Abstract
Some view the change in physician compensation from fee-for-service to managed care as merely a technical issue. Systems can switch from paying physicians for what they charge patients to the health maintenance approach in which a physician is paid prospectively and the incentive is to minimize services used. Greater attention should be paid to nonmonetary aspects of motivation—the purpose of the organization in which physicians practice and creating work environments that enhance professional satisfaction.
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This paper is a synthesis of my current understanding of what various scholars have written, and of 15 years of experience in the governance structures of a physician group practice. It does not state official, majority or perhaps even broadly held views of my organization.
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Plume, S. Redesigning physician compensation mechanisms: A fool's errand?. Motiv Emot 19, 205–210 (1995). https://doi.org/10.1007/BF02250512
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DOI: https://doi.org/10.1007/BF02250512