care shifting from volume to value, the prevalence of
wRVUs as a factor in compensation rose from 79% of
respondents last year to 83% this year. The number
of survey participants providing wRVU values in
addition to compensation also rose to roughly 81%.
Overall median wRVUs increased over last year with a
weighted average increase of 1.5%—a small rebound
after remaining relatively flat over the course of the last
few years. So while quality and efficiency are receiving
more attention, productivity remains an important
consideration for medical groups.
Net collections followed wRVU productivity with
an overall median weighted average increase of 1.1%
over last year. Accordingly, median compensation-
to-productivity ratios, also values commonly used in
modern compensation plans, increased slightly over
last year, with a weighted average increase of 2.2%
in compensation per wRVU and a weighted average
increase of 1.2% in compensation to net professional
collections. Although productivity increased over last
year, it is still significantly outpaced by the increases we
continue to see in compensation.
Changes in compensation and productivity varied
by specialty type (see Figure 1). In medical specialties,
compensation increased by 2.7%, wRVUs increased by
0.9%, and compensation per wRVU increased 2.7%.
In surgical specialties, compensation increased 2.0%,
wRVUs increased 2.3%, and compensation per wRVU
increased 1.0%. In radiology, anesthesiology, and
pathology (RAP) specialties, compensation increased by
2.3%, wRVUs increased by 1.4%, and compensation
per wRVU increased 2.2%. Additional insights are out-
lined for selected specialties in the next section.
A comparison of the changes in median data
from 2009 to 2017 shows a significant gap between
compensation and productivity (see Figure 2). Median
compensation has increased 23.8% between 2009 and
2017, which is an average increase of 3% per year.
Production, however, has grown at a much slower rate.
Median wRVUs increased only 4.1% between 2009
and 2017 (an average of 0.5% per year). More importantly, net collections increased only 14.5% over the
Median Values by Specialty