MedEncentive - Rewarding Better Health

Frequestly Asked Questions

Click here to print out information to give to your doctor about MedEncentive.

What Is the MedEncentive Information Therapy Program?

What benefits do I receive for participating in the MedEncentive Ix Program?

What are the key components of the MedEncentive Ix Program?

How, exactly, do I earn my financial reward?

How will the MedEncentive program work with my provider?

When do I received my information therapy opportunity?

Do I have to participate in the MedEncentive Ix Program?

How can financially rewarding doctors and patients save overall healthcare costs?

Why do I need Information Therapy?

How much time do I have to respond once I receive my letter from the MedEncentive Ix Program?

What kinds of questions will I be asked on the MedEncentive Internet system

What is the background on the evidence-based medicine guidelines that my doctor will be reviewing?

What is my role to obtain the most from the Ix Program?

What if my doctor doesn’t participate in the MedEncentive Ix Program?

Will I be asked to access MedEncentive’s Internet system each time I have an office visit?

What about recurring visits to my doctor to manage an ongoing problem such as heart disease, will I receive an information therapy prescription each time I visit?

What about medical emergencies?

Who do I contact if I have more questions?

How can I benefit from the Ix Program if I don’t have access to the Internet at home or I don’t know how to use it?

Does the Ix Program make available my personal health information available to my employer or anyone else?

Will my answers be used anyplace else?

What if I have an FSA or HRA account…how does the financial reward from my participation in MedEncentive affect these dollars?

What is the MedEncentive Identification (ID) card for and how do I use this?

What is this pilot with the State of Oklahoma and the MedEncentive Information Therapy (Ix) Program?

 

 
What Is the MedEncentive Information Therapy Program?

The MedEncentive Information Therapy (Ix) Program is a benefit provided by your health plan to help you better understand and improve your health. The Program provides a means for your doctor to prescribe information (called information therapy or Ix) to you about your health risk, condition or disease. Information therapy is designed to help employees and their dependents become more knowledgeable about proven medical treatments and methods to manage and improve their health. This knowledge helps people make more informed decisions about their treatment options, improve communication with their doctor and better understand what they can do to improve their health. MedEncentive, the company that provides the Information Therapy Program, does not pay claims, determine benefits or manage your pharmaceutical benefits. Please contact your health plan for questions regarding these areas.

 
What benefits do I receive for participating in the MedEncentive Ix Program?

Your participation in the Ix Program benefits you in many ways: First, studies show that most people do not understand their health and medical issues and therefore, suffer with poorer health. Your doctor wants you to be knowledgeable about your health so that your health improves. Therefore, your doctor prescribes information for you and they want to know if you understand and are taking steps to improve your health.

Second, studies show that an informed patient makes better decisions about their treatment options and achieves better health. Third, you will earn a financial incentive for participating. Fourth, participants report an improved relationship with their doctors, better communications with their doctors, and feel more empowered to ask their doctors questions that are important to them.

 
What are the key components of the MedEncentive Ix Program?

MedEncentive’s Information Therapy (Ix) Program is a web-based application that doctors and patients access through the Internet. Physicians access the Ix Program to review evidence based medicine (EBM) treatment guidelines that help them stay current with the latest medical information. Doctors also must prescribe health and medical information to their patients in order to earn additional compensation and experience other benefits.

Patients access the Ix Program to learn about current, proven, unbiased treatment options to help them make informed decisions and better manage their health. Patients can review all their previously prescribed medical information as well as make changes to their personal information like how you prefer to be notified of each opportunity (at your home address, your cell phone or through email.)

 
How, exactly, do I earn my financial reward?

As you read information about your health or medical condition you will be asked some questions to help you understand what you can do to improve your health. If you miss a question, you will be asked to re-read that area of the material. When you answer all questions, you will be notified that you are now eligible for your financial reward.

The Ix Program will then notify your reward (plan) administrator to send you a check for payment that will be mailed to the address you selected in your MedEncentive profile. Checks are typically processed on a weekly basis and mailed to the address in your personal information within a week or two of completing your Ix.

 
Are all office visits eligible for financial rewards?

Only office visits with Medical Doctors (MD), Doctors of Osteopathic Medicine (DO), Doctors of Podiatry (DPM) and their physician assistants (PA) and nurse practitioners (NP) qualify for information therapy. Office visits with both primary care doctors and specialists are eligible. Office visits with chiropractors, councilors, therapists and other types of providers are not eligible for the Ix Program.

 
When do I received my information therapy opportunity?

Doctors can prescribe information for you while you are in their office so you may want to ask them at the end of your office visit. If the doctor chooses not to prescribe information at that time, the doctor may prescribe information within a week or two. If you have not received a notification about your information therapy within 3 weeks of the office visit, you can contact MedEncentive at support@medencentive.com or call (855) 289-0365

 
Do I have to participate in the MedEncentive Ix Program?

