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Hyperbolic Discounting

A pattern of time preference in which people discount the near future more steeply than the distant future, unlike constant exponential discounting.

Last reviewedDarrin Baines IP Ltd

Concept Architecture

Concept

Theoretically, Hyperbolic Discounting is a behavioural economic model of intertemporal choice in which the perceived value of future outcomes declines more rapidly over short delays than over long delays. Unlike exponential discounting, which assumes a constant discount rate over time, hyperbolic discounting allows the discount rate to decrease with increasing delay, thereby explaining preference reversals and time-inconsistent decision-making. In health economics, it is used to model health-related behaviours, preventive care decisions and treatment adherence that deviate from the assumptions of conventional discounted utility theory.

Mathematically, Hyperbolic Discounting is represented by a discount function in which present value declines according to a hyperbolic relationship with time. The model assigns disproportionately greater weight to immediate outcomes than to future outcomes, resulting in declining implicit discount rates over time. Although several parameterisations exist, all share the characteristic of non-constant discounting.

In practice, Hyperbolic Discounting is estimated using stated-preference experiments, behavioural choice tasks and econometric models of intertemporal decision-making. Participants are presented with choices between smaller immediate outcomes and larger delayed outcomes, allowing estimation of the discounting parameter. The approach is applied in studies of smoking cessation, obesity, medication adherence, vaccination uptake and other health behaviours involving delayed benefits.


Purpose

Used to model time-inconsistent preferences and declining discount rates when analysing healthcare decisions involving delayed costs or health outcomes.


Mathematical Formulae

Primary Formula

V = A / (1 + kt)

where:

  • V = present subjective value
  • A = future value
  • k = hyperbolic discounting parameter
  • t = delay

Supporting Formulae

Generalised hyperbolic discounting:

V = A / (1 + kt)?

where:

  • s = sensitivity parameter controlling the curvature of discounting

Related Mathematical Methods

  • Behavioural economics
  • Intertemporal choice modelling
  • Discounted utility theory
  • Non-linear regression
  • Maximum likelihood estimation
  • Choice modelling

Example

A patient values a future health benefit of 100 units available after 2 years. Assuming a hyperbolic discounting parameter of 0.25:

V = 100 / (1 + (0.25 ? 2))

V = 100 / 1.5 = 66.7

Although the future health benefit remains 100 units, its present subjective value is approximately 66.7 units, reflecting stronger preference for immediate outcomes.


Excel Implementation

FunctionExample FormulaHealth Economics Application
Division=100/(1+0.25*2)Calculates the hyperbolically discounted present value of a future outcome.
POWER=100/POWER(1+0.25*A2,B2)Calculates generalised hyperbolic discounting with a sensitivity parameter.
SolverOptimise kEstimates the hyperbolic discounting parameter from observed choice data.
LINESTRegression analysisEstimates behavioural discounting models from experimental data.

VBA (Optional)

Automate estimation of hyperbolic discounting parameters from repeated intertemporal choice experiments and generate predicted discount curves.


Sources

  • Ainslie G. Specious Reward: A Behavioral Theory of Impulsiveness and Impulse Control. Psychological Bulletin. 1975.
  • Loewenstein G, Prelec D. Anomalies in Intertemporal Choice: Evidence and an Interpretation. Quarterly Journal of Economics. 1992.
  • Frederick S, Loewenstein G, O'Donoghue T. Time Discounting and Time Preference: A Critical Review. Journal of Economic Literature. 2002;40(2):351?401.
  • Drummond MF, Sculpher MJ, Claxton K, Stoddart GL, Torrance GW. Methods for the Economic Evaluation of Health Care Programmes. 4th ed. Oxford University Press; 2015.
  • NICE. Health Technology Evaluation Manual. Latest edition.

Library

Publications

1
  • Guidance

    NICE DSU Technical Support Document 12: The Use of Health State Utility Values in Decision Models — Brazier, Papaioannou, Cantrell, et al., TSD 12 ed., 2011 (NICE Decision Support Unit (University of Sheffield))

    Guidance on selecting and applying health-state utility values within decision models, including consistency, appropriate sources, adjustment for age/comorbidity, and handling of adverse events.

Frequently Asked Questions (6)

  • What is hyperbolic discounting?

    A pattern of time preference in which people discount the near future more steeply than the distant future, unlike constant exponential discounting.

    Source: Laibson 1997

  • How does hyperbolic discounting differ from exponential discounting?

    Exponential discounting applies a constant rate between any two adjacent periods, so preferences formed today about a future choice remain the preferences held when that moment arrives. Hyperbolic discounting applies a steeper rate over short horizons than long ones, so the drop between now and next week is larger than the drop between one year and one year plus a week. The consequence is that preferences reverse as the near option approaches, without any new information having been received. The reversal is the defining prediction, since exponential discounting at any rate, however high, cannot produce it, so observing preference reversal without new information is evidence of the departure rather than of impatience.

    Source: Laibson 1997

  • How is hyperbolic discounting modelled?

    The standard formulation modifies exponential discounting by applying one additional constant factor to every period beyond the present, which makes the immediate period distinctively favoured while all future periods are treated consistently relative to one another. This single extra parameter reproduces preference reversal, and it nests the conventional model as the case where the additional factor equals one, so the departure can be tested rather than assumed. Estimates of the additional parameter vary substantially with the elicitation method, and approaches separating impatience from the curvature of utility have produced smaller estimates than the earlier literature reported.

    Source: Laibson 1997

  • What does hyperbolic discounting predict about health behaviour?

    Repeated postponement of actions whose costs fall now and whose benefits arrive later, including starting treatment, attending screening, stopping smoking and beginning to exercise, with each delay individually small and collectively consequential. It also predicts the reverse pattern for behaviours with immediate reward and delayed cost. Crucially it predicts that people will hold and express genuine intentions to act while systematically failing to do so, which distinguishes it from simple lack of motivation. It also predicts that people will pay for commitment devices that restrict their own future options, which is difficult to reconcile with any model in which preferences are stable over time.

    Source: O'Donoghue & Rabin 1999

  • Why does awareness of hyperbolic discounting matter?

    Because it determines what interventions can work. Someone who anticipates their own reversal will seek deadlines, restrictions and arrangements removing the later choice, and can be helped by making such devices available. Someone who does not anticipate it will plan on the assumption of following through, decline any device offered, and postpone repeatedly while continuing to intend otherwise. The two produce identical stated intentions and very different behaviour, so voluntary commitment reaches only the first group. Partial awareness is the common case, where the reversal is anticipated but its strength underestimated, which produces commitment arrangements set too loosely to bind when they are needed.

    Source: O'Donoghue & Rabin 1999

  • Does hyperbolic discounting change the discount rate used in appraisal?

    Generally not. Guidance continues to specify constant discounting, on the grounds that the social rate applied in appraisal expresses a normative judgement about weighting future generations rather than describing individual behaviour, and that a time-inconsistent social rate would produce appraisals reversing without new information. Hyperbolic discounting therefore enters economic evaluation through the modelling of uptake and adherence rather than through the rate applied to costs and outcomes. The distinction matters because it separates a descriptive finding about behaviour from a prescriptive choice about how a society should weigh consequences falling on people in the future.

    Source: Drummond et al. 2015

Trust Record

Verified by Dr Darrin Baines

British health economist

Professional identity: darrinbaines.org

Verification date: 13 Aug 2025

Content version: 1.0.0

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Term code
HE-EE-DC-010

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