Sounds great—initially. But as it turns out, the program's goals fell short. A preliminary evaluation revealed that two years after implementation, only 10% of eligible adults and 13% of eligible children even were enrolled in the enhanced benefits plan. Other patients reported limited knowledge of the program—before and after enrolling—while clinicians reportedly felt confused about the paperwork and benefit structure.
"Incentive programs should not discriminate against a class or category of people," says Virginia Hood, MBBS, a co-author of the paper. "Age, gender, race, ethnicity, and socioeconomic status should be carefully considered in designing, implementing, and interpreting results of social and behavioral interventions."
To encourage a dialogue, ACP has compiled a list of recommendations on what should be considered when implementing incentive plans, including: