Use of incentives to motivate healthy behaviors among employees

We conducted an extensive literature search of both published and unpublished sources to assess the use and effectiveness of worksite interventions that offer financial and other incentives. Many companies are using financial incentives, either alone or in combination with other interventions, to motivate employees to adopt and maintain healthier lifestyles. These incentives include cash bonuses, paid vacation days, and health insurance rebates. Although more research is needed, the literature suggests that financial incentives, if properly implemented, may successfully promote behavioral change among employees. Eric A. Finkelstein Ph.D., M.H.A. currently conducts economic and health policy research at RTI International, teaches an undergraduate Health Economics course at Duke University, and is a member of RTI-UNC Center of Excellence in Health promotion Economics. He focuses on the economic causes and consequences of health behaviors, with a primary emphasis on behaviors related to obesity. He has published several peer-reviewed papers in this area. A recent publication entitled “National Medical Expenditures Attributable to Overweight and Obesity,” was published in Health Affairs and garnered national media attention, including a front-page story in USA Today, coverage in Time magazine and the Washington Post, and was reported in other radio, television, newspaper, and Internet outlets across the country. That paper is now routinely cited as a driving motivation to reduce obesity rates. Dr. Finkelstein currently leads several projects concerning the causes and consequences of health behaviors for the CDC and other public and private sector agencies, and frequently speaks at conferences concerning the economic impact of obesity and strategies for reducing this burden. Katherine M. Kosa, M.S. conducts economic and food and nutrition policy research at RTI International with a primary focus on consumer behavior research. She recently completed a study to examine the general public's attitude and support for obesity interventions recently introduced at the state and federal level. To inform labeling policy decisions for USDA and FDA, Ms. Kosa conducts focus groups and surveys to understand consumer attitudes, knowledge, and practices.