MyMedicalRewards Configuration
MyMedicalRewards™ provides financial incentives to members who make cost-effective healthcare decisions, creating a win-win scenario for both members and employers.
What is MyMedicalRewards™?
MyMedicalRewards™ is a comprehensive incentive program that provides financial rewards to members who make cost-effective healthcare decisions. By comparing prices and choosing lower-cost, high-quality providers, members earn rewards that can be processed through employer payroll or HSA contributions.
How MyMedicalRewards Works
Configuration Parameters
The rewards system offers flexible configuration options to align with each employer's benefit strategy and budget requirements:
- Prevents small reward amounts
- Reduces administrative overhead
- Typical range: $50 - $200
- Lower thresholds = higher participation
- Balances member incentive with employer savings
- Higher percentages drive more engagement
- Typical range: 15% - 50%
- Can vary by procedure type
- Prevents unexpectedly high payouts
- Enables budget predictability
- Typical range: $200 - $1,000
- Higher caps for major procedures
- Focus on high-impact procedures
- Target areas with significant price variation
- Common: imaging, surgery, lab work
- Can expand over time
Configuration Best Practice
Start with conservative settings and gradually adjust based on actual engagement data and budget impact. Most successful programs begin with moderate thresholds and percentages, then optimize after 3-6 months of data collection.
Accessing Configuration
To configure rewards settings for an employer group:
- Navigate to Employers: Go to the Employers section in the main navigation
- Select Employer Group: Choose the specific employer group from the list
- Open Actions Menu: Click the Actions dropdown for the selected group
- Select Configuration: Choose "MyMedicalRewards Configuration" from the menu
- Adjust Parameters: Modify the threshold, percentage, cap, and eligible procedures
- Save Changes: Apply the new configuration settings
Important Note
Configuration changes typically take effect for new claims processed after the modification date. Existing pending rewards maintain their original configuration parameters. Always communicate configuration changes to employer group administrators.
Tracking and Management
The MyMedicalRewards table provides comprehensive tracking of all rewards earned, processed, and pending:
| Column | Description | Purpose |
|---|---|---|
| Employer | Employer group assigned to employee | Group identification and filtering |
| Employee | Employee name (First Last) | Member identification for inquiries |
| Reward Reason | Healthcare procedure or service | Understanding reward context |
| Reward Amount | Dollar amount of earned reward | Financial tracking and budgeting |
| Status | Processing stage of reward | Workflow management |
| Reward Earned Date | Date when reward was earned | Timeline tracking and reporting |
Available Actions
The MyMedicalRewards™ interface provides several management actions:
- Export Rewards File: Generate detailed reports of rewards for payroll processing or financial analysis
- Update Processing Status: Manually update the status of rewards that have been processed externally
- Filter and Search: Find specific rewards by employee name, status, or employer group
- Bulk Operations: Process multiple rewards simultaneously for efficiency
Data Export Considerations
When exporting rewards files, apply appropriate filters to avoid processing large datasets unnecessarily. By default, all rewards entries export, which could lead to significant data volume. Use status and date filters to export only relevant records.
Implementation Best Practices
Strategic Configuration Approach
- Conservative Launch: Begin with moderate parameters and adjust based on actual usage patterns
- Budget Alignment: Ensure reward configuration aligns with employer budget constraints and savings goals
- Communication Plan: Develop clear member communication about how rewards work and when they're earned
- Regular Review: Schedule quarterly reviews to assess program performance and adjust parameters
Operational Excellence
- Processing Schedule: Establish regular reward processing cycles aligned with employer payroll schedules
- Member Support: Train support staff on reward inquiries and status explanations
- Data Monitoring: Track key metrics like participation rates, average reward amounts, and total program costs
- Compliance Documentation: Maintain records of configuration changes and processing activities