conditions]
- determine each enrollee’s health status and proactively develop a plan to manage their individual health care needs
- promote the use of best practice models for continuity of care and care coordination that are proven to improve quality of care
- be transparent about plan performance at the point of enrollment, specifically regarding standard measures of prevention, access and clinical effectiveness
- be certified by the National Committee for Quality Assurance or URAC (formerly known as the Utilization Review Accreditation Commission) to meet quality standards Covered CA Tentative Rate & Plan Guide Page 8
Health Care Reform – MANDATES Chain Restaurants to provide calories on the Menu! Page 455 Section 4205 HR 3590 Final Rule Wellness incentives can only be to encourage participation not penalize if goals are not met bizjournals.com democrat and chronicle.com
29 CFR 2590.702 Health Factors
California Department of Public Health and the state Health and Human Services Agency selected 23 initiatives aimed at supporting California’s goal to become the healthiest state in the country by 2022, the Half Moon Bay Review reports. CA Healthline 1.7.2016
I expect to see “mandates” that one keep healthy. One of these is bike lanes. LA Times Article
Instant Complementary Health Insurance Proposals, Quotes, Subsidy Calculation and ONLINE Enrollment
Instructions to appoint us as your broker with Covered CA – no additional charge!
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View each companies Wellness Program
- Aetna – Health & Preventative Care
- Blue Cross
- Blue Shield Wellness
- CA Health Info Exchange
- Health Net
- Kaiser
- UHC United Health Care
- Wellness General Research
Resources
Functional Medicine & Neurology – Chiropractor Website
Healthy Living Magazine – by Torrance Hospital IPA THIPA
The video shows what Mexico is doing.
Click here for more information in English. |
Technical Resources

IRS Regulation 122707-12 Wellness Programs – Proposed
amendments to regulations, regarding nondiscriminatory wellness programs, clarifications regarding the reasonable design of health-contingent wellness programs and the reasonable alternatives they must offer to avoid prohibited discrimination.
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Study Press Release HHS Proposed Regulation – Health Insurance Market Rules Better Health – Nutrition Cancer Society Explanation
CA Law SB 189 (Amended 4.22.2013) pdf might prohibit discounts. Life Health Pro article Has been “defeated” 5.20.2013 sb_189.prohibit.discounts.4.wellness SB 622 2013 Moning
29 CFR 2590.702 Health Factors
Deport Fat People to keep costs down?
New website on dangers of added sugar http://sugarscience.org/
After Deployment Military Wellness Programs http://afterdeployment.dcoe.mil/home
Avoid the sedentary life style latimes.com/
Historical Info
Study shows the short term benefits may not really be there
https://www.latimes.com/business/la-fi-workplace-wellness-programs-20190418-story.html
http://www.heart.org/HEARTORG/