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90th annual Physician Report

Medical Economics JournalApril 25, 2019 edition
Volume 96
Issue 8

This exclusive, annual report provides data from your peers about the state of physician’s today, and timely strategies you can use to run a more efficient practice and improve patient care.


The Medical Economics 90th Annual Physician Report surveyed 1,300 physicians nationwide and provides benchmarks on compensation for primary care and many subspecialties. The report also examines trends in malpractice insurance, work-life balance, and technology utilization.

Just over half (52 percent) of physicians surveyed reported that compensation was about the same as last year, but income dropped for more than a quarter (26 percent) of respondents. 

More than 70 percent of physicians indicated uncompensated tasks, such as prior authorizations, were the primary cause of lost productivity and revenue. Other factors included:

  • Higher overhead

  • Lower reimbursement

  • Greater technology costs

  • Government regulations

  • Difficulty collecting from patients

  • Penalties for missed quality metrics

About 22 percent of physicians said their compensation increased. The primary reasons included:

  • Seeing more patients

  • Change in practice model

  • Receiving pay-for-performance

  • Renegotiated payer contracts

  • Addition of ancillary services

Salary results are presented for physicians in private practice, hospital-owned practice, in-patient hospitals, nonprofits, and government. Specialties in this report include internal medicine, family medicine, pediatrics, cardiology, obstetrics/gynecology, dermatology, and urology.

Data was collected November 2018, and the report has a 3 percent margin of error with a 95 percent confidence level.

90th annual Physician Report data slideshows:

Strategies and best practices:



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