IDEAS home Printed from https://ideas.repec.org/a/eee/jhecon/v32y2013i5p794-803.html
   My bibliography  Save this article

A case study of a workplace wellness program that offers financial incentives for weight loss

Author

Listed:
  • Cawley, John
  • Price, Joshua A.

Abstract

Employers are increasingly adopting workplace wellness programs designed to improve employee health and decrease employer costs associated with health insurance and job absenteeism. This paper examines the outcomes of 2635 workers across 24 worksites who were offered financial incentives for weight loss that took various forms, including fixed payments and forfeitable bonds.

Suggested Citation

  • Cawley, John & Price, Joshua A., 2013. "A case study of a workplace wellness program that offers financial incentives for weight loss," Journal of Health Economics, Elsevier, vol. 32(5), pages 794-803.
    • Handle: RePEc:eee:jhecon:v:32:y:2013:i:5:p:794-803
    DOI: 10.1016/j.jhealeco.2013.04.005
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0167629613000544
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.jhealeco.2013.04.005?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. John Cawley & Joshua A. Price, 2011. "Outcomes in a Program that Offers Financial Rewards for Weight Loss," NBER Chapters, in: Economic Aspects of Obesity, pages 91-126, National Bureau of Economic Research, Inc.
    2. Heather Royer & Mark Stehr & Justin Sydnor, 2015. "Incentives, Commitments, and Habit Formation in Exercise: Evidence from a Field Experiment with Workers at a Fortune-500 Company," American Economic Journal: Applied Economics, American Economic Association, vol. 7(3), pages 51-84, July.
    3. Daniel Kahneman & Amos Tversky, 2013. "Prospect Theory: An Analysis of Decision Under Risk," World Scientific Book Chapters, in: Leonard C MacLean & William T Ziemba (ed.), HANDBOOK OF THE FUNDAMENTALS OF FINANCIAL DECISION MAKING Part I, chapter 6, pages 99-127, World Scientific Publishing Co. Pte. Ltd..
    4. Uri Gneezy & Stephan Meier & Pedro Rey-Biel, 2011. "When and Why Incentives (Don't) Work to Modify Behavior," Journal of Economic Perspectives, American Economic Association, vol. 25(4), pages 191-210, Fall.
    5. Gary Charness & Uri Gneezy, 2009. "Incentives to Exercise," Econometrica, Econometric Society, vol. 77(3), pages 909-931, May.
    6. Nicholas Burger & John Lynham, 2010. "Betting on weight loss … and losing: personal gambles as commitment mechanisms," Applied Economics Letters, Taylor & Francis Journals, vol. 17(12), pages 1161-1166.
    7. Amos Tversky & Daniel Kahneman, 1991. "Loss Aversion in Riskless Choice: A Reference-Dependent Model," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 106(4), pages 1039-1061.
    8. Yakusheva, Olga & Kapinos, Kandice & Weiss, Marianne, 2011. "Peer effects and the Freshman 15: Evidence from a natural experiment," Economics & Human Biology, Elsevier, vol. 9(2), pages 119-132, March.
    9. Augurzky, Boris & Bauer, Thomas K. & Reichert, Arndt R. & Schmidt, Christoph M. & Tauchmann, Harald, 2012. "Does Money Burn Fat? Evidence from a Randomized Experiment," IZA Discussion Papers 6888, Institute of Labor Economics (IZA).
    10. Burkhauser, Richard V. & Cawley, John, 2008. "Beyond BMI: The value of more accurate measures of fatness and obesity in social science research," Journal of Health Economics, Elsevier, vol. 27(2), pages 519-529, March.
    11. Cawley, John & Meyerhoefer, Chad, 2012. "The medical care costs of obesity: An instrumental variables approach," Journal of Health Economics, Elsevier, vol. 31(1), pages 219-230.
    12. David S. Lee, 2009. "Training, Wages, and Sample Selection: Estimating Sharp Bounds on Treatment Effects," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 76(3), pages 1071-1102.
    13. Stefano DellaVigna & Ulrike Malmendier, 2006. "Paying Not to Go to the Gym," American Economic Review, American Economic Association, vol. 96(3), pages 694-719, June.
    14. Rachel Croson & Uri Gneezy, 2009. "Gender Differences in Preferences," Journal of Economic Literature, American Economic Association, vol. 47(2), pages 448-474, June.
    15. Eric P. Bettinger & Bridget Terry Long & Philip Oreopoulos & Lisa Sanbonmatsu, 2012. "The Role of Application Assistance and Information in College Decisions: Results from the H&R Block Fafsa Experiment," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 127(3), pages 1205-1242.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. List, John A. & Samek, Anya Savikhin, 2015. "The behavioralist as nutritionist: Leveraging behavioral economics to improve child food choice and consumption," Journal of Health Economics, Elsevier, vol. 39(C), pages 135-146.
    2. Ryota Nakamura & Marc Suhrcke & Daniel John Zizzo, 2017. "A triple test for behavioral economics models and public health policy," Theory and Decision, Springer, vol. 83(4), pages 513-533, December.
    3. Beatty, Timothy K.M. & Katare, Bhagyashree, 2018. "Low-cost approaches to increasing gym attendance," Journal of Health Economics, Elsevier, vol. 61(C), pages 63-76.
