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Physician's Productivity-based Compensation on the Decline

group of physicians

The American Medical Association Policy Research Perspective recently issued its March 2026 report. The report analyzed trends in physician compensation methods from 2014 to 2024. It found that:


  • in 2024, 70.5% of physicians received compensation from salary, 55% from productivity, and 39% from bonuses.

  • 60.8% of physicians received blended compensations (i.e., compensaton from more than one method).

  • Over the 2014 through 2024 period, the proportion of physicians paid solely on production or practice financial performance declined.

  • Physician-owners received less salary-based and more productivity-based or financial performance-based compensation than employed physicians in 2024.

  • Female physicians had a larger share of compensation from salary-based models than their male counterparts.

  • Surgical specialists relied more on productivity-based compensation than most other physicians.


To read the full report, click here.

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