Hidden financial dangers of wRVU thresholds in medical employment agreements episode artwork

EPISODE · Jan 26, 2026 · 22 MIN

Hidden financial dangers of wRVU thresholds in medical employment agreements

from The Podcast by KevinMD

Health care attorney Dennis Hursh discusses his article "wRVU threshold risks in physician contracts." Dennis explains the critical distinction between a guaranteed salary and a draw against future earnings where failure to meet production targets can lead to clawbacks. The discussion covers how employers often set unrealistic wRVU thresholds that exceed historical data or MGMA benchmarks while failing to provide adequate marketing support to meet those goals. Dennis highlights the importance of ensuring new physicians have guaranteed income during their ramp-up period and warns against contract language that credits productivity only when billed rather than when services are rendered. Listen to learn how to protect your financial future by identifying and negotiating these treacherous contract provisions before signing on the dotted line. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

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Hidden financial dangers of wRVU thresholds in medical employment agreements

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