A couple of sessions at MGMA have mentioned good citizenship payments. The concept always comes up after discussion about systems that pay based on productivity, when someone points out that if you pay docs to rack up the RVUs, they might not bother to do anything else. The good citizen pay (usually a small chunk of overall income) rewards physicians for doing the stuff that makes them a "good citizen" of the practice-- serving on committees, heading up projects.
To me, there's something a little bit sad about the concept, or at least its name. Extrapolating to the outside world, should I have tipped the guy who held the elevator for me this morning or the woman who picked up my pen? Among all these friendly practice managers, this could get expensive. Lucky I'm heading back home to Philly.