Methods and systems related to providing cost effective behavioral modification and coaching support for individuals. Individuals that are identified as being at risk for being chronically ill or high utilizers of health care services and as motivationally challenged may be targeted for contact by coaches trained in behavioral modification. By using a computer-based system for tracking the individual's progress with respect to any number of goals, which may include both health care related goals and non-health related goals desired by the individuals, the motivation of the individuals may be increased. The attitudinal change brought by the visible tracking of successful goals may lead to increased compliance with health care related goals and a decreased usage of health care services.