Generated by Rank Math SEO, this is an llms.txt file designed to help LLMs better understand and index this website. # Physician Agreements Health Law ## Sitemaps - [XML Sitemap](https://pahealthlaw.com/sitemap_index.xml): Includes all crawlable and indexable pages. ## Posts - [Leaving a Medical Group Partnership: What Every Physician Should Know Before Resigning](https://pahealthlaw.com/leaving-a-medical-group-partnership/): Leaving a medical group partnership can have significant legal and financial consequences, making it essential to understand your partnership and employment agreements before giving notice. Physicians must be aware of the economic impact and restrictions on future practice before they leave the partnership. - [Healthcare Rule #1: The Physician is Always to Blame](https://pahealthlaw.com/the-physician-is-always-to-blame/): Since the physician is the senior member of a healthcare team, assuming the physician is always to blame makes a certain amount of sense. However, I was recently involved in a situation where there were clearly systemic issues in a healthcare system, but the system nevertheless more or less successfully shifted the blame to a physician. - [Physician Contract Review by AI: Why It Isn’t Enough](https://pahealthlaw.com/physician-contract-review-by-ai-risks/): A physician contract review by AI may seem like a fast and inexpensive way to evaluate your employment agreement. Some physicians are now using AI tools to review contracts before deciding whether to sign. - [Physician Employment Contract Deadline: What to Do When They “Need a Decision This Week”](https://pahealthlaw.com/physician-employment-contract-deadline/): A physician employment contract deadline can create intense pressure, especially when an employer says they “need a decision this week.” Many physicians worry that asking for more time could cost them the job, but rushing into a contract can lead to serious financial and professional consequences. Before you sign, it’s critical to understand what these deadlines really mean, what rights you have, and how to protect yourself through proper contract review and negotiation. - [Navigating Call Pay in Medicine: Trends and Tips for Physicians](https://pahealthlaw.com/navigating-call-pay-in-medicine/): Specialties most likely to receive call stipendsSurgical and procedural fields are more likely to see call pay. Orthopedic surgery is near the top, with roughly 43% reporting paid call. Neurosurgery is close behind at about 39%. Urology and Anesthesiology also show relatively high rates of paid call. In these fields, hospitals have a clear need for immediate, specialized coverage, which strengthens the case for separate compensation. - [Private Equity Buys Your Practice Before Partnership: Risks for Physicians](https://pahealthlaw.com/private-equity-buys-practice-before-partnership/): Many physicians join a medical practice expecting to become a partner after a few years. However, when private equity buys your practice before partnership, that promised path to ownership can vanish overnight. Physicians can face renegotiated contracts, reduced benefits, or lost partnership opportunities. Understanding the risks and protecting your interests before signing an employment agreement is essential. This post explains the risk to employed physicians in private equity buyouts and what steps you can take to safeguard your career. - [Hospital Misuse of Benchmarks to Cap Physician Salaries](https://pahealthlaw.com/hospital-misuse-of-benchmarks/): Hospital misuse of benchmarks to cap physician salaries is rampant. They do this by putting provisions in physician employment agreements that prevent the physician from exceeding some percentile of a benchmark (such as those produced by the Medical Group Management Association, or MGMA). These provisions often cap compensation no matter how productive the physician is. - [When it comes to Physician Salaries – the biggest differences are within your specialty](https://pahealthlaw.com/physician-salaries/): Every year, around this time, benchmark reports from MGMA, Doximity, Medscape, and others provide a snapshot of physician compensation. They’re all helpful reference points, giving you a general sense of how physician salaries are changing on average each year. But while these numbers update once a year, physician compensation is a lot more dynamic, influenced by local market conditions, and is different for each individual. Relying on just static averages can quickly fall out of step with reality.  - [What is Fair Market Value for Locum Tenens Physicians? A Guide to Getting Paid What You’re Worth](https://pahealthlaw.com/fair-market-value-for-locum-tenens-physicians/): Locum tenens physicians often face a unique challenge—unlike employed physicians, there are no universally accepted benchmarks for compensation. That’s why knowing how to determine the fair market value for locum tenens physicians is critical before you negotiate your next contract. - [Navigating Physician Contract Renegotiation: A Comprehensive Guide](https://pahealthlaw.com/physician-contract-renegotiation/): Navigating physician contract renegotiation is a critical aspect of ensuring that physicians are fairly compensated and have their needs adequately addressed. As the landscape of healthcare continues to evolve, physicians must take proactive steps to protect their interests and secure favorable terms in their contracts. This comprehensive guide aims to equip physicians with the essential knowledge and strategies necessary for effective renegotiation. By understanding the key elements of physician contract renegotiation, physicians can foster better working relationships with employers while advocating for their rights and professional goals. - [Safeguarding Against Frivolous Quality-Based Terminations of Physicians](https://pahealthlaw.com/frivolous-quality-based-terminations-of-physicians/): Physician employment agreements must safeguard against frivolous quality-based terminations - [New Law on Pennsylvania Physician Restrictive Covenants](https://pahealthlaw.com/pennsylvania-physician-restrictive-covenants/): Pennsylvania physician restrictive covenants have been somewhat limited by 2024 legislation. This Act applies to physicians, CRNAs, CRNPs, and physician assistants. These categories are all lumped together and termed “health care practitioners” in the Act. Although the Act refers to health care practitioners throughout, I have used the term “physicians” in this article, because that is who generally reads this blog. - [3 Devastating Traps in Hospitalist Employment Agreements](https://pahealthlaw.com/traps-in-hospitalist-employment-agreements/): One of the biggest traps in hospitalist employment agreements relates to provisions concerning working hours. - [No Without-Cause Termination Clause? How Physicians Can Still End Their Employment Agreement](https://pahealthlaw.com/no-without-cause-termination-clause/): Lately I have seen several physicians who want to terminate their employment before the term of their employment agreement ends where their agreement has no without-cause termination clause. Terminating physician employment outside of contractual provisions (i.e., where there is no contractual right to terminate) can lead to tricky negotiations. - [Paying Physicians for Resident Supervision](https://pahealthlaw.com/paying-physicians-for-resident-supervision/): I recently reviewed an agreement that involved paying physicians for resident supervision. I think this is a very encouraging sign, and am hopeful we can spread the news and make this a trend. - [MGMA Data on Physician Compensation](https://pahealthlaw.com/mgma-data-on-physician-compensation/): I have been using MGMA data on physician compensation for many years now, and I generally like it. I have found that there are occasional apparent glitches in the data, but I still think that MGMA data on physician compensation is the gold standard. - [HCA Physician Employment Agreements are not Carved in Stone](https://pahealthlaw.com/hca-physician-employment-agreements/): Negotiating HCA physician employment agreements is often seen by physicians as impossible, partly because the contract has an impressive form number in the upper left hand corner - which is often seen by physicians as a sign that the agreement cannot be changed.  In fact, we have a great deal of experience in  negotiating HCA physician employment agreements, and have been successful getting changes. - [Physician Contract Negotiation: The 6 Worst Mistakes](https://pahealthlaw.com/mistakes-in-physician-contract-negotiation/): Physicians  too frequently commit the worst mistakes in physician contract negotiation. In my 40 years of reviewing physician employment agreements I have seen these mistakes repeatedly. Read on to learn what these errors are, and how to avoid them. - [Pennsylvania Physician Contract Reviews](https://pahealthlaw.com/pennsylvania-physician-contract-reviews/): Pennsylvania physician contract reviews are different from reviews in other states because of the (somewhat unusual based on my dealing with employers in many other states) balkanization of several large hospital systems. - [Physician Agreement Horror Stories – (the sequel)](https://pahealthlaw.com/physician-agreement-horror-stories-the-sequel/): Physician agreement horror stories for gruesome Halloween reading. - [3 Vital Issues for Sub-Specialist Physicians](https://pahealthlaw.com/3-vital-issues-for-sub-specialist-physicians/): There are three vital issues for sub-specialist physicians that must be addressed in any physician employment agreement: compensation, marketing, and maintaining proficiency in your specific sub-specialty. - [Abuse of Physicians by America’s Healthcare System](https://pahealthlaw.com/abuse-of-physicians-by-americas-healthcare-system/): Abuse of physicians is finally becoming recognized as a major problem in the American healthcare system. The New York Times Magazine recently ran a shocking story about the moral crisis of America's doctors. The article postulated that the demands of hospital executives and payors force physicians to