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May 23, 1980

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

Author Affiliations

From the Department of Pathology, St Joseph Mercy Hospital (Dr Markel). and the Department of Psychiatry, Mental Health Research Institute, University of Michigan (Dr Rycus), Ann Arbor.

JAMA. 1980;243(20):2053-2055. doi:10.1001/jama.1980.03300460035022

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