Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
volume 3 issue 1
2017
featured topic
behavioral interventions at the federal level
part 2
in this issue
helping consumers choose the right health care plan
behavioralpolicy.org
founding co-editors disciplinary editors
Craig R. Fox (UCLA) Behavioral Economics
Sim B Sitkin (Duke University) Senior Disciplinary Editor Dean S. Karlan (Yale University)
bspa executive director Associate Disciplinary Editors Oren Bar-Gill (Harvard University)
Colin F. Camerer (California Institute ofTechnology)
Kate B.B. Wessels
M. Keith Chen (UCLA)
advisory board Julian Jamison (World Bank)
Paul Brest (Stanford University) Russell B. Korobkin (UCLA)
David Brooks (New York Times) Devin G. Pope (University of Chicago)
John Seely Brown (Deloitte) Jonathan Zinman (Dartmouth College)
Robert B. Cialdini (Arizona State University) Cognitive & Brain Science
Adam M. Grant (University of Pennsylvania) Senior Disciplinary Editor Henry L. Roediger III (Washington University)
Daniel Kahneman (Princeton University) Associate Disciplinary Editors Yadin Dudai (Weizmann Institute & NYU)
James G. March (Stanford University) Roberta L. Klatzky (Carnegie Mellon University)
Jeffrey Pfeffer (Stanford University) Hal Pashler (UC San Diego)
Denise M. Rousseau (Carnegie Mellon University) Steven E. Petersen (Washington University)
Paul Slovic (University of Oregon) Jeremy M. Wolfe (Harvard University)
Cass R. Sunstein (Harvard University) Decision, Marketing, & Management Sciences
Richard H. Thaler (University of Chicago) Senior Disciplinary Editor Eric J. Johnson (Columbia University)
executive committee Associate Disciplinary Editors Linda C. Babcock (Carnegie Mellon University)
Max H. Bazerman (Harvard University)
Morela Hernandez (University of Virginia)
Baruch Fischhoff (Carnegie Mellon University)
Katherine L. Milkman (University of Pennsylvania)
John G. Lynch (University of Colorado)
Daniel Oppenheimer (UCLA)
Ellen Peters (Ohio State University)
Todd Rogers (Harvard University)
John D. Sterman (MIT)
David Schkade (UC San Diego)
George Wu (University of Chicago)
Joe Simmons (University of Pennsylvania)
Organizational Science
bspa team Senior Disciplinary Editors Carrie R. Leana (University of Pittsburgh)
Kaye N. de Kruif, Managing Editor (Duke University) Jone L. Pearce (UC Irvine)
Carsten Erner, Statistical Consultant (UCLA) Associate Disciplinary Editors Stephen R. Barley (Stanford University)
Lea Lupkin, Media Manager Rebecca M. Henderson (Harvard University)
A. David Nussbaum, Director of Communications (Chicago) Thomas A. Kochan (MIT)
Daniel J. Walters, Financial Consultant (UCLA) Ellen E. Kossek (Purdue University)
Ricki Rusting, Editorial Director Elizabeth W. Morrison (NYU)
William Ocasio (Northwestern University)
consulting editors
Sara L. Rynes-Weller (University of Iowa)
Dan Ariely (Duke University) Andrew H. Van de Ven (University of Minnesota)
Shlomo Benartzi (UCLA) Social Psychology
Laura L. Carstensen (Stanford University) Senior Disciplinary Editor Nicholas Epley (University of Chicago)
Susan T. Fiske (Princeton University) Associate Disciplinary Editors Dolores Albarracín (University of Illinois)
Chip Heath (Stanford University) Susan M. Andersen (NYU)
David I. Laibson (Harvard University) Thomas N. Bradbury (UCLA)
George Loewenstein (Carnegie Mellon University) John F. Dovidio (Yale University)
Richard E. Nisbett (University of Michigan) David A. Dunning (Cornell University)
M. Scott Poole (University of Illinois) E. Tory Higgins (Columbia University)
Eldar Shafir (Princeton University) John M. Levine (University of Pittsburgh)
senior policy editor Harry T. Reis (University of Rochester)
Carol L. Graham (Brookings Institution) Tom R. Tyler (Yale University)
Sociology
