Start by finding a couple of physician champions and APPs who are regarded highly amongst their peer group and appear to be leaders, says Carol S. Cairns, CPMSM, CPCS. Begin to have this discussion with them—would they be interested in having such a structure? You might reach out to other organizations that have such a structure and look at what policies and procedures they have, if they have built it into their bylaws, and so on.

Gains in compensation are never a bad thing. And performance-based metrics, while challenging, can be rewarding—a pat on the back for a job well done. But here’s the not-so-great news when it comes to MSP raises: According to the respondents of Credentialing Resource Center’s 2020 MSP Salary Survey Report, only 57.3% of respondents reported receiving an increase in the past year. That’s a big drop from recent years’ survey results. Three-quarters of 2018 respondents in the same report (76.6%) saw a salary increase within the past year, compared to 74.7% in 2017 and 72.1% in 2016.