NDLI: How Geisinger structures its physicians' compensation to support improvements in quality, efficiency, and volume.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Lee, Thomas H. Bothe, Albert Steele, Glenn D.
Spatial Coverage	Pennsylvania
Description	Country affiliation: United States Author Affiliation: Lee TH ( Partners Healthcare System, Partners Community HealthCare, Geisinger Health System Foundation, USA. thlee@partners.org)
Abstract	The movement of US physicians toward working as employees rather than working as private practitioners is increasing interest in compensation systems that drive improved quality and efficiency without compromising the productivity of existing fee-for-service payment systems. We describe the approach of Geisinger Health System, an integrated delivery system in Pennsylvania that assigns about 20 percent of total expected physician compensation to incentives that support improvements in quality and efficiency along with growth in clinical volume. We believe that dedicating a moderate portion of physician compensation to achieving strategic goals, such as maximizing quality and efficiency, is improving the value of care provided at Geisinger. At the same time, because most of Geisinger's clinical care is still delivered and paid for on a fee-for-service basis, the incentives for clinical volume are enabling Geisinger to achieve the financial viability to pursue its mission.
File Format	HTM / HTML
ISSN	02782715
Issue Number	9
Volume Number	31
e-ISSN	15445208
Journal	Health Affairs
Language	English
Publisher	Project HOPE
Publisher Date	2012-09-01
Publisher Place	United States
Access Restriction	Subscribed
Subject Keyword	Economics Discipline Health Care Humans Quality Assurance, Health Care Journal Article Pennsylvania Medical Staff Organization & Administration Specialization Multi-institutional Systems Organizational Objectives Reimbursement Mechanisms Hospitals, Voluntary Discipline Medicine Salaries And Fringe Benefits Hospital-physician Relations Efficiency, Organizational Organizational Case Studies
Content Type	Text
Resource Type	Article
Subject	Health Policy

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