policy editors
Senior Disciplinary Editors Peter S. Bearman (Columbia University)
Henry J. Aaron (Brookings Institution) Karen S. Cook (Stanford University)
Matthew D. Adler (Duke University) Associate Disciplinary Editors Paula England (NYU)
Peter Cappelli (University of Pennsylvania) Peter Hedstrom (Oxford University)
Thomas D’Aunno (NYU) Arne L. Kalleberg (University of North Carolina)
J.R. DeShazo (UCLA) James Moody (Duke University)
Brian Gill (Mathematica) Robert J. Sampson (Harvard University)
Ross A. Hammond (Brookings Institution) Bruce Western (Harvard University)
Ron Haskins (Brookings Institution)
Arie Kapteyn (University of Southern California)
John R. Kimberly (University of Pennsylvania)
Mark Lubell (UC Davis)
Annamaria Lusardi (George Washington University)
Timothy H. Profeta (Duke University)
Donald A. Redelmeier (University of Toronto)
Rick K. Wilson (Rice University)
Kathryn Zeiler (Boston University)
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Behavioral Science & Policy
Volume 3 Issue 1 2017
ii
Editors’ note
Craig R. Fox & Sim B Sitkin
Features
1 15
Finding Review
The costs of poor health (plan choices) Improving voting systems’ user-
& prescriptions for reform friendliness, reliability, & security
Saurabh Bhargava, George Michael D. Byrne
Loewenstein, & Shlomo Benartzi
The White House Social and Behavioral Sciences Team Papers, Part 2
27 43
Report Report
Behaviorally informed policies for Behavioral policy interventions to
household financial decisionmaking address education inequality
Brigitte C. Madrian, Hal E. Hershfield, Abigail B. Ben Castleman, Ron Haskins, Beth Akers,
Sussman, Saurabh Bhargava, Jeremy Burke, Scott Jon Baron, Susan Dynarski, Dale Farran, Andy
A. Huettel, Julian Jamison, Eric J. Johnson, John G. Feldman, Damon Jones, Benjamin Keys, Rebecca
Lynch, Stephan Meier, Scott Rick, & Suzanne B. Shu Maynard, Philip Sirinides, & Jonathan Zinman
53 69
Report Report
A behavioral blueprint for Behavioral science tools to strengthen
improving health care policy energy & environmental policy
George Loewenstein, David Hagmann, Janet Erez Yoeli, David V. Budescu, Amanda R. Carrico,
Schwartz, Keith Ericson, Judd B. Kessler, Saurabh Magali A. Delmas, J. R. DeShazo, Paul J. Ferraro,
Bhargava, Jennifer Blumenthal-Barby, Thomas Hale A. Forster, Howard Kunreuther, Rick P.
D’Aunno, Ben Handel, Jonathan Kolstad, David Larrick, Mark Lubell, Ezra M. Markowitz, Bruce
Nussbaum, Victoria Shaffer, Jonathan Skinner, Tonn, Michael P. Vandenbergh, & Elke U. Weber
Peter Ubel, & Brian J. Zikmund-Fisher
81 93
Report Report
Overcoming behavioral obstacles Increasing benefits & reducing social
to escaping poverty costs of technological innovations
Christopher J. Bryan, Nina Mazar, Julian Andrew Van de Ven, Ron Adner, Stephen
Jamison, Jeanine Braithwaite, Nadine Barley, Deborah Dougherty, Jane
Dechausay, Alissa Fishbane, Elizabeth Fox, Fountain, Andrew Hargadon, Mark Kamlet,
Varun Gauri, Rachel Glennerster, Johannes Beth Karlin, & Melissa Schilling
Haushofer, Dean Karlan, & Renos Vakis
104
Editorial policy
editors’ note
I
n this, our fifth issue of Behavioral Science & reports were commissioned in partnership with
Policy (BSP), we feature scientifically grounded the White House Social and Behavioral Sciences
articles that speak to an unusually broad range Team (SBST) and were intended to support the
of urgent policy challenges. work of the SBST and other federal agencies. In
this issue, we present the final six reports. Many
American consumers have great difficulty of their lessons can also be applied by city and
figuring out which of the available health state governments and by nongovernmental
insurance policies is best for them, covering the organizations in America and elsewhere.
