AMGA 2018 Institute for Quality Leadership Medicare Advantage and Risk: Delivering on the Promise of Value - November 13-15, 2018 Hyatt Regency ...
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AMGA 2018 Institute
for Quality Leadership
Medicare Advantage
and Risk: Delivering on
the Promise of Value
November 13-15, 2018
Hyatt Regency San Antonio Riverwalk
San Antonio, Texas
amga.org/IQL18
1
For more information
or to register,
please visit
amga.org/IQL18.
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. And with Important Registration
escalating costs and patient health on the line, it’s essential and Housing Dates
to get it right. • Friday, September 28
This year’s Institute for Quality Leadership (IQL18) Last day to register at the
Early Bird rate
focuses on strategies for succeeding in risk-based payment
models, including Medicare Advantage. Wherever you are • Friday, October 12
on the risk continuum, IQL18 delivers the resources and Last day to guarantee a hotel
relationships for managing risk. reservation
Meeting participants will depart San Antonio with • Friday, October 26
methodologies and tactics to address: Last day to register at the
• Risk-based contracting Advance Rate
• Payer contracting alignment
• Change management and transformation
• Physician burnout
• Clinical and quality improvement
• Data analysis and evidence-based medicine
• And more
2
Agenda at a Glance
Monday, November 12
5:00 p.m. - 7:00 p.m. Leadership Council Welcome Event
Tuesday, November 13
7:30 a.m. - 8:30 a.m. Joint Leadership Council Breakfast
8:30 a.m. - 5:00 p.m. AMGA Leadership Council Meetings $
• Chief Administrative Officers / Chief Operating Officers
• Chief Executive Officers / Chairs / Presidents
• Chief Medical Officers / Medical Directors
• Chief Nursing Officers
• Chief Quality Officers / Directors
5:00 p.m. - 7:00 p.m. Welcome Reception with the Platinum Host and Gold Contributors
Wednesday, November 14
7:00 a.m. - 8:00 a.m. Breakfast with Platinum Host and Gold Contributors
8:00 a.m. - 9:00 a.m. Opening General Session: Redefining Health Care: Improving Outcomes and
Simplifying the Experience
Bruce D. Broussard, President and Chief Executive Officer, Humana
9:15 a.m. - 10:15 a.m. Peer-to-Peer Breakout Sessions
10:15 a.m. - 10:45 a.m. Refreshment Break with Platinum Host and Gold Contributors
10:45 a.m. - 11:45 a.m. Peer-to-Peer Breakout Sessions
11:45 a.m. - 1:45 p.m. Networking Lunch with Platinum Host and Gold Contributors
1:45 p.m. - 2:45 p.m. Peer-to-Peer Breakout Sessions
2:45 p.m. - 3:15 p.m. Refreshment Break with Platinum Host and Gold Contributors
3:15 p.m. - 5:00 p.m. General Session: Direct Contracting Takes Flight: Boeing and MemorialCare’s
Innovative Partnership
Regina Berman, R.N., M.A., Vice President for Population Health Management and
Accountable Care, MemorialCare Health System, and Linda Brady, Health Care Strategy
and Policy, Provider Network Strategy and ACO Portfolio Manager, Boeing
5:00 p.m. - 6:00 p.m. Happy Hour with Platinum Host and Gold Contributors
6:00 p.m. - 7:00 p.m. Women in Leadership Networking Reception
Thursday, November 15
7:00 a.m. - 8:00 a.m. Continental Breakfast with Platinum Host and Gold Contributors
8:00 a.m. - 9:30 a.m. Facilitated Hot Topics
9:30 a.m. - 10:00 a.m. Refreshment Break
10:00 a.m. - 11:30 a.m. Closing General Session: A Foot in Two Canoes: Navigating Risk When Both
Value and Volume Are Rewarded
Beth Averbeck, M.D., Senior Medical Director, Primary Care, HealthPartners Medical
Group; Ruth Benton, Chief Executive Officer, New West Physicians, P.C.; and Jaewon
Ryu, M.D., J.D., Executive Vice President and Chief Medical Officer, Geisinger
Moderated by Jerry Penso, M.D., M.B.A., President and Chief Executive Officer, AMGA
$ Separate fee
3
Keynote Sessions
Redefining Health Care: Improving Outcomes
and Simplifying the Experience
Bruce D. Broussard, President and Chief Executive Officer,
Humana
During this engaging opening session, Humana President and
Chief Executive Officer Bruce Broussard will discuss approaches
to improving care and lowering cost, including partnering with
Broussard
providers, integrating lifestyle and health care, and improving
customer engagement and healthcare system navigation. Humana, which currently has
more than 3 million seniors enrolled in their Medicare Advantage plans, collaborates with
medical groups and health systems across the country to achieve these goals.
