Impact of Incentive Values on Participation in Comprehensive Wellness and Health Risk Assessment Interventions
November, 2009

This is 1st in a series of Research Reviews focused on "The Science of Health Incentives™".

Healthcare costs are expected to exceed 20% of Gross Domestic Product by 2018. There is widespread agreement that a vast majority of these costs are avoidable by modifying risk factors associated with chronic conditions, improving medication adherence, adopting technology such as e-prescribing and electronic medical records and improving patient safety.

The industry is at an inflection point where payers, employers, providers and consumers must manage the cost of care, improve outcomes and reduce delivery costs. Incentives have emerged as an essential tool for impacting cost - with participation levels often at only 10% to 15% without incentives. Incentive research has focused on census studies and the analysis of a specific incentive program outcome. This Research Review builds on that valuable foundation by analyzing a robust data set of incentive programs. This Research Review outlines the important relationship between incentive value and participation, the required levels of incentive value to reach desired participation rates and the elements that work hand in hand with incentive value. The relationship between incentive value and participation serves as the first step in establishing the link between participation, behavior change, outcomes and cost savings to determine return on investment.

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The Science of Health Incentives