Skip Navigation U.S. Department of Health and Human Services www.hhs.gov
Agency for Healthcare Research Quality www.ahrq.gov
www.ahrq.gov

Table 1. Types of Consumer Financial Incentives

Goal of incentive Decision timing Health status Examples
Select a high value health plan or provider network During open enrollment Distribution between the healthy and ill reflecting underlying enrollee population
  • Premium-tiered health plans.
Select a high value provider Varies—usually at the point-of-care Patient is usually ill or needing service
  • Point-of-care tiered health plans.
  • High-deductible health plans with savings account options.
Select a high value treatment option At the point-of-care Usually when the patient becomes ill, sometimes before
  • Tiered drug benefits.
  • High-deductible health plans with savings account options.
  • Consumer incentives for disease management.
  • Consumer incentives for preventive care.
Reduce health risks by seeking care Ongoing Varies—the patient has a high-risk condition
  • Consumer incentives to comply with recommended care (e.g., prenatal care).
Reduce health risk by changing lifestyle Ongoing Varies—the patient has a lifestyle factor that increases health risks
  • Consumer incentives to encourage certain health behaviors (e.g., smoking cessation, weight loss).

Return to Document

 

AHRQ Advancing Excellence in Health Care