John Cuddeback, M.D., Ph.D.
(703) 838-0033 ext. 359


Patricia Kellicker
(617) 475-3899

Eric Neuville
Cornerstone Health Care
(336) 881-3869


23 October 2013

Cornerstone Health Care Presents Determination of Primary Care Panel Size for Value-Based Compensation
At AMGA IQL conference, Cornerstone Health Care discussed the pros and cons of using panel size in a physician compensation model for value-based delivery systems.

Alexandria, VA - October 23, 2013 - Cornerstone Health Care, in High Point, NC, is on the leading edge of physician practices in transitioning from fee-for-service to value-based payment. They have found that visit volume is being replaced by the concept of "panel size" as the primary measure of work effort for primary care physicians. At the American Medical Group Association's Institute for Quality Leadership (AMGA IQL), in Scottsdale, Arizona on Friday, September 27, Cornerstone shared their algorithm, potential uses for panel size calculations, and "balancing measures" as counterpoise to unintended consequences of using panel size in physician compensation.

In the presentation, Dale E. Green, MD, MHA, Cornerstone's Chief Medical Information Officer, noted that physician compensation models are changing to reflect the "triple aim:" improving patient experience and quality of care, improving the health of populations, and reducing the overall cost of care. He presented a variety of potentially deterministic variables including patient panel risk profiles, physician training and experience, practice style, the effect of advanced practice practitioners, team based care models, and availability of specialists.

The presentation also examined how team-based care is becoming the standard of care for chronically ill patients, and new care delivery options will include advanced practice providers, clinical pharmacists, care navigators, social workers and other professionals. As Dr. Green said, "optimizing panel size is not intuitively obvious." As a participant in AMGA's Anceta Collaborative and a user of Humedica's MinedShare(R) platform, Cornerstone Health Care is working with Anceta staff and collaborators from Mayo Clinic Health System to expand this research.

The American Medical Group Association (AMGA) represents some of the nation's largest, most prestigious medical practices, independent practice associations, accountable care organizations, and integrated healthcare delivery systems. More than 130,000 physicians practice in AMGA member organizations, providing healthcare services for 120 million patients (approximately one in three Americans). Headquartered in Alexandria, Virginia, AMGA is the strategic partner for these organizations, providing a comprehensive package of benefits, including political advocacy, educational and networking programs, publications, benchmarking data services, and financial and operations assistance.

AMGA's Anceta collaborative extends the tradition of shared learning among AMGA member organizations. Using Humedica's unique clinical analytics platform, Anceta facilitates data-driven collaboration to enhance value in population health. Anceta and Humedica illuminate the relationships between care process, patient outcomes, and cost—all the elements of the value equation.

The American Medical Group Association's Institute for Quality Leadership conference is devoted to improving the quality of care delivered in the U.S. healthcare system through advancement of knowledge and education of healthcare professionals. This year's IQL focused on finding real-world solutions to the growing challenge of managing the total cost of care.

Humedica, an Optum company, is the foremost clinical intelligence company that provides private, cloud-based solutions to the healthcare industry. Humedica's sophisticated analytics platform transforms clinical data from disparate sources into actionable, real world insights. Powered by the nation's largest and most comprehensive clinical database, Humedica solutions offer a more complete, longitudinal view of the health of patients and populations. Through its award-winning solutions, Humedica, which is headquartered in Boston, empowers its partners and customers to make confident, value-based decisions about patient care in a rapidly changing health care market. For more information, visit

Cornerstone Health Care is a group of more than 300 physicians and mid-level health professionals representing a wide range of specialties. It serves patients in more than 80 locations across north-central North Carolina, in High Point, Winston-Salem, Greensboro, Summerfield, Thomasville, Archdale, Trinity, Jamestown, Kernersville, Lexington, Asheboro, Advance, Elkin, Reidsville, Hickory, Conover and Granite Falls. Founded in 1995, Cornerstone has grown into a regional and national model for physician-led health care in America. For more information, visit