Physician Trends 2015

Copyright © 2015 Jackson Healthcare
Data, Surveys& Commentary on U.S. Physicians
1

Copyright © 2015 Jackson Healthcare 2
What’s Highlighted In This Report?
• Supply & Demand
• Regulatory Impact
• Compensation & Reimbursement
• Outlook & Satisfaction
• Practice Environment

The American Association of Medical
Colleges (AAMC) projects a shortfall of
between 46,100 – 90,400 physicians by 2025.
SUPPLY & DEMAND

Key Physician Shortages by 2025
• Primary Care (12,500 – 31,100)
• Specialists & Surgeons (28,200 – 63,700)
• Medical Sub-specialists (5,100 – 12,300)
Source: Complexities of Physician Supply & Demand: Projections from 2013 to 2025, AAMC
SUPPLY & DEMAND

72 percent of physicians believe there is a
physician shortage
Source: 2014 Survey of America’s Physicians by Physicians Foundation
SUPPLY & DEMAND

Scenarios that could impact demand:
• Changing demographics
• ACA expanded medical insurance coverage
• Integrated care delivery model
• Expanded use of retail clinics
• Increased use of advanced practice nurses
Source: Complexities of Physician Supply & Demand: Projections from 2013 to 2025, AAMC
SUPPLY & DEMAND

“…while productivity improvements (via tech
and staffing) might solve the (physician)
shortage for big cities with ample resources,
what about the non-metropolitan areas…?”
— Randy Gott, SVP with The Advisory Board Company
Source: “Is the physician shortage a real concern? Depends on where you live,”
Advisory Board Company, Sept. 2, 2015
SUPPLY & DEMAND

As physicians retire, local health systems
struggle to replace their core medical staff.
— Randy Gott, SVP with The Advisory Board Company
Source: “Is the physician shortage a real concern? Depends on where you live,”
Advisory Board Company, Sept. 2, 2015
SUPPLY & DEMAND

Impacts of ACA on Physician Practices
• Too early to tell (25 percent)
• High deductibles for patients (12 percent)
• Loss of patients (8 percent)
• More patients with coverage (8 percent)
• Decline in reimbursements (7 percent)
• More bureacracy (6 percent)
Source: Jackson Healthcare Survey of 1,527 Physicians between 4/18/14 – 6/5/14
REGULATORY IMPACT

46 percent of doctors give the ACA
a D or F grade
REGULATORY IMPACT

74 percent of physicians said they felt the
ACA would be overturned by Congress, with
66 percent saying it should be repealed.
Source: January 2015 Survey by LocumTenens.com
REGULATORY IMPACT

61 percent of physicians reported an
increase in overhead costs for items such as
EHR and administrative costs to comply
with the ACA
Source: Jackson Healthcare Survey of 1,352 Physicians (Released: June 25, 2015)
REGULATORY IMPACT

60 percent of physicians reported more
administrative work under the ACA,
resulting in less time with patients
REGULATORY IMPACT

REGULATORY IMPACT

$195,000
Average Primary Care Physician’s Compensation
Source: Physician Compensation Report 2015 by MedScape Medical News
COMPENSATION &
REIMBURSEMENT

$284,000
Average Specialist’s Compensation
Source: Physician Compensation Report 2015 by MedScape Medical News
COMPENSATION &
REIMBURSEMENT

Top 5 Compensation Increases from 2013-14
• Urology
• Invasive Cardiology
• Dermatology
• Gastroenterology
• Radiation Oncology
Source:“Doc pay resumes upward march after prior year's slowdown,”
by Steven Ross Johnson, July 18, 2015, Modern Healthcare
COMPENSATION &
REIMBURSEMENT

“The past five years have seen a significant increase in
the creation of alternative payment models, such as
accountable care organizations, patient centered
medical homes, bundled payments, gainsharing, and
various other pay-for-performance formulae.”
Source: Advisory Board Company, “How physicians can adapt to compensation changes,”
A Law Review Q&A, July 10, 2015
COMPENSATION &
REIMBURSEMENT

“We continue to see the expansion of
compensation figures for the primary-care
specialties at a rate that's surpassing that of
the (other) specialties.”
— Todd Evenson, COO of MGMA
Source: “Doc pay resumes upward march after prior year's slowdown,”
by Steven Ross Johnson, July 18, 2015, Modern Healthcare
COMPENSATION &
REIMBURSEMENT

Proposed updates to CMS’s Physician Fee
Schedule could lead to an increase in
Medicare reimbursement for physicians in
2016.
Source: “How Medicare plans to change physician pay next year,”
Advisory Board Company, July 9, 2015
COMPENSATION &
REIMBURSEMENT

Reimbursement cuts were one of the top two
reasons physicians cited for selling their
medical practice.
Source: Jackson Healthcare Physician Acquisition Survey (June 2015)
COMPENSATION &
REIMBURSEMENT

Physician satisfaction is on the decline.
64 percent of physicians said they would choose medicine as a
career again (vs. 69 percent in 2011)
Source: Physician Compensation Report 2015 by Medscape Medical News
OUTLOOK & SATISFACTION

24

25

Over past five years, physician satisfaction
with EHR has decreased nearly 30 percentage
points.
Source: 2014 Physician Survey by American Medical Association & AmericanEHR Partners

81 percent
% of doctors at capacity or overextended
PRACTICE ENVIRONMENT

53 hours
Average work week for a physician

9 – 12 Hours
Average number of hours worked per day

22 patients
Mean # of patients seen per day

20 minutes
Mean time spent with each patient

13 patients
Mean # of patients seen during hospital rounds

5 surgeries
Mean # performed in OR on a surgery day

68 percent of physicians who sold their
practice reported approaching the hospital
to initiate acquisition talks.

Primary care practices make up the majority
of acquisitions by hospitals.

77 percent
# of physicians who said selling their practice was the right decision

85 percent
# of physicians who have adopted EHR
Source: 2014 Survey of America’s Physicians by the Physicians Foundation

The number of physicians taking call dropped
from 77 percent in 2012 to 57 percent in 2014.

More physicians are choosing employment
over practice ownership.
EMPLOYMENT

5 Advantages of Employment:
• Elimination of concerns about their practice’s
financial viability (71 percent)
• Less administrative work (43 percent)
• Less stress (42 percent)
• Ability to take time off (40 percent)
• Stability/security (37 percent)
EMPLOYMENT

Headquartered in Atlanta, Georgia, Jackson Healthcare serves more than
seven million patients in over 1,300 healthcare facilities. The company also
helps hospitals optimize real-time patient care logistics. As one of the largest
healthcare staffing companies in the U.S., Jackson has earned national media
coverage by providing innovative solutions to healthcare problems, in addition
to championing local, national and international charitable work. Atlanta
Business Chronicle named Jackson Healthcare the city’s “Best Place to Work”
in 2014 and 2015 and “Healthiest Large Company” in 2015.
Visit Jackson Healthcare’s Physician Trends Resource Center:
JacksonHealthcare.com/Physician-Trends
ABOUT JACKSON HEALTHCARE

Physician Trends 2015

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