extract: 2025-01-01-chibe-behavioral-economics-health-nudges-defaults-rct

Pentagon-Agent: Epimetheus <968B2991-E2DF-4006-B962-F5B0A0CC8ACA>

inbox/archive/.extraction-debug/2025-01-01-chibe-behavioral-economics-health-nudges-defaults-rct.json

@@ -0,0 +1,34 @@
+{
+  "rejected_claims": [
+    {
+      "filename": "ehr-default-effects-are-highest-leverage-behavioral-health-intervention-because-they-scale-at-near-zero-marginal-cost-and-reduce-disparities.md",
+      "issues": [
+        "missing_attribution_extractor"
+      ]
+    },
+    {
+      "filename": "healthcare-appointments-function-as-effective-commitment-devices-doubling-testing-rates-among-patients-with-self-control-problems.md",
+      "issues": [
+        "missing_attribution_extractor"
+      ]
+    }
+  ],
+  "validation_stats": {
+    "total": 2,
+    "kept": 0,
+    "fixed": 4,
+    "rejected": 2,
+    "fixes_applied": [
+      "ehr-default-effects-are-highest-leverage-behavioral-health-intervention-because-they-scale-at-near-zero-marginal-cost-and-reduce-disparities.md:set_created:2026-03-18",
+      "ehr-default-effects-are-highest-leverage-behavioral-health-intervention-because-they-scale-at-near-zero-marginal-cost-and-reduce-disparities.md:stripped_wiki_link:SDOH interventions show strong ROI but adoption stalls becau",
+      "ehr-default-effects-are-highest-leverage-behavioral-health-intervention-because-they-scale-at-near-zero-marginal-cost-and-reduce-disparities.md:stripped_wiki_link:medical care explains only 10 20 percent of health outcomes ",
+      "healthcare-appointments-function-as-effective-commitment-devices-doubling-testing-rates-among-patients-with-self-control-problems.md:set_created:2026-03-18"
+    ],
+    "rejections": [
+      "ehr-default-effects-are-highest-leverage-behavioral-health-intervention-because-they-scale-at-near-zero-marginal-cost-and-reduce-disparities.md:missing_attribution_extractor",
+      "healthcare-appointments-function-as-effective-commitment-devices-doubling-testing-rates-among-patients-with-self-control-problems.md:missing_attribution_extractor"
+    ]
+  },
+  "model": "anthropic/claude-sonnet-4.5",
+  "date": "2026-03-18"
+}

inbox/archive/2025-01-01-chibe-behavioral-economics-health-nudges-defaults-rct.md

@@ -7,11 +7,15 @@ date: 2025-01-01
 domain: health
 secondary_domains: []
 format: report
-status: unprocessed
+status: null-result
 priority: medium
 triage_tag: claim
 tags: [behavioral-economics, nudges, default-effects, medication-adherence, health-disparities, EHR]
 flagged_for_rio: ["Behavioral economics mechanisms (commitment devices, default effects) are directly relevant to mechanism design in health contexts"]
+processed_by: vida
+processed_date: 2026-03-18
+extraction_model: "anthropic/claude-sonnet-4.5"
+extraction_notes: "LLM returned 2 claims, 2 rejected by validator"
 ---
 
 ## Content
@@ -58,3 +62,11 @@ Additional context:
 ## Curator Notes
 PRIMARY CONNECTION: healthcare is a complex adaptive system requiring simple enabling rules not complicated management because standardized processes erode the clinical autonomy needed for value creation
 WHY ARCHIVED: Default effects are the "simple enabling rules" the complex adaptive system claim describes. The CHIBE evidence makes this concrete: change the EHR default → change prescribing behavior → reduce disparities. This is the behavioral economics bridge between the KB's structural claims and operational interventions.
+
+
+## Key Facts
+- CHIBE had $49M in total grant activity in FY2025
+- Penn Medicine Healthy Heart trial enrolled 2,000 patients in West/Southwest Philadelphia and Lancaster County (2024-2025)
+- Opioid prescribing guidelines adherence increased from 57.2% to 71.8% with peer comparison + patient-reported outcomes feedback
+- Game-based physical activity intervention increased step counts by 1,700 steps/day (equivalent to 70+ miles over intervention period)
+- Penn Medicine is now funding scaled implementation of automated pharmacy referral program that increased statin prescribing