Skip to content
MD&D: Medicine, Dollars & Decisions podcast artwork

PODCAST · business

MD&D: Medicine, Dollars & Decisions

by Bruno Casanova MD

Medicine, Dollars & Decisions is a free educational platform 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 groups, each episode explores the life and finances in medicine in clear, practical language.Whether you're a medical student, resident, fellow, physician, nurse practitioner, or physician assistant, you'll gain the knowledge needed to make smarter career and financial decisions.Because medicine is more than clinical practice. It's also about the decisions you make outside the exam room.Life and Finances in Medicine.New episodes every week.Disclaimer: The content reflects Dr Casanova's personal views and experience and does not represent his employer or any affiliated institution.

Publisher-supplied feed metadata · PodParley refreshed Oct 7, 2026 · Source feed

Episodes

  1. What Are Bonuses? | Compensation & Contracts | MD&D # 34

    Physician bonuses can look simple on the surface, but the details matter. In this episode of MD&D, we break down signing bonuses, productivity bonuses, retention bonuses, and the clawback provisions that may require physicians to repay money. Learn what to look for before signing a contract and…

    more
  2. How to Use RVUs? | RVU | MD&D #28

    Understanding RVUs is only the first step. In this episode, Dr. Bruno Casanova explains how physicians and other medical professionals can use RVUs to understand coding, productivity, compensation, benchmarks, and employer expectations. Learn how to estimate the work RVUs needed to support your...

  3. Nurse Practitioners, Physician Assistants & RVUs | RVU | MD&D # 25

    How do nurse practitioners and physician assistants fit into RVU-based physician compensation? In this episode of Medicine, Dollars & Decisions, Bruno F. Casanova, MD, MSCE, MA, FACOG, explains how NPs and PAs generate RVUs and wRVUs, how healthcare organizations evaluate APP productivity and...

  4. The Falling Value of RVUs | RVU | MD&D #17

    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...

  5. Hiring. The Employers Perspective | Contracts | MD&D #14

    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,...

  6. Evaluation a Job Offer | Contracts | MD&D #12

    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,...

  7. Location, Supply/Demand & Your Pay | Compensation | MD&D #9

    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...

  8. Experience, Past-Productivy & Your Pay | Compensation | MD&D #8

    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,...

  9. MGMA and Other Production Benchmarks | Compensation | MD&D #7

    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,...

  10. Pay Differences Between Specialties | RVU | MD&D #6

    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...

  11. Same RVUs. Different Pay. The Effect of Geography | RVU | MD&D #5

    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 platform for medical professionals who want to better understand...

  12. Budget Neutrality and Specialties RVU Value | RVU | MD&D #4

    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...

  13. The RUC Committee and Your Work Value | RVU | MD&D #3

    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 platform for medical...

  14. Why Were RVUs Created? | RVU | MD&D #2

    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...

  15. What is an RVU? | RVU | MD&D #1

    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 platform for medical professionals who want to better understand RVUs, physician...

  16. The Truth About RVUs: Trailer - Introduction

    Welcome to MD&D: 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…

    more

Type above to search every episode's transcript for a word or phrase. Matches are scoped to this podcast.

Searching…

We're indexing this podcast's transcripts for the first time — this can take a minute or two. We'll show results as soon as they're ready.

No matches for "" in this podcast's transcripts.

Showing of matches

No topics indexed yet for this podcast.

Loading reviews...

ABOUT THIS SHOW

Medicine, Dollars & Decisions is a free educational platform 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 groups, each episode explores the life and finances in medicine in clear, practical language.Whether you're a medical student, resident, fellow, physician, nurse practitioner, or physician assistant, you'll gain the knowledge needed to make smarter career and financial decisions.Because medicine is more than clinical practice. It's also about the decisions you make outside the exam room.Life and Finances in Medicine.New episodes every week.Disclaimer: The content reflects Dr Casanova's personal views and experience and does not represent his employer or any affiliated institution.

HOSTED BY

Bruno Casanova MD

Produced by MD&D: Medicine, Dollars & Decisions

Frequently Asked Questions

How many episodes does MD&D: Medicine, Dollars & Decisions have?

MD&D: Medicine, Dollars & Decisions currently has 16 episodes available on PodParley. New episodes are automatically indexed when they're published to the podcast feed.

What is MD&D: Medicine, Dollars & Decisions about?

Medicine, Dollars & Decisions is a free educational platform 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...

How often does MD&D: Medicine, Dollars & Decisions release new episodes?

MD&D: Medicine, Dollars & Decisions has 16 episodes. Check the episode list to see recent publication dates and frequency.

Where can I listen to MD&D: Medicine, Dollars & Decisions?

You can listen to MD&D: Medicine, Dollars & Decisions on PodParley by clicking any episode. We provide an embedded audio player for direct listening, and you can also subscribe via your preferred podcast app using the RSS feed.

Who hosts MD&D: Medicine, Dollars & Decisions?

MD&D: Medicine, Dollars & Decisions is created and hosted by Bruno Casanova MD.
URL copied to clipboard!