Optimizing Clinician Payout at a Tertiary Care Hospital in South India for a Dubai Based Investment Firm

An international standards-compliant healthcare facility in South India had an EBITDA of <10%, largely due to high variable costs (material and doctor cost). Doctor cost alone was ~30% of the revenue. Medium was onboarded to design a more efficient structure of clinician-engagement to bring down the doctor costs.

 Our Approach: To arrive at actionable insights into doctors’ engagement at a granular level we took the following approach:

Cross-Facility Benchmarking:

• Analyzed 8 market-leading hospitals across 4 South India geos
• Compared: payout model types, specialty mix, dept–level doctor cost/revenue

 Stakeholder Deep-Dive:

• 30+ interviews with promoters, CXOs, Ops Heads, Finance leads across client facility and competing facilities
• Mapped pain-points, incentives and governance gaps

Illustrative: Study of Models & Payouts in Competing Hospitals

Results Delivered: Based on this comprehensive market evaluation, we helped the organization reduce the doctors’ costs by 22%. The recommendations included:

Defined Payout Models

• Analyzed current doctor costs of the facility by specialty and seniority
• Defined payout models based on specialties and their contribution to the hospital performance

Suggested Optimum Doctor Costs

• Defined ideal payout for doctors in select specialties
• Aligned with city- based benchmarks and doctors’ expectationsThe client rolled out the recommendations in their facility through medical
  teams, and 6.5 percentage points reduction was achieved in the cost.