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- April 2021
- Article
Today's Surgeon Compensation Models Fall Short: Aligning Incentives to Create More Equitable and Value-based Compensation Models
By: Susanna Gallani, Mary Witkowski, Lauren Haskins, Haley Jeffcoat, Vinita Mujumdar and Frank Opelka
Modern medicine is undergoing a transformation that involves innovative surgical approaches, increased medical treatment options, clinical care pathways that require collaboration beyond hospital walls, and health data captured by electronic health records and other... View Details
Keywords: Physician Compensation; Surgeons; Health Care and Treatment; Business Model; Compensation and Benefits
Gallani, Susanna, Mary Witkowski, Lauren Haskins, Haley Jeffcoat, Vinita Mujumdar, and Frank Opelka. "Today's Surgeon Compensation Models Fall Short: Aligning Incentives to Create More Equitable and Value-based Compensation Models." Bulletin of the American College of Surgeons 106, no. 4 (April 2021): 33–39.
- February 1999 (Revised October 1999)
- Background Note
Note on Physician Compensation and Financial Incentives
By: Richard M.J. Bohmer and Melanie M Harshbarger
A review of the use and effectiveness of financial incentives in changing physician behavior. View Details
Keywords: Change; Finance; Compensation and Benefits; Performance Effectiveness; Behavior; Motivation and Incentives
Bohmer, Richard M.J., and Melanie M Harshbarger. "Note on Physician Compensation and Financial Incentives." Harvard Business School Background Note 699-151, February 1999. (Revised October 1999.)
- September 2003 (Revised October 2005)
- Case
Performance Pay for MGOA Physicians (A)
Examines the transition of an orthopedic surgical group at a premier teaching and research hospital from a system in which the surgeons are compensated with flat salaries to a system where they are compensated based on profitability. Allows for an examination of... View Details
Keywords: Value Creation; Motivation and Incentives; Nonprofit Organizations; Health Care and Treatment; Compensation and Benefits; Health Industry
Barro, Jason R., Kevin J. Bozic, and Aaron Zimmerman. "Performance Pay for MGOA Physicians (A)." Harvard Business School Case 904-028, September 2003. (Revised October 2005.)
- 13 Aug 2024
- Op-Ed
Can AI Save Physicians from Burnout?
many patients as possible. Rewards for quality and value creation are rare, if at all present, in physician compensation plans. As time previously devoted to compiling EMR documentation becomes available,... View Details
- October 16, 2024
- Article
Physicians Can Help Cut Costs. They Just Need the Right Incentives.
By: Susanna Gallani and Derek A. Haas
Health care organizations have long tried to enlist physicians in their effort to control or reduce costs. One effective means for doing so is to create an incentive system that rewards physicians for their contributions. To design such a system, organizations should... View Details
Gallani, Susanna, and Derek A. Haas. "Physicians Can Help Cut Costs. They Just Need the Right Incentives." Harvard Business Review Digital Articles (October 16, 2024).
- 2023
- Article
Conduit Incentives: Eliciting Cooperation from Workers Outside of Managers' Control
By: Susanna Gallani
Can managers use monetary incentives to elicit cooperation from workers they cannot reward for their efforts? I study “conduit incentives,” an innovative incentive design, whereby managers influence bonus-ineligible workers’ effort by offering bonus-eligible employees... View Details
Keywords: Organizational Behavior Modification; Peer Monitoring; Persistence Of Performance Improvements; Crowding Out; Implicit Incentives; Compensation; Healthcare; Social Pressure; Image Motivation; Incentives; Motivation; Performance; Behavior; Motivation and Incentives; Compensation and Benefits; Governing Rules, Regulations, and Reforms; Organizational Culture; Health Industry; California
Gallani, Susanna. "Conduit Incentives: Eliciting Cooperation from Workers Outside of Managers' Control." Accounting Review 93, no. 3 (2023): 1–28.
- February 2000 (Revised April 2001)
- Case
Boston Medical Group
By: Richard M.J. Bohmer and Bruce L. Hall
Describes the structure of a variable compensation plan for physicians implemented by a Massachusetts medical group practice. Examines issues such as balancing group and individual risk and selection of performance metrics (productivity and patient satisfaction). View Details
Keywords: Customer Satisfaction; Health Care and Treatment; Executive Compensation; Management Practices and Processes; Risk Management; Standards; Risk and Uncertainty; Health Industry
Bohmer, Richard M.J., and Bruce L. Hall. "Boston Medical Group." Harvard Business School Case 600-086, February 2000. (Revised April 2001.)
