Table 2. Compensation Types for PCPs and Specialists.
Financial incentive type | PCPs | Specialists | ||||||
---|---|---|---|---|---|---|---|---|
POs including, No. (%) | Compensation when included, % | POs including, No. (%) | Compensation when included, % | |||||
Mean | Median | Range | Mean | Median | Range | |||
Base compensation incentives | 31 (100) | 86.3 | 85.0 | 62.0-100 | 30 (100) | 93.1 | 95.0 | 65.0-100 |
Salary | 8 (25.8) | 69.7 | 80.0 | 15.8-89.0 | 8 (26.7) | 67.9 | 77.5 | 38.0-92.5 |
Capitation | 9 (29.0) | 33.3 | 27.0 | 3.8-90.0 | 3 (10.0) | 54.7 | 52.0 | 13.0-99.0 |
Volume | 26 (83.9) | 68.2 | 81.4 | 5.0-100 | 28 (93.3) | 73.7 | 90.5 | 2.5-100.0 |
Profit sharing | 4 (12.9) | 11.6 | 12.6 | 6.0-15.3 | 2 (6.7) | 10.1 | 10.1 | 10.0-10.2 |
Quality and cost performance incentives | 26 (83.9) | 9.0 | 8.3 | 1.0-25.0 | 17 (56.7) | 5.3 | 4.5 | 0.5-16.0 |
Clinical quality or patient safety | 21 (67.7) | 4.7 | 4.8 | 0.8-13.7 | 12 (40.0) | 3.2 | 3.0 | 1.1-8.0 |
Panel size | 8 (25.8) | 4.8 | 4.8 | 0.2-11.0 | 1 (3.3) | 5.0 | 5.0 | 5.0 |
Patient satisfaction/experience | 16 (51.6) | 2.8 | 2.5 | 0.9-6.0 | 15 (50.0) | 2.1 | 2.0 | 0.5-3.6 |
Efficient utilization of resources | 6 (19.4) | 4.4 | 3.8 | 1.0-10.0 | 2 (6.7) | 2.0 | 2.0 | 0.5-3.6 |
Total cost of care | 1 (3.2) | 5.0 | 5.0 | 5.0 | 0 | NA | NA | NA |
Access | 7 (22.6) | 1.5 | 1.0 | 0.1-5.0 | 2 (6.7) | 7.5 | 7.5 | 2.0-13.0 |
Other incentives | 16 (51.6) | 7.6 | 5.1 | 1.5-20.0 | 9 (30.0) | 6.6 | 5.0 | 0.5-27.0 |
HCC/RAF coding | 6 (19.4) | 5.7 | 5.8 | 1.0-10.0 | 0 | NA | NA | NA |
Code submission or accuracy | 2 (6.5) | 7.8 | 7.8 | 3.5-12.0 | 1 (3.3) | 4.5 | 4.5 | 4.5 |
Citizenship or participation | 13 (41.9) | 4.0 | 5.0 | 1.2-7.3 | 11 (36.7) | 5.6 | 3.0 | 0.5-27.0 |
Other | 16 (51.6) | 5.4 | 5.0 | 1.0-15.0 | 9 (30.0) | 5.2 | 3.0 | 1.0-15.0 |
Abbreviations: HCC, hierarchical condition category; NA, not applicable; PCPs, primary care physicians; POs, physician organizations; RAF, risk adjustment factor.