TY - JOUR
T1 - Plastic surgeon financial compensation- incentivization models in surgical care delivery
T2 - The past, present, and future
AU - Lopez, Joseph
AU - Offodile, Anaeze C.
AU - Shenaq, Deana
AU - Schechter, Loren
AU - Chavis, Larry
AU - Hultman, Charles S.
AU - Dorafshar, Amir H.
N1 - Publisher Copyright:
© 2021 Lippincott Williams and Wilkins. All rights reserved.
PY - 2021/12/1
Y1 - 2021/12/1
N2 - Background: Surgeons are critical for the success of any health care enterprise. However, few studies have examined the potential impact of value-based care on surgeon compensation. Methods: This review presents value-based financial incentive models that will shape the future of surgeon compensation. The following incentivization models will be discussed: pay-for-reporting, pay-for-performance, pay-for-patientsafety, bundled payments, and pay-for-academic-productivity. Moreover, the authors suggest the application of the congruence model-a model developed to help business leaders understand the interplay of forces that shape the performance of their organizations-to determine surgeon compensation methods applicable in value-based care-centric environments. Results: The application of research in organizational behavior can assist health care leaders in developing surgeon compensation models optimized for valuebased care. Health care leaders can utilize the congruence model to determine total surgeon compensation, proportion of compensation that is short term versus long term, proportion of compensation that is fixed versus variable, and proportion of compensation based on seniority versus performance. Conclusion: This review provides a framework extensively studied by researchers in organizational behavior that can be utilized when designing surgeon financial compensation plans for any health care entity shifting toward valuebased care.
AB - Background: Surgeons are critical for the success of any health care enterprise. However, few studies have examined the potential impact of value-based care on surgeon compensation. Methods: This review presents value-based financial incentive models that will shape the future of surgeon compensation. The following incentivization models will be discussed: pay-for-reporting, pay-for-performance, pay-for-patientsafety, bundled payments, and pay-for-academic-productivity. Moreover, the authors suggest the application of the congruence model-a model developed to help business leaders understand the interplay of forces that shape the performance of their organizations-to determine surgeon compensation methods applicable in value-based care-centric environments. Results: The application of research in organizational behavior can assist health care leaders in developing surgeon compensation models optimized for valuebased care. Health care leaders can utilize the congruence model to determine total surgeon compensation, proportion of compensation that is short term versus long term, proportion of compensation that is fixed versus variable, and proportion of compensation based on seniority versus performance. Conclusion: This review provides a framework extensively studied by researchers in organizational behavior that can be utilized when designing surgeon financial compensation plans for any health care entity shifting toward valuebased care.
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U2 - 10.1097/PRS.0000000000008528
DO - 10.1097/PRS.0000000000008528
M3 - Review article
C2 - 34847135
AN - SCOPUS:85120794948
SN - 0032-1052
VL - 148
SP - 1415
EP - 1422
JO - Plastic and reconstructive surgery
JF - Plastic and reconstructive surgery
IS - 6
ER -