Healthcare & Regulated Programs

Medicare & Medicaid Incentive Programs

Automate member incentives for preventive care, engagement, and adherence programs.

Overview

Common Medicare and Medicaid programs include:

  • Preventive screenings
  • Annual wellness visits
  • Immunization programs
  • Medication adherence initiatives
  • Health education and engagement campaigns

Gift cards are commonly used to improve participation and health outcomes.

How the API is Used

  • Trigger rewards based on member activity or completion events
  • Integrate with care management and member engagement platforms
  • Deliver rewards via email, SMS, or claim links
  • Track fulfillment and delivery status

Example Workflow

  • Member completes a qualifying activity such as a screening or visit
  • Your system records completion
  • Your system triggers a reward via the API
  • The gift card is delivered to the member

API Integration Flow

API Integration Flow

1
Authenticate
POST /v1/Tokens
2
Retrieve products
GET /v1/Products
3
Send reward
POST /v1/Orders
4
Track status
GET /v1/Orders/{id} or webhook

Example Request

JSON 
{
  "Type": "DigitalDelivery",
  "LineItems": [
    {
      "ProductId": "CVS",
      "Value": 25,
      "Quantity": 1,
      "DigitalDeliveryAddress": {
        "Email": "member@email.com"
      },
      "Personalization": {
        "To": "Member",
        "FromName": "Care Team",
        "Message": "Thank you for completing your wellness activity."
      }
    }
  ],
  "PONumber": "MED-7001"
}

Delivery Options

  • DigitalDelivery - Send gift cards via email or SMS
  • Links - Generate claim links for distribution through portals or outreach
  • PhysicalShipment - Ship physical gift cards when required

Benefits

  • Improves member engagement and participation
  • Encourages preventive care and adherence
  • Automates reward fulfillment at scale
  • Integrates with healthcare systems and workflows

Compliance Considerations

  • Programs may be subject to regulatory requirements depending on use case
  • Ensure incentives align with applicable guidelines and internal policies
  • Maintain auditability and reporting for program tracking

Common Program Types

  • Preventive care incentives
  • Annual wellness visit rewards
  • Immunization campaigns
  • Medication adherence programs

Related Use Cases