AMGA Physician Supply Study

Posted on March 14, 2008 by Dr. David Edward Marcinko MBA MEd CMP™

Cejka Suggests Economic Disparities to Increase

Staff Reporters 

 

According to a new report by the American Medical Group Association (AMGA) and Cejka Search, the economic imbalance in supply and demand for physicians will intensify as the U.S. population continues to grow faster than the physician workforce.

Moreover, added pressure will come with the increasing number of physicians practicing medicine on a part-time basis. 

Findings 

In the recently released survey, responding groups reported an increase in the percentage of physicians practicing part-time from 13 percent in 2005 to 19 percent in 2007, while males increased from 5 percent to 7 percent, and females increased from 8 percent to 12 percent.  

The age group with the greatest number of physicians practicing part-time is between 35 and 39; the gender split among part-time physicians in that age group is 15 percent male and 85 percent female. 

Of the physicians practicing part-time, 83 percent practice more than half of a workweek and 45 percent practice at least three-quarters of a work-week.  

And, eighty-six percent of respondents reported that they hired hospitalists or engaged with a hospitalist organization in the past year, while the likelihood of the group doing so increased with the size of the group and if it was owned by a hospital or an integrated delivery system.  

Conclusion: 

And so, is there a solution to this conundrum; please comment? 

More info: http://www.springerpub.com/prod.aspx?prod_id=23759 

Institutional: www.HealthcareFinancials.com 

Terms: www.HealthDictionarySeries.com

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Managed Care Contract De-Selection Risks

Posted on March 14, 2008 by Dr. David Edward Marcinko MBA MEd CMP™

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Origins of Medical Practice Patient Flow

[By Dr. Charles F. Fenton III; Esq]

fentonIn the current medical environment a physician’s practice does not consist of a collection of individual patients, or even of the “charts.”  

Rather, a physician’s practice consists of a number of managed care contracts that allows the physician to be a member of a panel and listed in the individual subscriber’s insurance book-of-business.  

Practice Cash Flow 

Today, patients merely flow from managed care contracts. Without managed care contracts, there are few patients and little cash flow. 

Therefore, the physician may face the risk of being de-selected from an individual, or several, managed care panels as contractual issues change, morph or are otherwise altered during each enrollment period. 

Assessment 

Each de-selection will have an adverse effect on the physician’s practice.  In actuality, the revenue lost from de-selection will come disproportionally from the net revenue of the practice.

Often one de-selection will snowball into several de-selections, until the physician barely has a practice remaining. 

Conclusion

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