Becker's Hospital Review

Compensation 35 On-Call Coverage for Surgical Specialists Drops 10% in 2012 Report: Quality, Patients Will Have Bigger Role in Physician Compensation By Laura Miller  By Bob Herman  W hile on-call pay for surgical specialists dropped last year, surgeons are still compensated more highly than primary care physicians for their time on-call. According to the MGMA Medical Directorship and On-Call Compensation Survey: 2013 Report Based on 2012 Data released last month, 70 percent of all physicians received payment for on-call coverage in 2012, a 10 percent increase over the previous year. Surgical specialists, including orthopedists and neurosurgeons, are most in demand and average daily stipends were reported as $900 in 2012. Despite receiving more than primary care physicians — who reported on average $250 daily stipend for on-call coverage — surgical specialists saw a 10 percent rate decrease in 2012. n L ast year, primary care physicians and specialists both said quality metrics began to affect their compensation, a trend both physicians and others in the industry expect will tick upward, according to MGMA's newest physician compensation and production survey. Primary care physicians said 3 percent of their total pay was based on quality, while specialists said the same was true for 2 percent of their pay. This is the first time MGMA has reported quality and patient satisfaction metrics in their annual physician pay reports. "Quality and patient satisfaction metrics are not yet dominant components of physician compensation plans right now. However, as reimbursement models continue to shift, the small changes we've observed recently will gain momentum," said Susan Turney, MD, MGMA president and CEO, in a news release. "It's encouraging to see physician practices invested in patient-centered care and continuing to seek ways to better incorporate quality and experience into compensation methodologies." n Rural Hospital CEO, CFO Compensation: 24 Statistics By Bob Herman  Rural CEO compensation Depending on geography, size of facility and percentiles, a rural hospital CEO made between $120,000 and $392,000 in 2012. In partnership with the National Rural Health Association, Yaffe & Co., a healthcare compensation consulting firm, released data for its most recent rural hospital executive compensation survey this past April. Here are 12 statistics on rural hospital CEO compensation, based on Yaffe & Co.'s 2012 Executive Compensation Survey for CAH/Rural Hospitals. Note: The survey received responses from 197 rural hospital and critical access hospitals. Sixty-eight percent of responding hospitals had between 25 beds and 100 beds, and median full-time equivalents at responding hospitals ranged from 110 to 495. Hospital with less than $20 million of net patient revenue 25th percentile: $120,000 50th percentile: $135,594 75th percentile: $160,500 Hospital with $20 million to $50 million of net patient revenue 25th percentile: $164,925 50th percentile: $188,698 75th percentile: $225,000 Hospital with $50 million to $100 million of net patient revenue 25th percentile: $249,750 50th percentile: $267,500 75th percentile: $309,644 Hospital with more than $100 million of net patient revenue 25th percentile: $316,865 50th percentile: $358,500 75th percentile: $392,668 Rural CFO Compensation CFOs are usually the second-highest-paid executives at rural hospitals, and compensation for rural hospital CFOs ranged from $76,000 to $248,000 in 2012.   Here are 12 statistics on rural hospital CFO compensation, based on Yaffe & Co.'s 2012 survey. Note: The survey received responses from 197 rural hospital and critical access hospitals. Sixty-eight percent of responding hospitals had between 25 beds and 100 beds, and median fulltime equivalents at responding hospitals ranged from 110 to 495. Hospital with less than $20 million of net patient revenue 25th percentile: $76,210 50th percentile: $92,123 75th percentile: $106,850 Hospital with $20 million to $50 million of net patient revenue 25th percentile: $106,558 50th percentile: $123,698 75th percentile: $150,000 Hospital with $50 million to $100 million of net patient revenue 25th percentile: $143,748 50th percentile: $166,572 75th percentile: $201,400 Hospital with more than $100 million of net patient revenue 25th percentile: $196,255 50th percentile: $214,200 75th percentile: $248,499 n

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