In healthcare, we measure almost everything. But for decades, one metric has quietly shaped the entire financial structure of physician work: the work Relative Value Unit (wRVU) . It determines physician productivity, compensation, and even hiring decisions. Yet a newly published paper in Heart Rhythm —co-authored by Dr. Rahul Chaudhary , Chief Medical Officer at HBox —argues that wRVUs are not only outdated, but fundamentally incapable of capturing the true value of speciali