Journal
HEALTH AFFAIRS
Volume 28, Issue 1, Pages 206-214Publisher
PROJECT HOPE
DOI: 10.1377/hlthaff.28.1.206
Keywords
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Funding
- NATIONAL CENTER FOR CHRONIC DISEASE PREV AND HEALTH PROMO [R01DP000100] Funding Source: NIH RePORTER
- NATIONAL INSTITUTE OF MENTAL HEALTH [R03MH066654, R01MH064388, R01MH054907] Funding Source: NIH RePORTER
- NATIONAL INSTITUTE ON ALCOHOL ABUSE AND ALCOHOLISM [K24AA015287] Funding Source: NIH RePORTER
- NIAAA NIH HHS [K24 AA015287-06, K24 AA015287] Funding Source: Medline
- NIMH NIH HHS [R01 MH064388, R01 MH054907-15, R03 MH066654, R01 MH054907-17, R01 MH054907, R03 MH066654-02, R01 MH064388-04] Funding Source: Medline
- PHS HHS [54907, 66654, 015287, 64388] Funding Source: Medline
- NCCDPHP CDC HHS [R01 DP000100-01, R01 DP000100] Funding Source: Medline
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Unhealthy behavior is a major cause of poor health outcomes and high health care costs. In this paper we describe an agenda for research to guide broader use of patient-targeted financial incentives, either in conjunction with provider-targeted financial incentives (pay-for-performance, or P4P) or in clinical contexts where provider-targeted approaches are unlikely to be effective. We discuss evidence of proven effectiveness and limitations of the existing evidence, reasons for underuse of these approaches, and options for achieving wider use. Patient-targeted incentives have great potential, and systematic testing will help determine how they can best be used to improve population health. [Health Affairs 28, no. 1 (2009): 206-214; 10.1377/hlthaff.28.1.206]
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