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Compensation is not keeping pace with physician productivity, while patient demand continues to rise and the proportion of advanced practice providers expands across the workforce.

The median investment/subsidy per provider plateaued this quarter, however the distribution between higher and lower performing practices is wide.

The One Big Beautiful Bill (OBBB) has drawn attention for its headline provisions: millions likely will lose their health insurance and there will be a reduction in cumulative federal health spending of an estimated $1 trillion over 10 years.

Aligning the right physician/APP model and the right measurements with the right compensation.

Net patient revenue per provider increased overall, and physician productivity continues to rise.

Primary care alignment remains essential, but employment is only one tool in the toolbox. Health systems facing mounting losses, shifting patient populations or rising competition from disruptive entrants should consider whether a different model might better serve their mission, physicians and patients.

As advanced practice providers represent a growing percentage of the clinical workforce, health systems must ensure that APPs are being deployed in ways that enable the physicians they work with to operate at the top of their potential.

Two out of every five healthcare providers—just over 40%—in the United States are now non-physician, advanced practice providers.

Hospitals continue to lose significant money on employing physicians, and the original goals of care coordination and efficiency haven't materialized. Rising costs, declining reimbursement advantages, overutilization of low-margin services and administrative burdens are factors behind these unsustainable losses.

This week’s graphic dives into a growing challenge facing health systems’ physician enterprises.

A judge orders a partial, preliminary injunction of the FTC’s noncompete ban, Sanford Health and Marshfield Clinic announce plans to combine, and CMS proposes a nearly 3% cut to Medicare physician pay for 2025.

Using the latest data forecast from Sg2, a Vizient company, the graphic below illustrates how the outpatient shift will continue to accelerate through 2034.