Bio

BlurbCEO @ Cognitive, Founder @ The Behavior Institute

I’ve spent the last decade-plus helping teams leverage behavioral science to build better products in areas like medication adherence, voter turnout, retirement savings, or app engagement. These were usually either product leadership roles or strategic advisory roles, including at least 25 startups that went on to exit, along with bigger tech companies like Salesforce, TikTok, and Microsoft. Typically, that's been through a consulting relationship, but I've also served as Chief Product Officer at Riva Health, a phone camera-based blood pressure diagnostic and cardiovascular risk intervention, and Head of Product at Athena, which we bootstrapped to over $50m ARR in under four years.

In the public sector, I’ve worked on behavior change and product design like UCSF, Harvard Medical, the AARP, and state- or city-level departments of health. This work has driven significant outcomes or tech innovations covered in peer-reviewed journals like the Lancet, the American Journal of Preventive Medicine, and Nature. One notable project is Eureka, which is the largest longitudinal digital health study of all time—it recruited over half a million participants, has launched over 70 trials, and powered hundreds of novel medical or digital health findings in top peer-reviewed publications.

In addition, I teach the art of behavior change to product leaders from places like Apple, Stripe, Slack, the UN, and governmental organizations. I’ve also occasionally mentored at accelerator programs like Stanford StartX and Cornell Tech.

What I’m up to nowI don’t do much consulting anymore—I’m more focused on the Behavior Institute, investing, and advising. I love connecting with people trying novel approaches to solve difficult behavioral problems—especially large-scale interventions with novel technologies. If that sounds like you, definitely get in touch.

In 2012, Forbes referred to Chris York as “a psychologist with a special job [:] to find ways to keep users engaged, and ultimately modify their behavior.” The scope of behavioral challenges he’s undertaken are broad, including voter turnout, eliminating hypertension, and maximizing contributions to savings account. Working at the intersection of psychology, technology, and design, Chris helps organizations develop successful approaches to applying behavioral science.

Chris founded Cognitive, an award-winning strategy and design consulting firm that has worked with some of the world’s top startups, leading multinationals, and most renowned universities and medical institutions. The team has helped deliver change for organizations like Illumina, Salesforce, Novartis, VMWare, Healthline, UCSF, Harvard, the Mayo Clinic, multiple US Presidential candidates, and many Y-Combinator startups. Cognitive’s work has been chronicled by the New York Times, the Wall Street Journal, BBC, MSNBC, and Bloomberg.

In the world of startups, Chris provided behavioral science, product, design leadership for at least 20 startups prior to their acquisitions, including Rise, 100plus, Breakthrough, WellnessFX, TalentShare, and Keas. Chris has also served as Chief Product Officer at Riva Health and Head of Product at Athena, which bootstrapped to over $50m ARR in under four years. He is also an active investor and advisor, including Spotify, Palantir, Circle, Lark, Exa, and Able Health.

Chris founded the Behavior Institute, which aims to aggregate datasets on behavioral interventions from government, academic, and commercial sources and make them easier for practitioners to discover and analyze. The Institute also trains policy-makers, business leaders, and others capable of large-scale behavioral influence to do so more successfully—including past participants from Apple, Stripe, the UN, the Behavioural Economics Team of the Australian Government, and other leading organizations.

Chris is also an advisor to CommonCents Lab, where Dan Ariely and other world-class behavioral interventionists design and test solutions to increase the financial well-being for low- and moderate-income people living in the United States. CommonCents is funded by the MetLife Foundation, and has collaborated with CreditKarma, Gusto, Chime, AARP, CapitalOne, Digit, and other leading fin-tech organizations.

Chris studied psychology at Stanford University and worked on research in the lab of Benoit Monin, including experiments published in Psychological Science and Newsweek.

Impact

Outcomes are the focus of any behavior change work. I've been fortunate to work with teams across a wide variety of areas on a diverse mix of behavioral problems, and we've generally been successful on the outcomes scoreboard—though I certainly can't take all the credit. Some examples are below.

Seniorlink

Seniorlink reported nearly one-third fewer hospitalizations and 23 percent fewer trips to the emergency department for the population studied.

