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Doctors' paychecks are often structured in one of three ways. The RVU has three components: physician work, practice expense and malpractice. Relative value units (RVUs) are a measure of value used in the United States Medicare. RELATIVE VALUE UNITS: RVUs are a way in which a service or procedure is valued and payment made to the physician; there are two kinds, total and work. HSG can help health systems determine what dollar rates per work RVU should be used for employed provider work rvu-based compensation. “They hold a purpose even if they diminish in compensation alignment due to population health management and risk-based payment models.