CRNAs are defintely not capped at 250. With locality, OT, and all the rest, they have the same cap as any federal employee. I'm not surprised at all that the VA is doing this. at 400K, they can't compete for MDs. I see it at San Francisco, as well. In the old days, there were perks: you'd have an office, you could do research, you had non-clinical time, no one was looking that hard at what you were doing. You were paid less, but it wasn't THAT much less than the University people across town, and you worked less. That delta has gone way up, and the delta with PP has grown a ton. Meanwhile, you're now subject to the same productivity assessments as anywhere else (workload credit), the office is gone because they have to make room for all those payroll and HR employees being forced back to the office in the Return-To-Office mandates, and as people leave, the workload goes up without more pay, because, well, VA. The VA will have a very difficult time recruiting physicians moving forward, and yet, they have to get the cases done (the facility gets more federal money for doing more cases, so their incentive is still in the direction of more productivity, just like anywhere else).
www.asahq.org
