HealthLeaders Media Council members discuss implications for physician compensation in a value-based purchasing environment.
This article first appeared in the March 2015 issue of HealthLeaders magazine.
Scott D. Hayworth, MD
President and CEO
Mount Kisco (NY) Medical Group
We will have to do a major change in the next two or three years. We are waiting for the carriers to move toward value in our region. At that point we will have to redo our compensation system. For primary care, without a doubt, there will be some money for panel size, some money for seeing the patients or RVUs, some part for quality, value, some part for customer service, and then we reward citizenship as an organization. For the specialists, that is tougher. There will definitely be an RVU component and a value or cost component, citizenship, and customer service. The proportion of all of that will be determined as we get closer and we have a better view of what the world looks like.
We are a physician-owned multi-specialty group of 450 doctors. We prefer not to put people on straight salary. There has to be a substantial component for the right behavior. If it is only a small component, you will not get the behavior you want. Whatever you design with a compensation system, half the people are winners and half are losers. Because of that you have to have multiple meetings, lots of communication, and give people time to absorb it.
John Commins is a senior editor at HealthLeaders.