From Tom's Desk
Shared-Risk Compensation Survey
Over the past three months, your humble scribe has been scouring the country trying to find Family Medicine opportunities which include some form of risk-sharing.
I used recruiters, cold calls and online forums to line up offers from any employer who takes care of Medicare Advantage patients to see what it is they have to offer.
In all, only 21% of the 100s of job offers I could find offered any form of risk sharing, and only 9% offered a total-risk package. Most of them were associated with confidentiality clauses, so I can't reveal their names here.
Interestingly, 100% had some form of metric-based risk built into their compensation. Seems like everyone is getting ready for MACRA.
Whether you're a recruiter, a clinician or an administrator---your tactic is to find the identity of these relatively few organizations who offer shared-risk as part of their clinician compensation system and follow them.
Because in the long game that is managed-care, they're going to be the winners.