Kugler Provides Insights, Guidance on Pressures Shaping Physician Compensation in 2026

Interconnected ropes tied together, representing the complex forces shaping physician compensation, healthcare workforce strategy, and reimbursement pressures

In a recent national podcast and article, PYA physician compensation expert Tynan Kugler, Principal, examines the pressures that are now shaping compensation and how healthcare organizations are responding.

The podcast and article, “The four forces reshaping physician compensation in 2026,” were produced by Medical Economics, the leading practice management and finance multi-channel resource for physicians. Kugler explains that in today’s difficult compensation environment, offering competitive packages is increasingly challenging. Getting the underlying model right—and with thoughtful planning—can avoid financial and other complicated consequences in the future.

The article states:

“Tynan Kugler, M.P.H., MBA, CVA, a principal in PYA’s consulting practice, who has spent more than two decades working in provider compensation and services valuation, sees these pressures from the inside. In a conversation with Medical Economics, she walked through the four forces she considers most consequential right now — supply-and-demand imbalance, the continued shift toward employment, reimbursement pressure and the ongoing tension between productivity and value-based pay — and explained what organizations and physicians alike tend to misunderstand about how compensation offers actually get built and evaluated.

“What are the biggest forces shaping physician compensation today?

“I would say there are really four.

“One is the supply-and-demand imbalance. Another is the continued shift to employment and system affiliation, or alignment with private equity-backed organizations. We also cannot have a conversation about compensation without talking about reimbursement pressure. And then finally, there is the continued interplay between productivity and value, so compensation paid on a productivity basis versus compensation tied to outcomes and quality….”

Read the Medical Economics article and listen to the podcast.

PYA experts are committed to helping healthcare organizations balance today’s regulatory and operational demands to focus on providing quality care.