6 emerging trends in physician contracts

The healthcare industry is constantly changing and evolving, especially when it comes to the workforce and hiring providers.  In 2023, several emerging trends are reshaping physician contracts, driven by various factors, including shifts in patient care models, regulatory changes and the ongoing impact of the COVID-19 pandemic.

Here are 6 recent emerging trends in physician contracts:

1. Value-based care contracts

One of the most significant shifts in physician contracts is the move towards value-based care agreements. Value-based care focuses on delivering high-quality care while containing costs. In these contracts, physicians are often compensated based on patient outcomes, rather than fee-for-service models. This shift incentivizes providers to prioritize preventive care and coordinated, patient-centered approaches.

Under value-based care contracts, physicians may receive bonuses for meeting specific performance metrics related to patient health outcomes, readmission rates and other quality measures. These contracts encourage collaboration among providers and emphasize the importance of patient satisfaction and overall well-being.

2. Telemedicine and hybrid models

The COVID-19 pandemic accelerated the adoption of telemedicine, and this trend has continued to evolve in 2023. Physician contracts are now incorporating telemedicine provisions, allowing providers to offer remote consultations and follow-up care. Contracts that include telemedicine options recognize the importance of flexibility and patient access to care, particularly in rural or underserved areas.

Many physicians are also now working under hybrid models. These models combine in-person and virtual care, providing patients with a mix of options for their healthcare needs. Physician contracts are adapting to include compensation structures that account for both traditional face-to-face visits and telemedicine visits.

3. Work-life balance and physician wellness

The healthcare industry has recognized the importance of physician wellness and work-life balance in recent years. Physician burnout has become a growing concern, and healthcare organizations are taking steps to address this issue in their contracts.

Physician contracts are increasingly offering flexible scheduling options, reduced work hours and improved benefits to promote work-life balance. Additionally, some contracts include provisions for mental health support and access to wellness programs, acknowledging the toll the demanding nature of healthcare can take on physicians’ mental and emotional well-being.

4. Noncompete and nonsolicitation clauses

Physician contracts have always included noncompete and nonsolicitation clauses, but these are evolving lately. While these clauses are intended to protect the interests of healthcare organizations, there is a growing recognition of the need for balance and fairness.

In response to concerns about limiting physicians’ career options, some contracts now have more reasonable noncompete terms, allowing physicians to practice within a certain radius or timeframe after leaving a position. Nonsolicitation clauses are also being refined to strike a balance between protecting patient relationships and allowing physicians to maintain their professional networks.

5. Financial transparency and fair compensation

Transparency in physician compensation is becoming increasingly important. Organizations are taking steps to ensure physicians have a clear understanding of how they are compensated and how their performance contributes to their earnings. Contracts include detailed compensation models that factor in productivity, quality and patient satisfaction metrics.

Additionally, there is a growing trend toward fair compensation. Physicians are advocating for equitable pay structures, particularly concerning gender and racial disparities in healthcare. Organizations are recognizing the importance of addressing these disparities in their contracts and compensation practices.

6. Compliance with evolving regulations

The healthcare industry is subject to numerous regulatory changes, and physician contracts must adapt to remain compliant. Physician contracts now include provisions to address evolving regulations related to healthcare reimbursement, telemedicine, electronic health records and data privacy.

Healthcare organizations are also investing in legal expertise to ensure their contracts comply with changing laws and regulations at the federal, state and local levels. This proactive approach helps mitigate legal risks and ensures physician contracts remain valid and enforceable.

Emerging trends in physician contracts are reshaping the way healthcare is delivered and how physicians are compensated. These trends reflect the healthcare industry’s commitment to improving patient care, physician well-being and overall transparency in contractual relationships. As the healthcare landscape continues to evolve, physician contracts will remain a dynamic and crucial aspect of healthcare delivery.