Hospital myopia decouples radiologist pay from the revenue they create

A hospital-employed interventional radiologist can create millions of dollars in new facility revenue, but pay is pegged to work relative value units and salary surveys, not that downstream value—a circular, 'rigged' system, argues Dr. Kavi Devulapalli.

• CMS separates physician economics from facility economics, while Stark and Anti-Kickback Statute rules make it hard to tie physician compensation to downstream revenue the physician helped create.
• Compensation is informed partly by surveys of other physicians in the same system, creating circularity; work relative value units never capture full physician value.
• Hospitals recognize this dynamic but may ignore it during compensation negotiations or budgetary planning.

Automated summary

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