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Hospital administrators pillaging healthcare

Discussion in 'Pre-Medical - MD' started by Haybrant, May 18, 2014.

  1. Haybrant

    Haybrant 1K Member 10+ Year Member

    Jul 5, 2004
    Really wondering why that stitch in the ED costs more than $500. This is why:

    "$584,000 on average for an insurance chief executive officer, $386,000 for a hospital C.E.O. and $237,000 for a hospital administrator...In a deal that is not unusual in the industry, Mark T. Bertolini, the chief executive of Aetna, earned a salary of about $977,000 in 2012 but a total compensation package of over $36 million, the bulk of it from stocks vested and options he exercised that year. Likewise, Ronald J. Del Mauro, a former president of Barnabas Health, a midsize health system in New Jersey, earned a salary of just $28,000 in 2012, the year he retired, but total compensation of $21.7 million."

    [edited biased comments]
    Last edited: May 18, 2014
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  3. WillburCobb

    WillburCobb I am the pull out king Banned Account on Hold 5+ Year Member

  4. Psai

    Psai Account on Hold Physician 2+ Year Member

    Jan 2, 2014
    It's not their fault, I would do the same thing in their shoes. The government mandated a middle man with their universal insurance. They are forcing doctors to join large groups or hospitals just to stay afloat because of the differences in reimbursement for the same procedures (facility fees) along with unnecessary enormous expenses (electronic medical records, huge malpractice coverage required because of the poor medicolegal environment). Everyone will be reaching into your pocket while telling you how to do your job. I'm here because I can't see myself doing anything else. But I have a friend who didn't make it into medical school and is studying to be a healthcare administrator which I think will work out well for him. Don't listen to anyone who tells you to follow your heart or do what you love. Listen to people who have gone through what you want to do and try to look at the trends. There are many reasons for why the surgical subspecialties are competitive while primary care is not.
  5. Haybrant

    Haybrant 1K Member 10+ Year Member

    Jul 5, 2004
    This is what they want you to think. Find the actual numbers on this and you will realize it is not an issue. The move to consolidation is a power grab from hospital administrators who are interested in consolidating power. It is a push to remove agency from individual physicians and turn physicians into laborers.
  6. mimelim

    mimelim Vascular Surgery Rocket Scientist Physician 5+ Year Member

    Sep 19, 2011
    Bunch of issues...

    First, Bertolini is not a hospital administrator. He is the CEO of the 5th largest insurance carrier in the United States. His company has a net income of just under $2 billion per year and manages just shy of 50k employees. An exceptional executive is worth millions of dollars per year. Their decisions make or lose their companies hundreds of millions of dollars over the course of their tenure. To secure what is considered top talent, firms pay premium. Now, the CEO of the hospital that I work at makes $4.5 million a year. He is worth every penny of that. And this is coming from one of the most overworked and underpaid people under him.

    Second, these salaries are at best 3 jumps away from affecting the costs of an ER visit. There are so many other things that can be directly attributed to increasing costs.

    Lastly, the problem is the system in place, not the individuals or their salaries. And... its not going to change. The driving force behind why hospitals are designed the way they are is "customer satisfaction" and an expectation of the highest quality and standard in every aspect of what we do. This automatically drives up the costs of business. Layer on top of that that the fundamental model for how we bill and pay people, and you have a broken system that nobody has any good ideas on how to fix.
    Lya, turayza, Deadlifts and 3 others like this.
  7. breakintheroof

    breakintheroof MS-Zero 2+ Year Member

    Jan 20, 2013
  8. phunky

    phunky 2+ Year Member

    Nov 21, 2012
    The NY Times has become such a terrible newspaper. They simply cannot do an article on healthcare without trying to rile people up.
  9. DermViser

    DermViser 5+ Year Member

    Apr 4, 2009
    Sorry but the AHA has actively tried to **** doctors in the Obamacare bill with certain amendments. The AHA is only on the side of doctors when it serves their interests in consolidating their power even further. At the tip of the hat, they turn on you, as they have done with anesthesiologists and taking the side of CRNAs. Hospital administrators hate paying physician salaries and if they could find any alternative they would - and they have tried.
  10. Deadlifts

    Deadlifts Warming up with your max 5+ Year Member

    Nov 23, 2011
    Just like any profession, some admins earn their paychecks and some do not. It's a stretch to say the CEO/CFO/CMO salaries are responsible for excessive pricing in the ED.
  11. MOHS_01

    MOHS_01 audemus jura nostra defendere Physician 10+ Year Member

    Oct 2, 2005
  12. breakintheroof

    breakintheroof MS-Zero 2+ Year Member

    Jan 20, 2013
    Customer satisfaction and high standards certainly contribute to high costs. But they do not make it inevitable that costs should rise. Innovation (and some would say regulation) can reduce cost growth, as in other industries.
  13. Planes2Doc

    Planes2Doc Residency is ruff! Physician 5+ Year Member

    Jul 23, 2012
    The South
    Physicians and hospital administrators make TERRIFIC scapegoats.

    Would you like me to list some professional athletes' salaries here?

    Or what about CEOs in other industries?
  14. Lya

    Lya 2+ Year Member

    May 13, 2013
    Can you share the examples of medical innovations that were shown to reduce the cost growth?
  15. breakintheroof

    breakintheroof MS-Zero 2+ Year Member

    Jan 20, 2013
    Hard question! Here's a good discussion, by Austin Frakt in 2010, on some successes in payment reform. Crucial to this debate is that they were temporary successes, reversed by public, industry, and/or political pressure.

    The high standards we have for health care makes it hard to achieve these reductions. I don't think throwing up our hands makes sense. Here's Frakt on this:

    "But [previous failure] doesn’t mean we shouldn’t try or that some of those ideas can’t work if tweaked in certain ways. It just means that we should be humble, prepared to fail and keep thinking of new ideas to replace the ones that don’t work out. "

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