The cardiology workforce model has dramatically shifted, with 90% of cardiologists now employed—a complete reversal from 15 years ago when most ran private practices.
Dr. Gerald Blackwell, CEO of MedAxiom, highlighted this shift at ACC.25, attributing it to regulatory and market forces. New employment models now include:
- Health systems
- Payer organizations
- Private equity-backed groups
- Management service organizations
This evolution coincides with a growing cardiologist shortage, especially in rural areas, fueling a competitive recruitment push.
Blackwell emphasized the need for organizations to treat clinicians as key assets, not just costs. He also warned against administrative bloat, urging alignment between employment structures and community needs.
As cardiology adjusts, team-based care and physician leadership will be essential for delivering sustainable, patient-focused solutions.
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