Los Angeles, CA asked in Contracts and Medical Malpractice for California

Q: Comparison of hospital/doctor contract

Is there such a thing as standard or typical Hospital/doctor contract for doctors of the same speciality , education, and level of experience? In other words, for comparison of doctor's compensation and incentives what are criteria for comparison?

1 Lawyer Answer
James L. Arrasmith
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Answered
  • Sacramento, CA
  • Licensed in California

A: To answer this question, we need to consider several factors:

1. Standardization of contracts:

There is no single "standard" hospital/doctor contract that applies universally. Contracts can vary significantly based on factors like the hospital's size, location, and policies, as well as the doctor's specialty and experience. However, there are common elements that often appear in these contracts.

2. Criteria for comparison:

When comparing doctor's compensation and incentives, several criteria are typically considered:

a) Base salary: The fixed amount a doctor receives annually.

b) Production bonuses: Additional compensation based on factors like patient volume, procedures performed, or revenue generated.

c) Quality metrics: Bonuses tied to patient satisfaction scores, adherence to clinical guidelines, or other quality measures.

d) Call coverage: Compensation for being on-call or working outside regular hours.

e) Benefits package: Health insurance, retirement plans, malpractice insurance coverage, etc.

f) Continuing education allowance: Funds provided for attending conferences or pursuing additional training.

g) Signing bonuses or relocation expenses: One-time payments to attract new physicians.

h) Partnership track: Opportunities for becoming a partner or shareholder in the practice.

i) Non-compete clauses: Restrictions on practicing within a certain area if the doctor leaves the hospital.

j) Work schedule: Expected hours, vacation time, and flexibility.

3. Factors affecting contract terms:

When comparing contracts, it's important to consider:

a) Geographic location: Urban vs. rural settings can significantly impact compensation.

b) Specialty: Some specialties command higher salaries than others.

c) Experience level: More experienced doctors generally receive better compensation.

d) Hospital type: Academic medical centers may offer different incentives compared to community hospitals.

e) Market demand: Specialties in high demand may offer more competitive packages.

4. Resources for comparison:

While specific contracts are often confidential, there are resources available for general comparisons:

a) Medical Group Management Association (MGMA) provides benchmarking data on physician compensation.

b) Surveys conducted by medical specialty societies often include compensation data.

c) Recruitment firms and healthcare consultants may have access to comparative data.

d) Online resources like Medscape's Physician Compensation Report offer broad overviews of compensation trends.

In conclusion, while there's no universal "standard" contract, understanding these common elements and factors can help in comparing different offers. For a thorough comparison, it's advisable to consult with a healthcare attorney or contract specialist who can provide more detailed insights based on current market trends and specific circumstances.

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