Will there be cuts in pay and benefits?
Integration will not change your current pay or benefits.
Will physicians get higher compensation as a result of this new model?
Integration will not directly affect physician compensation. Review of physician compensation is an ongoing practice and will continue to be regardless of integration. We pay careful attention to national and local benchmarks in determining physician compensation.
Won't integration make things more confusing since we will have differences among employees based on whether they were hired pre-or post-integration?
No. The expectation is that integration will allow us to make policies and practices much more uniform across the organization. One of the limits we face as separate entities is our inability legally to share information between organizations. As a single entity many of those legal barriers disappear, allowing us to address concerns more uniformly across organizations.
If we still have separate employers after integration, how are we going to handle employees’ service when they have worked for more than one of the three entities (MF, HC, SMPH)?
Integration will remove many of the barriers currently keeping us addressing issues such as years of service across different UW Health employers.
Will Swedish American employees become UWHC employees?
What will employment look like in the future?
Nothing will change in terms of salary and benefits as a result of integration. As would be the case without integration, we want to maximize everyone’s contribution and will continually assess our operations to make sure we are making the most efficient use of all our human and financial resources.
Will employees be able to transfer positions among all locations while still maintaining their current employer?
No one will be forced to switch employers as a result of integration.
How will this change physician compensation?
There is nothing in the integration agreement that dictates a change in physician compensation plans. The agreement will move forward with the recognition that faculty physicians are the lifeblood of a successful health system and that maintaining physician compensation at competitive market levels is a paramount goal of the organization. We think that an integrated organization will have the best chance of possessing the fiscal strength to accomplish this goal. The way that compensation dollars are allocated to individual physicians is a constant topic of discussion in physician organizations, including UWMF, and one that will need to be continued as the benchmarks, payment models, value metrics and revenue streams evolve. Any change in compensation plans will only occur after chair and faculty development of such a plan, and after a two-thirds majority vote of the faculty.
Will physicians become salaried employees of UWHC?
No. Faculty physicians will continue to be dual employees of UWMF and UW-Madison, maintaining their dual benefits, including retirement plans. This ongoing employment relationship to UWMF and UWSMPH is a fundamental aspect of the integration agreement. This relationship, which includes the continued availability of a common paymaster agreement between UWMF and the UW, forms the foundation for the malpractice insurance arrangement that is a result of our standing as state employees.
Will non-physician staff switch employers or see changes to their benefits as a result of integration? Will this integration result in lay-offs?
The answer to both questions is “no.” The legal integration is constructed to allow all employees to maintain their current employer and the benefits provided through that employer. At some point in the future, employees may be employed by the new integrated organization and the benefit system established by that new organization. While different employment relationships will continue to exist for current staff, we understand that people doing similar work in an integrated organization will have an expectation of equity in compensation and benefits. These important issues cannot be addressed until we are legally integrated.
No one can predict the health care work force of the future except to say that it will need to evolve. This evolution will be constant, as we keep pace with changes in health care delivery. For the foreseeable future, there is much work for us to do and we see no need for any reduction in work force.