MGMA DATADIVE PROVIDER COMPENSATION PROVIDER PAY AND THE ...

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MGMA DATADIVE PROVIDER COMPENSATION

PROVIDER PAY

AND THE PANDEMIC

A N M G M A DATA R E P O R T

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.



?MGMA. All rights reserved.

2

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

¡ª reflecting data from more than 185,000 providers across more than 6,700 organizations ¡ª finds

compensation for most physician specialties was either flat or increased slightly during 2020

versus 2019 levels.

2.6

%

1.25%

Increase in primary

care physician total

compensation, 2019 to 2020

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.

3

?MGMA. All rights reserved.

Trends

PHYSICIAN PRODUCTIVITY

KEY PRODUCTIVITY METRICS BY OWNERSHIP

Total encounters

Work RVUs

Physician owned

Hospital/IDS owned

Physician owned

Hospital/IDS owned

Primary care

3,243

2,653

4,653

4,280

Surgical specialist

1,801

1,864

7,914

6,502

Nonsurgical specialist

3,451

2,293

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

Physician owned

Hospital/IDS owned

12,000

10,000

8,000

6,000

4,000

2,000

0

Cardiology

(noninvasive)

Dermatology

Gastroenterology

Hematology/

Oncology

Neurology

Orthopedic surgery

(general)

Surgery

(general)

Surgery

(neurological)

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

PRODUCTIVY BY PRACTICE OWNERSHIP, BY SPECIALTY GROUPING

8,000

7,000

6,000

Primary care

5,000

Surgical specialist

4,000

Nonsurgical specialist

3,000

2,000

Source: 2021 MGMA

DataDive Provider

Compensation

(based on 2020 data)

1,000

0

Physician owned

Hospital/IDS owned

Physician owned

TOTAL ENCOUNTERS

?MGMA. All rights reserved.

Hospital/IDS owned

WORK RVUs

4

PRODUCTIVITY VARIATION BY OWNERSHIP: HOW

MUCH HIGHER/LOWER WERE KEY METRICS FOR

PHYSICIANS IN HOSPITAL-/IDS-OWNED PRACTICES

VERSUS THOSE IN PHYSICIAN-OWNED PRACTICES?

These findings give deeper insight into

similar findings derived from the 2020

Total encounters

wRVUs

MGMA Monthly Survey launched in July

Cardiology: Invasive

+203

+491

2020, which collected data at the provider

Cardiology (invasive-interventional)

-200

-3,431

level data and for the overall practice.

Cardiology (noninvasive)

-393

-323

By June 2020, volumes began to rebound.

Dermatology

+366

-1,137

The 2020 Monthly Survey data show

Family medicine (without OB)

-334

-514

-1,066

-69

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

Gastroenterology

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

-1,250

-5

Pulmonary medicine (general)

Surgery (general)

-481

-660

Surgery (neurological)

-201

-2,636

Urgent care

-284

-793

after June 2020 being near or above

Primary care

-590

-373

reported levels for February and March

Surgical specialist

+63

-1,412

2020.

Nonsurgical specialist

-1,158

-921

than 75% of pre-pandemic levels, the

2020 Monthly Survey data find wRVUs

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

Primary care

March

April

May

June

July

Nonsurgical specialist

August

September October

Surgical specialist

November

December

Advanced practice provider

Source: 2020 MGMA Monthly Survey

5

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