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The Structure of Health Incentives: Evidence from a Field Experiment
Journal article   Open access   Peer reviewed

The Structure of Health Incentives: Evidence from a Field Experiment

Mariana Carrera, Heather Royer, Mark Stehr and Justin Sydnor
Management science, v 66(5), pp 1890-1908
01 May 2020
url
https://doi.org/10.1287/mnsc.2018.3271View
Published, Version of Record (VoR)Open Access (License Unspecified) Open

Abstract

Business & Economics Management Operations Research & Management Science Science & Technology Social Sciences Technology
A growing number of firms use incentive programs to encourage healthy behaviors, but there is little evidence about how such incentives should be structured over time. We explore this issue using a large field experiment that incentivized employees of a Fortune 500 company to use their workplace gym. We compare the effectiveness of a treatment with constant incentives over 8 weeks to two treatments that varied incentives over time. One variable treatment featured front-loaded incentives, which could, in theory, help procrastinators overcome startup costs to joining an incentive program. We find, however, that the front-loaded incentive did not increase participation on the extensive margin relative to the constant incentive and was less effective in sustaining exercise over time. The second variable incentive was designed to leverage short-term habit formation by turning incentives on and off over a longer period of time. This novel sporadic incentive showed slightly stronger effects than the constant incentive. We discuss how the nature of habit-formation processes affects the relative benefits of consistent versus periodic incentives.

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26 citations in Scopus

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UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#3 Good Health and Well-Being

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Collaboration types
Domestic collaboration
International collaboration
Web of Science research areas
Management
Operations Research & Management Science
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