The landscape for gastroenterologists is rapidly shifting due to rising practice costs, declining reimbursements, and increased consolidation in healthcare. Independent, Medicare-billing gastroenterologists decreased by 58% from 2019 to 2022, as average GI reimbursements dropped 33% (adjusted for inflation) between 2007 and 2022. CMS’ finalized 2025 conversion factor decrease of 2.83% compounds these challenges, with experts warning of severe impacts on rural and underserved areas. While private practice remains attractive for its higher median compensation (15% increase vs. 4% in employed settings), its sustainability is threatened by increasing operational burdens and declining autonomy. Will private practice endure, or is its dominance waning?
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