CHIBEblog

Feb 25 2016
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Using Bribes–er, Incentives–to Change Children’s Eating Habits

By CHIBEblog

Study: 25 Cents Increases Lunch Intake of Fruits and Vegetables “Can I have dessert?” “Did you eat all of your vegetables?”  This is a common dinner conversation in our house and probably for most other families.  Whether we call it bribery or not, parents bribe their kids in small ways every day.  Eating more vegetables in exchange for a little dessert.  Cleaning a bedroom in exchange for more time on a computer or video game.  Good behavior to play with friends. New research asks the question whether bribing kids to eat more fruits and vegetables can change their eating habits…

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Feb 16 2016
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Move It Or Lose It

By CHIBEblog

Mitesh Patel Study Sheds Light on Employee Incentives The latest study by LDI Senior Fellow Mitesh Patel and colleagues adds to our growing understanding of how best to frame financial incentives to encourage healthy behaviors, and employer wellness managers should take note. Patel and colleagues’ randomized control trial, published today in the Annals of Internal Medicine, shows that financial incentives framed as a loss (upfront rewards that are reduced when goals aren’t achieved) are most effective in increasing physical activity among overweight and obese adult employees of a major university (ok, it’s Penn). That’s the good news if you’ve set…

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Jan 05 2016
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Employers Take Note: Premium-Based Incentives For Weight Loss Don’t Work

By CHIBEblog

Randomized Trial Finds No Effects For Employees A new study casts doubt on the effectiveness of reducing health insurance premiums as a way to encourage employees to lose weight. LDI Senior Fellow Mitesh Patel and his team, in a randomized controlled trial, test the effectiveness of a $550 incentive in promoting weight loss in obese employees. They found no difference in weight loss over the course of one year between the control group and three different kinds of incentive programs. It didn’t matter if the incentive was set up to provide premium discounts in the subsequent year, or in the…

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Oct 30 2015
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Amol Navathe

Physician Incentives – Making Performance Measures Meaningful

By CHIBEblog

How can we redesign physician incentives to improve their impact on behavior and performance?  Recently, the Commonwealth Fund published a round-up of expert views on reforming physician incentives, and one of the experts was LDI Senior Fellow Amol Navathe, MD, PhD. Navathe, a physician, health economist, and engineer, studies how to apply behavioral economic principles to physician financial and non-financial incentives. At a recent retreat, he described ongoing research on physician pay-for-performance measures; you can watch an excerpt here. And below is Amol’s Q & A from the Commonwealth Fund’s October 2015 issue of “Transforming Care“, reproduced here with permission.  Q:…

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May 28 2015
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Taking the Science of Financial Incentive Programs to a New Level: An Interview With Scott Halpern

By CHIBEblog

Last week, Scott Halpern, Kevin Volpp and colleagues published a groundbreaking study in the NEJM demonstrating that financial incentives work in helping employees quit smoking, and that the design of the incentives matters. The article prompted widespread media coverage, as did the announcement by study partner CVS Health that, next month, it will launch a financial incentive program for all its employees who use smoke or use tobacco of any kind. You can read an excellent summary of the study by Aaron Carroll on The Incidental Economist, and watch Dr. Volpp explain the study on Knowledge@Wharton. I posed a few…

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Mar 23 2015
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Healthy Nudges in the School Lunch Line

By CHIBEblog

In an online commentary in JAMA Pediatrics, Mitesh Patel and Kevin Volpp comment on a new school-based randomized trial that tested whether increased food palatability, combined with choice architecture, improved the diet of elementary and middle school children. The intervention had two phases: first, schools were randomized to a control or to receive a chef’s visit twice a week for seven months. After three months, schools were again randomized to a “choice architecture” intervention that included preferential placement of fruits, vegetables, and milk, and promotional signage and packaging. The result after seven months? Healthier food choices and consumption increased with…

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