And It’s Back to Straight Salary

The huge Geisinger Health System has announced that they did away with physician bonuses altogether this summer and put all of its 1,600 employed doctors on a straight salary. They are going to pay each physician at or above the national average whether in primary care or a specialty.

So what happens to some of these things?

  • Alternative payment models, or APMs
  • Value-based reimbursement
  • Quality, cost and satisfaction measures
  • 50/50 split next year between RVUs and patient sign-ups
  • Value metrics

Don’t worry, they aren’t going anywhere  They may hide for a while but these ridiculous models are like sand people and like Obi-Wan Kenobi said, “They’ll soon be back and in greater numbers”.

Why?  Because this is what administrators do. If you take away their toys then they lose their jobs. And you know that ain’t going to happen.

Douglas Farrago MD

Douglas Farrago MD is a full-time practicing family doc in Forest, Va. He started Forest Direct Primary Care where he takes no insurance and bills patients a monthly fee. He is board certified in the specialty of Family Practice. He is the inventor of a product called the Knee Saver which is currently in the Baseball Hall of Fame. The Knee Saver and its knock-offs are worn by many major league baseball catchers. He is also the inventor of the CryoHelmet used by athletes for head injuries as well as migraine sufferers. Dr. Farrago is the author of four books, two of which are the top two most popular DPC books. From 2001 – 2011, Dr. Farrago was the editor and creator of the Placebo Journal which ran for 10 full years. Described as the Mad Magazine for doctors, he and the Placebo Journal were featured in the Washington Post, US News and World Report, the AP, and the NY Times. Dr. Farrago is also the editor of the blog Authentic Medicine which was born out of concern about where the direction of healthcare is heading and the belief that the wrong people are in charge. This blog has been going daily for more than 15 years Article about Dr. Farrago in Doximity Email Dr. Farrago – [email protected] 

  1 comment for “And It’s Back to Straight Salary

  1. HJR
    March 14, 2017 at 9:49 am

    All their bullshit toys, excuses, and metrics are designed to do one and only one thing; rip their docs off – plain and simple.

    And for the record, they arent going to pay anything near the national average. They’ll say it’s an “adjusted average” which will most likely be 85% of whatever low ball average they find. I guarantee it. But hey, their docs don’t even have any contracts so the administrators can say and do whatever they want.

    A word of advice. RUN!

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