services they need at the lowest cost. Saurabh
Bhargava, George Loewenstein, and Shlomo In the first of these articles, Brigitte C. Madrian and
Benartzi analyzed several thousand choices that colleagues describe applications of behavioral
were made by consumers on federal exchanges insights to financial decisions made by individuals
under the Affordable Care Act and determined and households. This group presents a number of
that the current metallic labels for these plans specific recommendations to assist consumers in
(for example, Gold, Silver, and Bronze) are making better decisions concerning retirement,
largely unhelpful to consumers, who frequently short-term savings, debt, government financial
select an overly costly option. In a follow-up assistance, and tax payments. These proposed
experiment, they found that participants made interventions address common behavioral biases
better insurance decisions when given a clear while maintaining consumer autonomy.
description of each plan based on anticipated
usage. The findings imply that consumers would The second report, by Ben Castleman and
benefit from descriptions that clarify which colleagues, focuses on applications of behavioral
health insurance options would cost the least for insights to education. The Education Team
the medical services most likely to be used. designed four promising interventions to promote
participation in existing programs proven to
Although little empirical evidence documents improve prekindergarten, kindergarten through
widespread voter fraud in the United States, 12th grade, and postsecondary academic
nearly half of Americans are concerned about performance and greater parity among students
the reliability and security of voting systems. from low-income families. These interventions are
Michael D. Byrne reviews the behavioral literature ready to be elaborated and tested.
on voting systems and argues that existing
federal guidelines are insufficient to guarantee Focusing on health care policy, George
the usability and accuracy of voting systems. Loewenstein and his colleagues provide a detailed
He makes a compelling case for reforms to review of the literature on promising behavioral
guarantee the integrity of elections and ensure interventions that can influence the actions of
that voting systems accurately capture the individual patients and health care organizations
intentions of voters. to improve health outcomes at both an individual
and a systemic level.
In the previous issue, we presented the first
two reports from Behavioral Science & Policy Fourth, Erez Yoeli and colleagues provide a
Association working groups that were tasked research-based tool kit of behavioral science
with identifying opportunities for behavioral approaches that practitioners can use to enhance
policy interventions at the federal level. These policies intended to promote energy and resource
Overcoming
behavioral obstacles
to escaping poverty
Christopher J. Bryan, Nina Mazar, Julian Jamison, Jeanine Braithwaite,
Nadine Dechausay, Alissa Fishbane, Elizabeth Fox, Varun Gauri, Rachel
Glennerster, Johannes Haushofer, Dean Karlan, & Renos Vakis
abstract 6
Bryan, C. J., Mazar, N., Jamison, J., Braithwaite, J., Dechausay, N., Fishbane, A., . . . Vakis,
R. (2017). Overcoming behavioral obstacles to escaping poverty. Behavioral Science &
Policy, 3(1), 81–91.
at least as useful as a subsidy delivered later. advance notice of the subsidy and possibly even
But recent evidence from behavioral science help with planning and budgeting, to ensure that
and development research indicates that this they have money available to pay for expenses
approach misses an opportunity to enhance beyond those covered by the subsidy.
uptake: it would be more effective to give subsi-
dies at times when people are most likely to Offer Programs That Lock In or Otherwise
have the attentional bandwidth needed to think Increase Commitments to Savings
about and take full advantage of them. It seems People are often well aware that temptation or
probable, for instance, that the low-income distraction at critical moments can derail their
sugarcane farmers would be in a better mental pursuit of long-term goals. As a result, to keep
state to evaluate and accept a beneficial offer themselves on track, they may be willing—even
immediately after the harvest, when they face eager—to subject themselves to costly penalties
fewer pressing demands. for failing to stick to their goals.18 African farmers
living in poverty offer an example of how such
Aligning the timing of subsidies with the timing commitment savings approaches can be made
of important decisions or expenses is another to work. Impoverished farmers sometimes
effective strategy. In Tanzania, promoters of underuse technologies that they say they want
health insurance deliberately went to the distri- and know can increase profits. This is probably
bution points of a cash transfer program to partly because they get paid at harvest but do
sign people up for health insurance when they not need hybrid seed and fertilizer until months
received the transfers (and therefore had greater later; holding on to their money that long can
liquidity). This deliberate timing contributed to be hard. Offering a small, time-limited discount
a 20 percentage point increase in the use of on the cost of acquiring fertilizer (for example,
health insurance. 16 Similarly, farmers respond in the form of free delivery) right after harvest,
more favorably to the promotion of agricultural when money is relatively plentiful, is a form of
products (such as fertilizer and hybrid seeds) if commitment savings that has been found to
approached at harvest time, when they have increase purchase rates of fertilizers in Kenya
money available for those investments and by 11 percentage points. 19 Estimates suggest
when their attentional capacity is not overly that to produce a similar purchase rate later on,
taxed by the need to grapple with scarce finan- when fertilizer would normally be bought, a 50%
cial resources. Finally, subsidies to encourage subsidy of the purchase price would be needed.
