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Healthc (Amst). 2015 Jun;3(2):60-2. doi: 10.1016/j.hjdsi.2014.11.004. Epub 2014 Dec 16.

How 10 leading health systems pay their doctors.

Author information

1
Massachusetts General Hospital, United States.
2
Venrock Partners, United States.
3
Centers for Medicare & Medicaid Services, United States.

Abstract

We conducted interviews with senior executives at 10 leading health systems to better understand how organizations use performance-based compensation. Of the organizations interviewed, five pay physicians using productivity-independent salaries, and five use productivity-adjusted salaries. Performance-based pay is more prevalent in primary care than in subspecialties, and the most consistently identified performance domains are quality, service, productivity, and citizenship. Most organizations have less than 10% of total compensation at risk, with payments distributed across three to five domains, each containing several metrics. Approaches with many metrics--and little at-risk compensation for each metric-may offer weak incentive to achieve any particular goal.

KEYWORDS:

Incentives; Performance-based compensation; Productivity; Provider organization; Quality improvement; Value-based healthcare delivery

PMID:
26179724
DOI:
10.1016/j.hjdsi.2014.11.004
[Indexed for MEDLINE]

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