Lipsitz D J, Nagler H J, Giannelli A
Blue Care Network-Health Central, Lansing, MI 48917.
HMO Pract. 1993 Jun;7(2):82-7.
A physician incentive program was developed at an established staff model HMO. Differential compensation, which augments a salary scale that reflects years of experience and service, is based on productivity and utilization of laboratory and x-ray services. Productivity is objectively measured on a relative-value-scale for time utilized for a range of types of visits. Laboratory and x-ray utilization is measured against recent historical practice patterns. A case mix adjustment stratifies for age in the adult patient encounters.
