Administrative simplification challenges and opportunities: A physician organization perspective

The Foundation's Changes in Health Care Financing and Organization program was designed to support research, demonstration, and evaluation projects examining major changes in health care financing.Under this grant project, the researchers will examine administrative complexity from the perspective of a large physicians organization, the Massachusetts General Physicians Organization. They will address the following research questions: (1) what is the magnitude of the burden and growth trajectory of administrative complexity on physicians; (2) which components account for the greatest proportion of the burden, and which are the most amenable to change; (3) how is the administrative burden reflected; (4) who currently bears the burden and how can that burden be made more transparent; (5) what components of complexity do and do not offer value; (6) what is the impact of quality, particularly pay-for-performance contracting; (7) which components are best addressed by information technology and what has been the impact of HIPAA standards; (8) what are the potential savings through simplification and standardized processes; and (9) what processes will facilitate addressing complexity at the physician services level. The objective of the project is to examine why market forces have increased, rather than mitigated, administrative complexity and examine whether nonmarket-based solutions may offer opportunities for addressing the problem.

Grant Details

Amount Awarded $50,158.00

Awarded on: 7/19/2005

Time frame: 8/1/2005 - 7/31/2007

Grant Number: 53892


Massachusetts General Physicians Organization Inc.

55 Fruit Street
Boston, 02114-2622


Gregg Stephen Meyer
Project Director