According to a recent study of AMA data, it now seems clear that managed care is having a depressing effect on the earnings of most physicians, including some in primary care. As of 1994, the latest year for which figures are available, only general and family physicians were bucking the downward trend, continuing to post increases in net income.
Inflation-adjusted, annualized growth rates in mean net physician income by specialty, 1985 — 1994
SOURCE: SIMON, CAROL J. AND BORN, PATRICIA H., "PHYSICIAN EARNINGS IN A CHANGING MANAGED CARE ENVIRONMENT," HEALTH AFFAIRS, FALL 1996;15:3:124 — 133, BASED ON DATA FROM THE AMERICAN MEDICAL ASSOCIATION, CHICAGO.