All clinicians are aware that much of the work they perform is not billable. The gap between effort and reward is particularly acute in primary care, where some doctors may be disinclined to accept complicated new patients because it could mean uncompensated work in coordinating care.
At Brigham and Women’s and Massachusetts General Hospital, a new compensation system is being introduced to incentivize primary care physicians to accept new and complicated patients. Ten percent of a doctor’s salary will now be based on patient volume and complexity.
The leaders of the plan admit that they have yet to refine measures of complexity, but they are optimistic that this plan will help meet the growing need for primary care services.