Seniorlink White Paper

Careforth FKA Seniorlink (2017). Improving Outcomes in Complex Populations. Seniorlink White Paper. https://cdn2.hubspot.net/hubfs/2580292/Seniorlink%20MCBS%20Whitepaper.pdf

Seniorlink White Paper

In the cases where the individuals receiving care had the highest levels of complexity and were 65 years and older, the reductions in hospitalizations and emergency room visits were even greater: reductions of 32% for ER visits and 40% for hospitalizations.

Seniorlink White Paper

Careforth FKA Seniorlink (2017). Improving Outcomes in Complex Populations. Seniorlink White Paper. https://cdn2.hubspot.net/hubfs/2580292/Seniorlink%20MCBS%20Whitepaper.pdf

Seniorlink White Paper

Seniorlink demonstrated its largest improvements over the MCBS group among medically complex consumers over age 65. This population experienced 40% fewer hospitalizations, 32% fewer ER visits, and 75% fewer falls than those on Medicare (all P<0.05).

JMIR iProceedings

Patel & Tumlinson (2017). Engaging Family Caregivers Translates to Better Health Outcomes and Lower Costs. JMIR iProceedings. https://www.iproc.org/2017/1/e1

JMIR iProceedings

Cognoa

Comparison of device results to specialist diagnosis found the PPV: 80.8% [95%CI, 70.3%–88.8%], NPV: 98.3 [90.6%–100%], sensitivity: 98.4% [91.6%–100%], specificity: 78.9% [67.6%–87.7%] for subjects with determinate device results. There was no evidence that device performance significantly varied when PCP used the device remotely compared to in-person.

Neurology

Megerian et al. (2022). Performance of Canvas Dx, a Novel Software-based Autism Spectrum Disorder Diagnosis Aid for Use in a Primary Care Setting (P13-5.001). Neurology. https://www.neurology.org/doi/abs/10.1212/WNL.98.18_supplement.1025

Neurology

[…] clinicians reported the video component to be the most helpful part of the Cognoa evaluation. Overall, 88% found the summary report helpful, and 76% found that the report and videos alerted them to look for particular behaviors.

Autism Research

Kanne et al. (2018). Screening in toddlers and preschoolers at risk for autism spectrum disorder: Evaluating a novel mobile-health screening tool. Autism Research. https://onlinelibrary.wiley.com/doi/abs/10.1002/aur.1959

Autism Research

Wanda Health

Care Plan Adherence increased from 83% at the beginning of the study in December 2018 to 91% by June 2019, indicating a relative improvement of 10%.

Wanda Health White Paper

Wanda Health (2019). The Impact on Care Plan Adherence and Outcomes When Using Active Artificial Intelligence. Wanda Health White Paper. https://www.wandahealth.com/resources

Wanda Health White Paper

The 30-day avoidable rehospitalization rate was reduced by 88% for June 2019.

Wanda Health White Paper

Wanda Health (2019). The Impact on Care Plan Adherence and Outcomes When Using Active Artificial Intelligence. Wanda Health White Paper. https://www.wandahealth.com/resources

Wanda Health White Paper

96% of patients expressed satisfaction with Wanda Health, and 95% would recommend it to family and friends.

Wanda Health White Paper

Wanda Health (2019). The Impact on Care Plan Adherence and Outcomes When Using Active Artificial Intelligence. Wanda Health White Paper. https://www.wandahealth.com/resources

Wanda Health White Paper

Eureka

We consistently observe that 0.5%–5% of invitations lead to study enrollment.

Contemporary Clinical Trials

Peyser et al. (2022). Digital platforms for clinical trials: The Eureka experience. Contemporary Clinical Trials. https://www.sciencedirect.com/science/article/pii/S1551714422000362#bb0175

Contemporary Clinical Trials

In the COVID-19 Citizen Science study, we requested intensive participant engagement with survey responses on a daily, weekly, and monthly basis and observed that 59% of participants completed at least one survey over a 4-week period in February 2021, nearly a year after launch of the study at the beginning of the pandemic.

