Best Practices

AMGA members share their strategies in various areas of operations that are helping them succeed in taking on risk.

How to Succeed in Risk-Based Models

Success Strategies in MIPS and APMs: Two Front-Line Perspectives
Scott Hines, M.D., Chief Quality Officer, Crystal Run Healthcare; and Aric Sharp, M.H.A., CMPE, FACHE, VP Accountable Care, UnityPoint Health
The current timetable to prepare MACRA and its two physician payment tracks—the Merit-based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (APMs)—is remarkably short. Leaders from two organizations that are each taking a different path to accept downside risk in the new payment discuss strategies for success under MACRA.

Stories from the ACO Journey: Strategies for Success
Scott Hines, MD, Chief Quality Officer, Crystal Run Healthcare; Karen Cabell, DO, Associate Chief of Quality and Patient Safety, Billings Clinic; and Emily Brower, Executive Director, Accountable Care Programs, Atrius Health

Quantifying High-Cost Care and Cost Reduction at Cornerstone Health Care
Dale Eric Green, MD, MHA, CMIO, Cornerstone Health Care

Medicare Advantage 101: How It's Different, Tips for Getting Started (and Paid)
Sandy Stevenson, Senior Director for Primary Care, St. Luke's West Region, and Bill Jonakin, MD, Medical Director, Population Health, St. Luke's Health System

Resource Use Reduction

Reducing Hospital Readmissions with Effective Primary Care
Ken Cohen, MD, FACP, CMO, New West Physicians

Culture Change: Engaging Surgeons to Increase Efficiency in the Operating Room and Decrease Variable Costs
M. Ashraf Mansour, M.D., RPVI, FACS, Chairman and Professor of Surgery, Spectrum Health Medical Group

Care Redesign for Risk-Based Payment

Making the "Mission Impossible" Possible: Primary Care Redesign
Sylvia Meltzer, MD, Senior Vice President and Chief Medical Officer, The Aurora Network, and Laura Spurr, MS, Director, Medical Group Operations, Aurora Health Care

Expanding the Care Coordination Portfolio at Dartmouth Hitchcock: Pharmacy and Behavioral Health
Cecilia W. Stuopis, MD, Associate Medical Director, Accountable Care Organization and Christopher R. Lopez, PharmD, CDE, Clinical Pharmacy Specialist: Population Health, Dartmouth- Hitchcock Medical Center

Assisting Patients to Manage Chronic Disease More Effectively
Timothy Flynn, MD, Family Practice Physician, SAMG Davis Junction; Jennifer Kuroda, Quality Improvement Manager; Mary Panther, RN, BSN, CCM, Care Coordinator; and Susan Lewis, RN, BSN, CCM, Care Coordinator, SwedishAmerican Health System

Population Health Management

Optimizing a Patient-Centered Approach to Primary Care
Caitlin M. Purcell, Administrative Director, Department of Medicine, Bassett Healthcare Network; and Emma M. Mandell, Manager, ECG Management Consultants, Inc.

Triple Aim Teams: Guiding Population Health at Mercy Accountable Care
Cindi Goddard, MPH, BSN, RN, Executive Director, Ambulatory Care Management, and James T. Rogers, MD, FACP, Vice President, Adult Primary Care, Mercy Accountable Care

Journey to Value-Based Care: Putting Lean Six Sigma and Automation in Place
Jeffrey Galles, DO, Chief Medical Officer, Utica Park Clinic; Jerry Green, PhD, Vice President, Phytel; and Roger Trammell, CPHQ, Account Executive, US Markets, Sanofi

Patient Satisfaction and Engagement

From Enabled to Engaged: Tapping the Power of Patient Portals at Cleveland Clinic
Lori Posk, MD, FACP, Medical Director, Cleveland Clinic MyChart, Cleveland Clinic

The CMS Patient Experience Survey (CG-CAHPS): Ways to Leverage Its Value in Your Practice
Holly Adams, Executive Director of Clinical Operations & Community Health, OU Physicians, and Matthew Bates, Senior Leader - Physician Solutions, Studer Group

The Right Care, Right Now: Improving Access at Sentara Medical Group
Daniel J. Dickinson, MD, MPH, Medical Director, Clinical Integration, and Clinical Chief, Internal Medicine, Sentara Medical Group

Physician Compensation and Engagement

From Volume to Value: Revisiting Physician Compensation at Crystal Run Healthcare
Hal Teitelbaum, MD, JD, MBA, Managing Partner and CEO, and Scott Hines, MD, Co-Chief Clinical Transformation Officer and Medical Director, Medical Specialties, Crystal Run Healthcare

Engaging Physicians in High-Value Health Care at Cleveland Clinic
Adrienne Boissy, MD, MA, Director, Center for Excellence in Healthcare Communication, Cleveland Clinic Health System