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Modes of Compensation of Pathologists and the Charges for and Use of Laboratory Services

Sheldon F. Markel, MD; Mitchell J. Rycus, PhD
JAMA. 1980;243(20):2053-2055. doi:10.1001/jama.1980.03300460035022.
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THE COST of medical care in this country is of great concern in both public and private quarters. A major focus of this concern has been on the cost and use of clinical laboratory services and whether a relationship exists between these and the manner of reimbursement of pathologists. There are different methods of compensation of hospital-based pathologists. The most prevalent methods are fixed (salary) and several nonfixed means of compensation, eg, fee-for-service, percentage of laboratory revenue, and lease-type arrangements.

See also p 2080. Members of the Michigan Society of Pathologists provide pathology services in about two thirds of the approximately 120 general medical and surgical hospitals in Michigan that have full-service clinical laboratories. About 60% of these hospitals are in metropolitan areas, and about half of them have more than 300 beds and more than 10,000 admissions per year. These include nonteaching, teaching, and university-type hospitals. Like their counterparts


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