PRECON WORKSHOP:

Establishing a Payer Contract Monitoring and Evaluation Process

Payer contracts are one of the most important drivers of practice revenue—yet many organizations enter negotiations without a clear understanding of how their contracts vary between payers and how those contracts actually perform. Even seeing contracts for procedure codes with payer rates for comparison can be very time-consuming.  Without modeling the financial impact of proposed changes, even small percentage adjustments can result in significant revenue gains or losses.

This preconference session will teach participants how to develop practical Excel-based tools and templates to analyze payer reimbursement data, RVU production, and payer mix. Attendees will learn how to use Excel’s lookup features to compare payer rates side-by-side, model contract scenarios, evaluate the financial impact of payer proposals, and identify the services and payers that most influence their bottom line.

By building a repeatable process for monitoring and evaluating payer contracts, participants will gain the confidence to enter negotiations with data-driven insights, avoid costly unmodeled counter-proposals, and better manage contract performance after agreements are finalized.

Why Attend

• Save hours of time: Prepare contract data for analysis by using built-in Excel tools to look up payer rates from multiple spreadsheets.
• Build practical Excel tools: Create simple spreadsheets to analyze reimbursement, RVUs, and contract performance.
• Understand your payer mix: Identify which payers, CPT codes, and services drive the greatest revenue in your practice.
• Avoid costly surprises: Learn how unmodeled payer counter-proposals can impact revenue and how to quantify their true financial effect before agreeing to new terms.
• Strengthen negotiation strategy: Enter payer contract discussions with data-backed projections rather than percentage assumptions.
• Monitor performance over time: Establish a repeatable process to track reimbursement accuracy and evaluate whether contracts perform as expected.

*Participants should bring a laptop with Microsoft Excel installed, as the session will include step-by-step exercises building practical tools and templates*

Download Preconference Flyer to Share

Nate Moore, CPA, MBA, FACMPE speaks, consults, records, and writes about business intelligence in medical practices throughout the country.  Nate’s two books are MGMA best sellers.  Nate’s weekly BIG Ideas from the Business Intelligence Guy podcast has plenty of ideas to your practice better.  His consulting focuses on using SQL Server to mine and leverage medical practice data into actionable knowledge. 

Session Description

In this session, our speaker from the American Medical Association’s Federal Affairs team will overview the current federal healthcare policy landscape in our nation’s capital. The session will cover a number of timely topics affecting practices and health systems across the country including Medicare payment updates and reform efforts, the latest Medicare alternative payment models , Medicaid and ACA coverage changes, what’s next for augmented intelligence, a preview of what to expect in the upcoming 2027 Medicare Physician Fee Schedule, and more. We’ll also discuss the current legislative environment on Capitol Hill, what to expect in the upcoming midterms, and implications for future federal policy changes. Come prepared with your questions!

Suzanne Joy, MPP, is a federal health policy professional serving as Director of Federal Affairs at the American Medical Association (AMA) in Washington, D.C. In this role, she focuses on advancing the AMA’s federal advocacy priorities, with particular emphasis on Medicare physician payment reform and value-based care. She engages with policymakers and stakeholders to support policies that improve physician practice sustainability and patient access to care. Joy holds a Master of Public Policy and is an active participant in national healthcare policy discussions, frequently contributing to conferences and industry forums.

Session Description

Bull riding is one of the most extreme sports in the world. Eight seconds of pure chaos, requiring laser-sharp focus. But working in the modern world with its high demands and even higher stakes can feel a lot like climbing onto a 1,600-pound bull every single day. The question isn’t whether challenges will come, it’s whether we have the mindset, grit, and strategy to stay on and ride through them.

Based on Dallin’s powerful book, Get On The Bull, this keynote takes attendees on a transformative journey to embrace challenges head-on. In a world filled with uncertainty, burnout, and growing expectations, true leadership isn’t about avoiding the ride, it’s about learning how to hang on, and eventually even enjoy it.

This highly interactive session explores the fine line between grit and burnout, guides participants through finding their own personal line, and most importantly, provides the tools and tactics to navigate that line in their own lives. Then, when the challenges come and life gets overwhelming (because we all know it will) they’ll face those challenges with grit, and avoid the burnout.

While this program includes a mental health lesson, it isn’t a “mental health talk”, it’s a framework that helps leaders identify where they (and their teams) are thriving, where they are struggling, and what steps can be taken to stay on the bull.

Key Takeaways:

1. Understand the difference between healthy perseverance and destructive overwork—and how to push forward without crashing.
2. Recognize the ripple effect of your leadership on your family, team, and community, and how to lead with purpose and authenticity.
3. Walk away with practical strategies to navigate uncertainty, embrace discomfort, and turn challenges into opportunities for growth.
4. Identify steps they can take stop being so dang exhausted and overwhelmed all the time, while still getting the things done that need doing.

Attendee Bonus: 

All attendees will receive a free copy of Dallin's book, Get on the Bull: Developing Attitudes and Behaviors for Successful Leadership and an opportunity to have Dallin sign their book after his session.

Dallin Cooper is a globally recognized speaker, author, and serial entrepreneur. Having led international organizations and orchestrated two successful exits, he has dedicated his career to transforming the way category-leading companies communicate, connect, and lead.

From the smallest towns in Wyoming to the bustling streets of China’s largest cities, Dallin has challenged audiences to rethink the way they see the world. His groundbreaking insights on communication and leadership have cemented his reputation as a go-to expert for organizations seeking to bridge the gap between their people.

Dallin has advised and spoken for industry-leading organizations such as Meta, Charter, RE/MAX, MGMA, and GE, empowering leaders to question long-held assumptions, break through communication barriers, and foster cultures of trust and collaboration.

With a dynamic presence and an ability to challenge conventional thinking, Dallin equips leaders with the tools they need to cultivate deeper connections, unlock innovation, and drive meaningful results in an ever-evolving world.

This Keynote session is sponsored by:

Session Description

Healthcare organizations are operating in an increasingly complex environment—tight margins, workforce pressures, regulatory change, and rising patient expectations. High-performing practices rely on a clear set of key performance indicators (KPIs) to monitor financial health, operational efficiency, and patient outcomes.

In this interactive panel, healthcare executives and industry experts will share how they identify and track the most critical KPIs for practice performance, build dashboards that drive action, and create accountability across their organizations. Panelists will also explore how emerging tools—especially AI-powered analytics and automation—are transforming KPI tracking, reporting, and predictive insights.

Attendees will gain a practical framework for defining the top 10 KPIs every practice should monitor, implementing performance dashboards, and establishing quarterly and annual KPI review processes that support sustainable growth and operational excellence.

PANELISTS:

1. Amber Pederson, Director, Providence
2. Lydia Roloff, Practice Administrator, Evergreen Naturopathic
3. Michael Olson, COO, Praxis Health
4. Greg Orr, Adminstrator, South Tabor Family Physicians LLP
5. Mike Rivers, Founder & Principal Advisor, RiverHaus Solutions

MODERATOR

• Jesse Arnoldson, Founder, Value Care Group