|Providers Receive No Additional Compensation For On-Call Coverage
Thirty-eight percent of providers do not receive
additional compensation for on-call coverage, according to Medical
Group Management Association’s (MGMA) inaugural Medical
Directorship/On-Call Compensation Survey Report.
Almost 30 percent of providers in hospital-owned group
practices reported that they do not receiveadditional compensation for
on-call duties, compared with 42 percent of providers in non
"Historically, on-call duties have been sporadically
compensated by hospitals. However, we’re seeing more hospitals
compensating physicians and we’re seeing hospitals paying more.
Hospitals are realizing they must compensate group-practice physicians
for on-call duties," said Jeffrey Milburn, consultant, MGMA Health Care
Neurological surgeons reported the highest daily
compensation for on-call duties ($2,000), compared with pediatricians
($895) and urologists ($500). Physicians in multispecialty groups
reported higher compensation for on-call coverage than their peers in
single-specialty groups. This trend also occurs in cardiology,
obstetrics and gynecology, orthopedics and family practice. Only
neurological specialists reported a higher daily rate for on-call
compensation in a single-specialty group ($2,850) than in a
multispecialty group ($1,450).
Variations emerged regionally in on-call compensation.
Neurosurgeons in the eastern region of the United States received
almost 71 percent higher compensation for on call duties ($2,850) than
peers in the western region ($1,667). General surgeons in the eastern
region received $500 daily for on-call services, while their peers in
the Midwest earned $1,000 daily. Physicians in nonsurgical specialties
earned more than double the daily compensation for on-call coverage in
the western region ($1,080) than the rate reported for the southern
MGMA’s Medical Directorship/On-Call Compensation
Survey Report contains the most comprehensive data in the industry.
This marks the first time that MGMA has released survey data on medical
directorships and on-call compensation. The surveys were created to
respond to the changing healthcare environment. MGMA identified one
such trend as the increased use and need for medical directorships in
hospitals, and hospitals paying physicians to provide emergency
department call coverage.
David Taylor, FACMPE, FACHE, a member of the MGMA Survey
Advisory Committee, said, "A number of factors drive these trends. As a
result, we believe there will be a growing demand from physician
groups, hospitals and health systems for the data in this survey
Address: Medical Group Management Association, 104 Inverness Terrace East, Engelwood, CO 80112; (303) 799-1111, www.mgma.org.