Health insurance marketplaces

10 states to experiment with wellness programs in their ACA markets

Dollar bill version of George Washington with a stethoscope around his neck
Illustration: Rebecca Zisser/Axios

Wellness programs that reward people for exercising or stopping smoking are common in employer plans, and soon they will be an option in individual health plan marketplaces, the Trump administration said in a bulletin yesterday.

The big picture: 10 states will get to experiment with wellness programs in their Affordable Care Act markets, and they generally have to comply with federal rules for employer wellness programs.

The silent decline of the employer health care market

Reproduced from Kasier Family Foundation; Chart: Axios Visuals

While everyone was laser-focused on the Affordable Care Act for the past decade, the backbone of the American health care system was gradually deteriorating.

Between the lines: Employer insurance has become increasingly unaffordable over the last decade, contributing to today's political debates over surprise medical bills, drug prices and "Medicare for All."

Go deeper: Employer health plans are getting pricier and skimpier