Financial incentives for health behavior changes is a popular approach, and in 2014 the Affordable Care Act began to allow up to 50% of medical insurance premiums to be rewarded for smoking cessation. Most of these programs show some success during the time period when the financial benefit is being received, but a drop-off afterward (see detailed 2015 review on incentives for smoking cessation). This study in older adults shows the same pattern. This lack of benefit with longer-term follow-up should limit their future use.