Physician salary and job satisfaction survey: Who’s earning … and who’s staying

From Fierce Practice Management:

Physicians must weigh many factors when choosing solo private practice, independent group practice or hospital or health system employment. A new survey from Physicians Practice looks at the differences in how doctors in these various settings are paid and how likely they are to stick with their current circumstances or change them.

Physicians who identified themselves as owners or partners reported the highest earnings, with nearly 19 percent earning more than $450,000 per year. Nearly half of the physicians in this group (46 percent) said that their pay was based entirely on productivity, leading many to increase the number of patients they see in a day.

Chest Pain Is Top Item On Nation’s $80 Billion ER Care Bill

From WBUR:

Every year, Americans log a total of about 130 million visits to emergency rooms, Dr. Slutzman said. Among those visits, according to his team’s analysis of millions of records, patients who come in for chest pain are the single biggest line item on the bill.

“Chest pain is one of the two most common reasons somebody comes into the Emergency Department,” he said. “It’s somewhere on the order of 5 percent of all visits,” which may not seem like very much until you realize it’s 5 percent of 130 million, and each chest-pain visit costs about $1,000.

The grand total: $4.7 billion. It’s so high because chest pain is both a high-volume diagnosis and the treatment is high-intensity, Slutzman said, usually including blood tests, X-rays, sometimes CT scans and sometimes stress tests. They add up.

Geisinger to begin offering refunds to unsatisfied patients

From Becker’s:

Geisinger Health System President and CEO David Feinberg, MD, said the Danville, Pa.-based health system is going to start offering a money-back guarantee to patients who receive care at its facilities, according to a Times Leader report.

Dr. Feinberg discussed the plan at the sixth annual Health Care Symposium at Misericordia University on Friday. According to Dr. Feinberg, after patients receive care at a Geisinger facility, they will be able to use a smartphone app to tell the system about their experience and then request a refund if they are unhappy with the care they received.

“The refund page knows how much you paid. There’s a sliding scale. You can ask for $100 back, or $2,000 back,” Dr. Feinberg said, according to the report.

The app, called Geisinger ProvenExperience, has already had a soft launch and will formally launch this week.