Reducing unwarranted care variation is at the top of hospital executives’ priority list. To be successful, leaders must meaningfully engage physicians in the ambition. However, common engagement levers, such as physician employment and productivity incentives, often don’t result in the proactive or sustained engagement that leaders need to reduce care variation at scale.

To shift physicians’ stance from reluctant participants to the driving force behind care variation reduction efforts, leaders should focus on four key motivators that drive physician behavior: their hearts, minds, watches, and wallets. Collectively, these motivators help connect the dots between organizational goals and physicians’ daily practice—and ultimately strengthen physician engagement with care variation reduction efforts.

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