In addition, Broussard will share perspectives from a wide range of executive leadership
experience in publicly traded and private organizations within a variety of healthcare
sectors, including oncology, pharmaceuticals, assisted living/senior housing, home care,
physician practice management, surgical centers, and dental networks.
Direct Contracting Takes Flight: Boeing and
MemorialCare’s Innovative Partnership
Regina Berman, R.N., M.A., Vice President for Population
Health Management and Accountable Care, MemorialCare
Health System, and Linda Brady, Health Care Strategy and
Policy, Provider Network Strategy and ACO Portfolio Manager,
Boeing
Berman
As out-of-pocket healthcare costs climb, employers are seeking
ways to negotiate lower rates and improve access, quality, and
expenses. Large employers—such as Intel, Wal-Mart, Lowe’s, and
GE—are bypassing insurers and turning directly to healthcare
providers to negotiate contracts. This model offers employers
the ability to control expenses, while health systems benefit from
the opportunity to capture additional revenue, increase patient
volume, and achieve better patient outcomes.
Executives from MemorialCare Health System and Boeing will
Brady
discuss their “preferred partnership” health plan arrangement
for the aerospace giant’s nearly 37,000 employees and dependents in the southern
California area. Boeing, one of the earliest adopters of direct-to-employer contracting, has
previously negotiated similar arrangements with other providers in Seattle, St. Louis, and
Charleston, SC.
The speakers will also address the infrastructure (including data), clinical innovation, and
leadership needed to excel in direct contracting; pitfalls to avoid; and the outlook for a
model that helps providers remain competitive in an ever-evolving marketplace.
4
A Foot in Two Canoes: Navigating Risk
When Both Value and Volume Are Rewarded
Beth Averbeck, M.D., Senior Medical Director, Primary
Care, HealthPartners Medical Group; Ruth Benton,
Chief Executive Officer, New West Physicians, P.C.; and
Jaewon Ryu, M.D., J.D., Executive Vice President and
Chief Medical Officer, Geisinger
Averbeck
Moderated by: Jerry Penso, M.D., M.B.A., President
and Chief Executive Officer, AMGA
Balancing competing priorities in a challenging payer
environment where value and volume are rewarded is a
constant challenge for medical groups and health systems.
During this interactive panel discussion, leaders will discuss
how their organizations are navigating the move to value.
You’ll hear from a rural integrated delivery system, a medical
group not affiliated with a hospital, and an urban-based,
Benton consumer-governed, non-profit integrated delivery system.
Panelists will candidly discuss the successes and challenges
they’ve encountered during the transition to value, including
garnering buy-in from providers and payers alike, building
the competencies needed for success, collaborating
with community partners, and addressing patient access,
satisfaction, and, ultimately, outcomes.
Ryu
5
Peer-to-Peer Shared Learning
Leadership Council Meetings $
The following role-based Leadership Councils will meet on
Tuesday, November 13. Due to the intimate nature of these
meetings, participation is open only to AMGA member medical
groups and health systems. Agendas for each Council, including
topics and speakers, are available at amga.org/IQL18. Please note,
registration requires a separate fee.
• Chief Administrative Officers / Chief Operating Officers
• Chief Executive Officers / Chairs / Presidents
• Chief Medical Officers / Medical Directors
• Chief Nursing Officers
• Chief Quality Officers / Directors
Peer-to-Peer Breakout Sessions and Interactive Discussion Groups
Discover innovative strategies and groundbreaking processes from your fellow medical group and
health system leaders who are facing similar challenges and opportunities in the value-based world.
Different session formats, ranging from didactic case studies to interactive discussion groups, allow
you to learn from colleagues at organizations like yours and gain new perspectives from peers at
organizations of different structures and sizes.
Wednesday, November 14, 9:15 a.m. - 10:15 a.m.
Nuts, Bolts, and Lessons Learned in the Design and
Implementation of a Model Medicare Advantage Contract
Julie Day, M.D., Medical Director, Quality Improvement and Population Health
Management, and Annie Sheets Mervis, M.S.W., Director, Quality Improvement and
Population Health Management, University of Utah Health Community Physician Group
Structuring an effective Medicare Advantage contract is the cornerstone to successful
collaboration with payers and taking on risk. In a market with limited value-based
contracts, the University of Utah Health Community Physician Group created a model
Medicare Advantage contract to move the organization further along the continuum to
value-based care. The effort culminated in a successful contract and positive working
relationship with a major payer.
