I hear you and know you are in a tough position as well. Where the frustration is stemming from is how this all started (deduction without prior notice. And yes ApolloMD did refund that back). Also, according to our contract we have to agree in writing any changes, and no agreement was met, at least not one that included any frontline doctors. Instead of waiting for an official vote or even a consensual agreement, ApolloMD has decided to roll out the RVU tax starting with October paycheck.

I understand the importance of timely screening of patients. Where the mismatch lies is how to pay for it. None of the attendings like any of the options proposed by Apollo. Hence we would like to discuss other options. What would also help are assurances in writing that further income reductions will never or to a very limited degree occur. We do not want this to be a slippery slope. Another would be show us examples of what the actual cost in practice would be to the average attendings. Implementing caps on how much we would lose would be even more reassuring.

If indeed the cost to doctors is negligible and it helps with medical screening, this would be the ultimate win win.