FEBRUARY 4, 2017

Welcome to the Health Care Compensation Update eNewsletter
Editor: Benjamin R. Grant

5 Ways Trumpcare Is Likely to Change Employee Benefits

  1. Since the employer mandate will disappear, so will minimum essential coverage plans. If they were only offered because the employer had to do so, the employers will discontinue these as soon as they can.
  2. 1094/1095 reporting will stop, but it is probably too late to stop this year's upcoming requirement. Good riddance -- what a waste of time and resources.
  3. The Cadillac tax will be a thing of the past. Congress will seek to pay for indigent care by limiting the individual exclusion for healthcare benefits provided by employers. This will further facilitate the shift to high-deductible plans.
  4. Medicare will not change. The politics on this are a losing battle for whoever takes it on. The Democrats' "Medi-scare" tactics will force Republicans to back off
  5. Drug costs are going to come down. While pharma is a powerful lobby, this issue has too much momentum. Whether it's reimportation or transparency laws, something is going to give.

IRS Alerts HR, Payroll Professionals to Tax Phishing Scheme
The Internal Revenue Service yesterday alerted payroll and human resources professionals to beware of a continuing phishing email scheme that purports to be from company executives and requests W-2 forms and personal information on employees. The scheme, which surfaced last year, has spread to include not just businesses but school districts and nonprofits. "This is one of the most dangerous email phishing scams we've seen in a long time," said IRS Commissioner John Koskinen. "It can result in the large-scale theft of sensitive data that criminals can use to commit various crimes, including filing fraudulent tax returns. We need everyone's help to turn the tide against this scheme." For more on the phishing emails, see the news release.

ASHHRA 53rd Annual Conference & Exposition
Partnering Across the Continuum of Care
The Changing Role of Healthcare Human Resources
September 16 - 19, 2017
Seattle, Washington

207 Statistics on Physician Compensation | 2017
With the release of the Medicare Access and CHIP Reauthorization Act, recent M&A activity, technological innovations and new healthcare legislation likely on the horizon, it is important track and evaluate compensation trends to best understand how changes in the healthcare environment may affect physicians. While most specialties saw an increase in compensation in 2016, compensation varies widely between specialty, healthcare setting and region. The following statistics provide a view of the current compensation landscape in healthcare.

Median compensation:

  • Anesthesiologists: $416,563 (0.1 percent increase from 2015)
  • Cardiologists: $483,653 (6.9 percent increase from 2015)
  • Dermatologists: $434,520 (4.3 percent decrease from 2015)
  • Endocrinologists: $242,202 (0.1 percent increase from 2015)
  • Emergency room physicians: $355,280 (9.6 percent increase from 2015)
  • Family medicine physicians: $234,706 (3.9 percent increase from 2015)
  • Gastroenterologists: $505,194 (0.2 percent decrease from 2015)
  • General Surgeons: $413,824 (6 percent increase from 2015)
  • Internal medicine physicians: $249,588 (4 percent increase from 2015)
  • Neurologists: $284,751 (1.7 percent increase from 2015)
  • OB-GYN: $333,231 (3.6 percent increase from 2015)
  • Oncologists: $416,738 (2.4 percent increase from 2015)
  • Ophthalmologists: $385,149 (4.2 percent decrease from 2015)
  • Orthopedic surgeons: $582,056 (1.6 percent increase from 2015)
  • Pediatricians: $235,257 (0.7 percent increase from 2015)
  • Psychiatrists: $254,942 (3.4 percent increase from 2015)
  • Pulmonologists: $352,462 (4.9 percent increase from 2015)
  • Rheumatologists: $251,913 (1.9 percent increase from 2015)
  • Urologists: $441,836 (2 percent increase from 2015)

Women CIOs Paid Less than Men? HIMSS Has Some Theories About That
Women who work in the health IT field -- be they executives or other types of workers -- are often paid less than men and that disparity has widened over the last ten years, according to a Healthcare Information and Management Systems Society (HIMSS) study released in 2016. The HIMSS Longitudinal Gender Compensation Assessment revealed that women were paid 81 percent of what men were paid in the health IT field in 2006, and that pay disparity actually widened to 78 percent in 2015. The study was based on a compensation survey conducted every two years among HIMSS members who self-report their incomes. The HIMSS survey data will be part of the Views from the Top session "Shattering the glass ceiling: Lessons learned from aspiring female executives," scheduled for Monday, Feb. 20 at 10:30-11:30 AM in Room W320. HIMSS17, http://www.himssconference.org/, runs from Feb. 19-23, 2017 at the Orange County Convention Center.


Human Resources (HR) Manager Salary (United Ststes)

(From www.payscale.com/research/US/Job=Human_Resources_(HR)_Manager/

From PayScale: 5 Keys to Retaining Top Employees
Create a culture that encourages top employees to stay successfully manage turnover. Turnover and retention are opposite sides of the same coin and you can seek the right balance between them to ensure that you're driving the right talent to and through your organization. You can impact retention by creating a culture that encourages employees to stay.

From PayScale: 7 Ways ACA Repeal Will Affect You (Even If You Get Insurance Through Work)
President Donald Trump has signed an executive order directing federal agencies to opt out of requirements of the Affordable Care Act wherever possible. Whether this will create much immediate impact is up for debate. However, given that Congress is already on board with ACA repeal, it's likely only a matter of time before Obamacare is dismantled, effectively or actually. Here are just a few ways ACA repeal might affect you:

  1. Your Employer Might Not Offer Health Insurance Anymore
  2. Preexisting Conditions Could Keep You From Getting Coverage
  3. The End of Coverage for Dependents Until Age 26
  4. The Return of Lifetime Caps
  5. More Out-of-Pocket Costs
  6. Access to Birth Control
  7. You Might Wind Up Stuck in Your Job

For a complimentary PayScale benchmark analysis for a position of your choice, please email BenG@payscale.com.

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Health Care Compensation Update e-Newsletter is one of a family of free e-Newsletters providing a complimentary video presentations and regularly updated news and key resources on major health care issues such as pay for performance, bundled payments and MACRA. To view and subscribe to other e-Newsletters go to www.HealthCareeNewsletters.com.



Benjamin R. Grant