Presenters will describe the evolution of the contract, including collaboration with its
hospital contracting team, basic payment structure, pitfalls and errors in the first year, and
revisions made to the contract. The session also will highlight strategies for succeeding
with a Medicare Advantage contract, including Hierarchical Conditional Category (HCC)
coding management, centralized outreach calls, and timely analytics.
$ Separate fee
6
Meaningful Collaboration Between Pharmacists and Physicians
to Improve Quality and Meet Patient Needs
Jamie Reedy, M.D., M.P.H., Chief of Population Health, and Laura Balsamini,
Pharm.D., BCPS, National Director of Pharmacy Services, Summit Health
Management and Summit Medical Group (NJ)
As payment models move toward risk-based payment, medical groups are
looking for new ways to create changes that engage and empower the entire
care team. Pharmacists are often an overlooked part of the care team, despite
their ability to impact quality measures, address rising pharmacy costs, and
improve medication-related patient safety.
Leaders from Summit Medical Group (NJ) will discuss all aspects of their
clinical pharmacy practice model, including the business case and value proposition,
primary care integration and workflow, pharmacist/physician collaboration, data
transparency, patient education, and outcomes measurement.
Participants will depart the session with actionable strategies and tactics that resulted
in the achievement of top tier medication adherence for their Medicare Advantage
population, along with a 14% reduction in high-risk medication utilization and 17%
improvement in generic utilization.
Implementing an Evaluation Framework to Support the Evolution
of Value- and Team-Based Care
Dominick L. Frosch, Ph.D., Chief Care Delivery Evaluation Officer and Senior Scientist,
and Edward M. Yu, M.D., Medical Director for Quality, Palo Alto Medical Foundation/
Sutter Health
Team-based approaches are paramount as organizations work to
implement new care models to support value-based care. However, these
new approaches often create challenges for organizations as they shift
away from fee-for-service and begin identifying and implementing sustainable team
structures. Evaluation and measurement of these models is critical, particularly before
spreading them across a large, geographically dispersed organization.
In its continued move to value, Palo Alto Medical Foundation is hiring a growing
number of allied health professionals (e.g., nurse practitioners, physician assistants,
clinical pharmacists, social workers) in primary care to support population health.
The presenters will detail their framework to systematically and consistently evaluate
the clinical and economic impact of this model, before describing a case study that
focuses on the deployment of allied health professionals across 21 primary care
departments at Palo Alto Medical Foundation.
7
Peer-to-Peer Shared Learning (continued)
Patient-centric Care: Closing Care Gaps Through Technology,
Transparency, and the Payer-Provider Nexus
Ashok Rai, M.D., President and Chief Executive Officer, Prevea Health, and Jordan
Pisarcik, Vice President, Account Management and Business Development,
DocASAP
Significant gaps in care along ethnic, geographic, and socioeconomic lines have
driven patient satisfaction down while costs continue to rise. Creating digital
connection points across healthcare providers, payers, and patients can help
stakeholders to identify and reduce gaps while improving the patient experience
and managing costs, particularly in value-based contracts.
By employing online appointment scheduling and patient access solutions, Prevea
Health has been able to intelligently match patients with available providers to better
manage population health in rural Wisconsin markets. Experts will discuss how these
technologies have increased patient volume, improved access to care, impacted
appointment bookings via payer channels, and closed gaps in care.
Wednesday, November 14, 10:45 a.m. - 11:45 a.m.
Rethinking Primary Care from the Ground Up
Robert E. Matthews, Vice President, Quality and Care Redesign, PriMed Physicians,
and President and Chief Executive Officer, MediSync
For medical groups and health systems focused on increasing value revenues
or improving quality scores, achieving concrete results becomes more and
more urgent. Many of the outcomes driving costs and tied to public reporting in
value-based contracts—chronic disease management, wellness and prevention,
and acute care access—fall predominantly to primary care. These requirements
represent a major hurdle for primary care at a time with significant PCP shortages
and burnout.
To help them succeed in their value-based arrangements, PriMed Physicians
conducted an analysis and concluded that their current primary care model is
incapable of meeting quality and cost goals. This presentation will detail their
analysis and describe their efforts to fundamentally redesign primary care from the
ground up. Participants will learn about design principles, methods, and progress to
date, as well as some of the most common adaptations made to primary care teams
that can actually worsen problems.
