Workforce Compensation and Performance Improvement Resources

This article, published in The Governance Institute’s March edition of E-Briefings, examines the two worlds in which health care organizations currently operate: one that is still fee-for-service and the new world of pay-for-outcomes.

The cover article of the July 2014 issue of hfm chronicles how Mayo Clinic Health System (MCHS) turned a complex array of physician compensation plans into a single integrated plan that aligned physicians and provided value-based care to their patients.

This article, featured in the July/August 2014 issue of Trustee magazine, addresses the risks and complexities of financial arrangements between hospitals and physicians.

Over the past several years, the provision of on-call pay has continued to increase. Therefore, it is important from a strategic, financial and regulatory perspective to properly structure physician on-call pay arrangements.

As physician reimbursement shifts from a fee-for-service model to a value-based structure, expect to see changes in how compensation plans are drafted.

Managing Principal and National Physician Compensation Practice Leader Kim Mobley provides additional insight on physician pay initiatives.

The demand for advanced practice clinicians (APCs) has increased significantly, as have concerns about the impact of their base pay and incentives. Does your organization understand how APC compensation affects your bottom line?

According to SullivanCotter’s 2011 Physician Compensation and Productivity Survey, over half (59 percent) of survey participants have increased the size of their APC workforce within the past 12 months. Of these, the average increase was seven APCs. Sixty-one percent of survey participants indicated that they plan to increase the size of their APC workforce in the next 12 months. Of these, the average increase will be six APCs.

A key factor noted in the opinion is that, based on an independent valuation, the hospital certified that the per diem rates are commercially reasonable and fair market value for the services provided.