KevinMD November 12, 2024
Mick Connors, MD

In medicine, when something isn’t working, we tend to fix it. Whether it’s a treatment plan that isn’t delivering results or a clinical process that’s creating inefficiencies, we identify the problem, adjust the approach, and find a better solution. But when it comes to the RVU (relative value unit) system—the very framework that dictates how physicians are compensated—we seem to be stuck. Despite growing evidence of its flaws, its inherent biases, and the fact that health care costs are rising while outcomes are stagnating or worsening, we’ve done little to fix the system.

At the heart of the issue lies the relative value scale update committee (RUC), the body responsible for assigning value to different medical services through the RVU...

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