Contemporary Clinical Trials

Peyser et al. (2022). Digital platforms for clinical trials: The Eureka experience. Contemporary Clinical Trials. https://www.sciencedirect.com/science/article/pii/S1551714422000362#bb0175

Contemporary Clinical Trials

Eureka has now enrolled more than 500,000 participants across nearly 70 studies focusing on health conditions ranging from diabetes to inflammatory bowel disease, cancer and Parkinson’s disease. Most studies are funded by the NIH or the Patient-Centered Outcomes Research Institute (PCORI).

UCSF Cardiology

Chur (2024). Spotlight: Jeffrey Olgin, MD, Celebrating 15 Years as Division Chief. UCSF Cardiology. https://ucsfhealthcardiology.ucsf.edu/facstaff/spotlight/jeffrey-olgin-md-15-year-chief

UCSF Cardiology

mscripts

79 percent of Avella’s HIV patients using mscripts mobile app achieved ≥ 90 percent adherence rate.

Specialty Pharma Journal

Bandealy (2015). mHealth Tools Significantly Improve Adherence Among HIV Patients. Specialty Pharma Journal. https://www.spjnews.com/2015/01/27/mhealth-tools-significantly-improve-adherence-among-hiv-patients/

Specialty Pharma Journal

Avella’s HIV patients that used the mscripts mobile app were almost three times less likely to discontinue their mscripts medication refills.

Specialty Pharma Journal

Bandealy (2015). mHealth Tools Significantly Improve Adherence Among HIV Patients. Specialty Pharma Journal. https://www.spjnews.com/2015/01/27/mhealth-tools-significantly-improve-adherence-among-hiv-patients/

Specialty Pharma Journal

[mscripts] adds 3 or more fills per year, [with a] 99% retention rate on platform, and 50% of pts refill within 2 hours of text.

Alaska Association of Pharmacists

Larson (2021). Innovation driving pharmacy today. Alaska Association of Pharmacists. https://alaskapharmacy.org/wp-content/uploads/2021/02/Slides-Larson.pdf

Alaska Association of Pharmacists

Keas

Most companies saw one-third of employees lose an average of a half a pound per week, with one-sixth losing more than 1 pound per week.

Games for Health Journal

Bosworth (2012). Keas: Developing a Successful Game-Based Employee Wellness Program. Games for Health Journal. https://pubmed.ncbi.nlm.nih.gov/26193437/

Games for Health Journal

Ongoing engagement increased roughly 30-fold and sustained engagement increased roughly by two orders of magnitude.

Games for Health Journal

Bosworth (2012). Keas: Developing a Successful Game-Based Employee Wellness Program. Games for Health Journal. https://pubmed.ncbi.nlm.nih.gov/26193437/

Games for Health Journal

After the pilots ended, more than 90% of employees said they'd recommend the game and play it again, and more than 70% of the people who started playing stayed engaged through the entire 12-week period.

Business Insider

Rosoff (2011). The Only Way To Get Normal People To Care About Health: Turn It Into A Game. Business Insider. https://www.businessinsider.com/the-only-way-to-get-normal-people-to-care-about-health-turn-it-into-a-game-2011-6?r=US&IR=T

Business Insider

Clarity Money

In terms of engagement with the budget, about 10% of the users in the experimental condition saw the budget 8 times or more, while a majority of the users (84%) saw the budget 5 or fewer times over the experimental period. Both budgeting variants statistically significantly increased engagement over the control from once every 4 weeks to once every 3 weeks (p < 0.001).

Common Cents Lab at the Duke University Center for Advanced Hindsight

The CommonCents Lab (2020). 2020 Annual Report. Common Cents Lab at the Duke University Center for Advanced Hindsight. https://advanced-hindsight.com/ANNUAL-REPORT-2020/

Common Cents Lab at the Duke University Center for Advanced Hindsight

Mass General Virtual Visits Program

Fewer Visits in Virtual Group: Patients in the virtual visit group had 0.8 fewer primary care visits than those in the usual care group (95% CI, −1.2 to −0.3).

Journal of General Internal Medicine

Levine et al. (2018). Association of Structured Virtual Visits for Hypertension Follow-Up in Primary Care with Blood Pressure Control and Use of Clinical Services. Journal of General Internal Medicine. https://link.springer.com/article/10.1007/s11606-018-4375-0

Journal of General Internal Medicine

Subgroup Analysis for Unsatisfactory SBP Control: For patients with unsatisfactory SBP control, there were 1.4 fewer primary care visits in the virtual visit group compared to the usual care group (95% CI, 0.3 to 2.5).

