Medical Group Management Association
Join Now
Announcement: Improved Navigation. We have upgraded our top bar navigation for a faster and more accessible experience. To provide feedback, please email service@mgma.com.
Top House Ad

Data Mine: You Get What You Pay For

Insight Article - March 15, 2022

RVUs

Data Analytics & Reporting

Provider Compensation

There are many American sayings that have special meaning in healthcare. The idiom, “you get what you pay for,” has a different context in healthcare than its historic use. In its common use, it describes how price is related to the quality of the product, meaning that you should not expect a cheap product to be of good quality. In healthcare, this saying can be used to describe the incentives in physician compensation formulas.

If the compensation formula is designed to reward production, the incentive is to produce what is measured. In private practice, where the pool of practice income after expenses is the amount available to compensate the practice shareholder/partners, it is common practice to distribute this amount either equally among the doctors or proportionally by an agreed-upon measure, such as work RVUs (wRVUs), collections or billed charges. Under this type of compensation formula, the physicians who contribute the most to the practice are rewarded with greater compensation than those who contribute less.

Hospital- and health system-owned practices have a different basis for compensating their providers, usually designing a compensation formula to meet legal and regulatory requirements of fair market value (FMV) while also paying a competitive wage that will attract and retain the physicians and advanced practice providers (APPs) needed for their practices. These organizations understand that they get what they pay for, usually designing provider compensation packages to reward contribution to their organization.

In terms of incentive, providers paid a salary have the least incentive to work harder, see more patients or schedule more complex cases. Organizations that use a salary-based compensation system typically incorporate bonus arrangements or use past performance to influence salary levels.

While physician-owned and hospital-/health system-owned practices have different legal constraints, they have similar objectives in designing a physician compensation method that supports the needs of the organization. The annual MGMA Provider Compensation and Production Survey collects compensation and production information from medical group practices of all types, sizes and owners; the data are summarized and reported in the MGMA DataDive Provider Compensation. Compensation method is among the demographic information collected in the survey and is reported as its own statistic and in the context of provider compensation.

This material is available to MGMA members only.

Sign in to access this material

Member Login Become a Member

About the Author

David N. Gans
David N. Gans MSHA, FACMPE
Retired senior fellow, industry affairs MGMA

David N. Gans can be reached at davegans406@gmail.com.

X

Shopping Cart

Your cart is empty

Subtotal:
Click here if your organization is tax exempt
X

A State Sales tax exempt certificate must be on file and taxable items cannot be ordered online. For immediate assistance during normal business hours of 7:00am to 5:00pm MT M-Th and 7:00 am to Noon MT on Friday, please call toll-free: 877-275-6462, ext. 1888

X

Checkout

Use two letter code for US states
Use three letter code for country
Use two letter code for US states
Use three letter code for country
Use two letter code for US states
Use three letter code for country

Grand Total:
Saved credit card is required for opt-in to autorenew.

Questions? Contact the MGMA Service Center for assistance during checkout or review our return policy for more information.
X

Confirmation

,
,

Total:
Payment:
Balance:
 

Thank you for your purchase! If you purchased an event, you will be receiving a follow-up email from our Learning Management System regarding the product/event purchased and no further action is required.


Loading...