Concerns about medical practice profitability are not new. So the recent release of the results of the July 2009 Medical Group Management Association (MGMA) questionnaire ranking members' most pressing practice management challenges will not surprise anyone. The top-ranked challenge this year is "dealing with operating costs rising more rapidly than revenues," which was ranked third in the 2008 questionnaire. The second-biggest challenge identified by MGMA members this year and last is "maintaining physician compensation levels in an environment of declining reimbursement." Similarly, per a Web poll taken by Medical Economics and reported in its August 21, 2009, magazine, 58% of physicians believe their 2009 compensation will be lower than 2008, 21% said it will be about the same, and only 16% thought it would be higher this year.
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