IBJNews

Survey: Hospitals still rewarding docs for volume

Back to TopCommentsE-mailPrintBookmark and Share

Hospital leaders have done a good job talking about how they’re going to work with physicians to bring down costs while improving quality. But their recruitment patterns show they’re still incentivizing doctors for driving up procedure volumes.

According to the latest physician recruitment survey from Texas-based Merritt Hawkins, three-quarters of all physician searches include a performance bonus for the doctor. Fewer than 10 percent of those bonuses are tied to something other than volume of procedures.

“Though health reform encourages the use quality or cost based compensation metrics, few search assignments Merritt Hawkins conducted in 2010/11 featured such metrics,” Merritt Hawkins staff wrote in a summary of the survey. “Volume/production remains the standard.”

The survey is based on the nearly 2,700 physician searches Merritt Hawkins worked on from April 1, 2010 until March 31, 2011.

Most of these searches—56 percent—were conducted for hospitals, up from just 23 percent for hospitals five years ago.

Family practice and general internal medicine were the most common specialty searched for, the same as the previous five years.

In Indianapolis, the four major hospitals systems all have been employing more physicians, or pulling them in to tight agreements.

The latest example is Indiana University Health’s deal with Central Indiana Cancer Centers. IBJ reported last week that IU Health purchased the oncology practice’s five locations and took on its 150 staff members. The 16 physicians connected with the practice remain independent but have signed a service agreement to provide cancer care within the IU Health system.

IU Health also has more than 500 employed physicians. And Indianapolis-based Community Health Network has more than 550 employed physicians.

The federal Medicare program is creating an accountable care program in which it will pay bonuses to hospital-doctor groups that demonstrate high-quality care and also save money while taking care of a specific group of Medicare patients.

But those payment arrangements will not begin until 2012, and private health plans likely will follow later than that. In the meantime, hospital systems get paid based almost entirely based on the number of procedures performed in their facilities.

 

ADVERTISEMENT

Post a comment to this story

COMMENTS POLICY
We reserve the right to remove any post that we feel is obscene, profane, vulgar, racist, sexually explicit, abusive, or hateful.
 
You are legally responsible for what you post and your anonymity is not guaranteed.
 
Posts that insult, defame, threaten, harass or abuse other readers or people mentioned in IBJ editorial content are also subject to removal. Please respect the privacy of individuals and refrain from posting personal information.
 
No solicitations, spamming or advertisements are allowed. Readers may post links to other informational websites that are relevant to the topic at hand, but please do not link to objectionable material.
 
We may remove messages that are unrelated to the topic, encourage illegal activity, use all capital letters or are unreadable.
 

Messages that are flagged by readers as objectionable will be reviewed and may or may not be removed. Please do not flag a post simply because you disagree with it.

Sponsored by
ADVERTISEMENT

facebook - twitter on Facebook & Twitter

Follow on TwitterFollow IBJ on Facebook:
Follow on TwitterFollow IBJ's Tweets on these topics:
 
Subscribe to IBJ
  1. Hiking blocks to an office after fighting traffic is not logical. Having office buildings around the loop, 465 and in cities in surrounding counties is logical. In other words, counties around Indianapolis need office buildings like Keystone, Meridian, Michigan Road/College Park and then no need to go downtown. Financial, legal, professional businesses don't need the downtown when Carmel, Fishers, North Indy are building their own central office buildings close to the professionals. The more Hamilton, Boone county attract professionals, the less downtown is relevant. Highrises have no meaning if they don't have adequate parking for professionals and clients. Great for show, but not exactly downtown Chicago, no lakefront, no river to speak of, and no view from highrises of lake Michigan and the magnificent mile. Indianapolis has no view.

  2. "The car count, THE SERIES, THE RACING, THE RATINGS, THE ATTENDANCE< AND THE MANAGEMENT, EVERY season is sub-par." ______________ You're welcome!

  3. that it actually looked a lot like Sato v Franchitti @Houston. And judging from Dario's marble mouthed presentation providing "color", I'd say that he still suffers from his Dallara inflicted head injury._______Considering that the Formula E cars weren't going that quickly at that exact moment, that was impressive air time. But I guess we shouldn't be surprised, as Dallara is the only car builder that needs an FAA certification for their cars. But flying Dallaras aren't new. Just ask Dan Wheldon.

  4. Does anyone know how and where I can get involved and included?

  5. While the data supporting the success of educating our preschoolers is significant, the method of reaching this age group should be multi-faceted. Getting business involved in support of early childhood education is needed. But the ways for businesses to be involved are not just giving money to programs and services. Corporations and businesses educating their own workforce in the importance of sending a child to kindergarten prepared to learn is an alternative way that needs to be addressed. Helping parents prepare their children for school and be involved is a proven method for success. However, many parents are not sure how to help their children. The public is often led to think that preschool education happens only in schools, daycare, or learning centers but parents and other family members along with pediatricians, librarians, museums, etc. are valuable resources in educating our youngsters. When parents are informed through work lunch hour workshops in educating a young child, website exposure to exceptional teaching ideas that illustrate how to encourage learning for fun, media input, and directed community focus on early childhood that is when a difference will be seen. As a society we all need to look outside the normal paths of educating and reaching preschoolers. It is when methods of involving the most important adult in a child's life - a parent, that real success in educating our future workers will occur. The website www.ifnotyouwho.org is free and illustrates activities that are research-based, easy to follow and fun! Businesses should be encouraging their workers to tackle this issue and this website makes it easy for parents to be involved. The focus of preschool education should be to inspire all the adults in a preschooler's life to be aware of what they can do to prepare a child for their future life. Fortunately we now know best practices to prepare a child for a successful start to school. Is the business community ready to be involved in educating preschoolers when it becomes more than a donation but a challenge to their own workers?

ADVERTISEMENT