Physician compensation plans based on a value per work relative value unit ("wRVU") are increasingly popular in today's healthcare marketplace. Several physician compensation surveys, including the MGMA, the American Medical Group Association, and Sullivan Cotter, report wRVUs by major percentile (i.e., 25th, median, 75th and 90th). In designing productivity-based compensation plans, there is often a tendency to select a compensation per wRVU rate that is above the median (following the logic that, by definition, 50% of physicians are compensated above the median). In addition, many employers may conclude that compensation should match productivity, and thus, a physician whose wRVUs benchmark at the 75th percentile should be paid the 75th percentile compensation per wRVU rate. Other employers may seek to create incentive plans with increasing compensation per wRVU rates for higher levels of productivity.
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