8
Lather, Rinse, Repeat: A Systematic Methodology to Improve Value-
Based Performance in HCC Coding and Cost-Effective Prescribing
Jonathan Nasser, M.D., Chief Clinical Transformation Officer, Crystal Run Healthcare;
Nicole Karchner, Pharm.D., Director of Pharmacy Management, Crystal Run Health
Plans; and Meghan Brunelle, CCS, CRCR, HCC Revenue Specialist and Educator,
Crystal Run Healthcare
The expansion of alternative payment models over the past decade has
created demand for a growing number of competencies that are critical to
an organization’s value-based successes, many of which rely on engaged
physicians. Leaders from Crystal Run Healthcare will demonstrate how
they’ve maximized physician participation and performance in two areas that heavily
impact performance in risk contracts and shared savings: Hierarchical Conditional
Category (HCC) coding and cost-effective prescribing. In this interactive seminar,
they will share how they have deployed a repeatable, systematic methodology that
increased submitted HCC scores by 45% and resulted in $2.1 million in drug cost
savings while total prescriptions rose 5%.
Participants will depart with change management strategies, actionable interventions
to improve key competencies, and essential lessons gleaned from nearly a decade of
engaging physicians in risk. As a supplement to the presentation, session attendees
will receive Crystal Run Healthcare’s gaps in care reports, details behind their novel
coding performance measure, value-based prescription formulary, and educational
handouts used to engage physicians.
Navigating the Data Triangle of Value-Based Care: Value,
Attribution, and Risk
Kim Clements, Manager, Population Health Management Systems, The Polyclinic
Physician Care Alliance and Physicians Care Network; and Mary Anderson, M.D.,
FACP, Chief Clinical Integration and Quality Officer, The Polyclinic Physician Care
Alliance and Physicians Care Network
Governmental and commercial payers are transitioning to increasing risk
arrangements with incentives for high-quality and efficient care. In order for
providers to succeed under this new paradigm, they will need to understand
how quality, cost, and risk for their patient populations are measured and how to use
and validate this data to transform care and perform well in value-based arrangements.
This transformation to value-based requires that all participants understand how
value-based care is defined and measured. Key components of the data triangle
are attribution, value, and risk. This session, led by experts from The Polyclinic and
Physicians Care Network, its managed care subsidiary, will highlight four steps needed
to understand these components, how to effectively use data to improve value-based
performance gaps, and examples and data from organizations ranging from a large
integrated delivery system to a small single specialty practice.
9
Peer-to-Peer Shared Learning (continued)
Reaching for the Stars: Implications and Strategies for
Success with CMS’ 5-Star Program
Irene Chen, M.D., Associate Executive Director, The Permanente Medical
Group, Inc.
Under the Centers for Medicare & Medicaid Services’ (CMS’) Medicare
5-Star Quality Rating System, it is essential for plans and their providers to
demonstrate a high quality of care, not only to receive bonus payments to
improve benefits but also to retain membership enrollment and ensure a
robust presence in the market. Kaiser Permanente Medicare plans have
consistently received high ratings since the program began in 2007, and have
maintained high performance in all states in which the health plan operates.
Learn firsthand about the structure and significance of the Medicare 5-Star Program,
calculation of star ratings, and strategies to achieve superior performance and
outcomes related to five broad categories—outcomes, intermediate outcomes,
patient experience, access, and process—that are replicable for your medical group
or health system.
Wednesday, November 14, 1:45 p.m. - 2:45 p.m.
Using Proven Management Techniques to Transform Provider
Engagement and Care Outcomes
Richard Whittaker, M.D., Chief Medical Officer, WellMed Medical Group,
part of OptumCare
As medical groups and health systems transform from chaotic fee-for-service
operations to value-based care practices that build engagement and focus
on care outcomes, closing performance gaps between clinics or locations
can yield significant dividends. In a time of rapid growth and expansion,
WellMed Medical Group sought to design a scalable approach to allow and
incentivize clinics to practice value-orientated medicine—and ultimately close a
30% gap in performance metrics (including engagement, quality, and affordability).
The network with over 14,000 doctors’ offices in Texas and Florida created Practice
Transformation Groups (PTGs) that use evidence-based management techniques to
implement best practices, build care team engagement, and produce breakthrough
results with predictability and order.