Journal of General Internal Medicine

Levine et al. (2018). Association of Structured Virtual Visits for Hypertension Follow-Up in Primary Care with Blood Pressure Control and Use of Clinical Services. Journal of General Internal Medicine. https://link.springer.com/article/10.1007/s11606-018-4375-0

Journal of General Internal Medicine

Physicians were on average extremely satisfied with the clinical decision-making capabilities of the virtual visit tool. Physician satisfaction with receiving sufficient data to make a diagnosis, order tests, change medications, and make referrals ranged from 4.32 to 4.53/5 (SE= 0.06–0.09). Satisfaction with the diagnostic capability was 4.60/5 (SE= 0.07). Overall satisfaction was 4.47/5 (SE= 0.08).

Telemedicine and e-Health

Dixon & Lau (2014). Asynchronous Virtual Visits for the Follow-Up of Chronic Conditions. Telemedicine and e-Health. https://www.liebertpub.com/doi/abs/10.1089/tmj.2013.0211

Telemedicine and e-Health

Hustle

The SMS program increased voter registration by a statistically significant 0.3 pp (p < 0.001), generating 1,601 registrants at a cost of $82 per net registrant.

Analyst Institute

Ferguson et al. (2017). Vote.org SMS Voter Registration Test Results. Analyst Institute. https://www.vote.org/research/

Analyst Institute

The text program also boosted voter turnout by a statistically significant 0.3 pp (p <0.01), yielding votes at cost of $102 per net votes.

Analyst Institute

Ferguson et al. (2017). Vote.org SMS Voter Registration Test Results. Analyst Institute. https://www.vote.org/research/

Analyst Institute

The polling location messages increased turnout by 0.2 percentage points (p < 0.05) relative to the no contact control group, yielding 1,473 net votes at a cost per net vote of $128 (or about 8 votes per $1,000 spent).

The Shorty Awards

2nd Annual Shorty Social Good Awards (2017). vote.org + Hustle: Voter Registration Gotv Peer-to-Peer Texting. Finalist in Business-NGO.. The Shorty Awards . https://shortyawards.com/2nd-socialgood/voteorg-hustle-voter-registration-and-gotv-with-texting

The Shorty Awards

Not only were we able to register 26,000 hard-to-reach-voters, but we were able to do so at a cost of $10 per registration form, which is cheaper than site-based registration. What’s more, our newly registered voters actually turned out to vote. The cost per net-new-vote was $77, which means for every $1,000 we spent, 13 people voted who would have otherwise stayed home.

Vote.org

Vote.org (2017). Can Text Messages Save Democracy?. Vote.org. https://www.vote.org/blog/can-text-messages-save-democracy/

Vote.org

TikTok

The new sharing prompt led users to share misleading videos 24 percent less often.

NBC News

Marquez (2021). TikTok to warn users about sharing misleading content. NBC News. https://www.nbcnews.com/tech/tech-news/tiktok-warn-users-about-sharing-misleading-content-n1256668

NBC News

The intervention reduced shares of flagged content by 24%. The intervention was more likely to work on older users, decreasing shares by 34% for users 35+, compared to a 21% reduction for users 18-24 and 25% reduction for users 25-34. In fact, when we looked at the data by looking at ages 18+, the intervention cut in half the number of shares relative to the control, with the video prompt being the main driver of this additional effect.

Irrational Labs

Irrational Labs (2024). How behavioral science reduced the spread of misinformation on TikTok. Irrational Labs. https://irrationallabs.com/case-studies/tiktok-how-behavioral-science-reduced-the-spread-of-misinformation/

Irrational Labs

Breakthrough

8 out of 10 patients reported improved mental health symptoms after treatment, and 84% reported they’d recommend the service to others.

TechCrunch

Empson (2013). Breakthrough Grabs $5M From The Social+Capital Partnership, First Round And More To Bring Mental Health Therapy Online. TechCrunch. https://techcrunch.com/2013/07/11/breakthrough-grabs-5m-from-socialcapital-first-round-and-more-to-bring-mental-health-therapy-online

TechCrunch

Digit

Our experiment led to $1,000,000 in savings. Nearly 85% of the savings were still in the savings account 3 months later.

