Targeted Meeting

AMGA’s 2018 Provider Compensation and Performance Improvement Conference:
Enterprise Success with Value-Based Care and Risk-Based Payments

September 12-14, 2018
Marriott Marquis San Diego Marina
333 West Harbor Drive, San Diego, CA
Hosted by: AMGA Consulting

Agenda PDF

This event is designed for medical group and health system executives, physician leaders, compensation directors, general counsel, and related leaders considering compensation plan modifications as part of their strategy or responsible for medical group performance. We encourage you to consider attending or, if you're not available, sending a member from your leadership team in your place.

Update: This event is now sold out. 

Jump to: Q&A ClinicRegistration and FeesAccommodationsQuestions


Wednesday, September 12, 2018

12:30 p.m.

Welcome and Program Overview
Fred Horton, M.H.A., CMPE, President, AMGA Consulting

12:45 p.m. - 1:30 p.m.

How Policymakers Are Affecting the Delivery of Care: AMGA Policy Update
Jamie Miller, M.B.A., Director, Government Relations, AMGA

During this session, Jamie Miller will provide an update on healthcare reform activities in the nation’s capital. The session will offer insights on the 2018 mid-term elections and their potential impact on medical groups and health systems.

1:30 p.m. - 2:30 p.m.

Managing Successfully Under Risk: Financial Checklist for Risk-Bearing Payer Contracts
Stephen J. Linesch, M.B.A., Vice President of Payor Strategies and Value Initiatives, AMGA Consulting

Making the shift from fee-for-service to value-based care is perhaps the most transformative change a healthcare organization will ever make. It impacts every aspect of operations: governance, technology, human resources, compensation, care processes, and beyond. During this presentation, Stephen Linesch will:

  • Outline a model to assess medical group readiness for value-based/risk-based reimbursement from upside-only models to full capitation
  • Share information on barriers to organizations adopting more risk contracts
  • Review an inventory of steps you can take to be ready for, and excel, under risk reimbursement
  • Include ideas for preparing your clinical staff for operational implications of more risk contracts

2:30 p.m. - 2:45 p.m.

Networking Break

2:45 p.m. - 4:00 p.m.

The Latest Approaches to Provider Panel Size with Severity Adjustment
Rich Stempniewicz, Chief Technology Officer, AMGA Analytics

With the increasing focus on population health management, medical groups are considering panel size as a measure of physician work activity, particularly for primary care. Based on recent work of AMGA Analytics and AMGA Consulting, this session will feature new approaches to panel size that include assessment of patient complexity or acuity. Topics covered include patient attribution, acuity adjustment methodology, and implementation of panel size metrics for your group with an emphasis on primary care.

5:00 p.m.

Evening Networking Event
Reception with dinner served at approximately 6 p.m.
Included for registered attendees; additional guests are $85 per person

Thursday, September 13, 2018

7:45 a.m.

Continental Breakfast

8:30 a.m. - 9:30 a.m.

How the Market Pays Providers in 2018: The AMGA Medical Group Compensation and Productivity Survey
Danielle DuBord, Consultant, and Will Holets, M.B.A., M.H.A., Senior Consultant, AMGA Consulting

AMGA Consulting experts will present highlights of the 2018 Medical Group Compensation and Productivity Survey, including findings on the use of value-based metrics and how those metrics impact compensation. Time will be dedicated to discussing advanced practice provider (APP) pay and production metrics.

9:30 a.m. - 10:45 a.m.

Fair Market Value (FMV): How to Analyze Panel Size and Other Advanced Compensation Models
Wayne Hartley, M.H.A., Chief Operating Officer, and Anum Lalani, M.P.H., Consultant, AMGA Consulting

This presentation will be an advanced take on fair market value (FMV) assessment for contemporary compensation arrangements that are less dependent on wRVU production as a driver of pay. Policies and approaches for managing FMV will be discussed, as well as special considerations for hard-to-recruit/hard-to-retain positions, high cost-of-living areas, and special arrangements such as call pay support.

10:45 a.m. - 11:00 a.m.

Networking Break

11:00 a.m. - 12:00 p.m.

Managing Investment per Physician: A Data-Driven Approach
Rose Wagner, R.N., M.H.S., FACMPE, Vice President, AMGA Consulting; Dennis Loy, Project Manager, HSHS Medical Group; and Mike Carrelli, Project Manager, Financial Planning and Analysis, HSHS Medical Group

In this presentation, experts will review findings on investment per physician and other key metrics for medical groups based on the most recent AMGA Medical Group Operations and Finance Survey. AMGA Consulting’s Rose Wagner will discuss tactics to improve general practice financial performance for system-affiliated and freestanding medical groups. Dennis Loy and Mike Carrelli will then walk through the steps of implementation for use as a management tool to replace traditional financial reports and the process of education of administrators in the use and application of the tool at HSHS Medical Group.

12:00 p.m. - 1:00 p.m.

Networking Lunch

1:00 p.m. - 2:00 p.m.