stray from their ethical principals and prevent physicians from providing the care they want to provide their patients. - [A Comprehensive Guide to Physician Employment Agreement Negotiation – 8 Issues to Watch](https://pahealthlaw.com/physician-employment-agreement-negotiation/): Here are some of the many issues that need to be considered in physician employment agreement negotiation. - [Letters of Intent for Physicians – 5 Important Tips](https://pahealthlaw.com/letters-of-intent-for-physicians-tips/): Although letters of intent for physicians are not legally binding, physicians should take them seriously. - [Hospitalsplaining](https://pahealthlaw.com/hospitalsplaining/): Discover how to combat 'hospitalsplaining' and protect your rights as a physician - [The 4 Worst Traps in Physician Employment Agreements](https://pahealthlaw.com/worst-traps-in-physician-employment-agreements/): These 4 worst traps in physician employment agreements keep ensnaring physicians. - [6 Things You Must Know Before Signing an Academic Physician Employment Agreement](https://pahealthlaw.com/signing-an-academic-physician-employment-agreement/): These are the 6 things you must know before signing an academic physician employment agreement. - [Physician Contract Horror Stories](https://pahealthlaw.com/physician-contract-horror-stories/): I've been a physicians' lawyer for decades. These are some of the worst physician contract horror stories I've encountered. - [Special Contractual Issues for Women Physicians](https://pahealthlaw.com/special-contractual-issues-for-women-physicians/): There shouldn't be special contractual considerations for women physicians, but unfortunately there are. - [Military Physicians Leaving the Military](https://pahealthlaw.com/military-physicians-leaving-the-military/): Military physicians leaving the military have several issues that should be carefully evaluated before executing a contract with a civilian employer: - [The Great Resignation in Healthcare – A Great Opportunity to Renegotiate](https://pahealthlaw.com/the-great-resignation-in-healthcare/): The Great Resignation in Healthcare may be the perfect opportunity to renegotiate physician employment agreements. - [Jobs for Surgeons – 6 Things You Must Watch](https://pahealthlaw.com/jobs-for-surgeons-6-things-you-must-watch/): There are 6 things that a surgeon must watch out for in looking at a new position. - [Are Hospitals Evil?](https://pahealthlaw.com/are-hospitals-evil/): As a physicians' attorney who has negotiated with hospitals for decades, I have a jaded view of their intentions. - [3 Worst wRVU Compensation Traps for Physicians](https://pahealthlaw.com/3-worst-wrvu-compensation-traps-for-physicians/): These are the 3 worst wRVU traps that physicians fall prey to. - [Physician Recruitment During COVID](https://pahealthlaw.com/physician-recruitment-during-covid/): If an employer is using COVID as an excuse for playing hardball, consider another employer. - [Locum Tenens Agreements](https://pahealthlaw.com/locum-tenens-agreements/): Things you should know before you sign a locum tenens agreement. - [Physician Contracts During COVID](https://pahealthlaw.com/physician-contracts-during-covid/): Many employers took advantage of the pandemic to unilaterally change contracts. - [MGMA Compensation Analysis](https://pahealthlaw.com/mgma-compensation-analysis/): An MGMA compensation analysis is vital in physician employment contract review: - [The Dangers of using a “Physician Employment Contract Lawyer Near Me”](https://pahealthlaw.com/physician-employment-contract-lawyer-near-me/): Before looking for a "physician employment contract lawyer near me" consider the following: - [Medical Practice Buy-In: What You Absolutely Must Know](https://pahealthlaw.com/medical-practice-buy-in/): A medical practice buy-in is a great opportunity, but a physician shouldn't just jump right in.  The following issues should be examined: - [Physician Benefits](https://pahealthlaw.com/physician-benefits/): Physician benefits are a vital part of a physician employment agreement.  Here are some things to look for: - [Physician Disability Provisions in Employment Agreements](https://pahealthlaw.com/physician-disability/): What to know about physician disability provisions: - [Physician Sign-On Bonus/Relocation Allowance](https://pahealthlaw.com/physician-sign-on-bonus-relocation-allowance/): Physician sign-on bonus and relocation allowance provisions are important aspects of any physician employment agreement.  