Physician Practice Trends 2 0 1 4

There were a number of interesting and statistically significant findings in our 2014 national survey of physicians.

PhysicianPractice

Trends‘14

Be age 45+ Own their medical practice

Be dissatisfied with their

career

Discourage young

people from entering

field

Physicians whose income DECREASED in the past year are more likely than those whose income increased to:

PhysicianPractice

Trends‘14

Be younger than 45

Be very satisfied with their

career

Encourage young

people to enter field

Physicians whose income INCREASED in the past year are more likely than those whose income decreased to:

Satisfied physicians are more likely to:

• Be between 25 and 44 years of age

• Work 8 hours per day• Be employed & have never

worked in private practice• Have chosen employment

for lifestyle reasons• Have a greater number

of patients with private insurance

Dissatisfied physicians are more likely to:

• Be between 45 and 64 years of age

• Work more than 8 hours per day

• Own a solo practice• Say patients are delaying

treatments• Say they have lost patients

due to ACA roll-out

PhysicianPractice

Trends‘14

2012 2014

MDs using PAs

25% 30%

Use of physician assistants is on the rise.

PhysicianPractice

Trends‘14

prefer PAs prefer NPs

31% 30%

Physician preference is split between nurse practitioners and physician assistants.

of physicians say advanced practice professionals contribute to the productivity of their medical practice.

76%

PhysicianPractice

Trends‘14... as their primary reasons.

high overhead reimbursement cuts administrative hassles

$$ $ INBOX

Physicians who left private practice cite...

Most physicians work between

9 — 12hours per day.

physicians reported being on call in 2012

0 10 20 30 40 50 60 70 80

77%

reported takingcall in 2014 55%

% of physicians taking call

Most physicians (88%) take unrestricted call. Which means they carry a pager, but don’t have to stay on site.

of new patients wait two weeks or less to get an appointment.53%

0 20 40 60 80 100

% of physicians accepting new patients

Medicare 85%

Medicaid 60%

PhysicianPractice

Trends‘140 5 10 15 20 25

too early to tell

high deductibles for patients

loss of patients

more patients with coverage

decline in reimbursements & denials

25%

12%

8%

8%

7%

Physicians said the most prevalent effect of the Affordable Care Act roll-out has been:

Physician participation in Accountable Care Organizations (ACOs) is on the rise.

Physicians in ACOs are more likely than those who are not to:

• Practice in the Midwest, New England and urban areas

• Be younger than 54 years of age

• Say their income has not changed since 2013

• Work more than 10 hours per day

• Utilize nurse practitioners and physician assistants

Physicians not in ACOs are more likely than those who are to:

• Practice in the Southeast and Mountain region

• Be older than 55 years of age• Say their income has

decreased since 2013• Say their practice is not at

full capacity• Not utilize nurse practitioners

and physician assistants

With only half of primary care physicians planning to participate in ACA exchanges and many not part of an ACO, how will this impact patients and physicians in the coming years?

What’s to become of the solo practice owner in the era of ACA?

Each year, Jackson Healthcare studies trends impacting the careers and medical practices of physicians in the U.S.

We hope our findings help physicians make informed, strategic decisions in their careers and practices.

About This Report

Survey Methodology

A total of 1,527 physicians completed this survey, which was conducted between April 18 and June 5, 2014. The error range for this survey was +/- 2.5 percent at a 95 percent confidence level.

Respondents to all surveys were self-selected and spanned all 50 states and medical/surgical specialties.

For more data, articles and reports, visit us online atjacksonhealthcare.com/physician-trends.