From 1995 to 1998, People-to-People Health Foundation, Millwood, Va., examined the management tools and strategies that managed care organizations use to influence technologies used by primary care physicians—including how to prescribe drugs and make referrals to specialists.
This project was part of the Robert Wood Johnson Foundation (RWJF) national program Changes in Health Care Financing and Organization (HCFO).
- Most health maintenance organizations (HMOs) use a list of preferred drugs, known as a formulary, to influence the drug-prescribing behavior of primary care physicians.
- The majority of HMOs govern access to specialists by requiring primary care physicians to follow specific referral procedures.
- The study also yielded findings on profiling of primary care physician practices and how management tools and strategies vary according to the method HMOs use to:
- Compensate primary care physicians (e.g., salary, formulary).
- Encourage primary care physicians to prescribe generic drugs.
- Profile of primary care physicians' prescribing rates.
- Educate primary care physicians about drug prescribing.
Changes in Health Care Financing and Organization Project Results
Individual project results from the RWJF national program, Changes in Health Care Financing and OrganizationRead the Program Results for Changes in Health Care Financing and Organization
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