Reforming Physician Payment Report of a Conference (1984) / Chapter Skim
Currently Skimming:
Physician Payment Methods: Forms and Levels of Physician Compensation
Physician Payment Methods: Forms and Levels of Physician Compensation
Pages 87-100
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From page 87... ...
While none of these observers believe that physicians conduct their medical practice solely for pecuniary gains, they do believe -- and there is some, albeit limited, evidence to support this belief -- that such motivations do influence physicians' * Other important pieces of the economic environment of the physician are the tax system and the system by which funds are raised for meeting the costs of medical services.
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From page 88... ...
The latter estimate is constructed in three steps. First, published data from the American Medical Association Masterf lie are used to group physicians on the basis of their reported employment setting and professional activities.
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From page 89... ...
Bidese and Donald G Danais, Physician Characteristics and Distribution in the U.S., 1981 ea., American Medical Association, Tables 2 and 6, pages 38 and 64, respectively.
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From page 90... ...
Their compensation is in the form of salary, sometimes referred to as a stipend (Association of American Medical Colleges, 1980, page 169 ~ . Compensation levels for these physicians have grown significantly from the era when they literally resided in the hospital.
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From page 91... ...
Too, these categories are highly simplified characterizations of income distribution plans that often are quite complicated (see, for example, Medical Group Management Association, 1978~. Information on the net incomes of office-based practitioners in 1980, by specialty, are available from the Periodic Survey of Physicians.
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From page 92... ...
AMA, Center for Health Services Research and Development, 1981. 1 1980 net income figures were projected by survey respondents.
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From page 93... ...
In 1981 the AMA instituted a new series of surveys that include all practicing physicians, both office-based and hospital-based. Data on physician net incomes from this new Socioeconomic Monitoring System therefore are not strictly comparable with those from the former Periodic Survey of Physicians, and thus conclusions about trends in incomes must be made cautiously.
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From page 94... ...
. Data on medical faculty salaries are collected by the Association of American Medical Colleges and reported, by faculty rank, for the two forms of compensation.
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From page 95... ...
refers to physicians whose incomes are positively influenced by revenues they generate, including medical school faculty receiving salary supplements, hospital-based physicians under percentage arrangements, and group practice members receiving incentive compensation. Assuming that all solo office-based practitioners are fee-for-service, that all federal physicians are salaried (since their bonus arrangements are independent of the volume of services rendered)
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From page 96... ...
Even salaried physicians' incomes often bear some relation to the quantity of services they provide, even though the relationship is less direct than for fee-£or-service practitioners. As one observer notes, to assess the economic incentives in salaried practice it is necessary to consider the incentives and reward structure of the institution paying the physician's salary (Reinhardt, 1983~.
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From page 97... ...
and Lynn E Jensen, The American Medical Association's Periodic Survey of Physicians,.
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From page 98... ...
Smith, Jr., Medical Practice Plans in 1980. Washington, D.C.: Association of American Medical Colleges, February 1981.
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From page 99... ...
19,240 ~ 62%) pract ice Teaching, administ rat ion ~ research 32, 523 ( 100%)
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