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Text of FEHB Letter to Carriers: Updated Expectations for Design and Operation of Health and Wellness Programs (PDF)
U.S. Office of Personnel Management [OPM] [Official Guidance] Mar. 14, 2016
"This carrier letter consolidates OPM guidance on population health and wellness. OPM expects all FEHB health plans to sponsor programs that promote healthy lifestyles and help members modify health risks.... To improve wellness performance, we ask carriers to review their programs and ensure the following: [1] ... Carriers should increase the percentage of enrollees completing HRAs each year. Most adults can benefit from completing an HRA annually ... [2] ... [T]he majority of adults must be screened at least once every three years.... [3] ... The information from HRAs and biometric screenings should be used to initiate referrals to health coaching or other plan sponsored programs. Carriers should ensure that results of any laboratory testing performed during screenings are available to appropriate clinicians ... [4] ... Programs directed at diabetes prevention, obesity management, and reduction of cardiovascular risk may satisfy both preventive services and wellness requirements. Recognized programs are listed [online]. [5] ... [T]obacco use rates are declining among FEHB members. Help us continue this trend by reinforcing communication ... [6] Effective biometric screening will identify members at risk for developing hypertension ... [A]dherence to medications will reduce heart attack and stroke rates.
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