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Physicians largely paid based on volume — Only 21% receive bonuses for quality scores

Despite the industry emphasizing the need to tie payments to value, fee-for-service is still the name of the game, according to a Merritt Hawkins survey, Medscape reports.

Here's what you should know:

1. Merritt Hawkins offered physicians a salary and a "production bonus" for 72 percent of positions it listed in a 12-month time frame.

2. Comparatively, 39 percent of bonuses were based either wholly or partially on quality metrics.

3. This figure is up from 2015 when 23 percent of bonuses had some quality metric tied to them.

4. In 2016 to 2017, quality scores comprised 4 percent of overall physician compensation, begging the question as to whether this figure was enough to improve physician performance.

"Anything less than 10 percent and you're probably not changing someone's day-to-day behavior," Travis Singleton, senior vice president of Merritt Hawkins, told Medscape Medical News. "Have we solved any problems? Not yet. At least we're getting physicians used to value being a part of our world."

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