• Declining reimbursement — 62 percent
• Rising costs (e.g. medical supplies, staff) — 55 percent
• Transition to ICD-10 — 52 percent
• Ongoing impact of the Affordable Care Act — 44 percent
• EHR/meaningful use — 35 percent
• Efficiency of staff — 26 percent
• Patient privacy and information security requirements (e.g., recent HIPAA changes) — 16 percent
Note: The report includes responses from 5,024 physicians.
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