Immersion Sessions

This year’s pre-conference immersion sessions on Thursday, March 26 from 1:00 p.m. to 5:00 p.m., feature hot-button issues in health care, including compensation, leadership and governance, population health trends, opioid challenges, and value-based contracting.

Population Health: Creating a Culture of Wellness

David Nash, M.D., M.B.A., Founding Dean Emeritus, Jefferson College of Population Health
In this workshop, Dr. Nash will focus on population health in the context of the system's transformation away from traditional fee-for-service and towards outcomes-driven, value-based health care. Discussing population management for improving community wellness, the role of healthcare providers, and how health reform is yielding new organizational structures and payment models, Dr. Nash will share his insights and tools providers need to change organizational culture in this new, evolving environment.

Upon completion of this activity, participants should be able to:

  • Develop a high-level population health strategic plan
  • Describe population health’s role in moving to value-based care
  • Describe various payment models that support population health initiatives
  • Delineate cultural changes that need to occur as an organization develops population health initiatives

Healthcare Trends and Their Impact on Leadership and Governance

James E. Orlikoff, M.A., President, Orlikoff & Associates, Inc.
In this interactive workshop, Mr. Orlikoff will explore the trends impacting health systems and medical groups and discuss the many implications for leaders. He also will address the changing role of governance and the increased time demands on volunteer board members to fulfill missions that seem under siege from all quarters. One of Modern Healthcare’s 100 most powerful people in health care, Mr. Orlikoff has worked with governing boards to strengthen their overall effectiveness and their oversight of strategy and quality since 1985.

Upon completion of this activity, participants should be able to:

  • Develop strategies for more effect governance at their organization
  • Describe the changing demands on leaders in governance roles
  • Articulate plans to address leadership challenges in their organization

Compensation Techniques Used to Improve Provider Performance and Alignment

AMGA Consulting
Successful transformation from fee-for-service to value-based/risk payment arrangements requires a shift in provider compensation formulas, no matter the structure of your organization. This interactive pre-conference session will feature case studies and best practices from AMGA member groups sharing their paths towards successful value-based arrangements. The workshop will also explore select innovative approaches for designing provider compensation plans; strategies for aligning compensation to support the care models and culture change needed to move to value-based plans; cutting-edge compensation models and when to implement those models; insights on advanced practice provider (APP) compensation; approaches for compensating physicians for non-production activities; and the framework for assessing fair market value (FMV) of new pay models.

Upon completion of this activity, participants should be able to:

  • Describe the elements of a successful value-based compensation plans
  • Define how to align compensation to shift culture needed to succeed in value-based plans
  • Evaluate different compensation models, including payment for non-production activities

Addressing the Opioid Crisis

Rocco Orlando III, M.D., Senior Vice President and Chief Medical Officer, Spencer Erman, M.D., Senior Vice President and Chief Medical Informatics Officer, and Jonathan Craig Allen, M.D., Vice President for Addiction Services, Hartford HealthCare; Matthew J. Mulder, M.D., M.M.M., CPE, Senior Vice President and Chief Medical Director, Ambulatory Services, and Hiroshi W. Nakano, M.B.A., Vice President for Value Based Initiatives, UW Medicine - Valley Medical Center; David Parsons, M.D., FASCRS, Regional Medical Director, and Susan Johnson, M.D., Director of Drug Utilization and Safety, Northwest Permanente; and Teresa Koeller, M.D., Medical Director, Addiction Medicine, and Dan Cole, CMPE, Assistant Vice President Medical Specialty, St. Elizabeth’s Physicians
The opioid crisis has resulted in a dramatic increase in the number of overdose deaths in the United States and contributed to the first decrease in life expectancy observed since statistics have been collected. With over 60,000 deaths attributed to overdose per year, it is vital that care teams  design and develop a broad and comprehensive approach to confronting the crisis. This immersion session will feature four AMGA member organizations sharing their care processes and key findings as they have worked with stakeholders to reduce the number of overdoses in their communities.

Upon completion of this activity, participants should be able to:

  • Define how to adapt and implement a scalable and successful protocol for reducing opioid use among post-surgical adult patients
  • Describe how to partner with community-based mental health centers and substance abuse treatment organizations in caring for OUD patients
  • Develop a system of care for OUD patients that utilizes resources from emergency room, inpatient and outpatient areas and collaborates with community-based mental health/substance abuse centers
  • Define requirements to develop, manage, and track the outcome measures for a successful substance use disorder medical practice

Value-based Contracting

Speakers to Be Announced
In AMGA’s 2019 Risk Survey, respondents reported that 56% of revenues came from a value-based payment model, including 30% from MA and 15% from the federal ACO program. By 2020, respondents predict that MA revenues will outpace Medicare FFS revenues by 6% and revenue from downside risk ACOs will double that of upside only ACOs. Risk-based payments in the commercial setting accounted for 28% of total revenues in 2018. But, by 2020, respondents expect risk-based payments to increase to 37% of total revenues.

With the move to value ramping up so quickly, medical groups and health systems need to become experts in value-based contracting so they can obtain appropriate reimbursement rates and meaningful incentives, both financial and administrative, to support the investments they have made to move to value. This immersion session will address contracting challenges in transitioning to value-based care, including integration, physician engagement and access to data as well as take attendees through key aspects of smart provider contracting. Participants will come away with practical approaches to maximizing margins, a greater understanding of where medical groups have leverage and where payers have flexibility, and tips on how to avoid costly contracting mistakes.

Upon completion of this activity, participants should be able to:

  • Apply new methods to address contracting challenges in the shift to value-based care
  • Develop strategies to help their organizations maximize margins and avoid costly contracting mistakes
  • Identify key components to support the investments made to move to value