Common Cents Lab at the Duke University Center for Advanced Hindsight

The CommonCents Lab (2016). 2016 Annual Report. Common Cents Lab at the Duke University Center for Advanced Hindsight. https://advanced-hindsight.com/archive/wp-content/uploads/2017/02/Common-Cents-Lab-End-Of-Year-Report-2016_Rev-15.pdf

Common Cents Lab at the Duke University Center for Advanced Hindsight

Pre-commitment increased tax time savings from 17% to 27%, a 58% increase.

Common Cents Lab at the Duke University Center for Advanced Hindsight

The CommonCents Lab (2017). 2017 Annual Report. Common Cents Lab at the Duke University Center for Advanced Hindsight. https://advanced-hindsight.com/ANNUAL-REPORT-2017/

Common Cents Lab at the Duke University Center for Advanced Hindsight

Of everyone who responded to the text, on average people wanted to save 10% of their tax-refund in the control condition, and 15% in the experiment condition. When we looked at those that responded positively to the text and wanted to save, our experiment doubled savings rate to 22% from 12% in the control condition.

Common Cents Lab at the Duke University Center for Advanced Hindsight

The CommonCents Lab (2016). 2016 Annual Report. Common Cents Lab at the Duke University Center for Advanced Hindsight. https://advanced-hindsight.com/archive/wp-content/uploads/2017/02/Common-Cents-Lab-End-Of-Year-Report-2016_Rev-15.pdf

Common Cents Lab at the Duke University Center for Advanced Hindsight

EarnUp

This “round up” framing led to a jump from 11% to 15% of users increasing their payments; that is a 35% increase in people paying off their mortgage faster.

Common Cents Lab at the Duke University Center for Advanced Hindsight

The CommonCents Lab (2017). 2017 Annual Report. Common Cents Lab at the Duke University Center for Advanced Hindsight. https://advanced-hindsight.com/ANNUAL-REPORT-2017/

Common Cents Lab at the Duke University Center for Advanced Hindsight

DoubleNet Pay

Approximately 37% of web sessions during which individuals used the sliders resulted in savings rate changes. Notably, 75% of the changes were increases in savings rates, with an average increase percentage of 18.8%.

Empower Retirement & Larimer County 457(b) Plan

Dwyer (2018). Larimer County 457(B) Plan. Empower Retirement & Larimer County 457(b) Plan. https://apps.larimer.org/cora/upload/01-22-2019_102856_Rachel_Breza2.pdf

Empower Retirement & Larimer County 457(b) Plan

This results-driven philosophy begins with a personalized view that translates savings into estimated monthly income in retirement and offers next steps to help boost income in retirement. Of the participants who have used our experience, 39% changed their deferral rate and the average deferral rate increase was 25%.

Empower Retirement & Larimer County 457(b) Plan

Dwyer (2018). Larimer County 457(B) Plan. Empower Retirement & Larimer County 457(b) Plan. https://apps.larimer.org/cora/upload/01-22-2019_102856_Rachel_Breza2.pdf

Empower Retirement & Larimer County 457(b) Plan

DoubleNet Pay enables workers to contribute directly to a goal-based savings account and pay bills automatically via payroll deduction. This addresses two challenges that arise from volatile incomes: automatically depositing part of a paycheck into savings increases workers’ ability to save successfully, and paying bills through payroll also leaves the worker with more certainty about how much money they have and how much is safe to spend.

The Aspen Institute

McKay (2017). Two Birds, One Stone - Using Hybrid Financial Products to Manage Income Volatility. The Aspen Institute. https://www.aspeninstitute.org/publications/two-birds-one-stone-using-hybrid-financial-products-manage-income-volatility/

The Aspen Institute

Riva Health

Using a mobile-app facilitated remote HTN management protocol, 84% of patients met their JNC8 BP goal, versus an estimated 53% nationally. Compared to prior reports that cite an average of 3.2 months to reach BP goal in real-world practice-based settings, patients in our study achieved JNC8 BP goal within 17 days from enrollment. A mobile app-facilitated remote HTN management platform, coupled with team-based care, can be used to increase achievement of BP control and decrease the time required to achieve BP control.

