Can broader diffusion of value-based insurance design increase benefits from US health care without increasing costs? Evidence from a computer simulation model.

Background: Evidence suggests that cost sharing (i.e.,copayments and deductibles) decreases health expenditures but also reduces essential care.

E-technology and pedometer walking program to increase physical activity at work.

This study examined the application of the transtheoretical model (TTM) as a means to increase physical activity at the worksite through the introduction of a 10-week pedometer walking program combined with internet-based motivational messages. Participants (N = 206) were employees of two worksites who completed a health history questionnaire and assessment based on the TTM. There were significant improvements in the number of steps per week, level of physical activity, movement through stage of change and other health related indicators (p < 0.