Hospitalist contract - healthcare reform addendum that cuts pay

[wamcp]

"11. Healthcare Reform Compensation Revision. If, during the Term, XXXXX or the XXXXX Health System Hospitals is paid for professional services on a basis materially different than fee for service based on a relative weighting of the professional effort embedded in the professional service, and such revised payment is or is expected to be different than the mix of payments received for Physician’s services, then, upon thirty (30) days’ advance written notice, XXXXX may revise the Physician's compensation during the Term to better reflect the manner in which the XXXXX Health System Hospitals or XXXXX is compensated for services. If the Parties are unable to agree upon a revised Physician compensation structure at the conclusion of the initial thirty (30) day notice period, either Party shall have a right to terminate the Agreement in its entirety upon thirty (30) days additional notice. During the initial and additional thirty (30) day periods, the compensation structure set forth in this Agreement shall continue in to be in force and effect."

Anyone find these in their hospitalist contract renewals this year too?

Not surprised hospital administration is prepping to cut our pay for Sanders M4A. Is it too much to ask for them to insert a contract addendum stating they'll slash their own salaries and lay off their useless corporate suits if reform takes place?

---

Members don't see this ad.

 

[IMGASMD]

Also ask to see their reimbursement rates. If they renegotiate a better with insurance company, you should get a raise.

GTFO.

 

[chessknt]

"11. Healthcare Reform Compensation Revision. If, during the Term, XXXXX or the XXXXX Health System Hospitals is paid for professional services on a basis materially different than fee for service based on a relative weighting of the professional effort embedded in the professional service, and such revised payment is or is expected to be different than the mix of payments received for Physician’s services, then, upon thirty (30) days’ advance written notice, XXXXX may revise the Physician's compensation during the Term to better reflect the manner in which the XXXXX Health System Hospitals or XXXXX is compensated for services. If the Parties are unable to agree upon a revised Physician compensation structure at the conclusion of the initial thirty (30) day notice period, either Party shall have a right to terminate the Agreement in its entirety upon thirty (30) days additional notice. During the initial and additional thirty (30) day periods, the compensation structure set forth in this Agreement shall continue in to be in force and effect."

Anyone find these in their hospitalist contract renewals this year too?

Not surprised hospital administration is prepping to cut our pay for Sanders M4A. Is it too much to ask for them to insert a contract addendum stating they'll slash their own salaries and lay off their useless corporate suits if reform takes place?

I imagine this practically having no effect in the near future but if it did I gives you a few months to look elsewhere for a job. You might negotiate the 30 day termination pause to 90 days to give yourself enough time to license and credential somewhere else.

 

[deleted480308]

cross that crap out and tell them forget it

 

[VA Hopeful Dr]

cross that crap out and tell them forget it

That's always an option, but they're likely to then tell you to seek employment elsewhere.

 

[deleted480308]

That's always an option, but they're likely to then tell you to seek employment elsewhere.

until that clause become present in >75% of jobs, I would push the issue

 

[VA Hopeful Dr]

until that clause become present in >75% of jobs, I would push the issue

It's been in every hospital system contract I've signed in the last 7 years (4 at this point).

It's basically their way of hedging things should Medicare go to a 100% quality based reimbursement.

 

[deleted480308]

It's been in every hospital system contract I've signed in the last 7 years (4 at this point).

It's basically their way of hedging things should Medicare go to a 100% quality based reimbursement.

that's unfortunate. M4A is dumb as hell

 

[VA Hopeful Dr]

that's unfortunate. M4A is dumb as hell

This is independent of M4A, it's just a current trend where Medicare is moving away from 100% FFS.

It's already happening, why do you think hospitals care so much about quality metrics?

 

[deleted480308]

This is independent of M4A, it's just a current trend where Medicare is moving away from 100% FFS.

It's already happening, why do you think hospitals care so much about quality metrics?

I certainly do see that, it’s particularly frustrating when the metrics aren’t important. Moreso when the bar just keeps getting moved so the next year you must meet your highest performance

The whole thing sucks

 

[bronx43]

I certainly do see that, it’s particularly frustrating when the metrics aren’t important. Moreso when the bar just keeps getting moved so the next year you must meet your highest performance

The whole thing sucks

Honestly at this point fully socialized isn’t looking too bad

 

[deleted480308]

Honestly at this point fully socialized isn’t looking too bad

Well that’s not true, it will be worse then

 

[bronx43]

Well that’s not true, it will be worse then

Rather UK model than Medicare Advantage for all,which is the way it appears to be going

 

[deleted480308]

Rather UK model than Medicare Advantage for all,which is the way it appears to be going

Their model isn’t better

 

[bronx43]

Their model isn’t better

Rather Government cesspool than corporate overlords getting handouts from the government while having doctors under their thumbs.

If we get Medicare advantage for all, reimbursements will tank as these privately run Medicare programs dominate the market. They will continue to impose ridiculous quality metrics and restrictions on treatments and diagnostics. Want to keep doing peer to peers for everything while not making any money? Want to write letter of appeal after letter of appeal for medically indicated medications? Want to continue to be subjugated by the whims of "patient satisfaction"? Want to do all this while taking a 30% paycut and fearing for your job as financially stressed hospitals replace you with NPs to stay in the black? Meanwhile CEO of Aetna will still be pulling $100 mil bonuses.

And since it will still be a privatized system, you won’t be an employee of the government and will be subject to medicolegal threat.

 

[jm192]

that's unfortunate. M4A is dumb as hell

I think it's more of a response to the benchmark legislation in an attempt to stop surprise billing. The belief is that if legislation passes saying that out of network providers only get the median of in-network--above the median proviers have no incentive to work with you--and can cut their rates to the median. Which in turn drops the median. And now someone else is above the median. And this keeps repeating itself until everyone hits Medicare rates. And NOW the whole game is unsustainable. Unless of course, your Private Equity company passes the screw job along to you.