PHYSICIANS: Compensation Models

Dr. David Edward Marcinko; MBA MEd

SPONSOR: http://www.MarcinkoAssociates.com

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1. Salary‑Only Model

  • Fixed annual pay with no link to productivity
  • Predictable income and stable budgeting
  • Common in academic and some hospital-employed roles

2. Productivity‑Based (wRVU)

  • Earnings tied to work RVUs generated
  • Conversion factor determines pay per unit of work
  • Higher upside but requires efficiency and volume

3. Collections‑Based

  • Income based on money actually collected from payers
  • Highly dependent on billing performance and payer mix
  • Frequently used in private practice settings

4. Salary + Productivity Hybrid

  • Base salary plus bonus tied to RVUs or collections
  • Balances stability with performance incentives
  • Widely used in modern hospital systems

5. Capitation / Value‑Based

  • Payment per patient per month regardless of visit frequency
  • Incentives tied to quality metrics and cost control
  • Increasingly common in primary care and value‑based care models

6. Partnership / Ownership Model

  • Income from clinical work plus share of practice profits
  • Requires a buy‑in after a partnership track
  • Offers high long‑term earning potential with added risk

7. Locum Tenens

  • Paid hourly or daily
  • No long‑term commitment or benefits
  • Ideal for flexibility or supplemental income.

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COMMENTS APPRECIATED

EDUCATION: Books

SPEAKING: Dr. Marcinko will be speaking and lecturing, signing and opining, teaching and preaching, storming and performing at many locations throughout the USA this year! His tour of witty and serious pontifications may be scheduled on a planned or ad-hoc basis; for public or private meetings and gatherings; formally, informally, or over lunch or dinner. All medical societies, financial advisory firms or Broker-Dealers are encouraged to submit an RFP for speaking engagements: CONTACT: Ann Miller RN MHA at MarcinkoAdvisors@outlook.com -OR- http://www.MarcinkoAssociates.com

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