MGMA DATADIVE PROVIDER COMPENSATION PROVIDER …

MAY 2021

MGMA DATADIVE PROVIDER COMPENSATION

PROVIDER PAY AND THE PANDEMIC

AN MGMA DATA REPORT

Table of Contents

Introduction....................................................................3 Trends..............................................................................4 ? Physician productivity............................................4 ? Provider compensation.........................................6 ? APP compensation.................................................6 6 keys to medical practices' recovery amid the pandemic...................................7 Redefining fair market value under Stark Law....10

By Joe Aguilar, MBA, MPH, MSN, CVA, partner, HMS Valuation Partners

Additional resources...................................................13

MGMA DATADIVE PROVIDER COMPENSATION Balance compensation with productivity with the most reliable data in the industry. MGMA DataDive Provider Compensation is your go-to resource for any physician or advanced practice provider (APP) compensation decisions. Use it to understand the unique differences among physician-owned, academic and hospital-owned practice benchmarks across multiple regions, practice sizes and provider experience levels. Benchmarks include:

? Compensation (including total pay, bonus/incentives, retirement) ? Productivity (work RVUs, total RVUs, professional collections and charges) ? Benefit metrics (hours worked per week/year and weeks of vacation)

Explore even more of what MGMA DataDive Provider Compensation offers.

ABOUT MGMA Founded in 1926, the Medical Group Management Association (MGMA) is the nation's largest association focused on the business of medical practice management. MGMA consists of 15,000 group medical practices ranging from small, private medical practices to large national health systems, representing more than 350,000 physicians. MGMA helps nearly 60,000 medical practice leaders and the healthcare community solve the business challenges of running practices so that they can focus on providing outstanding patient care. Specifically, MGMA helps its members innovate and improve profitability and financial sustainability, and it provides the gold standard on industry benchmarks such as physician compensation. The association also advocates extensively on its members' behalf on national regulatory and policy issues.



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Introduction

It took a once-in-a-lifetime public health crisis to slow down America's physicians.

Even with the COVID-19 pandemic shuttering some practices and capping elective procedures for significant portions of the past year, the 2021 MGMA Provider Compensation and Production report -- reflecting data from more than 185,000 providers across more than 6,700 organizations -- finds compensation for most physician specialties was either flat or increased slightly during 2020 versus 2019 levels.

2.6% Increase in primary care physician total compensation, 2019 to 2020

1.25% Increase in advanced practice provider (APP) total compensation, 2019 to 2020

Those numbers may not immediately reflect the pain felt by practices that were forced to respond in the face of crisis. Data from specialist physicians for the report point to what most of us already know: 2020 took a major toll on a broad range of healthcare providers whose deference to safety and science in weeks (and sometimes months) of shutdown orders strained the ability to serve their patients in an industry in which access was already a major concern:

-1.91%

Change in median total compensation for specialist

physicians, 2019 to 2020

-0.89% Change in median total compensation for surgical specialists, 2019 to 2020

-1.29%

Change in median total compensation for nonsurgical

specialists, 2019 to 2020

This report offers a closer look at the data within 2021 MGMA DataDive Provider Compensation, so that we can learn more crucial lessons from 2020 and position today's medical practices for continued recovery and sustainable success.

We know all too well that the pandemic isn't over...

Visit the MGMA COVID-19 Recovery Center for the latest tools, content and insights for leading throughout the coming months.

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Trends

PHYSICIAN PRODUCTIVITY

KEY PRODUCTIVITY METRICS BY OWNERSHIP

Total encounters

Physician owned Hospital/IDS owned

Primary care

3,243

2,653

Surgical specialist

1,801

1,864

Nonsurgical specialist

3,451

2,293

Work RVUs

Physician owned Hospital/IDS owned

4,653

4,280

7,914

6,502

6,297

5,376

Physician-owned practices report higher levels of productivity for many specialties in total encounters and work RVUs (wRVUs) in the 2021 MGMA Provider Compensation and Production report.

Total encounters reflect the number of direct provider-to-patient interactions regardless of setting, including televisits and e-visits. The wRVUs also quantify productivity and take into account the complexity of the visits.

WORK RVUs BY PRACTICE OWNERSHIP IN SELECTED SPECIALTIES

12,000 10,000 8,000 6,000 4,000 2,000

0

Cardiology (noninvasive)

Physician owned

Hospital/IDS owned

Dermatology

Gastroenterology Hematology/ Oncology

Neurology

Orthopedic surgery (general)

Source: 2021 MGMA DataDive Provider Compensation (based on 2020 data)

Surgery (general)

Surgery (neurological)

PRODUCTIVY BY PRACTICE OWNERSHIP, BY SPECIALTY GROUPING

8,000

7,000

6,000

5,000

4,000

3,000

2,000

1,000

0

Physician owned

Hospital/IDS owned

Physician owned

Hospital/IDS owned

TOTAL ENCOUNTERS

WORK RVUs

Primary care Surgical specialist Nonsurgical specialist

Source: 2021 MGMA DataDive Provider Compensation (based on 2020 data)

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These findings give deeper insight into similar findings derived from the 2020 MGMA Monthly Survey launched in July 2020, which collected data at the provider level data and for the overall practice. By June 2020, volumes began to rebound. The 2020 Monthly Survey data show reported wRVUs stabilized after hitting their lowest levels in April, with sizable increases reported in May and June 2020 for all provider types. Nonsurgical specialists reported the largest decrease and increase respectively.

Whereas less than half (49%) of respondents to a June 2020 MGMA Stat poll saw patient volumes return to more than 75% of pre-pandemic levels, the 2020 Monthly Survey data find wRVUs after June 2020 being near or above reported levels for February and March 2020.

PRODUCTIVITY VARIATION BY OWNERSHIP: HOW MUCH HIGHER/LOWER WERE KEY METRICS FOR PHYSICIANS IN HOSPITAL-/IDS-OWNED PRACTICES VERSUS THOSE IN PHYSICIAN-OWNED PRACTICES?

Total encounters wRVUs

Cardiology: Invasive

+203

+491

Cardiology (invasive-interventional)

-200

-3,431

Cardiology (noninvasive)

-393

-323

Dermatology

+366

-1,137

Family medicine (without OB)

-334

-514

Gastroenterology

-1,066

-69

Hematology/Oncology

-38

-577

Hospitalist (internal medicine)

+68

+245

Internal medicine (general)

-592

-197

Neurology

-770

-599

Obstetrics/Gynecology (general)

-609

-761

Orthopedic surgery (general)

-749

-556

Pediatrics (general)

-196

-94

Psychiatry (general)

-211

-144

Pulmonary medicine (general)

-1,250

-5

Surgery (general)

-481

-660

Surgery (neurological)

-201

-2,636

Urgent care

-284

-793

Primary care

-590

-373

Surgical specialist

+63

-1,412

Nonsurgical specialist

-1,158

-921

Source: 2021 MGMA DataDive Provider Compensation (based on 2020 data)

2020 MONTHLY WORK RVUs FOR FULL-TIME, ACTIVELY EMPLOYED PHYSICIANS AND APPs

800 700 600 500 400 300 200 100

0

January February March April May June July August September October November December

Primary care

Nonsurgical specialist

Surgical specialist

Advanced practice provider

Source: 2020 MGMA Monthly Survey

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