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Discussion

Value Based Care

Recently I applied for a position closer to home and a week ago I received an email thanking me for applying.  The email went on to question my salary request and asked if I would be flexible in what I was asking for.  I responded that yes there is room for negotiation but I am not interested in working far below my salary requirements.  I then received a nicely worded response about how the company could not afford to match hospital salaries as they were a value base organization and it was all about making healthcare affordable for the patients.

Value based? Well that sounds nice.  I then Googled the salaries of the CEO and other executives that are posted online.  The value based salary of the CEO is a whopping 73 million dollars and the other executives are barely scraping by with meager salaries ranging from 5 to 7 million.  So how could this noble company even consider paying staff a competitive wage. Because you know it is all about the patients and their vision of cost cutting everywhere but the executive salaries.

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    LOL what company is this? 73 million for a CEO is toward the higher end so I am assuming it must be a nationally recognized company. Even most (if not all) CEOs of large well known hospital systems do not make that much. While appropriate CEO salaries is for another topic usually they have to be relatively "similar" if its a non profit or not for profit to other organizations of similar size. 

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    I work for a private specialty practice that does VBC.  It does provide improved patient care but it also involves more paperwork.

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    42 minutes ago, traumaRUs said:

    I work for a private specialty practice that does VBC.  It does provide improved patient care but it also involves more paperwork.

    What is definition of Value based care? What values is the care based on? Is this the latest business concept mumbo jumbo? How is this different? In what manner  does it improve patient care? 

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    Alot of theses in-center dislysis units are hiring their own NP's versus using NP that's contracted with nephrology group. Any information on this?

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    I'm a nephrology APRN employed by a large (21+ MDs, 10 APRNs) practice. As we have both brands of dialysis units (FMC and Davita) it is better for the bottom line to be employed by the nephrology practice. For us, VBC means that our practice receives x-amount of money to care for these pts. We don't have to get the 4 visits/month - this is a huge plus - we will be able to spread ourselves to see those pts that are unstable, new to dialysis, have other needs....

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    Will this change the RVU based system used in many places?

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