- June 2024
- Article
Enhancing Value and Well-Being: The Basket of Motivators Framework for Aligning Neurology Clinical Practices with Performance Outcomes
By: Peter N. Hadar, Susanna Gallani and Lidia Moura
Physician burnout, which is prevalent in neurology, has accelerated in recent years. While multifactorial, a major contributing factor to burnout is a payment model that rewards volume over quality, leaving physicians overburdened and unfulfilled. The aim of this... View Details
Keywords: Compensation and Benefits; Personal Development and Career; Well-being; Motivation and Incentives
Hadar, Peter N., Susanna Gallani, and Lidia Moura. "Enhancing Value and Well-Being: The Basket of Motivators Framework for Aligning Neurology Clinical Practices with Performance Outcomes." Neurology: Clinical Practice 14, no. 1 (June 2024).
- 29 Jul 2021
- Blog Post
Exploring the Intersection of Business & Health Care: Summer Fellow Derek Soled (MD/MBA 2022)
The HBS Summer Fellows Program enables students to apply their classroom training as they explore career opportunities in roles or regions where compensation is generally lower than the traditional MBA level. This summer, we are... View Details
- 22 May 2020
- In Practice
Post-COVID Health Care: More Screens, Less Red Tape?
Gallani: Physician pay will get a closer look The COVID-19 crisis has highlighted the problems of compensation based on relative value unit (RVU) as never before. Hospitals have been overwhelmed with... View Details
Keywords: by Danielle Kost
- Research Summary
Current Research
Ian studies extrinsic rewards -- monetary incentives from formal compensation systems, as well as other formal and informal external rewards-- in order to help businesses understand the tensions and tradeoffs inherent in motivating employees. His research takes a... View Details
- September 2003 (Revised January 2005)
- Case
Bridges to Excellence: Bringing Quality Health Care to Life
By: Richard M.J. Bohmer, Ingrid Marie Nembhard and Robert Galvin
General Electric launched Bridges to Excellence Diabetes Care Link, a program through which enrolled physicians receive bonuses of up to 10% of their salary for delivering quality care to diabetic patients covered by a participating employer or health plan. A day... View Details
Keywords: Health Care and Treatment; Motivation and Incentives; Programs; Ethics; Quality; Moral Sensibility; Service Delivery; Compensation and Benefits; Health Industry
Bohmer, Richard M.J., Ingrid Marie Nembhard, and Robert Galvin. "Bridges to Excellence: Bringing Quality Health Care to Life." Harvard Business School Case 604-030, September 2003. (Revised January 2005.)
- 03 Aug 2010
- First Look
First Look: August 3
proprietary technology, athenaNet, to a new business, athenaHealth, that would help physicians manage their practice, billing, and revenue cycles and maintain electronic patient records more efficiently and cost effectively using the... View Details
Keywords: Martha Lagace
- 09 Oct 2018
- First Look
New Research and Ideas, October 9, 2018
press Compensation & Benefits Review Winning the War for Talent: Modern Motivational Methods for Attracting and Retaining Employees By: Thibault-Landry, Anais, Allan Schweyer, and Ashley V. Whillans Abstract—Given the struggle that... View Details
Keywords: Dina Gerdeman
- Web
Organize Care Around Medical Conditions - Institute For Strategy And Competitiveness
location of care across services Patient education, engagement, adherence, follow-up, and prevention are integrated into the care process A physician team captain, clinical care manager, or both oversees each patient’s care IPUs have a... View Details
- 21 Feb 2005
- Op-Ed
Is Business Management a Profession?
every medical student is now required to master. The medical school curriculum proceeds from the premise that in order to diagnose and treat disease, the would-be physician must have a firm grounding in what science (or, perhaps more... View Details
- 01 Feb 2001
- News
The Doctor Is In
the hallways, patients and their families mingle with physicians in loose-fitting scrubs making their rounds, earnest administrators with armfuls of files, busy nurses, and other hospital personnel who team up to make MGH a world-famous... View Details
- 04 May 2010
- First Look
First Look: May 4
increased scope for markets, and distrust of markets generally. Our results suggest that while the public is potentially receptive to compensating kidney donors, among those who oppose it, general disapproval towards certain kinds of... View Details
Keywords: Martha Lagace
- 01 Jan 2003
- News
Daniel L. Vasella, M.D.
aspirations, purpose, and values, so that they work together as an aligned team." Dan Vasella finds that the skills he called upon as a practicing physician are equally useful in running one of the world's largest pharmaceutical... View Details
- 01 Oct 2002
- News
Faculty Research Symposium
Pay Check: Equity-Based Compensation and Incentives Creativity in a Crunch Nobody's Perfect. Now What? Last spring, a special symposium was held on campus in celebration of faculty research. The one-day event, sponsored by the Division of... View Details