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CMS Regulatory Changes Affirm Novu’s Incentives and Rewards Model Improves Enrollee Health Behaviors and Outcomes
|By Business Wire
|May 22, 2014 03:50 PM EDT
The Centers for Medicare and Medicaid Services (CMS) today announced new
guidance to enable Medicare Advantage (MA) organizations to offer
health-driven rewards and incentive programs that may be applied to an
expanded list of health-related services and activities. Specifically,
MA organizations may now create one or more programs that provide
rewards and incentives to enrollees in connection with participation in
activities that focus on promoting improved health, preventing injuries
and illness, and promoting efficient use of health care resources.
Additionally, the new CMS regulations support Novu’s fundamental
approach that daily actions, such as signing-up for a healthy activity
or checking-in to validate an action, for example, can now be rewarded
as part of a program to activate individuals in their own health.
In response to the need for MA organization to showcase meaningful and
sustained improvements in enrollee health behaviors and health outcomes,
Novu provides an industry-leading, scalable and flexible platform that
enables the nation’s most innovative healthcare companies to achieve
their organizational goals. Through an integrated technology and
services approach and a unique combination of incentives, education,
access and support, Novu provides MA organizations with an efficient,
effective way to incent and reward all enrollees, while equipping the
organization with a way to track and easily report on the effectiveness
of their rewards and incentives programs through Novu’s robust real-time
“Rewards and incentives are proven to inspire enrollees to take charge
of their own health, advancing better health behaviors and outcomes,”
said Novu CEO Tom Wicka. “This new expanded guidance on rewards and
incentives strongly supports what we’ve known since inception: small
steps make a huge difference in the health of individuals. Our
consumer-centric health engagement and rewards model closes care gaps,
activates individuals in their health and reduces costs for payers and
providers. We are the only company that has experience working with MA
organizations on rewards and incentives, and we’ve already delivered
tangible results for populations across all age ranges, including
at-risk senior populations, which require significant expertise and
insight. This is a significant opportunity to activate enrollees toward
healthy outcomes and we look forward to working with our customers as
they embrace this new era in customer-centric health care engagement.”
While previously MA organizations were limited in what health-related
activities and services could be incentivized, the new expanded
guidelines now allow MA organizations to deliver rewards and incentives
to all activities that focus on promoting improved health, preventing
injuries and illness, and promoting efficient use of health care
resources. They are also now able to provide rewards and incentives that
target a specific disease, chronic condition or preventive service.
Moreover, CMS’s ruling enables MA organizations to define the definition
and scope of completion of the activities it is incenting, enabling
organizations to encourage enrollees to complete smaller actions or
programs in advance of their health.
The Novu platform drives motivation and activation through proven
engagement methods and provides general education, online communities,
weekly challenges, badges and status, and incentives in the form of Novu
reward points. Novu’s self-funded, proprietary Rewards Platform draws on
extensive expertise in loyalty and rewards marketing for consumer
companies in the Fortune 500. It is built with out-of-the-box
fulfillment categories (raffles charities, local and daily deals) that
can be customized to client needs. Incentive reward points are accrued
as enrollees schedule appointments or complete screenings, among other
activities, and can be redeemed by enrollees.
Novu’s platform delivers tailored content coupled with personalized
engagement and communications tools that are specifically targeted to
meet the needs of a specific population. With Medicare populations, for
example, communication is specific to a person’s age and gender so that
enrollees can learn about the tests covered by their plan and their
importance, and various “Health Essential” screenings, as well as
address the barriers to getting screening tests, such as the fear of
Novu clients can also receive real-time data and reporting on enrollees
and their screenings, as well as preventative care progress along the
way – an important piece of the rewards and incentive guidance’s
evaluation process. With Novu’s two-way communications capabilities,
detailed surveys can easily be executed to assess enrollee satisfaction,
opinions and engagement metrics.
Novu recently conducted a yearlong study involving thousands of Medicare
Advantage participants focused on enhancing their nutrition, as well as
strength and cardiovascular fitness. Nearly 70 percent of the
participants used Novu twice a week and the top 25 percent used Novu
nearly daily. The participants completed nearly 19,000 personalized Novu
health and wellness programs focused on nutrition, strength and cardio;
conducted an average of nine challenges; earned 13 million reward points
collectively; and nearly 70 percent of the participants saw their Body
Mass Index reduce nearly seven percent. These real-world results prove
Novu’s engagement approach to influencing behavioral change, which is at
the core of the QEP product.
Novu is a member-centric technology and services
platform designed to serve as integrator between payer, provider and
member. Leveraging clinical and behavioral best practices, social
experiences, gamification, rewards, loyalty and advanced data, the
company helps the industry’s most innovative health insurance companies,
health services organizations and corporate employers achieve their
organizational goals. Through this proprietary, powerful combination,
Novu facilitates relevant, member-driven wellness actions and decisions
that encourage physical, emotional and financial health. Available
wherever consumers want to engage in their health, the Novu platform
delivers an empowering, rewarding and connected experience via desktop,
mobile and tablet. The company is headquartered in Minneapolis, MN. More
information is available at www.novu.com.
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