Circulation

Tison et al. (2018). Hypertension: Innovating Personalized Strategies for Excellent Results (HIPSTER). Circulation. https://www.ahajournals.org/doi/abs/10.1161/circ.136.suppl_1.21293

Circulation

Steady

We found that both experimental conditions substantially outperformed the control in CTA acceptance (forced choice +71% and missing info +80%). The effect size of the forced choice (60%) and missing information (63%) conditions were similar but still statistically significantly different from the control.

Common Cents Lab at the Duke University Center for Advanced Hindsight

The CommonCents Lab (2019). 2019 Annual Report. Common Cents Lab at the Duke University Center for Advanced Hindsight. https://advanced-hindsight.com/wp-content/uploads/2022/02/2019-CCL-Report.pdf

Common Cents Lab at the Duke University Center for Advanced Hindsight

We included ~80,000 Steady users in the experiment, with ~40,000 in the control, and ~20,000 in each of the Goals variants. The bank account link rate was ~36%. We ran the experiment over 4 weeks, so over the course of that time frame ~14,400 users increased their incomes $28-$80 (2-6%) over that month, for an overall increase in income of $400,000-$1.15M due to the Goals feature.

Common Cents Lab at the Duke University Center for Advanced Hindsight

The CommonCents Lab (2020). 2020 Annual Report. Common Cents Lab at the Duke University Center for Advanced Hindsight. https://advanced-hindsight.com/ANNUAL-REPORT-2020/

Common Cents Lab at the Duke University Center for Advanced Hindsight

Prepmate by the San Francisco Dept. of Public Health

Those using the PrEPmate intervention were 15% more likely to attend the monthly visits (86% vs 71%). They were also 15% more likely to have appropriate TVF-DP levels (72% vs 57%).

American Journal of Managed Care

Rosenberg (2018). Text Message Intervention Improves PrEP Adherence Among MSM at Risk for HIV. American Journal of Managed Care . https://www.ajmc.com/view/text-message-intervention-improves-prep-adherence-among-msm-at-risk-for-hiv

American Journal of Managed Care

Attitudes toward PrEPmate were favorable, with 88% of those using the intervention reporting that it was very or somewhat helpful, 83% wanting to continue using the intervention after the study, and 92% saying they would recommend it to others.

American Journal of Managed Care

Rosenberg (2018). Text Message Intervention Improves PrEP Adherence Among MSM at Risk for HIV. American Journal of Managed Care . https://www.ajmc.com/view/text-message-intervention-improves-prep-adherence-among-msm-at-risk-for-hiv

American Journal of Managed Care

A significantly larger proportion of visits were completed by PrEPmate participants compared to Standard of Care participants (86% vs. 71% among all visits; odds ratio (OR) = 2.62; 95% CI: 1.24 - 5.54; p = 0.01).

CDC

Centers for Disease Control and Prevention (2020). Compendium of Evidence-Based Interventions and Best Practices For HIV Prevention - PrEPmate. CDC. https://stacks.cdc.gov/view/cdc/149452/cdc_149452_DS1.pdf

CDC

88% of participants in the PrEPmate arm reported the intervention was very/somewhat helpful; 83% wanted to continue using PrEPmate after the study, and 92% would recommend it to others at week 36.

CDC

Centers for Disease Control and Prevention (2020). Compendium of Evidence-Based Interventions and Best Practices For HIV Prevention - PrEPmate. CDC. https://stacks.cdc.gov/view/cdc/149452/cdc_149452_DS1.pdf

CDC

Athena

In four years, [they] bootstrapped Athena to about 2,000 employees and $50 million ARR.

Khosla Ventures Summit 2024

Strohband & Swanson (2024). Pivoting to AI at $100M ARR: Sven Strohband & Jonathan Swanson. Khosla Ventures Summit 2024. https://www.khoslaventures.com/pivoting-to-ai-at-100m-arr/

Khosla Ventures Summit 2024

It's the fastest growing company I've ever seen—and I'm including Uber in that. It has been growing at a rate that I'll just say is faster than Uber and Robin Hood.

