Physicians Advocacy Institute
This Specialty Edition report, released in June 2022, continues PAI’s longstanding research collaboration with Avalere Health to collect information relating the ongoing trend of increasing physician employment by hospitals and other corporate entities, spurred in part by acquisitions of physician practices. This report adds to the national physician employment trends study that PAI and Avalere released in April 2022 showing a steady trend towards employment and medical practice acquisitions that sharply increased in the period following the start of the pandemic.
In this specialty edition of the report, Avalere Health researchers examine two related consolidation trends for physician employment and practice ownership (by hospital/health systems and other corporate entities) across physician specialties/subspecialties and specialty groupings.
Avalere examined these trends for 53 physician specialties, grouped into five mutually exclusive specialty categories:
The report shows that the employment and practice acquisition trends for primary care specialties, surgical specialties and pediatricians track the trends for physicians overall, with minor variations.
Overall employment by Physician Specialty Category – January 1, 2022
Other Specialties – 63.8%
Primary Care specialties - 74.3%
Surgical Specialties – 74.8%
Pediatric Specialties – 74.9%
Medical Specialties – 82.4%
Overall Practice Ownership by hospitals/health systems and “other” corporate entities – January 1, 2022
Other Specialties – 54.4% ownership
Primary Care – 55% ownership
Surgical Specialties – 59.8% ownership
Pediatric Specialties – 61.8% ownership
Medical Specialties – 69% ownership
The appendices following the report include detailed practice trend information on each of the individual physician specialties.
Key Finds PDF