This practice transformation effort has dramatically reduced healthcare costs per
member per month by 24% (a decrease of $179 PMPM), as well as significantly
impacted rates of admissions, readmissions, and emergency room visits. Savings
from decreased utilization in 2016 was $3.2 million, based on an average membership
of 14,800 members. Session attendees will learn more about the design principles
and approach, PTG selection process, five pre-implementation processes and four
implementation stages, results, and lessons learned.
10Using Mental Health Integration to Manage Chronic
Conditions at Lower Costs to the Community
Brenda Reiss-Brennan, Ph.D., APRIN, Medical Health Integration Director,
Intermountain Healthcare; and C. Chris Thornock, Vice President, Intermountain
Healthcare, and Chief Operating Officer, Intermountain Medical Group
This presentation will review the specific mental health integration (MHI)
delivery strategies that have improved the efficient management and
outcomes of chronic diseases and complex comorbid conditions at
Intermountain Healthcare. This includes promoting “whole health” and
well-being in the management of chronic disease in the primary care setting.
Results will describe the cost benefit of collaborative primary and mental health care
that leads to improved functional status in patients, and improved satisfaction and
confidence among physicians in managing mental health problems as part of routine
medical care at a neutral cost, with specific reduction in emergency room utilization.
Attendees will understand how Intermountain’s full clinical integration model can be
adapted to help local primary care redesign advance beyond specialty co-location
challenges in managing the social process and cost of multiple complex chronic
diseases (e.g., depression, diabetes, asthma, substance abuse, bipolar disorder,
heart disease, chronic heart failure, obesity, chronic pain). During the session,
presenters will share current results of descriptive and comparative analyses related
to factors that promote or deter improved outcomes across medical group clinics in
various stages of MHI implementation.
A Journey to Improve Panel Risk Adjustment Scores
Philip Chan, M.D., Associate Medical Director, Population Health, and Denise
Bender, Manager, Health Promotions, UW Medicine/Valley Medical Center
Under value-based reimbursement models, resource allocation is
determined by the risk adjustment factor (RAF) score. With value-based
contracts now accounting for nearly 50% of its business, UW Medicine/Valley
Medical Center steadily improved its RAF score from 0.638 in 2014 to 0.787 in 2017,
as their Medicare Advantage panel proportion also grew drastically. Experts will
share lessons learned and best practices, including how provider education and on-
boarding, incentives, improved data reporting efficiencies, and other activities and
strategies can improve your own organization’s RAF scores.
As part of this breakout session, participants will come away with tools that can
be used to better RAF scores at your medical group or health system, including an
understanding of how to adapt the tools based on the unique culture and practice
environment.
11Peer-to-Peer Shared Learning (continued)
Taking Diabetes to Heart: Finding Value in the Medicare
Population
Parag Agnihotri, M.D., Medical Director, Sharp Rees-Stealy Medical Group; Jeffrey
Galles, D.O., Chief Medical Officer, AHS Oklahoma Physician Group, LLC dba Utica
Park Clinic; and Carolyn Koenig, M.D., Medical Chair, Quality Department, Mercy
Clinic - East Communities
Moderated by: John W. Kennedy, M.D., Chief Medical Officer, AMGA; President,
AMGA Foundation
More than 25% of Americans over the age of 65 have diabetes,
representing 12 million seniors who are at increased risk for
cardiovascular disease (CVD). Join leading medical groups and health
systems participating in the AMGA Foundation’s Together 2 Goal®
campaign’s Innovator Track’s CVD Cohort to discover best practices for
managing CVD for seniors with Type 2 diabetes. The panel will share
proven strategies to improve medication adherence, leverage CVD risk
tools, and promote smoking cessation for the Medicare population living
with diabetes.
Thursday, November 15, 8:00 a.m. - 9:30 a.m.
Facilitated Hot Topics
Facilitated discussion will provide interactive, instant feedback around specific
strategies that medical group and health system leaders are using to confront
common challenges in risk and value-based care.
12Your Meeting Experience
Destination San Antonio
Overlooking the historic Alamo mission, the host
hotel is located steps from the legendary San
Antonio Riverwalk.
After you receive your conference registration
confirmation email, you will be eligible to reserve
your hotel room at the Hyatt Regency San
Antonio Riverwalk. In order to receive the special
AMGA room rate of $199 per night, please make
reservations using the dedicated link by Friday,
October 12. After this date, rate and availability
cannot be guaranteed.
For groups sending 10 or more attendees, please
contact AMGA directly to discuss options for
special room blocks and registration assistance.
