Becker's ASC Review

Becker's ASC Review February 2016

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8 10 Things for Physicians to Know About PAs, RNs & APNs By Anuja Vaidya 33. 10.4 percent of physicians say 11 percent to 50 percent of their compensation is tied to value. 34. 10.4 percent of physicians report more than half of their compensation is tied to value provided. 35. 38.55 percent of physicians pay up to $7,000 annually for malpractice insurance. 36. 20.9 percent of physicians pay between $7,000 and $10,000 annually for malpractice insurance. 37. 20.6 percent of physicians pay between $10,000 and $15,000 annually for malpractice insurance. 38. 10.1 percent of physicians pay between $15,000 and $20,000 annually for malpractice insurance. 39. 9.9 percent of physicians pay more than $20,000 annu- ally for malpractice insurance. 40. 4.6 percent of physician practice owners plan to retire in the next year. 41. 71.2 percent of physician practice owners plan to con- tinue running their practice in the next year. Financial preparedness for young physicians e 2015 AMA Employed Physicians Financial Prepared- ness Report on Young Physicians shows: 42. 79 percent of physicians under 40 are employed; 28 per- cent are hospital employees; 24 percent are employed by a large group practice; 18 percent work in a small practice environment. 43. In personal finances, 66 percent of young physicians are the primary personal financial decision makers, while 46 percent use a financial advisor. 44. 80 percent are still paying off medical school debt; 71 percent have an emergency fund; and 29 percent have less than $25k in funds. 45. 40 percent of young physicians work 40 to 50 hours a week; 25 percent work 51 to 60 hours a week; and 22 per- cent work 61 to 80 hour weeks. 46. In the future, 19 percent plan to start or buy into a pri- vate practice; 49 percent plan to buy or remodel a primary home; and 6 percent plan to buy a second home or vaca- tion home. Ten percent of young physicians plan on getting married and 45 percent plan to have children. Sixty-seven percent wish to continue practicing as they do now. 47. 7 percent of young physicians consider themselves ahead of schedule in saving for retirement; 50 percent say they are on track; and 43 percent are behind where they'd like to be. 48. 36 percent of young physicians have less than $100k saved, and 45 percent have $100k to $500k saved. 49. 38 percent of young physicians consider themselves "knowledgeable" or "very knowledgeable" about personal finances, while 83 percent are "somewhat confident" or "very confident". 50. 46 percent believe the time spent on personal finances is not adequate. 51. 71 percent believe physicians have unique financial needs. n H ere are 10 things to know about physician assistants, registered nurses and advanced nurse practitioners. 1. Nurse practitioners and physician assistants earn more than non-clinical staff. The average annual pay for a nurse practitioner is $87,000. Registered nurs- es earn significantly less at $52,000. 1 2. A Medscape nurse salary report, which polled 8,256 nurses including licensed practical/vocational nurses, registered nurses and advanced practice nurses noted over 50 percent of nurses reported a salary increase in 2014 compared with 2013. 2 Here are five key findings on changes in nurse salary from 2013 to 2014: • Increased by more than 10 percent — 7 percent • Increased by 10 percent or less — 45 percent • Remained the same — 39 percent • Decreased by 10 percent or less — 6 percent • Decreased by more than 10 percent — 3 percent 3. RNs typically earn the most in the West (California and Hawaii — $105,000) and the least in the North Central region (Iowa, Missouri, Ne- braska, North Dakota, Oklahoma and South Dakota — $69,000). 2 4. Nearly two-thirds — 62 percent — of registered nurses over age 54 are considering retirement within the next three years, according to AMN Health- care's annual survey of registered nurses. The survey also found that 85 percent of nurses are happy with their career choice, but they are increas- ingly dissatisfied with their jobs and the future of the care environment. 5. A number of states (21 and Washing- ton, D.C.) allow nurse practitioners to practice without physician oversight. Ohio recently became the 22nd state to consider a modernization bill that would allow nurse practitioners and other advanced practice nurses to practice without physician oversight. 6. The demand for physician assistants is growing, according to a 2015 Mer- ritt Hawkins report. 3 Specific findings from the report include: • Searches for PAs were up 177 percent from 2011/12 to 2013/14 • PAs in the hospital setting: 39 percent • PAs in a primary care setting: Around 33 percent • PAs in a specialist setting: About 66 percent • PAs are the 9th most requested Merritt Hawkins search 7. PA salary is on the rise. In 2014, the median base salary for a PA increased to $93,800 a year, representing a $3,800 rise from 2012. In 2015, 54 percent of PAs received monetary bonuses. Over 75 percent of PAs received some type of additional compensation. PAs who had less than one year of experience reported an average base salary of $85,000. This figure increased to $89,000 for PAs with two-to-four years of experience and $96,000 for PAs with five-to-nine years of experience. 8. New York, California, Texas, Penn- sylvania and Florida lead the nation as the top 5 states based on the number of PAs.4 Alaska, South Dakota, Maine, Pennsylvania and New York lead the na- tion as the top 5 states based on the con- centration of PAs per 100,000 people. 9. Family medicine has the greatest number of PAs at 19.7 percent, fol- lowed by surgical subspecialties (19.5 percent) and emergency medicine (13.8 percent). However, PAs in der- matology make the highest average salary of $112,538.4 10. PAs have the best job in America right now based on the number of job openings, earning potential and career opportunities, according to career site Glassdoor. There are more than 45,000 job openings for PAs and the role is associated with high career opportunities, employees rating the job 3.5 out of five for opportunities. References: 1 Medscape's Clinical and Office Staff Salary Report 2015 2 Medscape Nurse Salary Report 2015 3 2014 Review of Physician and Advanced Practitioner Recruiting Incentives by Merritt Hawkins 4 Data from the National Commission on Certi- fication of Physician Assistants n

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