The following aspects of these benefits should be considered: - [The Physician Employment Agreement Offer](https://pahealthlaw.com/physician-employment-agreement-offer/): When you have received a physician employment agreement offer, it's important to keep the following points in mind: - [Starting Physician Employment: Avoid Catastrophe!](https://pahealthlaw.com/starting-physician-employment/): What should a physician employment agreement say about starting physician employment? - [Protect Yourself: Malpractice Insurance in Physician Contracts](https://pahealthlaw.com/malpractice-insurance-in-physician-contracts/): Malpractice insurance in physician contracts is critically important. Physicians should know the following: - [For Cause Termination of Physician Employment: Avoid a Devastating Blow to your Career](https://pahealthlaw.com/for-cause-termination-of-physician-employment/): For cause termination of physician employment is obviously a delicate issue. Employers have a  legitimate desire to make sure they can terminate a physician’s employment agreement if the physician turns out to be a lousy physician, or if the physician is impossible for staff and other physicians to work with. - [A Fellowship Program Should Cover Physician Employment Agreements](https://pahealthlaw.com/fellowship-program-address-physician-employment-agreements/): A fellowship program will develop superb clinical skills, but fellowship directors should also provide information about physician employment agreement basics. - [Patient Contact Hour Requirements in Physician Employment Agreements](https://pahealthlaw.com/patient-contact-hour-requirements/): Patient contact hour requirements in physician employment agreements are one of the most important determinants of physician lifestyle. - [Call Coverage Requirements in Physician Employment Agreements](https://pahealthlaw.com/call-coverage-requirements-in-physician-employment-agreements/): Call coverage requirements in physician employment agreements need to be carefully examined. MGMA benchmarks can help to establish reasonable boundaries. - [Private Practice Physician Employment Agreements: The 1 Thing You Must Beware Of](https://pahealthlaw.com/private-practice-physician-employment-agreements/): Private practice physician employment agreements may not guarantee ownership, but it’s critically important that a path to ownership is discussed. - [The Massive Benefit of Citing MGMA Benchmarks in a Physician Employment Agreement Negotiation](https://pahealthlaw.com/citing-mgma-benchmarks/): The bottom line is that physicians must know the bottom line. You don’t always achieve all of the MGMA benchmarks in negotiations, but knowledge is power. - [Employer’s Reaction to Review of Physician Employment Agreements: I have never had a bad reaction in 40 years of reviews](https://pahealthlaw.com/reaction-to-review-of-physician-employment-agreements/): Physicians can be concerned about the employer's reaction to review of physician employment agreements, but I have never had a negative reaction. - [Physician Recruitment Agreement Tips](https://pahealthlaw.com/physician-recruitment-agreement-tips/): A physician recruitment agreement can be utilized to "sweeten the pot" in the underlying physician employment agreement. - [Expiration of Physician Employment Agreements: What Every Physician Should Know](https://pahealthlaw.com/expiration-of-physician-employment-agreements/): Expiration of physician employment agreements doesn't mean the contract is over. Most will continue in full force and effect after an "expiration date". Nevertheless, it is generally a good idea to negotiate a new agreement when the old one expires. - [Not Giving the Notice Required By a Physician Employment Agreement](https://pahealthlaw.com/notice-required-by-a-physician-employment-agreement/): Physicians who don’t give the required notice under their employment agreement risk contract breaches, financial penalties, and professional consequences. Understanding your notice requirements is essential before resigning. - [The Basics of Negotiating Your First Physician Contract](https://pahealthlaw.com/negotiating-your-first-physician-contract/): Negotiating your first physician contract influences the rest of your life – beyond your professional career. Use every resource to assure the best outcome. - [Not All Physician Compensation Should Be Average!](https://pahealthlaw.com/physician-compensation-reverse-lake-wobegon/): Unlike at Lake Wobegon, where "all the children are above average," this health system believes that all physician compenstation should be average. - [Medical Errors are Understandable](https://pahealthlaw.com/medical-errors-are-understandable/): It's time that we recognize that the problem with American healthcare isn't the physicians, it's the system that doesn't allow our physicians to do what they've been trained so well to do. - [Without Cause Termination of Physician Employment – Now What?](https://pahealthlaw.com/without-cause-termination-of-physician-employment/): Without cause termination of physician employment can be stressful for the physician, but there are beneficial aspects that can be exploited. - [Fear and Loathing – 8 Rules of Hospital Negotiations](https://pahealthlaw.com/hospital-negotiations/): A rant about hospital negotiations, from a physician's lawyer who has been in the trenches with these David and Goliath battles. - [What Do You Do After You Have Your Physician Employment Agreement Reviewed?](https://pahealthlaw.com/physician-employment-agreement-reviewed/): Once you have had your physician employment agreement reviewed, it's important that