Physician Pay’s Fastest Growth Path Is Now Administrative

Medical group executive pay rose 7.9% to 9.6% in 2026 while 17 of 30 specialties lost ground to inflation — the same employers, the same year, two opposite pay curves. wRVU efficiency cuts, specialty-level inflation erosion and proposed 2027 Medicare reductions are flattening the clinical production ladder just as administrative roles post double-digit gains and a $172,000 MD premium. The result reframes what physicians and recruiters should actually be negotiating: title, administrative FTE, RVU floors and the liability attached to them.

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