The Primary Care Crisis & GOVT Contracting

The Recruiting Challenge

The U.S. faces a severe primary care shortage at a time when many veteran primary care physicians are facing retirement. Resource scarcity makes prices skyrocket creating recruiting challenges for Government Contractors who seldom have the best salaries to offer. In most cases we are selling a patient-focused work environment, the American Flag, mom, and apple pie.

Changes in the primary care environment are placing increased pressure recruiting efforts…

Changes in the Primary Care Environment

  1. Rising Salaries – At the end of 2017 the mean salary for Family Practice Physicians had risen to $241,380 with Internal Medicine docs pulling in $238,000, not including benefits and bonus. Awarded GOVT contracts tend to be 25-30% under this target.
  2. Ratio of Available Positions – The ratio of open positions compared to available physicians is 3:1 for Family Medicine and 6:1 for Internists. Most available physicians are in conversation with 3-5 unique opportunities
  3. Evolving Compensation Models – In recent years the number of employed physicians has risen from 53% to nearly 97%, which means the number of providers willing to accept the all-too-common independent contractor model is extremely small. Locums Physicians (only 5% of physicians work in the locum space) are accustomed to enhanced compensation, housing, travel, and per diem – typically not available in the GOVT space.
  4. Increasing Specialization – Fewer and fewer internists are working in the primary care space with 2/3 entering more lucrative subspecialties. More than half of all internists are working as hospitalists with attractive seven-on/seven-off schedules and lucrative compensation. A growing number of Family Medicine Physicians are deciding to serve as hospitalists, further exacerbating the primary care shortage (Fueled by changes in Medicare’s payment model).

Requirements for Primary Care Recruiting Success

  • Clients Who Understand the Shortage – It is imperative that our clients understand these dynamics and are prepared to work in an environment of scarcity. This includes being swift to hire, recognizing that the provider pool for a given location is finite, creating a “sales rich environment” for the candidate (more on this later).
  • Specialization – Having partners with market-mastery in the physician space is crucial to having an adequate pool of qualified, available candidates and the bandwidth to market your open positions.
  • Customized Compensation Models – GOVT Contractors who are moving away from the IC model are experiencing greater success in fill ratios. Creating some flexibility in the structure of offers also enhances hiring success.
  • Bandwidth – Working with an RPO with nationwide reach, multiple-specialty experience, and a wide pool of physicians with government experience and a database of ready to separate providers means a wider audience for your open task orders.
  • Automation/Ai – Advanced technology is the key to a competitive edge. Only specialists can stay on top of rapidly evolving machine learning and its applications to the recruiting industry in order to speed delivery.

KurzSolutions sole focus is talent acquisition. We are the only US-based RPO specializing in the Government Contracting arena and have placed physicians in all specialties and health providers of all kinds at more than ninety military treatment facilities nationwide. We offer a full suite of related services such as expedited credentialing, pricing support, market intel, etc. to support our preferred clients

Give us a call to find out how Kurz may be your Solution.

SEXIEST CAREERS, HOTTEST NEW RECRUITING NICHES

Renewable Energy Heating UpRenewable Energy 2

Although it hasn’t received as much fan-fare as the Health Informatics boom, one doesn’t need a crystal ball to understand that the renewable energy sector is heating up. During what analysts estimate is an 18% unemployment downturn nationwide, solar energy jobs have more than doubled. According to the Solar Foundation’s National Solar Jobs Census, solar opportunities are expected to increase at a rate of 26% per year going forward.

Geo-thermal energy is expected to boom as a result of the American Reinvestment and Recovery Act (ARRA), an investment that is essentially equivalent to the ARRA investment in Health Informatics ($90b). The Geothermal Energy Association (GEA) estimates that 1,000 employed workers are needed for each geo-thermal project. Although these projects have long lead times, the boom should be in full bloom just about now.

The commercialization of second and third generation biofuels is projected to result in 610,000 new jobs in bio-energy by 2022 including 190,000 direct new green jobs.

Growth in hydro power and wind power has stalled only because of some long-awaited, and needed policy changes (Renewable Electricity Standard, or RES). A recent study conducted by Navigant Consulting focused on just how many jobs could be created if hydropower was expanded under either a strong national RES (25% by 2025) or a weak RES (10% by 2025).  The number of jobs that would be created is staggering.  Under the strong RES scenario, it is estimated that 1,400,000 cumulative jobs across the country would be created by 2025, including 420,000 direct jobs, 280,000 indirect jobs and 700,000 induced jobs.

Global Warming – A New Industry?

But no notice has been given to another growth sector – likely because there is nothing positive about the catalyst, global warming.

In 2010, the Pentagon declared in its Quadrennial Defense Review that climate changes are increasing the frequency of natural disaster with the consequence of increased military conflict in vulnerable areas; an admission that climate change is so significant that it now ranks highly as a defense issue.

German insurer and re-insurer, Munich Re, estimates that the cost of natural disaster in North America in the last three decades has been $34b/year. Disaster Response Certification now appears with frequency on resumes and subject matter experts in disaster response represents a viable career field.

Clearly disaster relief and emergency response represent a hot (no pun intended), new recruiting niche. I don’t see that on anybody’s radar!