Who's Rolling in Dough?

 

Salary comparison of physicians, hospital CEOs and insurance executives

 

There's a new trick used by hospital corporations today, perhaps you've even had it played on you.

When hospital corporations negotiate fees with doctors they use salary studies by consulting firms to produce an hourly rate for most specialties.

The hourly fees are based on a number of false assumptions, the most obvious being that doctors work 40 hour weeks, but the point is doctors are being shortchanged at nearly every turn. Insurance companies are winning the battle to convince the media and almost everyone else that a big factor driving rising costs in healthcare are doctor’s fees.

Doctors are being victimized, along with their patients. They are not what’s driving up the cost of medical care.

The facts, however, suggest that the folks who run the hospital corporations and insurance companies are doing more than their share to drive up costs. Even using their assumptions about the 40-hour week, on an hourly basis, here’s how their earnings compare with the doctors’.

 

A comparison of 2003 wages

Title
Cash compensation
Hourly wage
     
Family Practice (no OB)
$145,971
$73
Infectious Disease
$157,726
$79
Cardiology: Non-invasive
$281,104
$141
Urology
$294,603
$147
Neurological Surgery
$405,187
$203
Pediatric Anesthesiology
$437,548
$219
     
 
CEO, system hospital, revenue less than $200 million
$306,200
$153
CEO, free-standing hospital, revenue more than $200 million
$478,400
$239
CEO, hospital system, revenue less than $1 billion
$531,900
$266
CEO, hospital system, revenue more than $1 billion
$938,100
$469
     
CEO, Health Net
$4,096,037
$2,048
CEO, PacifiCare Health Systems
$6,378,023
$3,189
CEO, UnitedHealth Group
$10,001,499
$5,001
CEO, Aetna
$10,638,223
$5,319
CEO, WellPoint Health Networks
$46,213,293
$23,107

Sources: Medical Group Management Association, Watson Wyatt Worldwide, Hospital & Healthcare Compensation Service, Hay Group, SullivanCotter, Insurance company proxy statements

 

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© 2005 Davidson Hughes