Why the RVU system makes attaining the quadruple aim laughable: a deep dive into a broken health care model

KevinMD October 31, 2024
Mick Connors, MD

The quadruple aim represents an ambitious, holistic vision for the future of health care: improving population health, enhancing the patient experience, reducing per capita costs, and improving the work-life balance of health care providers. While many health care systems have adopted this framework, the widespread use of the relative value unit (RVU) system fundamentally undermines these goals. Far from facilitating the quadruple aim, the RVU system creates a chasm between what health care is and what it aspires to be, making the attainment of these aims seem, at times, almost laughable.

The four pillars of the quadruple aim and how the RVU system undermines them

1. Improving population health: procedures over prevention. The first pillar of the quadruple aim emphasizes...

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