MEDICINE, DOLLARS & DECISIONS

Episodet

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  The Truth About RVUs: Trailer - Introduction 05.07.2026 2min

  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 finances side of medicineMD&D is a FREE platform for medical professionals who want to better understand RVUs, physician compensation, medical finances, career decisions, and leadership. Free RVU Playbook: playbook.medicinedollarsanddecisions.comWebsite: mddecisions.orgNewsletter: newsletter.medicinedollarsanddecisions.com
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  What is an RVU? | RVU | MD&D #1 05.07.2026 6min

  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 financial side of medicine.MD&D is a FREE platform for medical professionals who want to better understand RVUs, physician compensation, medical finances, career decisions, and leadership.Free RVU Playbook: playbook.medicinedollarsanddecisions.comWebsite: mddecisions.orgNewsletter: newsletter.medicinedollarsanddecisions.com
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  Why Were RVUs Created? | RVU | MD&D #2 05.07.2026 6min

  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.MD&D is a FREE platform for residents, fellows, and early-career attendings who want to better understand RVUs, physician compensation, medical finances, career decisions, and leadership.Free RVU Playbook:playbook.medicinedollarsanddecisions.comWebsite:mddecisions.orgNewsletter:newsletter.medicinedollarsanddecisions.com
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  The RUC Committee and Your Work Value | RVU | MD&D #3 12.07.2026 5min

  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.MD&D is a FREE platform for medical professionals who want to better understand RVUs, physician compensation, medical finances, career decisions, and leadership.Free RVU Playbook: playbook.medicinedollarsanddecisions.comWebsite: mddecisions.orgNewsletter: newsletter.medicinedollarsanddecisions.com
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  Budget Neutrality and Specialties RVU Value | RVU | MD&D #4 19.07.2026 6min

  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.MD&D is a FREE platform for medical professionals who want to better understand RVUs, physician compensation, medical finances, career decisions, and leadership.Free RVU Playbook: playbook.medicinedollarsanddecisions.comWebsite: mddecisions.orgNewsletter: newsletter.medicinedollarsanddecisions.com
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  Same RVUs. Different Pay. The Effect of Geography | RVU | MD&D #5 26.07.2026 8min

  In this episode Dr Casanova discusses how your location in the United States affects your income. Why two providers in different parts of the country may provide the exact same services and get very different compensation.MD&D is a FREE platform for medical professionals who want to better understand RVUs, physician compensation, medical finances, career decisions, and leadership. Free RVU Playbook: playbook.medicinedollarsanddecisions.comWebsite: mddecisions.orgNewsletter: newsletter.medicinedollarsanddecisions.com 
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  Pay Differences Between Specialties | RVU | MD&D #6 02.08.2026 7min

  Why do some medical specialties earn significantly more than others? In this episode, Dr. Bruno Casanova explores the key factors that influence physician compensation, including supply and demand, training, productivity, reimbursement, and market forces. Understanding these differences can help you make more informed career decisions. MD&D is a FREE platform for medical professionals who want to better understand RVUs, physician compensation, medical finances, career decisions, and leadership.Free RVU Playbook: playbook.medicinedollarsanddecisions.comWebsite: mddecisions.orgNewsletter: newsletter.medicinedollarsanddecisions.com
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  MGMA and Other Production Benchmarks | Compensation | MD&D #7 09.08.2026 7min

  Your income isn't determined only by your employer or your productivity. In this episode, Dr. Bruno Casanova explores the organizations, What really determines physician compensation? RVUs and productivity matter, but they are only part of the story. The episode explains how employers, reimbursement systems, and market forces can influence what physicians ultimately earn.Understanding these forces can help residents, fellows, and new attendings better evaluate compensation models, job offers, and career decisions.MD&D is a FREE platform for medical professionals who want to better understand RVUs, physician compensation, medical finances, career decisions, and leadership.Free RVU Playbook: playbook.medicinedollarsanddecisions.comWebsite: mddecisions.orgNewsletter: newsletter.medicinedollarsanddecisions.com 
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  Experience, Past-Productivy & Your Pay | Compensation | MD&D #8 16.08.2026 8min

