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.