The survey found several significant trends among US physicians in 2014: - Physician income decreases were associated with being younger, more satisfied, and encouraging to the field, while increases were associated with being older, less satisfied, and discouraging. - Satisfied physicians tended to be younger, work fewer hours, and have more privately insured patients, while dissatisfied physicians were older, worked longer hours, owned solo practices, and said patients delayed treatment more. - Use of physician assistants increased from 25% to 30% from 2012 to 2014, and physician preference between PAs and nurse practitioners was split equally. - High overhead, reimbursement cuts, and administrative hassles were the top reasons cited for

1. Physician Practice Trends
2 0 1 4

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

3. Physician
Practice
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:

4. Physician
Practice
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:

5. 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

6. 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

7. Physician
Practice
Trends
‘14
2012 2014
MDs using PAs
25% 30%
Use of physician assistants is on the rise.

8. Physician
Practice
Trends
‘14
prefer PAs prefer NPs
31% 30%
Physician preference is split between
nurse practitioners and physician assistants.

9. of physicians say advanced practice
professionals contribute to the
productivity of their medical practice.
76%

10. Physician
Practice
Trends
‘14
... as their primary reasons.
high overhead reimbursement cuts administrative hassles
$$ $ INBOX
Physicians who left private practice cite...

11. Most physicians work between
9 — 12hours per day.

12. physicians reported
being on call in 2012
0 10 20 30 40 50 60 70 80
77%
reported taking
call in 2014 55%
% of physicians taking call

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

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

15. 0 20 40 60 80 100
% of physicians accepting
new patients
Medicare 85%
Medicaid 60%

16. Physician
Practice
Trends
‘14
0 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:

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

18. 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

19. 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

20. 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?

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

22. 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

23. 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.

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