education could be timed to coincide with
when school fees are due. In a recent demon- At times, people will take elaborate steps to
stration of the value of this approach, a program protect themselves from succumbing to short-
in Bogota, Columbia, that offered cash condi- term temptations. 20,21 They may choose, for
tionally in exchange for reenrolling children in instance, to lock their money away where they
school produced higher rates of reenrollment cannot access it for some predetermined length
when a portion of the monthly transfer was post- of time. 22,23 Some people may even pay for this
poned until just before the reenrollment period. restriction on their freedom, for example, by
Moreover, this time-sensitive design was particu- accepting a lower interest rate on money they
larly effective for those who needed it the most cannot easily access on a whim.
(and whose families were most likely to be facing
scarce liquidity and attention): the students from One concern with commitment devices is that
the families with the lowest incomes and the they come with a risk: Locking money away
lowest participation rates.17 To maximize effec- means it is not available for unanticipated but
tiveness, such programs should give parents genuinely important expenses. This worry
Behavioral Science & Policy (BSP) is an international, peer- • Findings (≤ 4,000 words) report on results of new studies
reviewed publication of the Behavioral Science & Policy Asso- and/or substantially new analysis of previously reported
ciation and Brookings Institution Press. BSP features short, data sets (including formal meta-analysis) and the policy
accessible articles describing actionable policy applications of implications of the research findings. This category is most
behavioral scientific research that serves the public interest. Arti- appropriate for presenting new evidence that supports a
cles submitted to BSP undergo a dual-review process: For each particular policy recommendation. The additional length
article, leading disciplinary scholars review for scientific rigor of this format is designed to accommodate a summary
and experts in relevant policy areas review for practicality and of methods, results, and/or analysis of studies (though
feasibility of implementation. Manuscripts that pass this dual- some finer details may be relegated to supplementary
review are edited to ensure their accessibility to policy makers, online materials).
scientists, and lay readers. BSP is not limited to a particular point • Reviews (≤ 5,000 words) survey and synthesize the key
of view or political ideology. findings and policy implications of research in a specific
disciplinary area or on a specific policy topic. This could
Manuscripts can be submitted in a number of different formats,
take the form of describing a general-purpose behavioral
each of which must clearly explain specific implications for
tool for policy makers or a set of behaviorally grounded
public- and/or private-sector policy and practice.
insights for addressing a particular policy challenge.
External review of the manuscript entails evaluation by at least • Other Published Materials. BSP will sometimes solicit
two outside referees—at least one in the policy arena and at or accept Essays (≤ 5,000 words) that present a unique
least one in the disciplinary field. perspective on behavioral policy; Letters (≤ 500 words)
that provide a forum for responses from readers and
Professional editors trained in BSP’s style work with authors
contributors, including policy makers and public figures;
to enhance the accessibility and appeal of the material for a
and Invitations (≤ 1,000 words with links to online Supple-
general audience.
mental Material), which are requests from policy makers for
Each of the sections below provides general information for contributions from the behavioral science community on a
authors about the manuscript submission process. We recom- particular policy issue. For example, if a particular agency is
mend that you take the time to read each section and review facing a specific challenge and seeks input from the behav-
carefully the BSP Editorial Policy before submitting your manu- ioral science community, we would welcome posting of
script to Behavioral Science & Policy. such solicitations.
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The Behavioral Science & Policy Association is a global hub To foster and connect a growing community of interdisciplinary
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and policymakers, aimed at facilitating positive change and behavioral science research for the public and private sectors,
innovative solutions to a range of societal challanges. with a simple goal in mind: addressing social change for the
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There is a growing movement among social scientists and Behavioral Science & Policy is an international, peer-reviewed
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grounding important decisions in strong scientific evidence. actionable policy applications of behavioral science research
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BSPA plays a key role in this movement, encouraging
decisions to be based on evidence. We need you to join BSP journal submissions undergo a dual-review process. Leading
us in this effort to make a lasting impact. scholars from specific disciplinary areas review articles to assess
their scientific rigor; while at the same time, experts in designat-
As a BSPA member, you will receive numerous benefits ed policy areas evaluate these submissions for relevance and
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Policy, early-bird rates for conferences, workshops and
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