you take full advantage of the analysis. - [The Bottom Line of Physician Covenants Not to Compete](https://pahealthlaw.com/physician-covenants-not-to-compete/): The bottom line on physician covenants not to compete is that the market will enforce the covenant as written, even if a court probably wouldn't. - [“Our Standard Physician Employment Contract” – The #1 Recruiting Trick](https://pahealthlaw.com/our-standard-physician-employment-contract/): No matter what the recruiter/office manager/department head tells you, every employer is willing to tweak your physician employment contract. - [Letters of Intent in Physician Contracts](https://pahealthlaw.com/letters-of-intent-in-physician-contracts/): Although a letter of intent for a physician employment or practice sale agreement may not be legally binding, it's important not to restrict yourself. - [Medical Record Provisions in Physician Employment Agreements](https://pahealthlaw.com/medical-record-provisions/): Medical record provisions in physician employment agreements should authorize a free copy if needed for malpractice defense, or if a patient requests it. The physician should also be permitted to disclose information if legally required to do so. - [Negotiating physician employment agreements – how to get the best deal possible](https://pahealthlaw.com/negotiating-physician-employment-agreements/): What you need to know about negotiating physician employment agreements BEFORE you get too deeply involved in the recruitment process. - [The Dangers of Physician Productivity Compensation](https://pahealthlaw.com/physician-productivity-compensation/): Some employers take a chance on hiring new physicians, shifting the risk of insufficient work to the physician through physician productivity compensation. - [5/31/09 OIG gives OK to a hospital paying for call coverage](https://pahealthlaw.com/53109-oig-gives-ok-to-a-hospital-paying-for-call-coverage/): On May 21, the OIG posted an Advisory Opinion that specifically allowed a hospital to compensate physicians for on-call services to uninsured patients. ## Pages - [Start my contract review](https://pahealthlaw.com/start-physician-contract-review/): Tell us your specialty, state, and contact information. - [Contract Review Packages](https://pahealthlaw.com/contract-review-packages/): The Physician Contract Protection Plan® includes a complete, fixed fee, physician contract review with a detailed letter of our recommendations for you to give to your potential employer. All of our packages include an MGMA compensation and benefits analysis. All contract reviews are personally performed by our experienced attorneys. - [Single Issue Review – Landing Page](https://pahealthlaw.com/single-issue-review-landing-page/): Our Single Issue package is designed for physicians who want to address a specific concern or question they have regarding their employment contract. - [Dennis Hursh​ – Physician’s Attorney](https://pahealthlaw.com/physicians-attorney-dennis-hursh/): Dennis Hursh, a physicians’ contract attorney since 1992, pulls back the curtain and tells physicians what they need to know before they sign a physician employment agreement. Dennis will help you understand the pitfalls in common compensation models, and will also warn you about aspects of physician employment agreements that can devastate the unwary. 

 - [Physician Contract Review & Compensation Analysis](https://pahealthlaw.com/): Our founder works tirelessly to obtain favorable outcomes for medical professionals from all backgrounds. Our physician contract review addresses the key issues that may arise to protect your interests before you sign your physician employment agreement. - [Physician Contract Horror Stories](https://pahealthlaw.com/physician-contract-horror-stories-blog-landing-page/): I've been a physicians' lawyer for decades. These are some of the worst physician contract horror stories I've encountered. - [4 Issues in Physician Employment Agreements](https://pahealthlaw.com/4-issues-in-physician-employment-agreements/): The same four issues in physician employment agreements keep ensnaring physicians over and over again. - [Special Contractual Issues for Female Physicians](https://pahealthlaw.com/special-contractual-issues-for-female-physicians-2/): https://pahealthlaw.com/wp-content/uploads/2022/09/special-contractual-issues-for-female-physicians-dennis-hursh-podcast-webinar-physician-agreements-health-law-united-states-1.mp4 - [Contact a Physician contract attorney](https://pahealthlaw.com/contact-a-physician-contract-attorney/): Get Legal Help for Your Physician Contract – Contact Us Today - [Media](https://pahealthlaw.com/media/): Be the first to know what’s happening at Physician Agreements Health Law and stay up-to-date on our most recent announcements.You can find articles about Dennis Hursh and Physician Agreements Health Law on this page and even more in the News Archives. Are you looking for a media outlet to do an interview? Contact us – we’re always happy to answer questions.For Media Inquiries, contact us