HCPro.com: Physician Compensation & Recruitment

May 2008 (Volume 9, Issue 5)	view entire issue

Practices prepare for more part-time physicians
The number of physicians practicing part-time is increasing, presenting new challenges to practices and hospitals that are already feeling the dual pressures of physician shortages and a rising demand for medical services. Nearly one in five physicians now practices at less than a full-time-equivalent (FTE) rate, according to the Cejka Search and AMGA 2007 Physician Retention Survey. Between 2005 and 2007, the percentage of physicians practicing part-time increased from 13% to 19%.

OB/GYNs struggle with malpractice insurance costs
Most of the challenges facilities face in recruiting and compensating OB/GYN physicians can be traced back to a single problem: medical liability insurance. This is one of the most substantial operating costs for OB/GYNs, who pay some of the highest rates of any specialty. Premiums for an OB/GYN vary greatly depending upon location, ranging from a little more than $20,000 in Min-nesota to more than $275,000 in Dade County, FL, according to the Medical Liability Monitor 2007 Rate Survey.

Measurement key to pay-for-performance success
Initial pay-for-performance (P4P) programs attempted to answer big-picture questions about whether properly structured financial incentives could change physician behavior and improve the quality of care. P4P has been around long enough now for the healthcare industry to observe marked improvements in performance measures, particularly in primary care.

Combine local, national data when developing comp plan
Finding relevant data in compensation surveys can require filtering out a lot of unnecessary data. There are several industry compensation surveys to choose from, each containing hundreds of pages of data sliced into multiple categories. And since fall 2007's Stark III regulation changes eliminated the guidelines that required fair market value (FMV) to be calculated using at least four national safe harbor benchmarking sources, there are more options for determining FMV than before.

Other recently-published articles from Physician Compensation & Recruitment:

Integrating comp plans key to practice merger success

Oncologists explore new models to prepare for shortage

Survey reveals competitiveness of recruitment

Combine local, national data when developing comp plan

Measurement key to pay-for-performance success

OB/GYNs struggle with malpractice insurance costs

Practices prepare for more part-time physicians

Merge recruitment, retention efforts to keep top physicians

Tension with hospitals doesn’t slow radiology comp climb

Physicians’ reasons for relocating: 1987 and today

Scrutinize FMV in a performance-based environment

Address the four pillars of hospitalist career satisfaction

Need for critical care boosts pulmonary medicine comp

Rural facilities struggle to recruit female physicians

Offer compensation to encourage medical staff leadership

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