  RVUs are only part of the physician compensation equation. In this episode, Dr. Bruno Casanova explains how experience, productivity, professional history, reputation, and organizational value can influence how much a physician is paid per work RVU.Learn why two physicians in the same specialty, working in the same region and even within the same organization, may receive very different compensation. Understanding these forces can help residents, fellows, and new attendings better evaluate compensation models, job offers, and career decisions.MD&D is a FREE platform for medical professionals who want to better understand RVUs, physician compensation, medical finances, career decisions, and leadership.Free RVU Playbook:playbook.medicinedollarsanddecisions.comWebsite:mddecisions.orgNewsletter:newsletter.medicinedollarsanddecisions.com
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  Location, Supply/Demand & Your Pay | Compensation | MD&D #9 23.08.2026 6min

  In this episode of The Truth About RVUs, we look at something physicians often underestimate when thinking about compensation: the physician job market. Your salary and RVU rate are not determined by productivity alone. Specialty demand, geographic location, physician supply, recruitment difficulty, competition between employers, and local market conditions can all affect what an organization is willing to pay.Understanding these forces can help residents, fellows, and new attendings better evaluate compensation models, job offers, and career decisions.MD&D is a FREE platform for medical professionals who want to better understand RVUs, physician compensation, medical finances, career decisions, and leadership.Free RVU Playbook:playbook.medicinedollarsanddecisions.comWebsite:mddecisions.orgNewsletter:newsletter.medicinedollarsanddecisions.comEducational content only. This is not legal, financial, or employment advice.
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  Evaluation a Job Offer | Contracts | MD&D #12 30.08.2026 8min

  A high physician starting salary does not always mean a better job offer. In this episode of Medicine, Dollars & Decisions, Dr. Bruno Casanova explains how physician compensation works beyond the headline salary, including work RVUs, productivity bonuses, compensation thresholds, inflation, geographic differences, and what happens after an initial salary guarantee ends. Learn the questions residents, fellows, and physicians should ask before signing an employment contract and why understanding the structure behind your compensation can matter as much as the salary itself.Understanding these forces can help residents, fellows, and new attendings better evaluate compensation models, job offers, and career decisions.MD&D is a FREE platform for medical professionals who want to better understand RVUs, physician compensation, medical finances, career decisions, and leadership.Free RVU Playbook:playbook.medicinedollarsanddecisions.comWebsite:mddecisions.orgNewsletter:newsletter.medicinedollarsanddecisions.comEducational content only. This is not legal, financial, or employment advice.
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  Hiring. The Employers Perspective | Contracts | MD&D #14 06.09.2026 7min

  How do healthcare organizations decide what to pay clinicians? In this episode of The Truth About RVUs, Dr. Bruno Casanova looks at compensation from the employer’s perspective. We discuss the costs of hiring and onboarding a new clinician, staffing and support, credentialing, practice growth, productivity expectations, and the time it can take before a new hire becomes financially productive.Understanding these forces can help residents, fellows, and new attendings better evaluate compensation models, job offers, and career decisions. MD&D is a FREE platform for medical professionals who want to better understand RVUs, physician compensation, medical finances, career decisions, and leadership.  Free RVU Playbook: playbook.medicinedollarsanddecisions.comWebsite: mddecisions.orgNewsletter: newsletter.medicinedollarsanddecisions.com  Educational content only. This is not legal, financial, or employment advice. 
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  The Falling Value of RVUs | RVU | MD&D #17 12.09.2026 9min

  Physician reimbursement has been losing ground for years. In this episode, Dr. Bruno Casanova explains how declining Medicare payment, changing RVU values, efficiency adjustments, and budget neutrality can force physicians to work more simply to maintain the same income. He also explains why understanding these changes matters when evaluating productivity targets, compensation formulas, and employment contracts.