title: A physician incentive compensation program in a staff model HMO.
abstract: A physician incentive program was developed at an established staff model HMO. Differential compensation, which augments a salary scale that reflects years of experience and service, is based on productivity and utilization of laboratory and x-ray services. Productivity is objectively measured on a relative-value-scale for time utilized for a range of types of visits. Laboratory and x-ray utilization is measured against recent historical practice patterns. A case mix adjustment stratifies for age in the adult patient encounters.
authors.affiliation: Blue Care Network-Health Central, Lansing, MI 48917.
authors.forename: D J
authors.initials: DJ
authors.lastname: Lipsitz
authors.forename: H J
authors.initials: HJ
authors.lastname: Nagler
authors.forename: A
authors.initials: A
authors.lastname: Giannelli
mesh_terms: D019411:Clinical Laboratory Techniques / Q000191:economics / Q000706:statistics & numerical data; D004526:Efficiency; D006279:Health Maintenance Organizations / Q000191:economics*; D008503:Medical Staff / Q000191:economics*; D008824:Michigan; D010816:Physician Incentive Plans / Q000458:organization & administration*; D010934:Planning Techniques; D010818:Practice Patterns, Physicians' / Q000191:economics*; D011859:Radiography / Q000191:economics / Q000706:statistics & numerical data; D015895:Relative Value Scales; D000078329:Workforce