Bruce Hadloc, meetings and education assistant,
can be reached at bhadloc@amga.org or
703.838.0033 ext. 366.
13Meeting Policies
• Group Discounts: Provider organizations are encouraged to bring their administrative and clinical
leadership teams to IQL18. Four or more registrants from the same organization will receive a $100
discount per registration.
• Cancellation Policy: Cancellations must be submitted in writing by Friday, October 5 in order to
receive a refund, less a $100 processing fee. No-shows are not eligible for refunds. Substitutions are
welcome and will not incur a processing fee.
• Americans with Disabilities Act Statement: AMGA is committed to making each of its educational
activities accessible to all participants so they may be actively involved in the meetings and
conferences. If you have special physical, dietary or communication needs that require auxiliary aids
or services identified in the Americans with Disabilities Act, please call us at 703.838.0033 ext. 333 so
that we can accommodate your requests.
• Code of Ethics: AMGA’s Code of Ethics, available at amga.org/IQL18, applies at all AMGA meetings,
conferences, forums, and meeting-related events, including those sponsored by organizations other
than AMGA but held in conjunction with AMGA events in which they participate. Attendees should
familiarize themselves with our code of ethics.
• Privacy Statement: Per AMGA policy, we do not distribute attendee emails to sponsors/exhibitors for
this event or at any time.
Continuing Education Credits
AMGA’s continuing education program delivers high-quality learning activities to respond to the
educational needs of medical group leaders. Medical group leaders who participate in activities
offered by AMGA can apply for credits to complete their requirements in CME, CPE, and ACHE.
Please visit amga.org/IQL18 for specific credit hours, learning objectives, and additional details.
14AMGA’s 2018 Institute for Quality Leadership
Registration Form November 13–15, 2018 • Hyatt Regency San Antonio Riverwalk • San Antonio, Texas
Please print or type all information. One individual per form please. This form may be photocopied for additional registrants.
Registrant’s Full Name and Degree (if applicable)______________________________________________________________________________________________
Job Title_______________________________________________________________________________________________________________________________
Organization Name______________________________________________________________________________________________________________________
Mailing Address________________________________________________ City________________________State________ZIP________________________________
Telephone_____________________________________________________ Email____________________________________________________________________
Assistant’s Name & Email_________________________________________________________________________________________________________________
First Name/Nickname (to appear on badge)__________________________________________________________________________________________________
Emergency Contact Name and Telephone___________________________________________________________________________________________________
National Provider Identifier (NPI) Number (if applicable)________________________________________________________________________________________
IQL (November 14-15, 2018) By September 28 September 29-October 26 After October 26
Includes IQL General Sessions, Peer-to-Peer Breakouts,
and meal functions with exhibitors.
AMGA Member or Corporate Partner o $ 825 o $ 925 o $ 1,025
AMGA Non-Member or Non-Corporate Partner o $ 1,650 o $ 1,850 o $ 2,050
Leadership Councils (November 13, 2018)
Participation in the AMGA Leadership Councils is
limited to the members of the Councils only. If you are unsure
of your status, please contact Joe DeLisle at jdelisle@amga.org
or 703.838.0033 ext. 355.
Leadership Council Meeting o $ 275 o $ 275 o $ 275
Please select which council you are attending:
o CAO/COO o CEO/President/Chair o CMO/Medical Directors o CNO o CQO/Director
Other Fees
Spouse/Guest of IQL
This fee covers the Welcome Reception on Tuesday, November 13, as well as breakfasts,
lunches, and receptions in the Exhibit Hall November 14-15. Spouse/Guest Fee o $ 175
Spouse/Guest of Leadership Council Reception
This fee covers the Council welcome event on Monday, November 12. Spouse/Guest Fee o $ 50
Name of Spouse/Guest ____________________________________________________________________
Spouse’s/Guest’s First Name/Nickname (to appear on badge) ____________________________________
Cancellations must be submitted in writing by Friday, October 5 in order to receive a refund, less a $100 cancellation fee.
After this date, cancellations will receive a Letter of Credit for the amount paid, less a $100 cancellation fee.
Payment Information
o Check, in the amount of $ _____________, is enclosed. Total Amount Due:
o Please charge $ _____________ to my o Visa o MasterCard o American Express
Card number Expiration date Security Code
Name (please print) Signature
Questions? Contact Bruce Hadloc at bhadloc@amga.org or 703.838.0033, ext. 366.
For more information, visit amga.org/IQL18One Prince Street Alexandria, VA 22314-3318
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