below. - [FAQs](https://pahealthlaw.com/faqs/): Dennis Hursh explains how our contract review process work. - [Physician Contracts Blog](https://pahealthlaw.com/physician-contracts-blog/): Physician Contracts Blog - [Pennsylvania Physician Contract Review](https://pahealthlaw.com/pennsylvania-physician-contract-review/): The Physician Contract Protection Plan®, is the premier Pennsylvania physician contract review service. - [Medical Practice Buy-Ins](https://pahealthlaw.com/medical-practice-buy-ins/): Being offered a medical practice buy-in to become an owner in your medical practice is an amazing accomplishment! Obviously, at this point the owners of the practice are satisfied not only with your clinical abilities, but with your people skills. Being offered the opportunity for a medical practice buy-in is one of the highest compliments that can be bestowed upon a physician. Although this opportunity is unquestionably exciting, having an experienced physicians' attorney review the documents can ensure that you are being treated fairly, and can confirm if you are going to have the same decision-making authority as the other owners. Our experience in reviewing physician employment agreements will let you know if there are any pitfalls in your new employment agreement. We will also review the buy-in documents, and the corporate governance documents to assure that there are no surprises. If desired, we can also look at the financial and tax documents to determine if there are issues you should be concerned about (e.g., large lines of credit or other debt). - [Physician Employment Agreement Checklist](https://pahealthlaw.com/physician-employment-agreement-checklist/): This checklist addresses all the pitfalls and traps to avoid, and items that should be included in a fair physician employment agreement. - [Physician Contract Review Client](https://pahealthlaw.com/physician-contract-review-client/): Glenn feels like he’s been a student his whole life (because he has). From high school to college to med school to fellowship – it’s been an unbroken string of gathering knowledge and skills. Glenn is more or less used to the life of a student. From dorm room to small apartments, he is accustomed to a frugal life. The student lifestyle has made it relatively easy to move from college to med school to fellowship. He doesn’t have a lot of possessions, and what he does have is not top-of-the-line. His wife, Susie, works. Her income has eased some of the strains of trying to live on a modest fellowship stipend. Still, no one would describe their lifestyle as luxurious. They get out to eat once in a while, and their cars are serviceable, if not exciting. It’s not really a horrible life, and since most of Glenn and Susie’s friends are in the same situation as they are, they don’t feel particularly deprived. - [Schedule a Free Webinar for your Residents or Fellows](https://pahealthlaw.com/webinar/): To schedule a free webinar by Dennis Hursh, author of The Final Hurdle - A Physician's Guide to Negotiating a Fair Employment Agreement, please click on the box below. - [About us​​ – Physician Agreements Health Law](https://pahealthlaw.com/about-us-physician-agreements-health-law/): Welcome to Physician Agreements Health Law, the #1 rated law firm for physician contract review and negotiation. - [The Final Hurdle – #1 Book on Physician Employment Agreements](https://pahealthlaw.com/book-on-physician-employment-agreements/): The Final Hurdle: A Physician’s Guide to Negotiating a Fair Employment Agreement is the definitive book on physician employment agreements! ## Products - [MGMA Data Analysis](https://pahealthlaw.com/product/mgma-data-analysis/): For one fixed price get a comprehensive report of the most specific available data.  To the extent MGMA has these benchmarks in your specialty, we will provide a report of the median of the following: Amount of CME paid, and CME time off Signing and relocation allowances Base and total compensation Collections and wRVUs Compensation to wRVU ratio Vacation and total PTO Unpaid call per week and hourly and daily call compensation Medical director hours per week, and hourly and annual stipend Academic figures for the above, as available, by faculty rank Our reports drill down to ownership (physician, hospital or other) and state, minor geographical area, major geographical area and US benchmarks. We use the most recent MGMA benchmarks to provide you a reasonable starting point for negotiations. - [Locum Tenens Compensation “Replacement Cost” Analysis](https://pahealthlaw.com/product/locum-tenens-compensation-replacement-cost-analysis/): For one fixed price get our proprietary method for analyzing what an employed physician in your place would cost the employer.  We use the most recent MGMA benchmarks to develop an hourly rate that would encompass all the costs an employer would incur for an employed physician (benefits cost, signing bonus, relocation allowance, etc.). Since this calculation is based on recognized benchmarks, the hourly rate calculated would be a reasonable starting point for negotiations.