On Demand: 2025 Provider Compensation & Production Survey-Webinar Recording

Video Transcription

Video Summary

The webcast, led by Joel Sauer from MedAxium with experts Karen Wilson and Chris Majdi, reviewed key findings from the 2025 MedAxium Compensation and Production Survey, focusing on cardiology subspecialties, physician compensation, productivity, and advanced practice providers (APPs). Despite industry discussions about cardiologists disintegrating from health systems, nearly 90% remain integrated. Compensation rose steadily across subspecialties in 2024, even as work RVU (relative value units) productivity remained relatively flat or declined in some areas, illustrating high demand and supply challenges, especially in electrophysiology where compensation increased 7.5% despite a 2% production drop. Integrated cardiologists earn 16% more than private practitioners, although private cardiologists generate more work RVUs, impacting compensation per RVU calculations.<br /><br />Chris Majdi addressed valuation, challenging misconceptions about compensation percentiles, noting significant inflation at even the 90th percentile over two years, with increases up to 19%. He stressed reevaluating fixed compensation caps, advocating context-driven approaches considering unique skills, market conditions, and supply-demand imbalances, aligning with evolving Medicare Stark Law clarifications emphasizing fair market value, volume/value of referrals, and commercial reasonableness.<br /><br />Karen Wilson examined APP roles, noting rising compensation mirroring physicians, with notable growth in heart failure APPs. APPs’ productivity is increasing but generally underutilized relative to potential, with private practice APPs producing more RVUs than integrated counterparts. Though APP numbers and patient panels have grown, cardiologist FTE per patient declined, placing ongoing access pressure. Despite APP support, new patient visit percentages remain low, suggesting capacity gains do not automatically translate into improved access.<br /><br />Overall, the survey highlights shifting workforce dynamics, compensation trends influenced by market forces, and regulatory factors shaping fair and strategic physician and APP compensation and productivity within cardiology practices.

Keywords

MedAxium Compensation Survey 2025

Cardiology subspecialties

Physician compensation trends

Work RVU productivity

Advanced Practice Providers (APPs)

Electrophysiology compensation increase

Integrated vs private cardiologists

Compensation percentile inflation

Medicare Stark Law clarifications

APP productivity and utilization