Surgeon Compensation Models Reviewed

Investigators describe five compensation models across specialties and practice settings

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Surgeon compensation models in the US include salary, wRVU-based, hybrid, fee-for-service, and value-based structures.
2

Productivity-based models, particularly wRVU, are linked to increased surgical volume but often overlook case complexity and nonclinical contributions.
3

Salary-based models promote financial stability and teamwork but are associated with lower clinical productivity compared to fee-for-service.
4

Hybrid models offer flexibility by combining salary with productivity incentives but can be administratively complex.
5

Value-based compensation models are rarely reported and show limited adoption, with variations in recognition of nonclinical activities.

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