Medscape's Compensation System

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Beyond wanting to help people, a big draw of becoming a doctor has traditionally been the compensation. But many med students, who have racked up hundreds of thousands of dollars in student debt, are surprised, and a bit dismayed, to learn the reality of pay structures when they enter the healthcare industry as a doctor for hire for the very first time. And, with healthcare reform continuously changing the way doctors are compensated, more find themselves testing new pay structures.
To uncover the realities of compensation in the current landscape, Medscape has conducted another compensation survey; this one involving nearly 19,200 physicians in over 26 specialties. Beyond general compensation, this year’s survey also took a look at how many hours physicians are working
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The exception would be allergists and pulmonologists, who experienced a noticeable decrease (-11% and -5% respectively). Pathologists’ and plastic surgeons’ compensation remained the same.
In looking at the chart we find that rheumatologists and internists saw a significant increase in compensation. Travis Singleton, senior vice president of national physician search firm Merritt Hawkins, speculates that the large number of baby boomers turning 65 on a daily basis has driven the demand for internists, hence the higher compensation.

2. More Specialists Migrating to Accountable Care Organizations (ACOs)
The survey found that PCPs and specialists have similar rates of cash-only practices (5% and 6% respectively) as well as participation in a concierge model (4% and 3%). 37% of specialists either already do participate or are planning to participate this year in accountable care organizations (ACOs). His number is quite a bit lower than PCPs participation in ACOs, which is at 45%. Also worth noting is the fact that PCP participation in ACOs has increase from 35% last year to 39%.

3. What’s Causing all the

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