Addressing physician compensation and practice productivity.

Medical groups are challenged to adopt a systematic, evidence-based approach to selecting a physician compensation method that supports the group's overall financial and organizational strategies, including managed care contracting strategies; is consistent with the philosophies, beliefs, and attitudes of the group's membership as they pertain to individual productivity; and can be supported by the organization's information technology, decision support, and management infrastructures. This article explains how research in physician profiling, benchmarking, general compensation theory, and physician productivity provides evidence that can serve as the foundation for a pragmatic approach to evaluating physician compensation method alternatives. It also presents a unique production-based compensation model for illustrative purposes.

[1]  Adams Js Towards an understanding of inequity , 1963 .

[2]  J. Chilingerian,et al.  Physician Profiling in Group Practices , 1996, The Journal of ambulatory care management.

[3]  J. Weiner,et al.  Profiling primary care physician resource use: examining the application of case mix adjustment. , 1996, The Journal of ambulatory care management.

[4]  Mark V. Pauly,et al.  Compensation and Productive Efficiency in Partnerships: Evidence from Medical Groups Practice , 1990, Journal of Political Economy.

[5]  David B. Balkin,et al.  Compensation, Organizational Strategy, and Firm Performance , 1992 .

[6]  Paul J. Gertler,et al.  Moral Hazard and Risk Spreading in Partnerships , 1995 .

[7]  Gift Rg,et al.  Collaborative benchmarking in a healthcare system. , 1994 .

[8]  G. W. Walster,et al.  New directions in equity research. , 1973 .

[9]  L. Festinger,et al.  A Theory of Cognitive Dissonance , 2017 .

[10]  W. Chang,et al.  Applying case mix adjustment in profiling primary care physician performance. , 1996, Journal of health care finance.

[11]  T. Turnasella Aligning Pay With Business Strategies and Cultural Values , 1994 .

[12]  Amer A. Kaissi,et al.  Assessing the culture of medical group practices. , 1996, Medical care.

[13]  A. Lawthers,et al.  Focus on quality: Profiling physicians' practice patterns , 1994, The Journal of ambulatory care management.

[14]  Marc J. Wallace,et al.  Compensation theory and practice , 1983 .

[15]  J. Kralewski,et al.  Structural characteristics of medical group practices. , 1985, Administrative science quarterly.

[16]  D Mosel,et al.  Collaborative benchmarking in health care. , 1994, The Joint Commission journal on quality improvement.