Press Release

Payer-Provider Partnerships Speed Adoption of Evidence-Based Health Care Practices

New ACHP Report Reveals Strategies that Hasten Medical Evidence from Lab to Exam Room, Improve Patient Outcomes

Washington (November 14, 2018) – Strong partnerships among health care providers and payers speed adoption of evidence-based care for patients, according to a new report released today from the Alliance of Community Health Plans (ACHP).

The report, “Accelerating Adoption of Evidence Based Care: Payer-Provider Partnerships,” illustrates how collaboration among health plans, physicians and communities hastens medical evidence from the lab room to the exam room. The report also finds that community health plans have a unique ability to influence clinician behavior, aiding in adoption of evidence-based health interventions and delivering higher quality care.

“Caring for patients means ensuring that we deliver on the latest, life-saving, medical breakthroughs,” said Ceci Connolly, president and CEO, ACHP. “We know that scientists around the world are making new medical discoveries, but it can take decades for the related treatments and protocols to reach patients. Nonprofit, community health plans know how to accelerate the adoption of evidence in patient care.”

With researchers estimating that the universe of medical knowledge doubles every three months, and that it takes an average of 17 years for that knowledge to make its way to the point of care, ACHP recognized the need for new strategies to help clinicians. “Accelerating Adoption of Evidence Based Care: Payer-Provider Partnerships” is a culmination of an 18-month study of nonprofit, provider-aligned community health plans across the country.

The report identifies five best practices that health systems of all sizes and models can employ to accelerate the adoption of evidence-based care, and provides detailed case studies from health systems across the country that illustrate the best practices in action:

  • Build consensus and commitment to change
  • Create a team that includes the necessary skill sets, perspectives and staff roles
  • Customize education, tools and access to specialized knowledge for physicians and for patients
  • Share timely and accurate data and feedback in a culture of transparency, accountability and healthy competition
  • Align financial investments with clinical and patient experience goals

“The plans we studied are joining forces with their physician partners to reduce opioid prescribing; eliminate unnecessary early labor inductions; cure Hepatitis C in large patient populations; improve diabetes and hypertension control; increase depression screening; and dramatically reduce surgery costs,” said Connolly, “It becomes readily apparent that when plans and providers work together on behalf of patients, care improves, costs go down and patients experience better outcomes.”

The new report and related materials can be found at transforming-care.org

“Accelerating Adoption of Evidence-Based Care: Payer-Provider Partnerships” is the result of an 18-month-long study, funded partially through a Patient-Centered Outcomes Research Institute® (PCORI®) Eugene Washington PCORI Engagement Award.