Health Care Resources and Physician Payment: Health Care Trends
The health care industry is undergoing great change. Demand for services is increasing, but most experts believe the physician work force will be insufficient to accommodate increased patient care demands. Physician payment is shifting away from fee-for-service and fixed salaries towards financial structures that reward improved quality, decreased cost of care and other factors. Increasing numbers of physicians are directly employed, while fewer are practicing in solo or small practices. This report by the AMA’s Council on Long Range Planning and Development analyzes data on the physician work force; work force diversity; physician satisfaction; non-physician provider supply and scope of practice; emerging physician payment models; employed physician payment; impacts of federal regulation on physician payment; and hospitals and other health care facilities to formulate predicted impacts of various trends for patients, physicians and policymakers. Should you have technical questions, please contact the AMA Unified Service Center at 800-621-8335. Should you have questions regarding the content, please contact Susan Close at
View Activity Information
Health Care Resources and Physician Payment: Health Care Trends  
Release Date: December 16, 2013
Expiration Date: December 16, 2016


At the end of this activity, physicians should be able to:

  1. Identify the common factors contributing to shortfalls in the physician work force.        
  2. Evaluate trends among non-physicians providers and their scope of practice.
  3. Describe the issues associated with physician modes of practice.
  4. Explain predicted impacts of health care resources and physician payment trends for patients and physicians.   

Target Audience
This activity is designed for physicians and medical students.   

Statement of Need
There is a need to educate physicians on the critical factors that will likely influence medicine and the delivery of health care in the 21st century and the potential impact of these trends that will affect physicians' professional practice in a myriad ways. 

Statement of Competency
This activity is designed to address the following ABMS/ACGME competencies: patient care; practice-based learning and improvement; interpersonal and communication skills; professionalism; and systems-based practice.

Accreditation Statement
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Designation Statement
The American Medical Association designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Receiving Your CME Credit
To claim AMA PRA Category 1 Credit™, you must; 1) view the activity material in its entirety, 2) successfully complete the quiz by answering 4 out of 5 questions correctly and 3) complete the evaluation

CME Planning Committee

Barry Dickinson, PhD - AMA CME Program Committee
Susan Close, RN - Director, Long Range Health Care Trends, Secretary, CLRPD
Victoria Elliott - Senior Research Associate, CLRPD
Marilyn Laughead, MD - Chair, CLRPD
Clifford Moy, MD - Vice Chair, CLRPD

Susan Close, RN, author
Victoria Elliott, MA, author
Marilyn Laughead, MD, content reviewer
Clifford Moy, MD, content reviewer 
James Goodyear, MD, CLRPD Member, content reviewer
Mary Herald, MD, CLRPD Member, content reviewer
Alfred Herzog, MD, CLRPD Member, content reviewer
Glenn Loomis, MD, CLRPD Member, content reviewer
Gamini Soori, MD, CLRPD Member, content reviewer
H. Hugh Vincent, MD, CLRPD Member, content reviewer
Alik Widge, MD, CLRPD Member, content reviewer
Douglas Phelan, Medical Student, CLRPD Member, content reviewer

Disclosure Statement
The content of this activity does not relate to any product of a commercial interest as defined by the ACCME; therefore, there are no relevant financial relationships to disclose for the planners or faculty.  

Hardware/software Requirements
Screen resolution of 800X600 or higher.
Web Browser: MS Internet Explorer 8.0 or higher, Firefox, Chrome, Opera, Safari, etc. 
Browser Plug-in: Adobe Flash Player
PDF Adobe Reader 5.0 or higher.

Audio speakers or headphones

Should you have any questions regarding the content of the activity, please contact Susan Close at 

Should you have any technical questions, please contact the AMA Unified Service Center at 800-621-8335.

Type:  Internet Activity (Enduring Material)
Activity Price
195 Registered Users
1 Credits> AMA> AMA PRA Category 1 Credit

0 Credits> AMA> Certificate of Participation for Non-Physicians