Experience, Not Supply, Is the Biggest APP Workforce Challenge

Just 7% of organizations report difficulty recruiting early-career APPs, compared with 69% for experienced providers. See what's driving the divide, and what it means for compensation, onboarding, and oversight, in Acuvance Coker's third biennial APP Strategy & Oversight Survey.

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93%

report that the majority of their APPs are organized within the medical group, up from 75% in 2024

59%

now require employment agreements for all or a majority of APPs, up from 43% in 2024

~75%

are actively seeking to increase APP utilization in primary, specialty, and surgical care

What's Inside

What you'll learn from the 2026 APP Survey Report

Why the recruiting divide is widening: just 7% report difficulty hiring early-career APPs, compared with 69% for experienced providers

What's driving APP turnover, and why compensation is the most frequently cited reason APPs leave

How AI-assisted documentation adoption is outpacing organizations' ability to measure its impact on productivity

How billing practices and wRVU productivity credit are evolving for shared and split visits

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About Acuvance Coker

Decades of hands-on experience in healthcare workforce strategy

Acuvance Coker has spent more than three decades helping health systems, medical groups, and hospitals work through complex workforce, financial, and operational decisions. This survey series, now in its third biennial edition, is one way that experience gets put to work for the industry.

35+ years serving healthcare organizations nationwide.

120+ healthcare advisors, including former COOs, CNOs, and practice administrators.

80+ industry book publications, plus original research like this survey.

The team's direct experience inside health systems is what shapes the questions this survey asks, and the recommendations that follow in the full report.

How We Help

One partner across strategy, compliance, technology, and clinical performance

Acuvance Coker partners with hospitals, health systems, and physician enterprises across five practice areas, helping organizations strengthen performance, manage risk, and move forward with confidence from a single advisory relationship.

Performance Transformation

Strategy & Transactions

Compliance Services

Healthcare IT

Clinical Advisory & Support

Whatever challenge you're solving next, from workforce strategy to compliance to technology, Acuvance Coker brings the same team-based approach that shaped this survey.

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See the complete findings on recruiting, compensation, oversight, AI adoption, and billing, straight from 27 participating organizations.

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