Legal and Regulatory Update: Co-Management, Gainsharing, and Accountable Care Organization (ACO) Arrangements
Steve Lokensgard, J.D., Partner, and Aaron Dobosenski, J.D., Associate, FaegreBakerDaniels LLP, Minneapolis

Experts from FaegreBakerDaniels will provide an overview of recent legal developments related to physician compensation, including:

  • Updates to fraud and abuse laws governing compensation arrangements with referral sources
  • Regulatory questions in employed physician compensation
  • Legal issues in compensation arrangements with contracted physicians, including recruitment incentives, co-management and gainsharing arrangements, and ACO shared savings distributions

2:00 p.m. - 3:00 p.m.

Addressing the Specter of Physician Burnout
Howard Graman, M.D., FACP, Vice President, AMGA Consulting

Facing ever-increasing administrative and clinical demands, physicians across the country are reporting symptoms of burnout. Dr. Howard Graman will outline strategies to address physician burnout, drawing from his experiences as a physician executive with medical groups, including Cleveland Clinic and PeaceHealth. He will discuss specific actions to address burnout, implementation of those plans, and measuring the effectiveness of interventions. Use of tools, such as provider satisfaction surveys that include questions to assess burnout, will be discussed.

3:00 p.m. - 3:15 p.m.

Networking Break

3:15 p.m. - 4:00 p.m.

Unique Applications of Panel Size to Physician Compensation
Jim Read, Jr., Senior Vice President, Product Line Strategy, Community Health Network

Featuring Jim Read, Jr., senior vice president, product line strategy, of Community Health Network, this presentation will focus on how the Indianapolis-based integrated healthcare system is using panel size as a component of physician compensation to further its progress in value-based care. Planning and implementation considerations will be discussed.

4:00 p.m.

Thursday evening is reserved to explore San Diego and enjoy dinner on your own schedule!

Friday, September 14, 2018

7:45 a.m.

Continental Breakfast

8:30 a.m. - 9:30 a.m.

Writing the Provider Compensation Playbook: Strategy, Philosophy, and Action
Bob Ricker, Vice President of Physician Services, UNC Rex Healthcare (UNC Healthcare System), Meghan Skalsky, M.B.A., Director of Finance, UNC REX Healthcare (UNC Healthcare System), and Rose Wagner, R.N., M.H.S., FACMPE, Vice President, AMGA Consulting

Bob Ricker, vice president of physician services, will outline the process UNC Rex Healthcare used to set its provider compensation strategy and philosophy. He will discuss the thought processes and analytics behind the decisions before sharing the outcomes, including a documented, comprehensive physician/provider compensation program that addresses pay approaches, operational considerations, and regulatory compliance.

9:30 a.m. - 9:45 a.m.

Refreshment Break

9:45 a.m. - 10:30 a.m.

Risk Has Renewed the Importance of the Professional Revenue Cycle
Wayne Hartley, M.H.A., Chief Operating Officer, AMGA Consulting

Because work RVUs are linked to the billing codes that make it to the claim, revenue cycle impacts compensation and productivity monitoring. With the increasing focus on risk-based reimbursement and risk-adjusted panel size, which are often linked to HCCs, the revenue cycle becomes even more important. This session will discuss a practical approach to assess your professional revenue cycle processes across front-end and back office operations to promote appropriate billing and data capture practices.

10:30 a.m. - 11:00 a.m.

Open Discussion on Current Topics for Medical Group and Health System Leaders
Facilitated by Fred Horton, M.H.A., CMPE, President, and Wayne Hartley, M.H.A., Chief Operating Officer, AMGA Consulting

This time is reserved for an open discussion on current issues in medical practice management including compensation, FMV, payer contracting, and cost containment. Attendees will have an opportunity to submit questions in advance or live at the event.

11:00 a.m.

Closing Comments and Program Evaluation

Q&A Clinic
AMGA Consulting staff are available to provide complimentary consultations with attendees on questions they may have about compensation, risk-based reimbursement, or general process improvement. Due to limited availability, please contact Wayne Hartley via email in advance if you would like to schedule a meeting.

Registration and Fees
Member: $1,095 (by August 3) or $ 1,195 (on or after August 4)
Non-Member: $ 1,495 (by August 3) or $ 1,595 (on or after August 4)

Due to space limitations, participation is limited to provider organizations only (e.g., medical groups, integrated delivery systems, hospitals).

Cancellations must be submitted in writing by Friday, August 10, in order to receive a refund, less a $100 processing fee. Cancellations postmarked after this date will be eligible for a letter of credit for the registration fee paid, less a $100 processing fee. Substitutions are welcome and will not incur a processing fee. No-shows are not eligible for refunds.

After you receive your registration confirmation, you will be eligible to reserve your hotel room at the Marriott Marquis San Diego Marina. In order to receive the special AMGA conference rate of $239 per night, please use the dedicated link provided in your confirmation email.

Reservations must be made by Friday, August 10 in order to receive the discounted AMGA rate. After this date, rates and availability of rooms cannot be guaranteed.

Room cancellations are subject to Marriott Marquis San Diego Marina's policy.

For more information, please contact Bruce Hadloc at