All-In Podcast

Calacanis (2024). GPT-4o launches, Glue demo, Ohalo breakthrough, Druck's Argentina bet, did Google kill Perplexity?. All-In Podcast. https://youtu.be/vDr1983LIuo?si=AvuID3IX-9nC4Zy0&t=4440

All-In Podcast

Propeller Health

There was a significant reduction in COPD-related healthcare utilization compared with the year prior to enrollment, with values changing from 3.4 (3.2) to 2.2 (2.3), p¼ 0.01.

Journal of Telemedicine and Telecare

Alshabani et al. (2019). Electronic inhaler monitoring and healthcare utilization in chronic obstructive pulmonary disease. Journal of Telemedicine and Telecare. https://journals.sagepub.com/doi/10.1177/1357633X19850404?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%20%200pubmed

Journal of Telemedicine and Telecare

In the subgroup that received AV reminders, all-cause healthcare utilization significantly decreased from 5.4 (4.3) to 3.1 (2.6), p¼ 0.005.

Journal of Telemedicine and Telecare

Alshabani et al. (2019). Electronic inhaler monitoring and healthcare utilization in chronic obstructive pulmonary disease. Journal of Telemedicine and Telecare. https://journals.sagepub.com/doi/10.1177/1357633X19850404?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%20%200pubmed

Journal of Telemedicine and Telecare

Patient retention was 90.5% (172/190) at 3 months, 81.0% (154/190) at 6 months, and 63.1% (120/190) at 12 months.

JMIR Formative Research

Chen et al. (2019). Passive Monitoring of Short-Acting Beta-Agonist Use via Digital Platform in Patients With Chronic Obstructive Pulmonary Disease: Quality Improvement Retrospective Analysis. JMIR Formative Research. https://formative.jmir.org/2019/4/e13286/

JMIR Formative Research

Vital Labs

We enrolled 92 participants (CF: n=52 and IBD: n=40), and 73% (67/92) completed the study. Average PRO completion was 61%, and average weekly platform use was 80%. Participants reported improvement in self-efficacy from baseline to 6 months (7.90 to 8.44; P=.006). At 6 months, most participants reported that the platform was useful (36/40, 90%) and had a positive impact on their care, including improved visit quality (33/40, 83%), visit collaboration (35/40, 88%), and visit preparation (31/40, 78%).

Journal of Medical Internet Research mHealth & uHealth

Opipari-Arrigan et al. (2020). Technology-Enabled Health Care Collaboration in Pediatric Chronic Illness: Pre-Post Interventional Study for Feasibility, Acceptability, and Clinical Impact of an Electronic Health Record–Linked Platform for Patient-Clinician Partnership. Journal of Medical Internet Research mHealth & uHealth. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7728534/

Journal of Medical Internet Research mHealth & uHealth

The City of San Francisco's Kindergarten-to-College Program

[…] when focusing only on students with at least one contribution, the average contribution value and the average total value increased as the CSA ages (from $247 in the first year to $709 in the fourth year and from $420 in the first year to $907 in the fourth year, respectively; Figure 4).

University of Michigan Center on Assets, Education, & Inclusion (AEDI)

Elliott et al. (2017). Contribution Activity and Asset Accumulation in a Universal Children’s Savings Account Program. University of Michigan Center on Assets, Education, & Inclusion (AEDI). https://aedi.ssw.umich.edu/publications/1876-contribution-activity-and-asset-accumulation-in-a-universal-children-s-savings-account-program

University of Michigan Center on Assets, Education, & Inclusion (AEDI)

San Francisco’s Kindergarten to College has achieved close to 100% enrollment using its automatic enrollment approach.

University of Michigan Center on Assets, Education, & Inclusion (AEDI)

Elliott (2018). Lessons Learned from Children’s Savings Account Programs: Tools to Leverage Spending to Facilitate Saving among Low-Income Families. University of Michigan Center on Assets, Education, & Inclusion (AEDI). https://www.researchgate.net/profile/William-Elliott-9/publication/322936559_Lessons_Learned_from_Children's_Savings_Account_Programs_Tools_to_Leverage_Spending_to_Facilitate_Saving_among_Low-Income_Families/links/5a7862b80f7e9b41dbd2addf/Lessons-Learned-from-Childrens-Savings-Account-Programs-Tools-to-Leverage-Spending-to-Facilitate-Saving-among-Low-Income-Families.pdf

University of Michigan Center on Assets, Education, & Inclusion (AEDI)

Findings from K2C indicate that 15% of students in high-poverty schools made at least one contribution, compared to 20% of students in low-poverty schools.

