AMGA’s 2019 Provider Compensation and
Medical Group Performance Improvement Conference

“Modern Compensation Approaches and a Focus on Overall Medical Group Efficiency”

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.

Hall, Render, Killian, Heath & Lyman


Wednesday, September 11

1:00 – 1:15 p.m.

Welcome and Program Overview
Fred Horton, President, AMGA Consulting

1:15 – 2:00 p.m.

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 regulatory arenas.

2:00 – 2:45 p.m.

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.

2:45 – 3:15 p.m.

Networking Break

3:15 – 4:30 p.m.

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

7:45 a.m.

Continental Breakfast

8:30 – 9:30 a.m.

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.

9:30 – 9:45 a.m.

Networking Coffee Break

9:45 – 11:00 a.m.

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.

11:00 – Noon

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.

Noon – 1:00 p.m.

Networking Lunch

1:00 – 2:00 p.m.

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.

2:00 – 3:00 p.m.

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.

3:00 – 3:15 p.m.

Networking Break

3:15 – 4:15 p.m.

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 guarantees.

5:15 – 7:30 p.m.

Evening Reception – Sky Terrace (rooftop deck of the hotel)

Friday, September 13

7:45 a.m.

Continental Breakfast

8:00 – 9:00 a.m.

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).

9:00 – 9:45 a.m.

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.

9:45 – 10:00 a.m.

Coffee Break

10:00 – 11:00 a.m.

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.

11:00 a.m.

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 email or at 703.838.0033 ext. 366.