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Merritt Hawkins 2020 Incentive Review: How COVID-19 Changed the Market for Physicians

July 14, 2020

Merritt Hawkins 2020 Incentive Review: How COVID-19 Changed the Market for Physicians

By Phillip Miller


Each year for the last 27 years, Merritt Hawkins has released its Review of Physician and Advanced Practitioner Recruiting Incentives, which tracks the starting salaries and other incentives offered to recruit physicians.


In addition to salary, signing bonus, relocation allowance and other data, the Incentive Review features an analysis of the physician recruiting market -- the types of facilities that are recruiting physicians, the kinds of physicians they are recruiting, and why they are recruiting them.


Typically, the analysis section of the Incentive Review examines why demand for physicians in various specialties keeps rising.


That is not the case this year. Instead, Merritt Hawkins’ newly released 2020 Incentive Review explores how Covid-19 has temporarily decreased demand for physicians, changing what for years has been a buyer’s market for physicians seeking practice opportunities to a seller’s market for hospitals, medical groups and other healthcare facilities seeking doctors.


The 2020 Incentive Review notes that while most physicians have had multiple practice opportunities to choose from over the last ten years, some physicians today are our of work and in need of a job due to the coronavirus pandemic.


Physician Shortages Will Return


However, the Incentive Review also projects that the decrease in demand for doctors is likely to be temporary. The various underlying dynamics driving physician supply and demand remain, including a growing and aging population, a limited supply of newly trained physicians, and an aging physician workforce. Covid-19 has not changed these dynamics, and demand for physicians will begin to rebound before the end of year, the report projects.


This projection is in line with a report released by the Association of American Medical Colleges (AAMC) on June 26, 2020. The AAMC report projects a shortage of up to 139,000 physicians by 2033, an increase over its 2019 projection of 121,900 too few doctors by 2032. The 2020 AAMC report suggests that Covid-19 will contribute to the physician shortage by interrupting the training of new doctors and in other ways.


While the pandemic will change how healthcare is delivered, physicians will remain indispensable caregivers, and Merritt Hawkins anticipate a renewed demand for both their clinical services and their leadership in the post-pandemic world.


New Physician Compensation Models and Telehealth


Merritt Hawkins’ 2020 Incentive Review tracks physician starting salaries and other incentives based on data gathered mostly prior to the emergence of Covid-19. This data shows an average starting salary for family doctors of $240,000, compared to an average of $423,000 for radiologists, $464,000 for urologists, $640,000 for invasive cardiologists, and $626,000 for orthopedic surgeons.


Physician starting salaries are likely to decrease temporarily as a result of Covid-19, though it is difficult to project by how much. The way physicians are compensated is also likely to change, with physician bonuses increasingly tied to their use of telehealth and with more physician reimbursements based on monthly payments rather than on average daily patient or work volumes.


Readers who would like a copy of Merritt Hawkins’ 2020 Review of Physician and Advanced Practitioner Recruiting Incentives can download it here.


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