University of Michigan Center on Assets, Education, & Inclusion (AEDI)

Elliott (2018). Lessons Learned from Children’s Savings Account Programs: Tools to Leverage Spending to Facilitate Saving among Low-Income Families. University of Michigan Center on Assets, Education, & Inclusion (AEDI). https://www.researchgate.net/profile/William-Elliott-9/publication/322936559_Lessons_Learned_from_Children's_Savings_Account_Programs_Tools_to_Leverage_Spending_to_Facilitate_Saving_among_Low-Income_Families/links/5a7862b80f7e9b41dbd2addf/Lessons-Learned-from-Childrens-Savings-Account-Programs-Tools-to-Leverage-Spending-to-Facilitate-Saving-among-Low-Income-Families.pdf

University of Michigan Center on Assets, Education, & Inclusion (AEDI)

In the K2C analysis, after controlling for school- and community-level factors, there is no statistical difference in total contributions in years one through three between high-poverty and low-poverty schools. […] It appears that giving families equitable access to savings vehicles can narrow the college savings contributions gap between low-income and high-income families, at least over several years.

University of Michigan Center on Assets, Education, & Inclusion (AEDI)

Elliott (2018). Lessons Learned from Children’s Savings Account Programs: Tools to Leverage Spending to Facilitate Saving among Low-Income Families. University of Michigan Center on Assets, Education, & Inclusion (AEDI). https://www.researchgate.net/profile/William-Elliott-9/publication/322936559_Lessons_Learned_from_Children's_Savings_Account_Programs_Tools_to_Leverage_Spending_to_Facilitate_Saving_among_Low-Income_Families/links/5a7862b80f7e9b41dbd2addf/Lessons-Learned-from-Childrens-Savings-Account-Programs-Tools-to-Leverage-Spending-to-Facilitate-Saving-among-Low-Income-Families.pdf

University of Michigan Center on Assets, Education, & Inclusion (AEDI)

Careforth

The results of the six-month pilot showed a 20 percent decline in caregiver burden, such as a reduction in their physical and emotional stress; a 13 percent increase in caregiver confidence; a 17 percent increase in caregiver knowledge; an 18 percent decrease in hospitalizations; and a 51 percent drop in emergency department visits.

Healthcare IT News

Siwicki (2019). Care Management Tech Drops Hospitalizations and ER Visits at Caregiver Homes. Healthcare IT News. https://www.healthcareitnews.com/news/care-management-tech-drops-hospitalizations-and-er-visits-caregiver-homes

Healthcare IT News

Credit Karma

The interventions led to an 18% increase in recurring transfer setups and a significant increase in direct deposit interest.

Irrational Labs

Irrational Labs (2025). Boosting Recurring Transfer Setups for Credit Karma Money by 18% Using Behavioral Design. Irrational Labs. https://irrationallabs.com/case-studies/behavioral-design-credit-karma-money/

Irrational Labs

Chime

We also worked with Chime to launch their 10% auto-savings tool. Through this tool, users can opt-in to automatically saving 10% of any direct deposits into their checking accounts. This tool led to more than $8 million in savings in the first few months.

Common Cents Lab at the Duke University Center for Advanced Hindsight

The CommonCents Lab (2017). 2017 Annual Report. Common Cents Lab at the Duke University Center for Advanced Hindsight. https://advanced-hindsight.com/ANNUAL-REPORT-2017/

Common Cents Lab at the Duke University Center for Advanced Hindsight

When partnering with Chime to have clients automatically save 10% of their direct deposits, those that used the feature saved an average of $200 per month.

Common Cents Lab at the Duke University Center for Advanced Hindsight

The CommonCents Lab (2020). 2020 Annual Report. Common Cents Lab at the Duke University Center for Advanced Hindsight. https://advanced-hindsight.com/ANNUAL-REPORT-2020/

Common Cents Lab at the Duke University Center for Advanced Hindsight