Managed Care Affecting Generalist And Specialist Physician Income Differently

May 01, 1997

Appearing in the May/June 1997 issue of Public Health Reports

Researchers at the University of Illinois at Chicago report that primary care physician's income grew more rapidly in states with the highest managed care growth compared to states with the lowest managed care growth. In contrast, specialist incomes, in particular those of radiologists, anesthesiologists, and pathologists grew most rapidly in states with the lowest managed care growth and least rapidly in states with the highest managed care growth.

The study examined the impact of managed care on the employment and compensation of primary care and specialty physicians as measured by changes in income, physician-to-population ratios, and choices of specialty. The researchers used data from the American Medical Association's Socioeconomic Monitoring System survey, a nationally representative 1% random sample of post-residency patient care physicians, and location data from the AMA Masterfile.

They evaluated the relationship between growth in managed care from 1985 to 1993 and: They also looked at data from the National Residency Matching Program for 1989 and 1995 to describe trends in available positions and specialty choices.

Primary care income grew 4.78% annually ($33,526 cumulatively) in states with the highest managed care growth, compared to 1.20% ($7448 cumulatively) in states in the lowest quartile of managed care growth states. For radiologists, anesthesiologists, and pathologists, income rose only 0.14% ($1700) in the top quartile of states for managed care growth versus 4.14% ($58,558) in the lowest quartile of states. These states with lowest managed care growth also experienced the fastest growth in the ratio of radiologists, anesthesiologist, and pathologists per capita. Between 1989 and 1995 the number of family practice and pediatric residency slots filled increased 32% while specialist positions in medicine and surgery showed no growth and the number of radiologist, anesthesiologist and pathologist positions declined by 14%.

The tables and charts place the 50 states and the District of Columbia in quartiles by growth in managed care penetration and then describe the physician income and supply trends for primary care doctors and specialists in these quartiles. National data on the number of residency positions offered and filled for family medicine and pediatrics, medical and surgical specialists, and radiologists, anesthesiologists, and pathologists are also presented.
-end-


Public Health Reports

Related Primary Care Articles from Brightsurf:

Six ways primary care "medical homes" are lowering health care spending
New analysis of 394 U.S. primary care practices identifies the aspects of care delivery that are associated with lower health care spending and lower utilization of emergency care and hospital admissions.

Continuity of English primary care has worsened with GP expansions
A new study published by the British Journal of General Practice has found that patients' abilities to see their preferred GP has fallen greater in English practices that have expanded, compared with those that stayed about the same size.

Primary care office-based vs telemedicine care visits during COVID-19 pandemic
This observational study quantified national changes in the volume, type and content of primary care delivered during the COVID-19 pandemic, especially with regard to office-based visits compared with telemedicine encounters.

Expenditures for primary care may affect how primary care is delivered
This study looks at trends in out-of-pocket and total visit expenditures for visits to primary care physicians.

Primary care clinicians drove increasing use of Medicare's chronic care management codes
To address the problem of care fragmentation for Medicare recipients with multiple chronic conditions, Medicare introduced Chronic Care Management (CCM) in 2015 to reimburse clinicians for care management and coordination.

Primary care at a crossroads: Experts call for change
Primary care providers have experienced a rise in responsibilities with little or no increase in the time they have to get it all done, or reduction in the number of patients assigned to them.

Primary care physicians during the COVID-19 epidemic
Scientists from the University of Geneva has analysed clinical data from more than 1,500 ambulatory patients tested for COVID-19.

The five phases of pandemic care for primary care
The authors present a roadmap for necessary primary care practice transformations to care for patients and communities during the COVID-19 pandemic.

Women almost twice as likely to choose primary care as men
Analysis of osteopathic medical school survey data reveals women are 1.75 times more likely to choose primary care than men, according to a study in The Journal of the American Osteopathic Association.

Spending on primary care vs. other US health care expenditures
National health care survey data were used to assess the amount of money spent on primary care relative to other areas of health care spending in the US from 2002 to 2016.

Read More: Primary Care News and Primary Care Current Events
Brightsurf.com is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com.