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Pre-Conference Workshop 2

Compensation Trends in the Age of Healthcare Reform
These sessions focus on how groups are developing new compensation strategies in response to recent healthcare reform legislation.

8:30 a.m. – 9:30 a.m.
Compensation Trends: Emerging Models, Shifting Priorities
Bradley S. J. Vaudrey, Director; and Thomas Dobosenski, Managing Director, McGladrey
Organizations strive for appropriate benchmarking tools and compensation models to help them stay competitive in challenging economic times. This session provides you with an update of the AMGA 2010 Medical Group Compensation and Financial Survey as well as benchmarking and trending information for physician compensation, productivity, and financial measures. In addition, the presenters will discuss the medical home and ACO models and their impact on compensation strategies.
Upon completion of this activity, participants should be able to identify the most recent compensation and productivity trends; consider special comparisons not included in most surveys; detect the “hot” specialties in compensation and predict where these specialties are heading; and discuss new delivery models and their impact on compensation strategies.

9:30 a.m. – 10:30 a.m.
Physician Incentives, Unbundling of Payments and the “C” Word: Facing the Impending Realities of Healthcare Payment Reform
Craig E. Samitt, M.D., M.B.A., President and Chief Executive Officer, Dean Health System
As healthcare providers seek to redefine themselves as Accountable Care Organizations, it will be crucial that delivery systems master the ability to design incentive models that align physicians, to craft mechanisms to un-bundle payments, and to bear risk via capitation or other evolving reimbursement strategies. This presentation highlights Dean Health System’s experience in all three domains.
Upon completion of this lecture, participants should be able to discuss the array of future payment-reform models that CMS and other payers will likely develop to reward physicians and hospitals for delivering value-based and accountable care; describe Dean’s experiences in designing primary care and specialty physician incentive models aimed at maximizing the delivery of high-quality and efficient care; and explain the complexities of bundled payments, by reviewing Dean’s experience with bearing risk and with the “unbundling” of gain-sharing between physicians, hospitals, and other care-givers.

11:00 a.m. – 12:00 p.m.
What Is a Primary Care Physician Worth?
Tom Vandergrift, Chief Operations Officer, Community Physicians of Indiana; and Hank Duffy, President, JHD Group
Primary care physicians may be much more valuable than the current measurement systems indicate. If that is the case, how could/should an organization integrate that knowledge into the strategic plan? What could/should they do to improve recruiting and retention of PCs? The presenters will highlight the case of a major Midwestern medical system, their extensive research on the subject, and their attempts to address the needs of primary care physicians who are generally undervalued in current models and increase their pool of primary care providers.
Upon completion of this activity, participants should be able to the downstream value of a primary care physician and how you measure it; discuss how to address a shortage of primary care practitioners; and change the reimbursement model to reflect the true value of a primary care physician.

1:00 p.m. – 2:00 p.m.
The High Flier Program: Incentivizing Specialty Physicians to Greater Productivity
Paul A. Edwards, M.D., FACS, Chairman, Department of Ophthalmology; and Thomas S. Nantais, M.B.A., Chief Operating Officer, Henry Ford Medical Group, Henry Ford Health System
Henry Ford Health System has developed an incentive program for its highly productive physicians that has resulted in increased physician satisfaction and increased productivity. The individualized high-producer physician compensation model was introduced in the Department of Ophthalmology at Henry Ford Hospital in 2002. This interactive seminar will discuss how HFHS implemented the program and its successes and its application in other clinical areas.
Upon completion of this activity, participants should be able to explain different ways of compensating employed physicians and implement a high producer incentive model within their institutions.

2:00 p.m. – 3:00 p.m.
Physician Compensation: Defining Value, Developing Strategies
Robert J. Erra, President; and James A. Rice, Ph.D., FACHE, Executive Vice President, Integrated Healthcare Strategies
ACO success depends upon designing and managing new strategies and systems to reward physicians for care delivered. In this interactive presentation, participants will discuss how to design an ACO compensation system based on their organization's philosophies, governance, and culture. The speakers will provide thoughts to help guide medical groups along this stage of their ACO journey, to help better prepare them to implement new compensation models within their healthcare delivery system.

3:30 p.m. – 4:30 p.m.
Solving the Equation for Physician Compensation Success
D. Chris Douglas, Chief Executive Officer, Overlake Internal Medicine Associates; and Max Reiboldt, CPA, President/Chief Executive Officer, The Coker Group
In this session, you will receive timely information on key compensation strategies and considerations, as well as review the latest trends in physician pay and model structures influencing compensation distribution. Participants will gain insight into maintaining financial stability in calculating an appropriate incentive-based compensation arrangement that not only supports the needs of the organization and employed physicians, but also attracts physicians for the future. This presentation will also address compensation for specialty practices and Accountable Care Organizations (ACOs).
Upon completion of this activity, participants should be able to establish an objective methodology for calculating physician compensation, especially related to various specialties; attract top physicians to a practice by providing compensation commensurate with area norms and competitive within the marketplace; establish financial incentives to promote physician productivity; maintain the financial viability of the organization with an appropriate compensation plan that meets the organization’s and physicians’ needs; invoke partnership attitudes (employment and contracted); consider the effect of ancillary services (and reduced private practice reimbursement); and address changing themes in reimbursement structure in compensation plans, such as ACOs.

4:30 p.m. – 5:30 p.m.
Aligning Physicians and Incentives in a Mixed Group Practice and Independent Physician Healthcare System
Dave Moen, Medical Director of Care Model Innovation, Fairview Health Services; Alan S. Kaplan M.D., M.M.M., FACHE, FACPE, Vice President/Chief Medical Officer, Iowa Health System, President/Chief Executive Officer, Iowa Health Physicians; and Martin E. Hickey, M.D., M.S., FACPE, CPE, Managing Director, Healthcare Practice, Navigant
Most ACOs in integrated systems will consist of both employed medical group and independent physicians. This has and will inherently lead to conflict. This presentation will outline the strategies of three collaborating systems to diminish that conflict and evolve true collaborative integration among all physicians to assure a cost-efficient and outcome-effective ACO.
Upon completion of this activity, participants will be able to describe the inherent difficulties and conflicts in combining hospital employed physicians with independents in forming ACOs; enumerate several strategies and tools to overcome that conflict and actually understand how such a combination can produce economic synergy and marketplace success; and specifically identify with one of the three systems involved as they each describe their uniqueness and particular tactical and strategic tools.

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