The Ix Program is totally voluntary for both you and your doctor, however, your participation is key to the overall success of the Ix Program. Studies show that an informed patient has better health, uses less healthcare and spends less money out of their pocket. It is by actively participating in the MedEncentive Ix Program that you are eligible to receive rewards for learning about your health and following recommended care. The vast majority of people participate because they want to better understand and improve their health and they want their doctor to know that they are knowledgeable and taking an active role in improving and managing their health.

 
How can financially rewarding doctors and patients save overall healthcare costs?

Numerous studies by research organizations have determined that financially rewarding doctors to incorporate evidence-based medicine reduces treatment variability, alleviates the need for defensive medicine and improves patient health. This, in turn, lowers costs. Researchers have demonstrated that financially rewarding patients for learning about their health and encouraging them to follow their doctors’ recommendations improves health and lowers costs. And finally, any program that improves communication between the doctor and the patient reduces misdiagnoses, the ordering of unnecessary tests, and treatments that are not effective.

 
Why do I need Information Therapy?

Studies show that only 15% of patients fully understand what their doctors tell them and 50% of patients are uncertain about what they are supposed to do to care for themselves after leaving the doctor’s office. In another study, patients who did not review medical information had much higher costs, higher hospitalizations and a 52% higher death rate.

Other studies have found that health literacy is the single most important factor in determining your overall well-being and life expectancy. Being health literate means living a healthier, longer life. Further, healthcare costs for people with high levels of health literacy are only ¼ as much as for those with low levels of health literacy--$3000/year vs. $13,000/year per person. In addition, the Ix Program saves patients time from trying to find current, validated, credible and unbiased medical information on the Internet or from family or friends who may not be the best source of information.

 
How much time do I have to respond once I receive my letter from the MedEncentive Ix Program?

The MedEncentive Ix Program establishes a two-week window of time from the date of the letter for you to successfully complete the patient questionnaires. This two week period allows you the time to access the Internet, learn about your medical condition and treatment options available as well as to complete the questionnaire. The time limit applies to each notification you receive from the MedEncentive Ix Program. You will continue to have access to the medical information after the two week limit expires, however you will not be able to receive the rewards for successful completion of the questionnaire. If for some reason, you are not able to complete your Ix in time, please contact MedEncentive at (855) 289-0365 to discuss.

 
What kinds of questions will I be asked on the MedEncentive Internet system?

Once you have read the article(s) prescribed to you as your Information Therapy, you will be asked a few questions about what you have read. Don’t worry. If you miss an answer, you will be directed back to the article content for a refresher so you are able to provide the right answers to the questions. You will be asked a few questions about whether the article was helpful to you and if your health is improving, the same, or not improving. Once you have completed the questions, you will be asked to make your responses available to your doctor. This is a requirement in order for you to receive your reward. As a last step in the process, and based on your understanding of the recommended care for this visit, you will also be asked how you believe your doctor’s treatment recommendations compare to what you’ve just read. Your doctor will not see your specific answer to this last question but they may see a summary of all of their patient ratings.

 
What is the background on the evidence-based medicine guidelines that my doctor will be reviewing?

The evidence-based medicine guidelines are based on medical trials, studies and literature put together by medical researchers at such institutions as Duke University, Vanderbilt University, Oregon Health Sciences, Washington University in St. Louis, Mt. Sinai and Emory University.

Researchers comb through validated medical trials, studies, and literature from around the world. The researchers use scientific methods to assess and then condense that information into easy-to-follow treatment guidelines for doctors to review.

Doctors are very familiar with evidence-based medical guidelines, and as part of the MedEncentive Information Therapy Program, your doctor may be asked to review an evidence-based medical guideline that has been developed specific to your diagnosis. After reviewing the guideline, your doctor is asked if they are following the guideline in their treatment plan for you. If they answer is no, the doctor is asked to share the reason why, and that information is made available to you. The MedEncentive Information Therapy Program helps facilitate better communication between doctors and patients regarding your health.

 
What is my role to obtain the most from the Ix Program?

You have a few important roles with the first being to ask your doctor to prescribe medical information for your diagnosis. When your doctor participates, you’ll have improved conversations regarding your health and medical needs. The program is intended to help you learn more about your health, and the healthcare being provided to you by your doctor.

NOTE: You may be one of the first patients your doctor treats who is covered by the MedEncentive Program. If your doctor is unfamiliar with the Ix Program, please give your doctor the Physician Office Visit handout that can be found on MedEncentive’s Website under the Patient tab. The doctor or one of their staff members can prescribe information to you so be sure to let them know that you want them to provide this service to you. This is very similar to asking your doctor to prescribe a generic medication or asking for a copy of medical records, etc., all of which the doctor does not get paid to do.

