Jason Riis, PhD
Potential Conflicts of Interest: None disclosed. Forms can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M13-0449.
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Riis J.; Getting the Most Out of Financial Incentives for Weight Loss. Ann Intern Med. 2013;158:560-561. doi: 10.7326/0003-4819-158-7-201304020-00009
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Published: Ann Intern Med. 2013;158(7):560-561.
The use of incentive-based programs for weight loss is growing. This growth is likely to accelerate in the coming years due to a provision in the Patient Protection and Affordable Care Act, which allows employers to use a greater proportion of insurance premiums for this purpose (1). The effectiveness of the programs, at least in the short term, is consistent with insights from psychology and behavioral economics: Proximal and tangible rewards (such as monthly monetary payments) are more motivating than distant and intangible rewards (such as the downstream health benefits of weight loss).
Joseph Chemplavil, MD
Private practice, Hampton, Virginia
April 3, 2013
Conflict of Interest:
I am the creator of the Dollar for Pound weight loss program and the owner of the web site - www.DollarsForDieting.com
Paying patients to lose weight in a doctor's office since 2002
Prompted by his own patients’ struggle to lose weight and frustration of seeing the increasing obesity problem in his patients with diabetes, high blood pressure and high cholesterol, an endocrinologist in Virginia developed his Dollar for Pound weight loss program in 2002. Patients who agree to join his program sign a contract for one year to pay $1 for every pound of weight he or she gains. They get paid $1 in cash for every pound they lose on each office visit. The biggest losers get extra bonus payments. He continues to offer this unique and successful weight loss program for the last 11 years in his office. For more details, visit his web site - www.DollarsForDieting.com
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Obesity, Healthcare Delivery and Policy.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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