AMGA’s 2019 Provider Compensation and
Medical Group Performance Improvement Conference
“Modern Compensation Approaches and a Focus on Overall Medical Group
September 11-13, 2019
The Saint Anthony Hotel · 300 East Travis Street · San Antonio, TX
AMGA is convening medical group and health system executives to address the
current and future provider compensation climate, as well as provide strategies
and takeaways you can use to manage risk.
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.
AMGA thanks the law firm Hall, Render, Killian, Heath & Lyman for their
sponsorship of the Thursday evening reception.
Wednesday, September 11
Welcome and Program Overview
Fred Horton, President, AMGA Consulting
Policy Overview: The Latest Updates from Washington, D.C.
Jamie Miller, Senior Director, Public Policy, AMGA
In this session, Mr. Miller will provide updates on topics of interest to
medical group leaders and physicians/providers, including the latest on CMS
payment models, including MACRA. He will also address status of the Affordable
Care Act, Medicare, and entitlement reform under the administration and
Congress. He will highlight key items on AMGA’s 2019 healthcare agenda for
Congress, the administration, and regulatory agencies, as well as critical,
need-to-know items that will affect your medical group in the legislative and
AMGA 2019 Medical Group Compensation and Productivity Survey
Elizabeth Siemsen, Director, AMGA Consulting
Ms. Siemsen will present the results of the AMGA 2019 Compensation and
Productivity Survey. Learn the latest trends in compensation for physicians and
advance practice providers (APPs), as well as the latest information about
sign-on and retention bonuses and the prevalence of value-based metrics in
compensation plan design.
Compensation Plan Design and the Role of APPs at BJC Medical Group
Karen Canter-Koester, VP of Operations, and Doug Pogue, M.D., President, BJC
Medical Group, St. Louis, MO
In this session, Ms. Koester and Dr. Pogue will discuss the general compensation
plan approaches at BJC Medical Group for primary care and specialties, including
the role of quality/value-based incentives. They will also discuss how their
medical group incorporates APPs in care delivery, particularly in primary care.
Thursday, September 12
Managing Provider Recruitment in Challenging Markets
Scott Polenz, CPA, MBA, Executive Vice President of Physician and Clinical
Professional Relations, Marshfield Clinic Health System
This session will focus on managing recruitment for a large organization with
care delivery operations across a large geography. The presentation will include
thoughts on structuring a busy recruitment department that leads dozens of
active searches at any time. The speaker will provide an overview of recruitment
strategies and tools along with insights on which have been most impactful.
Physician Compensation and Retention at The Guthrie Clinic
J. Michael Scalzone, M.D., M.H.C.M., Executive Vice President of Medical
Affairs, The Guthrie Clinic, Sayre, PA
Dr. Scalzone will present details of his organization’s transparent, tiered
compensation model which was implemented just a few years ago. He will discuss
how the model is managed and his thoughts on how it impacts voluntary turnover,
which has decreased steadily in recent years.
AMGA Operations and Finance Survey Overview
Rose Wagner, R.N., COO, and Will Holets, Director, AMGA Consulting
This session will focus on the results of the most recent AMGA Medical Group
Operations and Finance Survey. The survey covers key revenue and expense metrics
for medical groups, including labor, medical supplies, occupancy costs and other
overhead. Differences between system-affiliated and independent medical
groups will be discussed.
Financial and Operational Gap Analysis Case Study
Tony Kallenbach, Director of Finance, Hospital Sisters Health System Medical Group and Rose Wagner, R.N., COO, AMGA Consulting
This session will be an overview of ways to approach benchmarking to identify
opportunities for medical group financial and operational improvements. A “gap
analysis” approach with emphasis on the biggest opportunities for improvement
will be applied in a case-study format. Use of operational and financial
benchmarking data will be discussed.
Affinity Group Discussions
Every year, attendees at our conferences share that some of the most valuable
time is spent exchanging ideas with colleagues from other medical groups. For
this session, we will break into smaller groups based on areas of personal
interest for an interactive conversation. Potential topics include recruitment
and retention, physician/provider burnout, clinic access, professional revenue
cycle improvement, compensation plan design, or others.
Transitions to Salary-Based and Group-Based Compensation Models
Scott Wegner, M.D., President, Genesis Medical Group, Zanesville, Ohio
Dr. Wegner will share his group’s recent experience with design of
salary-oriented and group-based compensation models. The primary care model will
include discussion on how the expanded role of APPs is being incorporated into
the physician compensation structure. He will also discuss integrating new
providers into the compensation models as they transition off of new-hire
Evening Reception – Sky Terrace (rooftop deck of the hotel)
Friday, September 13
Advanced Fair Market Value (FMV) Compensation Analysis
Joe Wolfe, Attorney, Hall, Render, Killian, Heath & Lyman, P.C., and Wayne Hartley, M.H.A., Vice President, AMGA Consulting
This session will focus on important issues in fair market value (FMV) and
provider compensation including recruitment and retention packages, regional
variations in compensation, impact of shared savings/ACO distributions on FMV,
and evaluation of professional services agreements (PSAs).
Panel Size, Shift-Based, and Salary-Oriented Compensation Models
Fred Horton, President, and Will Holets, Director, AMGA Consulting
In this session, the presenters will share examples of approaches medical
groups are using to reduce their reliance on work RVU production in their
compensation plans. The cases will include emphasis on risk-adjusted panel size
models as well as shift-based and salary-based compensation plans.
Key Actions for Success with Professional Revenue Cycle Operations
Scott Griffin, VP, AMGA Consulting
Mr. Griffin will provide an overview of key performance metrics and actions to
maximize professional revenue cycle performance. He will discuss proactive
approaches to minimize rejections and denials and promote collaboration between
clinic and business office staff.
Program Evaluations and Adjournment
Registration and Fees
- AMGA members: $1,095 (by August 9) or $1,195 (on or after August 10)
- Non-members: $1,495 (by August 9) or $1,595 (on or after August 10)
Due to space limitations, participation is limited to provider organizations
only (e.g., medical groups, integrated delivery systems, hospitals).
The Thursday evening reception will include a light dinner with beer, wine,
and soft drink options. The reception is included in the registration fee.
Guests can be registered for $85 per person.
Cancellations must be submitted in writing by Friday, August 23, 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 Saint Anthony Hotel. In order to receive the
special AMGA conference rate of $205 per night, please use the dedicated link
provided in your confirmation email.
Reservations must be made by Friday, August 2 in order to receive the
discounted AMGA rate. After this date, rates and availability of rooms cannot be
guarantee. Room cancellations are subject to the Saint Anthony Hotel’s policy.
For assistance with registration, please contact Bruce Hadloc, meetings and
education assistant, via
or at 703.838.0033 ext. 366.