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The Monthly Pulse – Recruiters (Apr. 2025)

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Industry News
Navigating 2025 Legislative Changes: What Physician Recruiters Need to Know
The Story
This year, recruiters are facing several legislative changes that could significantly change how physicians are recruited and retained. Medicare reimbursement models will now emphasize value-based care (VBC) over fee-for-service (FFS), which will require physicians to meet higher performance standards to be fully reimbursed. The J-1 Visa Waiver program will allow medical graduates to stay in the U.S. by working in underserved areas, and telehealth flexibilities introduced during the COVID-19 pandemic are becoming permanent. Further, changes to physician compensation transparency laws are developing in several states, and the Interstate Medical Licensure Compact (IMLC) is expanding across new states as well.
What You Should Know
Recruiters can stay ahead of these changes by staying informed through reliable sources such as the American Medical Association and educating their teams on how changes will affect their recruitment strategies. Adapting job marketing strategies will also be key, as job postings should reflect evolving legislation. For example, job descriptions should emphasize VBC to help physicians perform well under the new Medicare reimbursement guidelines.
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States Facing Doctor Shortages Ease Licensing Rules for Foreign-Trained Physicians
The Story
Historically, physicians who completed a residency or similar training abroad were required to repeat the process in the U.S. prior to receiving a full medical license. Recently, several states have eased this requirement to address physician shortages, especially in rural areas. Since 2023, nine states have dropped the requirement: Florida, Iowa, Idaho, Illinois, Louisiana, Massachusetts, Tennessee, Virginia, and Wisconsin.
What You Should Know
At least a dozen other states are considering similar initiatives, and President Trump has defended a federal visa program that many foreign doctors utilize. Yet, concerns abound as to whether these initiatives could be impacted by broader efforts to tighten immigration restrictions. Some critics of the licensing laws also express concerns about safety, as well as doubts about whether the initiative will make an impact on healthcare staffing shortages. Supporters, on the other hand, view it as a viable solution for easing physician shortages and say that qualified doctors shouldn’t have to spend more years completing a second residency.
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The other physician pipeline problem
The Story
As the aging population grows and requires higher acuity care, solutions have largely focused on supporting the medical student pipeline. Yet, the healthcare industry may be overlooking a key piece of the puzzle: retirements. A large population of the patient care workforce is made up of physicians aged 55 and up, and more than a third of active physicians are expected to retire within the next decade.
What You Should Know
Hospitals already operating within tight margins are going to feel the pinch as retirements accelerate, but some healthcare organizations have already begun introducing innovative strategies to address the issue. Flexible roles are emerging as a possible solution, which would allow physicians nearing retirement to cut back on hours to achieve a better work-life balance. Additionally, establishing an advanced notice of retirement program could provide incentives to physicians for notifying their employers up to two years before their departure, which would give the organization more time to find a replacement.
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Upcoming Events

Maximizing ROI in Decentralized Budgets for Health Care Talent Attraction
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Wed., Apr. 2
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AAPPR Webinar: Recruiting Tomorrow's Physicians: What to Expect from UME to GME
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Wed., Apr. 23
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AAPPR Virtual Roundtable: Sourcing Strategies
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Thurs., Apr. 24
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2025 MAPRA Annual Conference
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Mon., Jun. 9 - Tues., Jun. 10
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NAHCR 2025
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Tues., July 22 - Fri., July 25
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