Overview

• Physicians averaged 6,449 wRVUs per full-time employee in Q2 2025, up 12% year over year, while APP productivity rose 11% to 5,030 wRVUs.
• Revenue growth per wRVU has not kept pace with increased workloads, creating a widening imbalance between output and payment.
• Medical support staff levels have declined relative to wRVU generation, exacerbating operational pressure on clinicians.
• Hospitals saw higher volume-adjusted revenue and operating room minutes in June but faced rising bad debt and charity care linked to ongoing Medicaid redeterminations.
• To manage margins, health systems are expanding outpatient services, centralizing expense management, and adopting value-based care arrangements.