    4. Islam, Asadul & Kwon, Sungoh & Masood, Eema & Prakash, Nishith & Sabarwal, Shwetlena & Saraswat, Deepak, 2020. "When Goal-Setting Forges Ahead but Stops Short," IZA Discussion Papers 13188, Institute of Labor Economics (IZA).
    5. Augurzky, Boris & Bauer, Thomas K. & Reichert, Arndt R. & Schmidt, Christoph M. & Tauchmann, Harald, 2014. "Small Cash Rewards for Big Losers – Experimental Insights Into the Fight Against the Obesity Epidemic," Ruhr Economic Papers 530, RWI - Leibniz-Institut für Wirtschaftsforschung, Ruhr-University Bochum, TU Dortmund University, University of Duisburg-Essen.
    6. Boris Augurzky & Thomas K.Bauer & Arndt R. Reichert & Christoph M. Schmidt & Harald Tauchmann, 2014. "Small Cash Rewards for Big Losers – Experimental Insights Into the Fight Against the Obesity Epidemic," Ruhr Economic Papers 0530, Rheinisch-Westfälisches Institut für Wirtschaftsforschung, Ruhr-Universität Bochum, Universität Dortmund, Universität Duisburg-Essen.
    7. Mahmoodi, Jasmin & Prasanna, Ashreeta & Hille, Stefanie & Patel, Martin K. & Brosch, Tobias, 2018. "Combining “carrot and stick” to incentivize sustainability in households," Energy Policy, Elsevier, vol. 123(C), pages 31-40.
    8. Augurzky, Boris & Bauer, Thomas K. & Reichert, Arndt R. & Schmidt, Christoph M. & Tauchmann, Harald, 2018. "Habit formation, obesity, and cash rewards," FAU Discussion Papers in Economics 06/2018, Friedrich-Alexander University Erlangen-Nuremberg, Institute for Economics.
    9. repec:zbw:rwirep:0530 is not listed on IDEAS
    10. Mortimer, Duncan & Harris, Anthony & Wijnands, Jasper S. & Stevenson, Mark, 2021. "Persistence or reversal? The micro-effects of time-varying financial penalties," Journal of Economic Behavior & Organization, Elsevier, vol. 188(C), pages 72-86.
    11. Manuela Angelucci & Silvia Prina & Heather Royer & Anya Samek, 2015. "When Incentives Backfire: Spillover Effects in Food Choice," NBER Working Papers 21481, National Bureau of Economic Research, Inc.
    12. Finkelstein, Eric A. & Bilger, Marcel & Baid, Drishti, 2019. "Effectiveness and cost-effectiveness of incentives as a tool for prevention of non-communicable diseases: A systematic review," Social Science & Medicine, Elsevier, vol. 232(C), pages 340-350.
    13. Carrera, Mariana & Royer, Heather & Stehr, Mark & Sydnor, Justin, 2018. "Can financial incentives help people trying to establish new habits? Experimental evidence with new gym members," Journal of Health Economics, Elsevier, vol. 58(C), pages 202-214.
    14. John, Leslie K. & Blunden, Hayley & Milkman, Katherine L. & Foschini, Luca & Tuckfield, Bradford, 2022. "The limits of inconspicuous incentives," Organizational Behavior and Human Decision Processes, Elsevier, vol. 172(C).
    15. Christina Gravert & Linus Olsson Collentine, 2019. "When nudges aren't enough: Incentives and habit formation in public transport usage," CEBI working paper series 19-10, University of Copenhagen. Department of Economics. The Center for Economic Behavior and Inequality (CEBI).
    16. Daniel Mochon & Janet Schwartz & Josiase Maroba & Deepak Patel & Dan Ariely, 2017. "Gain Without Pain: The Extended Effects of a Behavioral Health Intervention," Management Science, INFORMS, vol. 63(1), pages 58-72, January.
    17. Condliffe, Simon & Işgın, Ebru & Fitzgerald, Brynne, 2017. "Get thee to the gym! A field experiment on improving exercise habits," Journal of Behavioral and Experimental Economics (formerly The Journal of Socio-Economics), Elsevier, vol. 70(C), pages 23-32.
    18. Gong, Jie & Liu, Tracy Xiao & Tang, Jie, 2021. "How monetary incentives improve outcomes in MOOCs: Evidence from a field experiment," Journal of Economic Behavior & Organization, Elsevier, vol. 190(C), pages 905-921.
    19. Itzik Fadlon & Torben Heien Nielsen, 2019. "Family Health Behaviors," American Economic Review, American Economic Association, vol. 109(9), pages 3162-3191, September.
    20. van der Swaluw, Koen & Lambooij, M. & Mathijssen, Jolanda & Schipper, M. & Zeelenberg, Marcel & Berkhout, S. & Polder, Johan & Prast, Henriette, 2018. "Physical Activity after Commitment Lotteries : Examining Long-Term Results in a Cluster Randomized Trial," Other publications TiSEM eab06f73-166d-442e-9dda-4, Tilburg University, School of Economics and Management.
    21. Allais, Olivier & Bazoche, Pascale & Teyssier, Sabrina, 2017. "Getting more people on the stairs: The impact of point-of-decision prompts," Social Science & Medicine, Elsevier, vol. 192(C), pages 18-27.

    More about this item

    Keywords

    Obesity; Behavioral economics; Incentives; Weight loss; Time-inconsistent preferences; Hyperbolic discounting; Health; Workplace wellness;
    All these keywords.

    JEL classification:

    • I1 - Health, Education, and Welfare - - Health
    • D03 - Microeconomics - - General - - - Behavioral Microeconomics: Underlying Principles
    • J01 - Labor and Demographic Economics - - General - - - Labor Economics: General
    • J3 - Labor and Demographic Economics - - Wages, Compensation, and Labor Costs

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:jhecon:v:32:y:2013:i:5:p:794-803. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/locate/inca/505560 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.