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Patient financial incentives for preventive care

Health Factors: Quality of Care
Decision Makers: State Government Healthcare Professionals & Advocates Nonprofit Leaders
Evidence Rating: Scientifically Supported
Population Reach: 10-19% of WI's population
Impact on Disparities: Likely to decrease disparities

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Description

Financial incentives such as payments, vouchers, and tickets for prize drawings can be used to encourage patients to undergo preventive care such as screenings, vaccinations, and other brief interventions. Personal incentive programs are usually offered through the public sector and typically offer incentives to low income individuals (Sutherland 2008).

Expected Beneficial Outcomes

Increased preventive care
Increased adherence to treatment
Reduced drug and alcohol use
Improved prenatal care

Evidence of Effectiveness

There is strong evidence that financial incentives increase preventive care among low income and high-risk populations (Sutherland 2008). Effects appear strongest for brief, infrequent behaviors such as attending an appointment, and for rewards that are large or delivered soon after the patient completes a target behavior (Marteau 2009).

Financial incentives have been shown to improve patients’ participation in vaccination programs, screening for various cancers, and adherence to treatments for tuberculosis and sexually transmitted infections (Sutherland 2008). Incentives can also reduce drug use in the short-term (Marteau 2009) and increase prenatal care for pregnant teenagers (Sutherland 2008).

Implementation

United States

The Affordable Care Act authorizes grants to states to provide incentives to Medicaid beneficiaries who participate in prevention programs, adopt healthier behaviors, and improve their health. State programs must help beneficiaries quit using tobacco, lose weight, lower cholesterol or blood pressure, or avoid or manage diabetes (CMS-MIPCD).

Wisconsin

Wisconsin will use an Affordable Care Act grant to link BadgerCare recipients with tobacco cessation resources. Treatment recipients will get cash incentives along with services, while control recipients will get cessation services only (CMS-MIPCD).

Implementation Resources

CMS-MIPCD - Centers for Medicare & Medicaid Services (CMS). Medicaid incentives program for the prevention chronic diseases model. Accessed on December 8, 2015

Citations - Description

Sutherland 2008* - Sutherland K, Christianson JB, Leatherman S. Impact of targeted financial incentives on personal health behavior: A review of the literature. Medical Care Research and Review. 2008;65(6 Suppl):36S–78S. Accessed on November 9, 2015

Citations - Evidence

Marteau 2009* - Marteau TM, Ashcroft RE, Oliver A. Using financial incentives to achieve healthy behaviour. BMJ. 2009;338:b1415. Accessed on March 2, 2016
Sutherland 2008* - Sutherland K, Christianson JB, Leatherman S. Impact of targeted financial incentives on personal health behavior: A review of the literature. Medical Care Research and Review. 2008;65(6 Suppl):36S–78S. Accessed on November 9, 2015

Citations - Implementation

CMS-MIPCD - Centers for Medicare & Medicaid Services (CMS). Medicaid incentives program for the prevention chronic diseases model. Accessed on December 8, 2015

Page Last Updated

April 26, 2013

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