Over 60% of Private Practitioners Express Anxiety Over 2026 Medical Fee Revision
Gimmick Co., Ltd. conducted a survey of 429 private practitioners nationwide regarding their impressions and countermeasures for the upcoming medical fee revision in June 2026. The survey revealed that over 60% of private practitioners are anxious about the revision, with a significant generational gap in their perceptions. Information gathering and reviewing calculation requirements are among the main actions being taken.
📋 Article Processing Timeline
- 📰 Published: April 30, 2026 at 22:00
- 🔍 Collected: April 30, 2026 at 13:31
- 🤖 AI Analyzed: April 30, 2026 at 13:51 (20 min after Collected)
Gimmick Co., Ltd. (Headquarters: Shibuya-ku, Tokyo; Representative Director: Daisuke Yokoshima), which operates medical platform businesses including Japan's largest medical information site "Doctors' File," conducted a nationwide survey of 429 private practitioners to investigate their impressions and countermeasures regarding the medical fee revision scheduled for June 2026 (Reiwa 8). The detailed results and analysis of this survey are published on "Clinic Mirai Lab," a media outlet supporting private practitioners and aspiring doctors in clinic management.
The 2026 (Reiwa 8) medical fee revision is being conducted with the major objective of "maintaining and stabilizing the healthcare provision system," given the severe environment surrounding medical sites in recent years, including soaring prices, wage increases, and labor shortages. This revision, in particular, strongly emphasizes improving the treatment of medical professionals, such as expanding the base-up evaluation fee, with the main medical fee revision rate at +3.09%, a high level not seen in approximately 30 years. Although the revision rate appears to be a significant positive, a key characteristic is that much of it is strongly geared towards "compensating for increased costs" rather than "increasing profits."
In this revision, the promotion of medical DX (Digital Transformation) and operational efficiency is emphasized more than ever, and "functional differentiation," which clarifies the division of roles between hospitals and clinics, acute and chronic care, and outpatient and home healthcare, is also a crucial pillar of the revision.
With the revision just around the corner, what impressions do medical institutions have, and what countermeasures are they pursuing? "Clinic Mirai Lab" conducted a survey targeting private practitioners nationwide with the aim of visualizing the actual situation in the medical field and contributing to the creation of a better medical environment.
Survey Results
While "expectation" (combining "very expectant" and "anxious but more expectant") reached less than 20% at 19.6%, "anxiety" (combining "more anxious" and "very anxious") significantly exceeded the majority at 61.3%. Furthermore, it is noteworthy that "very anxious" was the most common strong opinion at 37.5%, highlighting the intensity of anxiety regarding the revision.
By age group, about 30% of those who answered "expectant" were in their 30s and 40s, a relatively younger demographic. In contrast, for those 50 and older, it remained below 20%, suggesting an age difference in how "expectation" is perceived. Ahead of the medical fee revision, there are various tasks to be undertaken, including information gathering, application preparation, equipment introduction, and staff training. The tendency for younger generations to view it as "expectation" might be influenced by physical stamina and understanding of medical DX when undertaking these preparations in addition to daily medical practice.
Despite the strong voices of anxiety regarding the medical fee revision, a survey on what measures each clinic is taking revealed that 42.0% of private practitioners, or more than four out of ten, are "reviewing and confirming calculation requirements for additional fees." This indicates that they are making early preparations to confirm whether their clinic is eligible for various additional fees and to implement necessary system improvements and operational changes.
The next most common measure was "information gathering" at 36.8%, with more than one in three showing interest. This reflects the need to accurately understand the content of the medical fee revision and the anxiety about unclear points, suggesting a widespread movement to first gather information and grasp the overall picture.
The survey also found that 25.6% of private practitioners, or one in four, responded that they "do not plan to do anything in particular." By age group, the proportion of those in their 30s and 40s who answered "do nothing" was about 10%, while it reached about 30% for those 50 and older, and nearly 40% for those 70 and older, showing an age difference in attitudes towards the revision. The biggest cause of anxiety is "unfamiliarity," and it is believed that many are hesitant to act because "the content is complex and difficult to understand, making it impossible to judge where to start."
What emerged from this survey is that the perception of the medical fee revision is largely divided not so much by "positive or negative" as by the "quality" of information obtained.
