Want to Make a Lot of Money in Healthcare? Don’t Become a Doctor

June 3, 2014
85 Views
doctor compensation 

Top Earners?

doctor compensation 

Top Earners? Not Doctors. 

Last week the New York Times ran an article about the top earners in healthcare – and doctors did not top that list: administrators did.

The healthcare industry has one of the largest salary disparities of any industry in the US: these top tier CEOs can make upwards of seven figures when you factor in stocks and bonuses, while those who are treating patients in the proverbial “trenches” are making minimum wage. Many hold down additional part time jobs in other industries.

Medicare Payments

With buzz about payments to doctors gracing many headlines these days with the release of Medicare’s payment list, some might have a hard time feeling any sympathy for doctors. The reality is, while doctors are highly trained, their income bracket is determined more often by system they are employed by than the level of skill they possess. The same doctor, with the same set of skills, may make $10,000 more annually in an urban hospital than a smaller, more rural setting. Most of what influences physician salary has less to do with how they practice than where; and, the overall financial healthcare climate in the US is stormy.

How, then, are administrators still managing to rack up such high salaries? The New York Times reports that the average hospital CEO earns an average of $386,000 a year, not including the stocks and yearly bonuses they are privy to.  The physician average, factoring in outliers of high earning disciplines like surgery, is around $187,200 (bls.gov). General practitioners earn significantly less. Looking at another integral member of the healthcare team, Registered Nurses, we see that the average yearly income for RNs is only $65,470.

Hospital CEOs

Even higher up on the earning totem pole than hospital CEOs are the insurance megaliths: of all healthcare employees in the US, CEOs of insurance companies, make an average of $584,000 a year – well above hospital CEOs, highly trained surgeons and RNs.

But why is this justified? How could someone who never lays a hand on a single patient make so much in an industry that is supposedly focusing on patient-centered medicine?

While it’s true that hospital CEOs are not likely to ever diagnose a patient, what they do diagnose effects not only the outcomes for the physicians the hospital employs, but the patients they see. Hospital administrators are responsible for the health of the hospital. An ailing facility, whether physically run down or suffering from a fractured hierarchy, can’t be expected to adequately meet the needs of the community it serves. By finding and treating the fiscal, physical and even at times emotional health of the hospital system, a CEO is ultimately responsible for how a healthcare system performs- or doesn’t. When a hospital’s health suffers, the community’s health suffers. If you can’t heal yourself, how can you heal anyone else?

By looking at key aspects of patient safety, facilities, staff and community integration, the CEO not only diagnoses the problems, but establishes treatment protocols. The tough part, and the place where administration typically collides with the rest of the healthcare system, is how the problem list of a healthcare system is prioritized.

The CEO, and administration, decides what the priorities are and they set the tone of the hierarchy of the entire healthcare system. CEOs, while not highly specialized, must wear many hats, not unlike a hospitalist who works with many patients, with many different problems, in the course of one shift.

Still, knowing this, many feel that administrative salaries are bloated in comparison to the ailing healthcare systems they serve. So far, no cure for the economic disparity has been discovered.

You may be interested

Care On The Road: How Telemedicine Can Reach Truck Drivers
Mobile Health
10 views
Mobile Health
10 views

Care On The Road: How Telemedicine Can Reach Truck Drivers

Larry Alton - August 21, 2017

Telemedicine is considered a powerful tool for individuals living in rural areas, far from adequate services or in need of…

Where Is The Balance? Pushing Back Against Consumer Health Tech
eHealth
3 views
eHealth
3 views

Where Is The Balance? Pushing Back Against Consumer Health Tech

Larry Alton - August 18, 2017

When Republican Congressman Jason Chaffetz glibly remarked that Americans struggling to afford insurance should choose between that and their smartphones,…

What to Look for in Patient Solutions Software
eHealth
365 views
eHealth
365 views

What to Look for in Patient Solutions Software

Robert Cordray - August 17, 2017

The medical sector is one area where technology has had a significant impact, largely by providing tools that simplify many…