Average Physician Compensation Increase Was 3.8% in 2009: AMGA Survey
Most specialties saw modest increases in compensation in 2009, but many provider organizations continue to operate at a significant loss, according to findings in the American Medical Group Association’s (AMGA’s) 2010 Medical Group Compensation and Financial Survey. The survey found that 76% of the specialties experienced increases in compensation in 2009, with the overall average increase around 3.8% (in 2008, when 81% experienced an average increase around 3.5%). The primary care specialties (excluding hospitalists) saw about a 3.8% increase in 2009 (same in 2008), while other medical specialties averaged an increase of 2.4% and surgical specialties averaged around 3.8%. The primary care specialties saw about a 3.8% increase in 2008, while other medical and surgical specialties averaged 6%. The survey reports that during 2009, the specialties experiencing the largest increases in compensation were pulmonary disease (10.37%), dermatology (7%), and urology (6.36%).
The section of the survey that examines financial operations found that medical groups were still faced with significant financial challenges. Most regions were doing better than in 2008, but margins are thin. In 2009, organizations in the Eastern and Western regions were operating at break even. Organizations in the Southern region continue to operate at a loss (-$1,034 per physician in 2009, -$120 per physician in 2008). Groups in the Northern region continued to experience significant losses (-$9,943 per physician in 2009, -$3,254 per physician in 2008).
Anesthesiology Labor Market Study 2010
Findings:
Work arrangements
- 40% of CRNAs and ANs are employed by a single group
- 40% of CRNAS and ANs are employed by a single facility or hospital
- ANs spend more time performing general anesthesia
- CRNAs spend more of their time performing monitored anesthesia care (MAC)
- CRNAs are more likely to be employed by rural facilities
Reimbursement
- ANs work more hours and make twice as much as CRNAs
- Both ANs and CRNAs make more money in a rural setting
Regional Differences
- Western CRNAs are least likely to be employed by a group
- Western ANs are most likely to be employed by a group
- Northeastern ANs and CRNAs tend to work in larger facilities
Shortage/Surplus
- Greatest evidence for a shortage is in the Northeast and in urban areas
- Nationally, the anesthesia market is thought to be equilibrium, while states see mixed statuses
- 25 states show a shortage of ANs currently
- 19 states show a shortage of CRNAs currently
- In absolute numbers, Florida, Alabama and North Carolina exhibit the most shortage of ANs
- In absolute numbers, Pennsylvania, Michigan and Florida exhibit the greatest shortage, while Minnesota, North Carolina and California exhibit the most surplus of CRNAs.
- 2020 national projections exhibit a shortage of ANs and a surplus of CRNAs.
Rand Health performed this study in 2010 for Ethicon. For copy right reasons I am providing my impression of the most pertinent findings of the report and not a copy of the reoprt. If you would like a reprint fo the actual report you can request one at http://www.rand.org/pubs/technical_reports/TR688/
House expected to consider Medicare physician payment legislation by June 30
The U.S. House of Representatives is expected to consider legislation to block the pending 21.2 percent cut to physician Medicare payments soon. The cuts will take effect June 1 unless final legislation is signed into law before then. The proposed bill, H.R. 4213, “The American Jobs and Closing Tax Loopholes Act of 2010” also includes numerous other “tax extender” provisions, such as extended unemployment insurance and COBRA coverage through the end of 2010. The bill must also pass through the Senate if it is approved by the House.


