The Healthy Nudge
February 2023
Welcome to The Healthy Nudge. Each month, we'll get you up to speed on the latest developments in policy-relevant health behavioral economics research at CHIBE.

A Health Affairs article written by CHIBE Associate Director Jalpa Doshi, PhD, and Amy Niles, MBA

An important provision in the Inflation Reduction Act's overhaul of the Medicare Part D prescription drug benefit has been overlooked, write CHIBE Associate Director Jalpa Doshi, PhD, and Amy Niles, MBA: giving beneficiaries the option of “smoothing” their Part D out-of-pocket costs starting in 2025. "In contrast to the current Part D benefit structure where out-of-pocket costs are typically frontloaded at the start of each calendar year, the 'smoothing' option will allow Medicare beneficiaries to spread their out-of-pocket prescription costs more evenly with monthly installments. Smoothing has the potential to be transformative for patients with high out-of-pocket drug costs, but its success will depend on how the Centers for Medicare and Medicaid Services and other stakeholders design, promote, and implement the program." Read the Health Affairs article here.

A MIT Technology Review story featuring CHIBE-affiliated faculty member Peter Reese, MD, PhD

A proposed bill in Massachusetts could incentivize people who are incarcerated to donate their organs or bone marrow in exchange for time off their sentence. MIT Technology Review spoke with Peter Reese, MD, PhD, a nephrologist at the University of Pennsylvania who evaluates potential kidney donors, about this bill.

A New York Times Magazine article featuring CHIBE Associate Director Amol Navathe, MD, PhD

CHIBE Associate Director Amol Navathe, MD, PhD, spoke with New York Times Magazine about the "hospital at home" movement. He says, “hospital adoption of hospital-at-home is playing defense, in a sense” — against shifting rules for reimbursement, evolving expectations among patients, and start-ups that encourage people to bypass hospitals’ front doors altogether. Read the article here.

A CNN Opinion piece by CHIBE Director Kevin Volpp, MD, PhD

CHIBE Director Kevin Volpp, MD, PhD, details his experience with cardiac arrest in this recent CNN article and offers several steps we can take to increase the chances that Americans survive cardiac arrest.

Peer feedback, opt-out messages, and defaults are a few of the ways in which health systems can make the right choice the easy one to make for clinicians. See 5 examples of how behavioral economics principles were used to influence clinician behavior in this CHIBE blog post.
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February 23 from Noon to 1 PM EST
Join CHIBE and the Division of Health Policy for a seminar on “Net Worth Poverty and Adult Health” with Christina Gibson-Davis, PhD, Professor of Public Policy at Duke University.
Hybrid event: In person at 1104 Blockley Hall, 423 Guardian Drive, Philadelphia, PA | Virtual: Via Zoom ( See more details here.

March 9 from Noon to 1 PM EST
Join us for a CHIBE and LDI seminar on "Caseworker Subjectivity, SNAP Benefit Receipt, and Labor Supply" with Chloe N. East, PhD, Assistant Professor of Economics at the University of Colorado Denver. This is an in-person event held at Steinberg-Dietrich Hall, Room 1203, 3620 Locust Walk, Philadelphia, PA. Register here: See more details here.
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The Center for Health Incentives and Behavioral Economics (CHIBE) at the University of Pennsylvania conducts behavioral economics research aimed at reducing the disease burden from major public health problems. Originally founded within the Leonard Davis Institute of Health Economics, our mission is to inform health policy, improve health care delivery, and increase healthy behavior.