Inclusion Criteria:  Adults equal to or greater than 18 years of age Outpatients of providers randomized into the study within Internal Medicine and Cardiology outpatient clinics Diagnosis of heart failure with reduced ejection fraction (LVEF less than or equal to 40% on the most recent TTE) Registration in the Yale Heart Failure Registry (NCT04237701) Not currently prescribed an MRA  Exclusion Criteria:  Absolute contraindication to MRAs