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
|