Physician Compensation Models Are Upside Down
"We wanted (physicians) to pick that up, with service, quality, and efficiency, and 100% of the physicians chose that," Samitt says. "In a single year we made a significant move from volume to value-based incentives."
As Samitt sees it, Dean is getting past the schizophrenia.
Not everybody is. While Dean found a way, especially through tough negotiations, to move toward value-based care and compensations, that certainly doesn't seem to be the case everywhere around the nation, according to Steve Marsh, owner and managing partner of The Medicus Firm, a national physician recruiting company based in Dallas, TX and Atlanta, GA.
He told me that most physician compensation models he's worked on involve volume of care, which certainly undercuts, or at least slows, the country's move toward value-based care.
"At the end of the day, physicians are going to do more volume to maintain their income levels. No way around it," Marsh says. "At least on my radar screen, I don't see a system completely based on value, I don't think that will happen." Physicians, especially, will be involved in programs that will demand both quality and volume, especially in receiving bonus awards under contracts he's seen, Marsh says.
- CEO Exchange: Preparing for Population Health
- Advocate, NorthShore Deal Would Create 16-Hospital System
- Better HCAHPS Scores Protect Revenue
- Narrow Networks Cut Costs, Not Quality, Economists Say
- 3 Strategies for Retaining Millennial Employees
- Power of price: In South FL and the nation, healthcare costs often are shrouded in secrecy
- Two NY hospitals to offer free hip and knee replacement surgeries for qualifying patients in December
- Hospital mergers may lead to higher prices
- Healthcare data of 1 million NJ patients compromised since 2009
- CEO Exchange: Pressure is On to Partner, Drive Quality