Deloitte 2022 Survey of US Physicians
Methodology: The Deloitte Center for Health Solutions fielded a survey of 660 US-based primary care and specialty physicians from January to March 2022 to understand physician adoption and perception of key market trends.
Survey question: In the past 12 months, what percentage of your personal compensation came from bonuses or other incentive payments directly tied to achieving specified performance goals (e.g., quality-of-care scores, patient satisfaction scores, productivity improvements, or cost reduction)?
Response options: 5% or less, 6%–10%, 11%–15%, 16%–20%, 21%–25%, more than 25%, eligible for a bonus, but none received/paid, or not eligible for bonus.
Health Care Payment Learning and Action Network (HCP-LAN)
Methodology: HCP-LAN is a national effort to assess the adoption of alternative payment models (APM). HCP-LAN collects information from a large sample of public and private payers about payments made to providers, classifies those payments by category, and reports them in aggregate and by book of business. The Deloitte Center for Health Solutions plotted annual estimates for categories 3 and 4 APMs, which include APMs with shared savings and shared risk, and population-based management. We acknowledge that the aggregate trend in the HCP-LAN data can be driven by either an increase over time in the number of provider organizations participating in APMs or an increase in the share of payments tied to APMs for existing APM participants.
Data limitations: While we used industry-level estimates from the HCP-LAN survey as a proxy for how provider organizations are paid, this data cannot tell us how many organizations receive payments tied to value nor how those payments subsequently get distributed to individual physicians. Our physician survey data suggests that legacy physician compensation structures remain common.