Those who have high expectations tend to have obtained high-quality information, understood its content, and translated it into concrete actions for their own clinics. On the other hand, those who feel anxious are gathering information, but because its quality is insufficient, it does not lead to understanding or judgment, making it difficult for them to formulate specific countermeasures.
Survey Method
・Survey period: March 19 (Thu) - March 27 (Fri), 2026
・Target: Medical private practitioners aged 30-70 nationwide
・Number of responses: 429 people
・Survey method: Internet panel survey
Private Practitioner Survey conducted by Gimmick
Detailed survey results can be viewed from the link below.
[Private Practitioner Survey] Introducing Clinic Countermeasures for the 2026 Medical Fee Revision
Details
The 2026 (Reiwa 8) medical fee revision is being conducted with the major objective of "maintaining and stabilizing the healthcare provision system," given the severe environment surrounding medical sites in recent years, including soaring prices, wage increases, and labor shortages. This revision, in particular, strongly emphasizes improving the treatment of medical professionals, such as expanding the base-up evaluation fee, with the main medical fee revision rate at +3.09%, a high level not seen in approximately 30 years. Although the revision rate appears to be a significant positive, a key characteristic is that much of it is strongly geared towards "compensating for increased costs" rather than "increasing profits."
In this revision, the promotion of medical DX (Digital Transformation) and operational efficiency is emphasized more than ever, and "functional differentiation," which clarifies the division of roles between hospitals and clinics, acute and chronic care, and outpatient and home healthcare, is also a crucial pillar of the revision.
With the revision just around the corner, what impressions do medical institutions have, and what countermeasures are they pursuing? "Clinic Mirai Lab" conducted a survey targeting private practitioners nationwide with the aim of visualizing the actual situation in the medical field and contributing to the creation of a better medical environment.
Survey Results
While "expectation" (combining "very expectant" and "anxious but more expectant") reached less than 20% at 19.6%, "anxiety" (combining "more anxious" and "very anxious") significantly exceeded the majority at 61.3%. Furthermore, it is noteworthy that "very anxious" was the most common strong opinion at 37.5%, highlighting the intensity of anxiety regarding the revision.
By age group, about 30% of those who answered "expectant" were in their 30s and 40s, a relatively younger demographic. In contrast, for those 50 and older, it remained below 20%, suggesting an age difference in how "expectation" is perceived. Ahead of the medical fee revision, there are various tasks to be undertaken, including information gathering, application preparation, equipment introduction, and staff training. The tendency for younger generations to view it as "expectation" might be influenced by physical stamina and understanding of medical DX when undertaking these preparations in addition to daily medical practice.
Despite the strong voices of anxiety regarding the medical fee revision, a survey on what measures each clinic is taking revealed that 42.0% of private practitioners, or more than four out of ten, are "reviewing and confirming calculation requirements for additional fees." This indicates that they are making early preparations to confirm whether their clinic is eligible for various additional fees and to implement necessary system improvements and operational changes.
The next most common measure was "information gathering" at 36.8%, with more than one in three showing interest. This reflects the need to accurately understand the content of the medical fee revision and the anxiety about unclear points, suggesting a widespread movement to first gather information and grasp the overall picture.
The survey also found that 25.6% of private practitioners, or one in four, responded that they "do not plan to do anything in particular." By age group, the proportion of those in their 30s and 40s who answered "do nothing" was about 10%, while it reached about 30% for those 50 and older, and nearly 40% for those 70 and older, showing an age difference in attitudes towards the revision. The biggest cause of anxiety is "unfamiliarity," and it is believed that many are hesitant to act because "the content is complex and difficult to understand, making it impossible to judge where to start."
What emerged from this survey is that the perception of the medical fee revision is largely divided not so much by "positive or negative" as by the "quality" of information obtained.
Those who have high expectations tend to have obtained high-quality information, understood its content, and translated it into concrete actions for their own clinics. On the other hand, those who feel anxious are gathering information, but because its quality is insufficient, it does not lead to understanding or judgment, making it difficult for them to formulate specific countermeasures.
Survey Method
・Survey period: March 19 (Thu) - March 27 (Fri), 2026
・Target: Medical private practitioners aged 30-70 nationwide
・Number of responses: 429 people
・Survey method: Internet panel survey
Private Practitioner Survey conducted by Gimmick
Detailed survey results can be viewed from the link below.
[Private Practitioner Survey] Introducing Clinic Countermeasures for the 2026 Medical Fee Revision
Details