Productivity-based compensation: why it’s such a challenge

(DIAGNOSTIC IMAGING) -- At best, productivity-based compensation is a hot topic; at worst, it is potentially the downfall of those promoting it—if not threatening to the very survival of a group. Are there groups compensating on a productivity-based model? Yes, but very few.


As technology has improved productivity of radiologists overall, it has also contributed to the disparity between those at the top of the production scale and those at the bottom. In a typical group, there are usually several producers who seem to have a natural ability to crank through a high volume of procedures, including both complex cases and the bread-and-butter plain-film work. In many instances they also represent the leaders in the group and assume administrative duties as well, meeting with hospital administrators, negotiating contracts, and maintaining visibility with the medical staff and community. They clean up the list (or stack) without being reminded and are the folks with whom everyone wants to share a shift.

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