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Episode 3: Amit Vaishampayan on physician compensation and culture

Eric Tower December 17, 2019

Amit Vaishampayan
Amit Vaishampayan

This week, host Eric Tower sat down with Amit Vaishampayan, a Director with BKD, a national CPA and advisory firm. Eric and Amit discuss physician compensation culture – including the many fallacies surrounding it. Amit also provides insight on how transitioning to population health can impact the dynamic and culture within an organization.

With more than a decade of experience, Amit develops innovative and effective compensation and business structures, incorporating best-practice traditional and emerging payment models. Amit is a member of BKD’s National Health Care Group and has a leadership role in the firm’s Physician Services Center of Excellence.

Some highlights from Eric’s conversation with Amit:

On moving away from an RVU (relative value unit) system:

“I think the starting point here is really data measurement. I think it’s very difficult to redesign a compensation plan that aligns with the triple aim and the population health initiatives if you don’t actually know what the outcomes are going to be. So you almost have to start with the outcomes and then think about the data that feeds into those outcomes.”

On addressing the strategy behind the transition to pop health:

“The majority of the goals and objectives that are incentivized right now on any given leadership’s dashboard are short term in nature. Right now, a minority are really long term. However, what we need to do is really think about readjusting the split between short term and long term to make it so that incentivizing behaviors move away from the pitfalls of fee-for-service and start to embrace the low hanging fruit that’s available to pave the path forward on population health.”

On the changing dynamics of an organizations:

“I think it can start at the physician level but really there’s parallel tracks where you’ve got to get hospital leadership involved and the board involved because those are the ultimate yes/no decision makers. You’ve got to be able to get the physicians to mobilize and buy in and believe in this thing.”

Read the full transcript here.

Talking Pop Health: Episode Guide