Comments on: Operating on Commission http://healthcare-economist.com/2007/04/06/operating-on-commission/ Sat, 20 Mar 2010 02:52:13 +0000 http://wordpress.org/?v=2.9.2 hourly 1 By: Joseph Paduda http://healthcare-economist.com/2007/04/06/operating-on-commission/comment-page-1/#comment-229 Joseph Paduda Fri, 13 Apr 2007 11:33:55 +0000 http://healthcare-economist.com/2007/04/06/operating-on-commission/#comment-229 Jason - i'd say the key question is how many surgeries are the right number of surgeries? Once that question is answered the impact of the compensation plans can be assessed appropriately. Joe Paduda Jason – i’d say the key question is how many surgeries are the right number of surgeries?

Once that question is answered the impact of the compensation plans can be assessed appropriately.

Joe Paduda

]]> By: Josh Umbehr http://healthcare-economist.com/2007/04/06/operating-on-commission/comment-page-1/#comment-230 Josh Umbehr Fri, 06 Apr 2007 13:04:14 +0000 http://healthcare-economist.com/2007/04/06/operating-on-commission/#comment-230 First off - Great site w/ great info. As for the article, I love these kind of studies and I found this one especially interesting. My first thought when reading that FFS raised surgical rates 155% i thought "155% of what?!". I don't think you can reasonably use physicians who are paid by capitation as your standard or control by which to judge a change. The "true baseline" is theoretically in the middle b/c intuitively we know that when anyone is paid fore each procedure they'll do more, and when anyone is paid the same regardless of # of procedure, they'll do fewer. Capitation = don't work harder than you have. Did i make that point clear enough? Any thoughts First off – Great site w/ great info.

As for the article, I love these kind of studies and I found this one especially interesting. My first thought when reading that FFS raised surgical rates 155% i thought “155% of what?!”. I don’t think you can reasonably use physicians who are paid by capitation as your standard or control by which to judge a change. The “true baseline” is theoretically in the middle b/c intuitively we know that when anyone is paid fore each procedure they’ll do more, and when anyone is paid the same regardless of # of procedure, they’ll do fewer. Capitation = don’t work harder than you have.

Did i make that point clear enough? Any thoughts

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