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. 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


How 10 Leading Health Systems Pay Their Doctors

Dhruv Khullar et al. Healthc (Amst). .


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.

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