What’s expected for medical practice in 2023? Worker shortages will persist, with the biggest gaps being nonprofessional staff. Shortages will drive competition to attract even workers with entry-level skills, which will generate wage increases and turmoil as workers move to take advantage of better offers. Wage and goods inflation will continue to press on profits. The move to value-based fee structures will increase. And there will likely be a focus on better integrating merged organizations instead of the prior frenetic acquisition land grab.