
Hospitals and healthcare providers are facing major challenges due to inflation, rising expenses, and staffing shortages, says a new report released by the Medical Group Management Association (MGMA).
For its report, "Maintaining Margin in the Inflation Era," the MGMA gathered data from more than 4,000 healthcare organizations of various specialties and practice types. Key findings from the report include the following:
- Productivity levels are low in most physician-owned and hospital-owned practices compared with prepandemic levels in 2019.
- Medical revenue has increased within the last year, with the biggest jump in physician-owned nonsurgical practices.
- Operating costs in physician-owned primary care and nonsurgical practices have increased between 2020 and 2021.
- Operating costs per full-time physician have increased among hospital-owned practices from 2020 to 2021, while hospital-owned primary care practices have seen a nearly 11% decline.


















![Axial images from unenhanced calcium score cardiac CT (left) and curved planar reformation images from CT angiography (right) show that higher long-term exposure to air pollution is associated with greater coronary artery calcium and more obstructive coronary artery disease (CAD). Top row: Images in a 68-year-old male patient with higher 10-year mean ambient air pollution exposure (7.9 μg/m3 for particulate matter measuring ≤2.5 μm in diameter [PM2.5] and 17.4 parts per billion [ppb] for NO2) with extensive CAD (coronary artery calcium score [CACS] >1,000 and obstructive CAD [≥70% diameter stenosis]). Bottom row: Images in a 57-year-old female patient with lower 10-year mean ambient air pollution exposure (6.3 μg/m3 for PM2.5 and 4.6 ppb for NO2) with no CAD (CACS = 0 and no obstructive stenosis).](https://img.auntminnie.com/mindful/smg/workspaces/default/uploads/2026/06/hanneman.r6SMLzkezo.png?auto=format%2Ccompress&fit=crop&h=112&q=70&w=112)