Who decides health care costs? This group recommends how doctors should be paid

During my junior year of high school, I got the same question everyone got at that age: “what do you want to be when you grow up?”

A heart surgeon may receive far more money for their work than a general practitioner. This is due to the intricacies of medical billing, which affect not just the health care industry, but the level of care that you as a patient receive.Medical billing depends on relative value units, or RVUs. These are the metrics that evaluate the time, complexity and skill of the work a doctor does. For decades, these RVUs have been the cornerstone of how physicians are paid.

It also raises concerns that the system drives doctors to become specialists so they will be paid more — which could leave little incentive for sharp medical minds to go into primary care.

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