Becker's Hospital Review

55 FINANCE CMO / CARE DELIVERY Which Medical Group Executives Earn Most? 4 Things to Know By Emily Rappleye T he most lucrative medical group leadership position is a physician executive role at a large physician-owned practice in the Midwest, according to trends from a new survey from the Medical Group Management Association. Based on 2015 data from more than 67,000 managers and staff, MGMA was able to note several trends in medical group manage- ment compensation. Here are four highlights from the survey. 1. Non-physician executives and administrators earn more in hospital-owned practice settings, while physi- cian executives earn more in physician-owned practic- es. Here is the breakdown. Hospital-owned practice median annual compensation Physician- owned practice median annual compensation Non-physician CEO $305,000 $242,000 Administrator $141,000 $100,600 Physician executive $300,000 $350,000 2. Practice CEO and executive director paychecks grow with practice size. MGMA data shows CEOs and executive directors at medical practices with 25 or fewer employees earned median annual compensation of $181,000 in 2015, while those with 26-50 employees earned $252,000 and those at practices with 151 full-time employees or more earned $430,000 that same year. 3. CEOs and executive directors of physician practic- es earn most in the Midwest. Leaders at larger practices in the Midwest earned median annual compensation of more than $447,500 in 2015, while those at practices with 25 or fewer full time employees earned less than $234,000. Also of note, executives earn less than their peers at similarly sized practices when they work at large practices in the East and small practices in the South, accord- ing to MGMA. 4. Executives earn bigger bonuses and incentives at hospi- tal-owned practices. For physician executives, median bonuses at hospital-owned practices in 2015 were nearly $70,000, while non-physi- cian executives earned median bonuses of $24,000. At physician-owned practices, physician executives earned median bonuses of $36,000, while non-physician executives earned $10,000 bonus and incentive packages in 2015. n ED Death Rates Down Nearly 50% By Emily Rappleye M ortality among adults in U.S. emergency departments was nearly cut in half between 1997 and 2011. The decline in deaths is likely due to a combination of factors, including enhanced palliative, pre-hospital and emergency care, according to a study published in Health Affairs. Researchers analyzed ED visit data from adults 18 years of age and older throughout the study period, totaling more than 1.3 billion ED visits across the country. They found the patients most likely to die in the ED were more likely to be older white males who have more severe triage acuity scores. The researchers also noted that EDs in rural areas and in the South had higher mortality rates. In analyzing this data, the researchers found that ED mortality rates dropped 48 percent over the study period. While this could be because more patients are surviving until they are admitted as inpatients, the researchers noted there was no significant drop in inpatient mortality from 2005 to 2011. Instead, they believed the root cause of this drop to be multifacto- rial, due to advances in palliative and hospice care, pre-hospital resuscitation policy changes, improved quality for Medicaid and Medicare patients and im- provements in emergency medicine. n BECKER'S CEO + CFO ROUNDTABLE november 7-9, 2016 swissotel, chicago Call 1.800.417.2035 or email registration@ beckershealthcare.com keynotes by dr. ronald dephinho, dr. charles w. sorenson, dr. richard gilfillan, catherine jacobson, warner thomas & jonathan bush

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