Your second important role is to participate in the Ix Program by reading the health and medical information on the MedEncentive Website. The objective is to learn as much as you can about your health, answer the related questions as thoughtfully as possible and talk with your doctor during your next visits about what you are learning.

 
What if my doctor doesn’t participate in the MedEncentive Ix Program?

If your doctor forgets to participate or they aren’t aware they can prescribe Information Therapy to you, MedEncentive will contact them to remind them of the opportunity, or make them aware of the program. If, after they have been reminded, they still don’t participate, the MedEncentive system will issue you Information Therapy. This ensures that you will always have the opportunity to participate in the program and earn a financial reward. The article issued to you by the MedEncentive system will be based on the diagnostic code associated with your office visit.

 
Will I be asked to access MedEncentive’s Internet system each time I have an office visit?

Yes, it is important to continue to read information about your health risks and conditions (even if the visit is for an ongoing, chronic or reoccurring condition) so that you are informed and reminded of how best to manage your health. Studies show that the more often we read health and medical information, the better we understand the information and are better able to manage our health. This understanding also helps improve our communications with our doctor and leads to shared decision making regarding your treatment options.

 
What about recurring visits to my doctor to manage an ongoing problem such as heart disease, will I receive an information therapy prescription each time I visit?

Yes. Studies show that the more we read about our disease or condition, the better we understand what we can do to manage our health, which improves health outcomes. You will need to complete your Ix opportunity each time to earn your financial reward.

 
What about medical emergencies?

Medical emergencies are to be treated without delay. If you receive care from an urgent care clinic, you may be eligible to earn a financial reward through the Ix Program. Currently, emergency room (ER) visits are not included in the Ix Program.

 
Who do I contact if I have more questions?

For more information about the MedEncentive, we recommend that you go to MedEncentive’s website at www.medencentive.com and read information there. You should also login to your account to learn more about how the Program works. If you have specific questions, you may email us at support@medencentive.com or call (855) 289-0365.

 
How can I benefit from the Ix Program if I don’t have access to the Internet at home or I don’t know how to use it?

The letter you receive from the Ix Program will suggest accessing the Internet at your workplace. Your employer wants you to get the full benefit from the Ix Program so they may offer access to the Internet and assistance to show you how to access your medical information. In addition to your workplace, you may be able to access the Internet at your doctor’s office or the public library.

 
Does the Ix Program make available my personal health information available to my employer or anyone else?

First, MedEncentive staff and personal go to great lengths to ensure that we are compliant with all HIPAA standards and requirements regarding protection of personal health information (PHI). Second, MedEncentive does not report or provide your confidential health information to your employer or any other person or organization. The only information your employer may receive is aggregate information about the total number of doctors and patients who participate in the Program. It is in this way that the Ix Program maintains your confidentiality and achieves compliance with HIPAA privacy regulations.

 
Will my answers be used anyplace else?

Your answers to the website’s medical questions will be made available to your doctor for subsequent care and feedback purposes, except for your rating of your doctor.

 
What if I have an FSA or HRA account…how does the financial reward from my participation in MedEncentive affect these dollars?

The financial reward for your participation in the MedEncentive Program is typically a refund from your out of pocket expense like an office visit copay. If you have an FSA, HRA or HSA account and use the account to pay for your out of pocket expenses, the MedEncentive reward may be taxable. IRS rules allow for a certain amount of financial incentives to be received without any tax consequences. If you have any questions about the taxability of the reward, please ask your tax consultant.

 
What is the MedEncentive Identification (ID) card for and how do I use this?

The identification card that you received is designed to facilitate your participation in the Information Therapy Program. The ID card serves as a notice to your doctor and their staff that you are eligible for information therapy. Please show the doctor’s office staff your MedEncentive ID card for each doctor office visit.

If your doctor or their staff are not familiar with the MedEncentive Program, there is information for them on the ID card so that they can learn more. Your doctor will earn additional compensation for prescribing you information therapy so they will appreciate you bringing this information to their attention.

 
What is this pilot with the State of Oklahoma and the MedEncentive Information Therapy (Ix) Program?

The State of Oklahoma desires to improve health, healthcare and control healthcare costs in a way that is good for employees and their dependents and their doctors. The pilot involves over 15,000 HealthChoice members who have been selected to receive this benefit. Over a 3 year period, the total healthcare costs for members who have the Ix Program will be compared to HealthChoice members who do not have this benefit. If the total costs of those who have the MedEncentive Program is lower than those who do not receive it, then the Ix Program will be made available to all HealthChoice members.

 
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