Over the past 30 years, health behavior interventionists have identified a number of factors that influence the efficacy of financial incentives for initiating weight loss, as well as physical activity and improvements in diet [3–20]. For example, Volpp and colleagues recently published a high impact paper demonstrating that low-intensity intervention paired with small financial incentives can produce impressive initiation of weight loss [18]. However, to date, far less attention has been paid to the issue of weight and health behavior change maintenance after financial incentives are removed