"Whether or not you think there is a physician shortage, whether you think there is utilization mismanagement or mal-distribution or not, we are not going to get out of it without everyone practicing to the limit of their abilities, and a lot of that is going to fall on NPs and PAs, specifically. I don't expect this trend to stop. I expect NPs and PAs recruiting to go through what primary care physicians did," he says.
"Keep in mind that is all new. In the Dallas market 10 years ago 75% of the PAs were employed by independent physicians or practices. Now, 75% of PAs are controlled by health systems. You are going to see salaries escalate at least to the point they can. You are going to see health centers take a loss on an individual provider because of the downstream revenues and referrals they get. And you are going to see them get creative with signing bonuses and call coverage," Singleton says.
"We are already starting to see some of them mimic MDs as far as RVUs and other production bonuses. I don't see that changing, at least not in the next three or four years."