A health insurance scheme to encourage obese people to get active has been hailed as a success. Researchers at the University of Michigan Health System and Stanford University studied a group of obese people who signed up to an incentivized health insurance program to evaluate its effectiveness. Participants in the scheme had the choice of paying 20% more for their health insurance or exercising more. 6,548 people who enrolled onto the scheme chose to walk at least 5,000 steps each day or 450,000 steps a quarter in order to keep on qualifying for the discounted insurance. After one year, results showed that nearly 97% had met or exceeded their target of 5,000 steps each day. The researchers were very surprised at the high rate of compliance, especially since one-third of participants were originally highly resistant to the scheme, disagreeing with the financial incentives and calling the program “coercive”. Lead author Donna Zulman, M.D. concluded: “Our findings suggest that incentivized wellness programs are acceptable to many individuals and that these programs encourage healthy behaviors.”
Lower Health Insurance Premiums Encourage Obese People to Exercise
When given the option of walking 5,000 steps each day or paying 20% more for their health insurance, obese people opted to walk.
Donna M Zulman, Laura J Damschroder, Ryan G Smith, Paul J Resnick, Ananda Sen, Erin L Krupka, Caroline R Richardson. Implementation and evaluation of an incentivized Internet-mediated walking program for obese adults. Translational Behavioral Medicine. 2013 May. [Epub ahead of print]
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