Primary Care Physician Incentives in Medical Group Practices

摘要: CONTEXT Although medical groups are adapting to changes in financing health care, little is known about individual physician incentives this environment. OBJECTIVES To describe methods group practices use compensate primary care physicians a managed environment and examine the association of revenue sources for practice from all patients incentives. DESIGN We surveyed by mail administrators that had at least 200 members continuously enrolled 1995. SETTING Group contractual arrangements with Blue Cross/Blue Shield Minnesota. PARTICIPANTS One hundred 129 returned usable surveys. RESULTS Most some portion physicians' compensation risk, although 17 compensated them through fully guaranteed annual salary. Seventy-one used productivity, 4 quality 1 utilization, 30 financial performance. Factors reported significantly influence included billings or charges, overall performance, net profit. Groups higher proportion income various types fee-for-service lower proportions base salary were more likely relate measures productivity. CONCLUSIONS Substantial variation exists implemented groups. Base salary, performance most frequently determine compensation. Physician personal risk was derived contracts.