MEDICINE, DOLLARS & DECISIONS

Bruno Casanova MD

Country USA

Genres Education, Business, Careers, Courses

Language EN

Episodes 3

Latest 19.07.2026

Medicine, Dollars & Decisions is a podcast about the life and business of medicine. Clinicians receive little education on physician compensation, RVUs, contracts, leadership, investing, and the financial decisions that shape their careers. Hosted by Dr Bruno Casanova, a gynecologic surgeon and Department Chair at one of New York City's largest multi-specialty physician groups, each episode explores the life and business of medicine in clear, practical language. Whether you're a medical student, resident, fellow, physician, nurse practitioner, physician assistant, or healthcare leader, you'll gain the knowledge needed to make smarter career and financial decisions.

Episodes

The Truth About RVUs: Trailer - Introduction 05.07.2026 2m

Welcome to Medicine, Dollars & Decisions. Discover why this podcast was created and what you'll learn about physician compensation, contracts, RVUs, leadership, and the business of medicine, helping you make smarter career and financial decisions.Dr Bruno Casanova shares why he created this podcast and what you can expect from future episodes. Together, we'll explore physician compensation, RVUs, contracts, investing, leadership, and the business side of medicine
The Truth About RVUs #1: RVUs Explained. The System That Influences Physician Income 05.07.2026 6m

What are RVUs, and why do they matter? Dr. Bruno Casanova introduces the fundamentals of Relative Value Units and explains how they shape physician compensation and the business of medicine.
The Truth About RVUs #2: Why RVUs Were Created and Why They Still Control Medicine 05.07.2026 6m

Why were RVUs created in the first place, and why do they continue to shape modern healthcare? In this episode, Dr. Bruno Casanova explores the history behind the RVU system, the problems it was designed to solve, and how it evolved into the foundation of physician compensation in the United States. Understanding where RVUs came from is the first step to understanding how they influence your career today.
The Truth About RVUs #3: Who Decides What Your Work Is Worth? 12.07.2026 5m

Who decides how many RVUs a procedure or encounter is worth? In this episode, Dr. Bruno Casanova explains how physician work is valued, the role of a committee called RUC, and how those decisions ultimately influence compensation across the healthcare system.
The Truth About RVUs #4: Budget Neutrality. Why One Specialty's Gain May Be Another Specialty's Loss 19.07.2026 6m

Why do specialties compete for a portion of the same pie? In this episode, Dr. Bruno Casanova explains the principle of budget neutrality. Why increases in payment for one specialty can lead to reductions for another specialty. And how this policy continues to shape physician reimbursement across the healthcare system.