Supporting Better Physician Decisions at the Point of Care: What Payers and Purchasers Can Do

Issue Brief
Publisher: Washington, DC: Mathematica Policy Research
Feb 10, 2016
Authors
Kara Contreary, Eugene Rich, Anna Collins, Ann S. O'Malley, and Jim Reschovsky

Drawing from prior research, data collected from physician interviews, and discussions with stakeholders, we note opportunities for health insurers and other purchasers to promote a practice environment that supports more evidence-based recommendations. These opportunities include reforms to traditional fee-for-service modes of physician payment and selective contracting with physician organizations. Our analysis suggests that the feasibility and likely effectiveness of different strategies can vary considerably across practice settings, communities, and clinical problems. We conclude that the most promising strategies are those in which local payers and community organizations offer resources or preferential payments so physicians and practices can adapt their point-of-care setting to facilitate more evidence-based care.